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Meeting the Patient Care, Education, and Research Missions: Academic Medical Centers Must Comprehensively Address Sexual and Gender Minority Health.

Authors
  • Streed, Carl G Jr1
  • Lunn, Mitchell R2
  • Siegel, Jennifer3
  • Obedin-Maliver, Juno4
  • 1 C.G. Streed Jr is assistant professor of medicine, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, and research lead, Center for Transgender Medicine & Surgery, Boston Medical Center, Boston, Massachusetts; ORCID: http://orcid.org/0000-0003-3075-253X.
  • 2 M.R. Lunn is assistant professor of medicine, Division of Nephrology, Department of Medicine, Stanford University School of Medicine, and co-director, The PRIDE Study/PRIDEnet, Stanford University School of Medicine, Stanford, California; ORCID: http://orcid.org/0000-0002-0068-0814.
  • 3 J. Siegel is assistant professor of medicine, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, associate program director, Internal Medicine Residency Program, Boston Medical Center, and medical director, Center for Transgender Medicine & Surgery, Boston Medical Center, Boston, Massachusetts; ORCID: https://orcid.org/0000-0002-5517-8004.
  • 4 J. Obedin-Maliver is assistant professor, Department of Obstetrics and Gynecology, Stanford University School of Medicine, and co-director, The PRIDE Study/PRIDEnet, Stanford University School of Medicine, Stanford, California; ORCID: http://orcid.org/0000-0002-0945-2842. , (Mali)
Type
Published Article
Journal
Academic medicine : journal of the Association of American Medical Colleges
Publication Date
Jun 01, 2021
Volume
96
Issue
6
Pages
822–827
Identifiers
DOI: 10.1097/ACM.0000000000003703
PMID: 32852319
Source
Medline
Language
English
License
Unknown

Abstract

While sociopolitical advances have improved the rights of sexual and gender minorities (i.e., lesbian, gay, bisexual, transgender, queer [LGBTQ+] persons), they continue to face a health system that discriminates against them and does not provide competent, comprehensive care. Despite calls for advancing research, there remains limited sexual and gender minority health research funding, mentorship, and institutional support. Academic medical centers are best suited to systematically tackle disparities and improve care for all sexual and gender minority people through their tripartite missions of patient care, education, and research. In this article, the authors outline discrimination experienced by LGBTQ+ persons and highlight the unique disparities they experience across access and outcomes. The authors posit that by systematically improving clinical care of, incorporating education and training about, and research with LGBTQ+ people into their core missions, academic medical centers can dramatically change the health care landscape. Academic medical centers can eliminate health disparities, expand necessary research endeavors about sexual and gender minorities, and prepare the health care workforce to address the unique needs of these overlooked populations. Copyright © 2021 by the Association of American Medical Colleges.

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