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    Cervical Cancer Screening

    Cervical Cancer Screening (Vignette #1)

    Video Length: 4 minutes

    Description

    In this vignette a patient meets with a clinician to discuss her concerns prior to undergoing her first cervical cancer screening. The clinician explains the process and attempts to address the patient’s concerns. This vignette is part of a clinical vignette series highlighting various aspects of the health of LGBT and gender nonconforming populations and is designed to give learners the opportunity to analyze clinician-patient communication strategies. The series can be used in a variety of ways from independent learning to small group learning to large group learning. Each clip is generally three to five minutes long with discussion questions and additional resources listed at the end of each scenario. In an ideal setting the learner would be able to practice the communication strategies identified after viewing the vignettes.

    Learning Objectives

    By the completion of this vignette/vignette series, the learner will be able to:

    • Identify three strategies to engage LGBT patients in the clinical environment.
    • Discuss methods to sensitively approach history taking and physical examination with LGBT patients.
    • Describe three verbal or non-verbal strategies to identify sexual orientation and gender identity in the clinical environment.
    • Describe three unique risk factors for health conditions related to sexual orientation and gender identity.
    • Outline three techniques for tailoring health promotion strategies to the needs of LGBT patients.

    Actors

    Clinician
    Sarah Peitzmeier, MSPH
    Clinical Data Specialist
    Fenway Health
    The Fenway Institute

    Chris (Patient)
    Kristen L. Eckstrand, MD, PhD
    Past Chair, AAMC Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development
    Associate Editor, MedEdPORTAL Differences of Sex Development Health Collection
    Founding Director, Vanderbilt University Medical Center Program for LGBTI Health

    Suggested Citation

    AAMC Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development. (February, 2016). Clinical Vignettes. Washington, DC: Association of American Medical Colleges.

    Cervical Cancer Screening (Vignette #2)

    Video Length: 8 minutes

    Description

    In this vignette a transgender patient and his new clinician discuss the patient’s cervical cancer screening history. The clinician addresses the patient’s concerns regarding prior insensitive health care experiences before initiating the physical exam. This vignette is part of a clinical vignette series highlighting various aspects of the health of LGBT and gender nonconforming populations and is designed to give learners the opportunity to analyze clinician-patient communication strategies. The series can be used in a variety of ways from independent learning to small group learning to large group learning. Each clip is generally three to five minutes long with discussion questions and additional resources listed at the end of each scenario. In an ideal setting the learner would be able to practice the communication strategies identified after viewing the vignettes.

    Learning Objectives

    By the completion of this vignette/vignette series, the learner will be able to:

    • Identify three strategies to engage LGBT patients in the clinical environment.
    • Discuss methods to sensitively approach history taking and physical examination with LGBT patients.
    • Describe three verbal or non-verbal strategies to identify sexual orientation and gender identity in the clinical environment.
    • Describe three unique risk factors for health conditions related to sexual orientation and gender identity.
    • Outline three techniques for tailoring health promotion strategies to the needs of LGBT patients.

    Actors

    Clinician
    Michelle M. Forcier, MD, MPH
    Associate Professor of Pediatrics
    Assistant Dean for Admissions
    Division of Adolescent Medicine
    The Warren Alpert Medical School of Brown University

    Jamie (Patient)
    Henry Ng, MD, MPH, FAAP, FACP
    Assistant Professor of Internal Medicine and Pediatrics
    Department of Internal Medicine
    Department of Pediatrics
    Case Western Reserve University School of Mediciner Program for LGBTI Health

    Suggested Citation

    AAMC Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development. (February, 2016). Clinical Vignettes. Washington, DC: Association of American Medical Colleges.