Beyond Men, Women, or Both: A Comprehensive, LGBTQ-Inclusive, Implicit-Bias-Aware, Standardized-Patient-Based Sexual History Taking Curriculum

Date of Review: October, 2018

This curriculum, from MedEdPORTAL, provides preclinical learners with an approach to taking comprehensive, inclusive sexual histories from patients of all gender identities and sexual orientations. The curriculum includes background readings, checklists, and videos for students to review prior to a session where they will practice skills with Standardized Patients. Patient cases are intentionally created to encourage students to explore any implicit bias that they may have when taking patient sexual histories. For schools with existing standardized patient sessions, the cases and checklists would be easy to implement. Learner outcomes in this module were limited to student-reported satisfaction and knowledge. Student satisfaction feedback reported that students felt more comfortable taking a sexual history in the LGBTQ patient population after this exercise. — Brigid Dolan, MD, MEd, NCEAS and Sarah Hale, MD, NCEAS

Corresponding Author’s Email:

Jacob.Mayfield@ucsf.edu

Institution:

UCSF

Where Was the Curriculum Implemented?

Albuquerque, New Mexico

Source of the Curriculum/Resource:

MedEdPORTAL

Clinical Specialty:

Family and Community Medicine, Internal Medicine, OBGYN/Womens Health, Pediatrics, Urology

Outcomes that Have Been Reported for the Curriculum:

Self-reported learner attitude, self-reported learner knowledge, self-reported learner behavior in simulated setting

Outcome and Study Design:

Post only

Level of Learner Assessment:

Appreciation of content/attitude assessment (self-reflection, blogging with rubric) & demonstration of skill in a controlled environment (OSCE, Simulation)