About Michael Gisondi, MD

Associate Professor and Vice Chair of Education
Department of Emergency Medicine
Stanford University
Editor, ALiEM EM Match Advice series

Teaching LGBTQ+ Health: 10 Clinical Pearls

lgbtq+ health teaching course

Are you confident in your skills when taking care of LGBTQ+ patients? Are you able to teach principles of LGBTQ+ health to trainees in your clinical practice and the classroom setting? Learners across the health professions demand improved LGBTQ+ health content and additional training opportunities in their schools’ curricula. However, most clinician educators received little, if any, training in LGBTQ+ health when they were students.

10 Clinical Pearls on Teaching About LGBTQ+ Health

The following are some sneak-peak clinical pearls from the Teaching LGBTQ+ Health online course that just launched. This open access, interactive, CME course was published in conjunction with National LGBT Health Awareness Week (March 22-26, 2021). It was developed by Stanford Medicine and designed by Dr. Michael Gisondi (Stanford Emergency Medicine), Timothy Keyes (Stanford SOM), Shana Zucker (Tulane SOM), and Deila Bumgardner (Stanford EdTech) in collaboration with the Medical Student Pride Alliance

  1. LGTBQ+ health encompasses so much more than the historical, one-dimensional portrayals of gay men previously used to teach about HIV/AIDS.
  2. Treat your LGBTQ+ patients with dignity and respect by correctly using LGBTQ+ health vocabulary. 
  3. Language is both fluid and deeply personal—not all LGBTQ+ patients refer to themselves with similar terms, and the ways in which these terms are used may change over time.
  4. Sex, gender, and sexual orientation are related but distinct concepts. 
  5. Intersecting minority statuses have a synergistic effect on the health and health-seeking behaviors of LGBTQ+ patients.
  6. The CDC recommends the use of ‘The 5 P’s of Sexual Health’ framework for obtaining a sexual history.
  7. In accordance with the PARTNER2 study, ‘undetectable = untransmittable.’
  8. Compliance with PrEP (pre exposure prophylaxis) for HIV reduces the risk of acquiring HIV by approximately 99%.
  9. Transmasculine patients seek routine primary care and Pap testing less frequently than cisgender patients.
  10. Create inclusive clinical environments that are affirming to queer patients, staff, and students.

Online Course: Teaching LGBTQ+ Health

Teaching LGBTQ+ Health is a new, online, faculty development course designed to bridge the gap between the expectation of faculty teaching competency and a lack of previous training. The intended audience includes educators across the health professions, though the content is also made freely available to all providers, students, patients, and other interested individuals.

This course serves as an introductory primer that assumes no prior knowledge of LGBTQ+ health issues. The course includes both LGBTQ+ health content and recommendations for teaching this material to trainees in any discipline or clinical department. Educators may freely download portions of the course for use in their daily clinical teaching or their school’s curriculum.

This online course is divided into modules that review topics such as LGBTQ+ Vocabulary, Social and Behavioral Determinants of Queer Health, Disease Prevention, and Teaching Strategies, among others. A comprehensive glossary of key terms and 3 interactive, clinical case examples are provided to reinforce key concepts. The entire course is evidence-based and extensive references to medical literature are provided. 

If you learn something new by from our course, we respectfully ask that you share the course within your clinical department and with a few colleagues outside your institution.

By |2021-03-19T10:57:09-07:00Mar 23, 2021|CME, Public Health|

EM Match Advice: 2020-21 Interview Season | This is how it started, this is how it’s going

EM Match Advice residency interview season 2020-21

The 2020-21 residency interview season has required rapid innovation and adaptability for both medical student applicants and residency programs, given COVID-19’s physical distancing restrictions. Listen to how it started and how it is going thus far with podcast co-hosts Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF).

