---------- Forwarded message ---------- From: equity-PAHO <equity@xxxxxxxx> Date: 2015-02-10 19:54 GMT-03:00 Subject: From Patients to Providers: Changing the Culture in Medicine Toward Sexual and Gender Minorities To: EQUIDAD@xxxxxxxxxxxxxxxxx *[PAHO/WHO Equity list & Knowledge network]* *Perspective:* *From Patients to Providers: Changing the Culture in Medicine Toward Sexual and Gender Minorities * Mansh, Matthew; Garcia, Gabriel MD; Lunn, Mitchell R. MD *Academic Medicine,* May *2015*, 90(5) First published online: *3 February 2015* *Abstract / **Resumen:* Equality for sexual and gender minorities (SGMs)-including members of the lesbian, gay, bisexual, and transgender communities-has become an integral part of the national conversation in the United States. Although SGM civil rights have expanded in recent years, these populations continue to experience unique health and health care disparities, including poor access to health care, stigmatization, and discrimination. SGM trainees and physicians also face challenges, including derogatory comments, humiliation, harassment, fear of being ostracized, and residency/job placement discrimination. These inequities are not mutually exclusive to either patients or providers; instead, they are intertwined parts of a persistent, negative culture in medicine toward SGM individuals. In this Perspective, the authors argue that SGM physicians must lead this charge for equality by fostering diversity and inclusion in medicine. They posit that academic medicine can accomplish this goal by (1) modernizing research on the physician workforce, (2) implementing new policies and programs to promote safe and supportive training and practice environments, and (3) developing recruitment practices to ensure a diverse, competent physician workforce that includes SGM individuals. These efforts will have an immediate impact by identifying and empowering new leaders to address SGM health care reform, creating diverse training environments that promote cultural competency, and aligning medicine with other professional fields (e.g., business, law) that already are working toward these goals. By tackling the inequities that SGM providers face, academic medicine can normalize sexual and gender identity disclosure and promote a welcoming, supportive environment for everyone in medicine, including patients. *Keywords / **Palabras clave:* Gender; Civil Rights; Inequities; Health Care Disparities *How to obtain this article /* *Como obtener el artículo:* click here <http://bit.ly/1FvJfAh>. For additional information of the Equity List or contributions please contact Mrs. Eliane P. Santos, Advisor, Library and Information Networks – Department of Knowledge Management, Bioethics and Research (KBR). Pan American Health Organization, Regional office of the World Health Organization - pereirae@xxxxxxxx Pan American Health Organization, Regional Office of the World Health Organization Department of Knowledge Management, Bioethics and Research (KBR) Office of the Assistant Director - http://www.paho.org If you want to *subscribe or unsubscribe* from *Equidad (PAHO/WHO Equity list & Knowledge network)*, *please click here* <http://listserv.paho.org/scripts/wa.exe?SUBED1=equidad&A=1> Si desea *registrarse o salir* de la lista *Equidad (PAHO/WHO Equity list & Knowledge network)*, *por favor haga click aqui* <http://listserv.paho.org/scripts/wa.exe?SUBED1=equidad&A=1> IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please dispose of and delete this transmission. Thank you.