Evidence map›Paper›PMID 30800835›Full record

ArticleMedEdPORTAL : the journal of teaching and learning resources2017

Beyond Men, Women, or Both: A Comprehensive, LGBTQ-Inclusive, Implicit-Bias-Aware, Standardized-Patient-Based Sexual History Taking Curriculum.

Jacob J Mayfield, Emily M Ball, Kory A Tillery, Cameron Crandall, Julia Dexter, J Michael Winer, Zachary M Bosshardt, Jason H Welch, Ella Dolan, Edward R Fancovic and 6 more

Open access · diamondAbstract read
In one paragraph

Article in MedEdPORTAL : the journal of teaching and learning resources, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. LGBTQ+ Health Care Training for OB/GYN Residents Using a Simulation-Based Learning Experience.MedEdPORTAL : the journal of teaching and learning resources · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Health Care for LGBTQ+ Youth: A Case-Based Workshop for Medical Students and Pediatric Residents.MedEdPORTAL : the journal of teaching and learning resources · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Female Sexual Dysfunction: A Primer for Primary Care Health Professionals.MedEdPORTAL : the journal of teaching and learning resources · 2023
    Article
  20. Medical student sensitivity training on the differences in sex development.International journal of medical education · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Jacob J MayfieldIntern, Internal Medicine Residency Program, University of California, San Francisco, School of Medicine.ORCID 0000-0003-3780-6502
Emily M BallIntern, Emergency Medicine Residency Program, Jackson Memorial Hospital.
Kory A TilleryMedical Student, University of New Mexico School of Medicine.
Cameron CrandallProfessor, Department of Emergency Medicine, University of New Mexico School of Medicine.
Julia DexterMedical Student, University of New Mexico School of Medicine.
J Michael WinerMedical Student, University of New Mexico School of Medicine.
Zachary M BosshardtMedical Student, University of New Mexico School of Medicine.
Jason H WelchMedical Student, University of New Mexico School of Medicine.
Ella DolanMedical Student, University of New Mexico School of Medicine.
Edward R FancovicProfessor, Division of General Internal Medicine in the Department of Internal Medicine, University of New Mexico School of Medicine.
Andrea I NañezRecent Graduate, University of New Mexico School of Medicine.
Henning De MayStudent, MD/PhD Program, University of New Mexico School of Medicine.
Esmé FinlayAssistant Professor, Division of Palliative Medicine in the Department of Internal Medicine, University of New Mexico School of Medicine.
Staci M LeeAssistant Professor, Division of Infectious Diseases in the Department of Internal Medicine, University of New Mexico School of Medicine.
Carl G StreedFellow, Division of General Internal Medicine & Primary Care, Brigham and Women's Hospital.
Khizer AshrafOccupational Therapy Student, University of New Mexico School of Medicine.
University of New Mexico · USBrigham and Women's Hospital · USJohns Hopkins University · USKaiser Permanente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This standardized-patient-based module prepares medical students to take inclusive, comprehensive sexual histories from patients of all sexual orientations and gender identities. Health disparities faced by lesbian, gay, bisexual, transgender, and queer (LGBTQ) people are at least partially the result of inadequate access to health care and insufficient provider training. This module incorporates implicit bias activities to emphasize the important role providers can play in mitigating these disparities through compassionate, competent care. Furthermore, two of the three included cases highlight the negative impact sexual dysfunction can have on emotional well-being. Methods: Over 3 hours, students participate in a 30-minute large-group lecture and three 40-minute small-group standardized patient encounters with debrief. Prework consists of a short video on sexual history taking, assigned readings, and an implicit bias activity. These materials are included in this resource, along with lecture slides, facilitator guide, and standardized patient cases. Though the cases are adaptable to all levels of medical education, this module is designed for second-year and early third-year medical students. Results: Qualitative student evaluations were positive, and postparticipation surveys revealed statistically significant improvement in comfort with their ability to take a sexual history in general, and take one from patients with a differing sexual orientation. Deployed in the second year of our Doctoring curriculum, this module continues to receive positive evaluations. Discussion: Introducing these skills begins to address the curricular deficiencies seen across medical education and lays the foundation for a more competent health care workforce to address the needs of LGBTQ patients.

Indexed as

Physician-Patient RelationsAdultCurriculumFemaleGender IdentityHomophobiaHomosexualityHumansMaleMedical History TakingPatient-Centered CarePsychometricsQualitative ResearchSchools, MedicalSexual HealthSurveys and QuestionnairesCommunicationHealth EquityImplicit BiasLectureLGBTLGBTQSexual FunctionSexual HistorySexual History TakingStandardized PatientStandardized Patient Cases

Identifiers

PMID30800835
PMCPMC6338175
OpenAlexW2759105326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.