Podcast Episode with 2020-21 Mid-Season Update and Insights

Program director panelists

  • Dr. Camiron Pfennig – Prisma Health University of South Carolina Greenville
  • Dr. Ryan Bodkin – University of Rochester
  • Dr. Michael Kiemeney – Loma Linda University

Additional Resources

By |2021-01-11T08:50:59-08:00Jan 15, 2021|EM Match Advice|

EM Match Advice: Administration Fellowship

EM Match Advice: Administration Fellowship

 

 

The EM Administration Fellowship serves to train residents desiring to pursue a leadership position in departments and hospital systems. Many graduates become department chairs and medical directors. Hosted by Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF), this podcast features fellowship directors from around the country discussing the who, what, when, and why of the fellowship.

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By |2020-09-05T17:04:20-07:00Sep 6, 2020|EM Match Advice|

A Recipe for Success: Virtual Alternatives to Residency Pre-Interview Receptions

The COVID-19 pandemic forced sweeping changes to graduate medical education over the last several months, and as we plan for the new academic year, it is clear that residency recruitment will fundamentally change as well. The Association of American Medical Colleges (AAMC) released a position statement encouraging medical school, residency, and faculty interviews to be held virtually [1]. While there is precedent for holding residency and fellowship interviews online [2-4], these new circumstances present significant challenges for applicants and residency programs alike.

One important change will be the loss of the pre-interview reception. Information exchange between students and residents over dinner at these receptions influences rank order list decisions [5,6]. These receptions provide opportunities for applicants to learn about resident life, satisfaction with their training, cost of living, and many other topics not authentically covered during the interview day. How can residency programs address the information gaps that will result from the loss of pre-interview receptions? Well-designed virtual receptions can provide a unique welcome to applicants and a means to communicate directly with faculty and residents. Here are some suggestions for the use of video conferencing to create ‘virtual receptions.’

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By |2020-08-26T16:13:14-07:00Sep 4, 2020|Academic, Medical Education|

EM Match Advice: Program Directors Reflect on the 2020 Residency Match

EM match advice residency emergency medicine

How competitive was the 2020 EM residency match? Although COVID-19 has changed some of the rules and planning for the 2020-21 residency application season, historical data still remains a helpful guide. We have updated our annual table summarizing how competitive the EM residency match was, based on National Residency Matching Program (NRMP) data.

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By |2020-06-07T01:19:27-07:00Jun 7, 2020|EM Match Advice, Podcasts|

All-EM Residency Graduation Extravaganza: Save the Date

all-EM residency graduation emergency medicine speakers

We invite all of you to join the first-ever all-EM residency graduation event to celebrate the #EMClassof2020 who are embarking on their professional careers in an especially tumultuous time in history. Although this online event cannot replace the experience of an in-person departmental event, we hope that we can all take a collective pause to realize how connected we are in EM and even find some joy in these dark times. As a testament to this momentous “leveling-up” event, world-class speakers, Dr. Esther Choo, Dr. Mel Herbert, and Dr. Amal Mattu will headline a series of well-wishes and inspirational words. We have pulled out all the stops and spared no expense to honor YOU, the future of EM!

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By |2020-06-08T16:15:47-07:00Jun 5, 2020|Academic, Social Media & Tech|

EM Match Advice: COVID-19 and the 2020-21 Residency Application Season

em match advice covid-19 residency applicationWith so much appropriate attention focused on getting frontline emergency providers with personal protective equipment in the COVID-19 era, one major overshadowed storyline is the uncertainty of the 2020-21 interview season for medical students applying into Emergency Medicine (EM). COVID-19 has thrown a wrench in the entire application season not only for medical students, but also medical schools, residency programs, and hospitals. The downstream effects of potentially canceling visiting (away) EM rotations and possibly even home EM rotations in the near term are dizzying. How does one obtain enough letters of recommendation? Should I even apply for visiting EM rotations? Fortunately, an experienced panel of EM program directors joins Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF) in discussing the thought processes, ongoing nuanced discussions, early available resources, and general mindset for the 2020-11 season.

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By |2020-04-20T19:46:54-07:00Apr 4, 2020|COVID19, EM Match Advice, Podcasts|
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