ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 275
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Family medicine academic centres at the front serving
LGBTQ communities
Dr Ruben Hernandez Mondragon1, Dr Esther Johnston2
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Indiana University School of Medicine, 2The Wright Center National Family Medicine Residency
at HealthPoint
LGBTQ+ rights have made significant progress over the past few years. Unfortunately, this progress
has been inconsistent. Globally, LGBTQ+ people still face widespread stigmatisation and persecution,
either through informal mechanisms or legal discrimination. In a surprising number of countries, the
penalty for being in a same-sex relationship is prison or even death.
As family medicine physicians, it is our duty to be aware of the social disparities the LGBTQI+
community continues to face. Access to and quality of care are frequently limited by legal restrictions,
social stressors, limited family support and lack of community acceptance.
Multiple institutions across the US have incorporated sexual and gender minority health in medical
school curricula at the undergraduate and graduate levels. However, there are currently no universal
curricular guidelines in the US related to LGBTQ+ care at either level of medical education.
The American Academy of Family Physicians has made curriculum recommendations for the care of
Lesbian, Gay, Bisexual, Transgender, Queer/Questioning and Asexual populations. These guidelines
state that family physicians should have a ‘basic understanding of hormonal treatment for transitioning
and awareness that these treatments can be provided by family physicians without specialist consult’.
This session will explore in depth how some US academic centres are incorporating LGBTQ+ health
education and providing safe space and access to quality care for our LGBTQ communities, by
providing gender-affirming therapy, HIV prevention and treatment, vaccinations, adequate health
screening, mental health support and compassionate, non-judgemental management of holistic
healthcare needs.
Educators play an important role in addressing sex, sexuality and gender in medical education and
residency training and thus faculty development is crucial. This session will provide an opportunity to
learn about several approaches to developing learning environments that emphasise evidence-based
and patient-centred care to LGBTQI+ populations.
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