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The Curbsiders Internal Medicine Podcast

Supercharge your learning as these board-certified Internists interview the experts to bring you clinical pearls, practice changing knowledge, and a healthy dose of humor. 

Jun 17, 2019

Build your knowledge base to improve primary care for LGBT patients! This episode is chock full of clinical pearls and updates for LGBT health from SGIM presenters, Dr. Jenny Siegel (Boston University) and Dr. Megan McNamara (Louis Stokes Cleveland VAMC). They define common gender identity terms and provide tips on how to take a sexual history. You’ll develop an approach to the unique clinical concerns of LGBT patients and learn how to phrase medical information in a gender neutral framework. This is a must listen episode for all health care providers!

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Written and Produced by: Carolyn Chan MD

Graphics: Hannah Abrams

Hosts: Carolyn Chan MD, Paul Williams MD, Matthew Watto MD

Guest: Megan McNamara MD, Jenny Siegel MD



This episodes was recorded LIVE at #SGIM19 in Washington DC! Join the Society for General Internal Medicine today!

Time Stamps

  • 00:00 Intro, disclaimer, guest bios
  • 02:45 Guest one-liners, movie recommendations; favorite failures; Paul’s pick of the week
  • 10:52 Defining terms of gender identity
  • 14:20 What to do when you misgender someone or use the wrong term
  • 17:10 Is it a mistake to think of the entire LGBT group as the same?
  • 19:19 How to take a sexual history, the 5Ps
  • 22:00 Unique clinical concerns of LGBT patients; what screening should be performed
  • 24:20 Avoid focusing too much on sexuality and gender identity. Don’t forget to address their medical concerns
  • 24:42 Screening for mental health disorders and asking about suicide
  • 27:16 Cancer screening in transgender patients; a bit on transgener terminology; how to take an anatomy inventory
  • 34:18 Vaccinations
  • 37:05 Contraception considerations and VTE risk with hormonal therapy
  • 41:40 Pre-exposure prophylaxis and risk of STIs
  • 43:30 Impact of discriminatory state laws on LGBT mental health
  • 47:32 Plugs: Fenway Health; UCSF trans health website; Guidelines from the Endocrine Society
  • 49:35 Closing remarks
  • 51:05 Outro