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    Assessing Minority Stress and Risk Behaviors

    Video Length: 5 minutes


    In this vignette a clinician assesses the impact instances of discrimination and stigma have had on a patient. 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.


    Andrés F. Sciolla, MD
    Associate Professor
    Department of Psychiatry and Behavioral Sciences
    UC Davis Health System

    Karen (Patient)
    Tiffani St.Cloud CPC
    Director of Educational Initiatives
    Diversity Policy and Programs
    Association of American Medical Colleges

    Suggested Citation

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