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Assessing Bullying in Developmental History

Video Length: 3 minutes

Description:
In this vignette a clinician assesses the impact childhood bullying has had on the emotional development of his adult 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.

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

Michelle (Patient)
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

Additional Resources:

Suggested Citation:
AAMC Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development. (February, 2016). Clinical Vignettes. Washington, DC: Association of American Medical Colleges. Available online at: https://www.aamc.org/initiatives/diversity/450424/assessingbullyingindevelopmentalhistory.html

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