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    Family Counseling and Coming Out

    Video Length: 4 minutes


    In this vignette a clinician engages in a conversation with his teenage patient, who has come out as bisexual, and her mother. The clinician responds to the mother’s concerns and connects her to resources for parents of LGBT children. 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.


    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 Medicine

    Madison (Patient)
    Danya Potter

    Patient’s Mother
    Jennifer E. Potter, MD
    Associate Professor of Medicine, Harvard Medical School
    Associate Editor, MedEdPORTAL LGBT Health Collection
    Director, Women's Health Program, Fenway Health Center
    Associate Professor of General Medicine and Primary Care, Beth Israel Deaconess Medical Center
    Director, Women's Health Center, Beth Israel Deaconess Medical Center
    Division of General Medicine and Primary Care

    Suggested Citation

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