Carl Streed Jr, MD –
Medical school curricula have only a median of 5 hours dedicated to sexual and gender minority (SGM)-related content with nearly a third of schools reporting zero hours of SGM-related content. Other research reported that fewer than half of medical students always asked their patients about same-sex behaviors, and the majority rarely or never discussed a patient’s sexual orientation; 28% reported they were uncomfortable addressing lesbian, gay, bisexual, and transgender (LGBT) patients’ health needs. Further, whereas 58% of U.S. internal medicine residency programs covered the health of racial/ethnic minorities in their curricula, only 30% addressed health of gay men and 11% health of lesbians. The 2011 Institute of Medicine report on LGBT health highlighted the dearth of research currently addressing the unique needs of SGM populations but noted sufficient evidence to prepare health professionals for the unique needs of SGM. Trainee materials, patient brochures, and continuing education content must convey what is known about sexual and gender minority health and health care needs while reflecting their unique experiences.