[co_inspiracion] Fwd: From Patients to Providers: Changing the Culture in Medicine Toward Sexual and Gender Minorities

  • From: Mario Parada <mario.parada@xxxxx>
  • To: co_inspiracion@xxxxxxxxxxxxx
  • Date: Thu, 26 Feb 2015 16:24:51 -0300

---------- 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>.



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