LGBTQ Clinical Scenarios by Austin Marshall https://padlet.com/a_marshall3/lgbtq en-us 2018-08-19 21:45:14 UTC 2018-08-29 17:00:08 UTC hello@padlet.com https://padletuploads.blob.core.windows.net/prod/80264060/cdf38ae2d21ee13c036196e76c1eb262/Backback.png #3 A 21 year old cisgender male comes in to the office to establish care. He reports having sex with men and women during the sexual history. The attending physician asks “Have you ever been tested? You know you really should, given your identity. Also, do you use condoms?” a_marshall3 https://padlet.com/a_marshall3/lgbtq/wish/273930391 a) In the context of a man who has sex with men, do you think this statement does a good job of encouraging STI testing in a respectful manner? 
b) What did the physician assume about the patient’s identity? 
c) What did the physician assume about the patient’s risk level?


]]> 2018-08-19 21:45:14 UTC https://padlet.com/a_marshall3/lgbtq/wish/273930391 #2 A 73 year old trans woman comes to the urgent care clinic with a chief concern of a sore throat. After reading the chart, the physician realizes the patient is trans and says “Sorry, but I don’t know how to care for transgender patients. I can refer you to another provider. Also, please tell me your real name so I can provide an accurate referral.” a_marshall3 https://padlet.com/a_marshall3/lgbtq/wish/273930392 a) Do you think this is the responsible course of action when treating a transgender patient? Consider the barriers to healthcare this behavior creates for transgender individuals, given the health disparities covered earlier. 
b) What are the implications of asking for a ‘real name’?


]]> 2018-08-19 21:45:14 UTC https://padlet.com/a_marshall3/lgbtq/wish/273930392 #1 A 25 year old cisgender man comes in to the office to establish care. During the sexual history, he reports having sex with primarily male partners. He follows up by saying he identifies as a gay man. Upon hearing this, the physician leading the encounter remarks, “Oh, so you’re gay? Well, I’m straight.” a_marshall3 https://padlet.com/a_marshall3/lgbtq/wish/273930393 a) What relevance does this sort of statement have in a medical encounter? 
b) Do you think a straight patient would ever hear this? Why or why not?
c) What might make a patient feel comfortable enough to share their sexual orientation with their provider?


]]> 2018-08-19 21:45:14 UTC https://padlet.com/a_marshall3/lgbtq/wish/273930393