American Medical Student Association

Cleveland PRIDE Clinic

Thomas F. McCafferty Health Center
4242 Lorain Ave, Cleveland, OH 44113
http://www.metrohealth.org/body.cfm?id=2410

The PRIDE Clinic rotation offers medical students a chance to do primary care medicine with LGBT populations. This rotation is listed as IMED 4003B at the Case Western Reserve School of Medicine.

The PRIDE Clinic Elective rotation is a longitudinal experience in providing care to Lesbian, Gay, Bisexual, and Transgender people and their families.  Students, residents and fellows are expected to review the health references and readings during the course of the clinical experience.  The goals and objectives for the PRIDE Clinic experience keep in mind the ACGME (Accreditation Council of Graduate Medical Education) General Competencies:

• Patient Care (PC)
• Medical Knowledge (MK)
• Interpersonal and Communication Skills (IC)
• Practice Based Learning Improvement (PBL)
• Professionalism (PRF)
• Systems-Based Practice (SBP)

Detailed definitions of these Competencies are found at the ACGME website, www.acgme.org.  The abbreviations in parentheses refer to the specific ACGME Competencies addressed for each goal and objective.

Specific goals and objectives include, but are not limited to:

1. Understanding the difference between sexual orientation, gender identity and gender expression. (MK)
2. Understanding the impact of sexual orientation, gender identity, and gender expression on the health care experience. (MK, SBP)
3. Understanding the interaction between gender identity, and gender expression and other social determinants of health. (PC, MK)
4. Recognizing health disparities in LGBT populations. (PC, MK)
5. Recognizing unique aspects of LGBT health (transgender health and hormonal care, coming out issues, adolescent issues, parenting issues, elder issues, violence and hate crimes, etc.) (PC, IC)
6. Recognizing the effect of homophobia and heterosexism on the doctor-patient relationship. (PC, ICS, PRF)
7. Developing a culturally competent interviewing style for LGBT patients. (PC, IC, PRF)
8. Working with a multi-specialty team of providers for socially complex patients. (PC, PBL)
9. Identifying and utilizing local, state, and national resources for LGBT Health. (PC, SBP)
10. Understand how to practice high quality health care for LGBT patients in the health care system (SBP)
11. Demonstating adherence to ethical principles, and sensitivity to diversity.  Maintain a patient’s confidentialty when indicated.  (PRF)
12. Demonstrate knowledge, skills and attitudes needed for continuous self-assessment, using scientific methods and evidence to investigate, evaluate, and improve one's patient care practice. (PBL)