Facilitating LGBT Medical, Health and Social Care Content in Higher Education Teaching
Keywords:
Downloads
Abstract
Increasingly, Lesbian, Gay, Bisexual, and Transgender (LGBT) health care is becoming an important quality assurance feature of primary, secondary and tertiary healthcare in Britain. While acknowledging these very positive developments, teaching LGBT curricula content is contingent upon having educators understand the complexity of LGBT lives. The study adopted a qualitative mixed method approach. The study investigated how and in what ways barriers and facilitators of providing LGBT medical, health and social care curricula content figure in the accreditation policies and within undergraduate and postgraduate medical and healthcare teaching. This paper illustrates opposing views about curricula inclusion. The evidence presented suggests that LGBT content teaching is often challenged at various points in its delivery. In this respect, we will focus on a number of resistances that sometimes prevents teachers from engaging with and providing the complexities of LGBT curricula content. These include the lack of collegiate, colleague and student cooperation. By investing some time on these often neglected areas of resistance, the difficulties and good practice met by educators will be explored. This focus will make visible how to support medical, health and social care students become aware and confident in tackling contemporaneous health issues for LGBT patients.Downloads
References
Allen, D. (2003). Study calls for better training to overcome homophobic views. Mental Health Practice. from http://www.highbeam.com/doc/1G1-108968585.html
Google Scholar CrossrefBach, R., & Weinzimmer, J. (2011). Exploring the Benefits of Community-based Research in a Sociology of Sexualities Course. Teaching Sociology, 39(1), 57-72. doi: 10.1177/0092055x10390647
Google Scholar CrossrefBecker, S. (2013). Learning to Liberate: Community-Based Solutions to the Crisis in Urban Education. Contemporary Sociology: A Journal of Reviews, 42(4), 628-630. doi: 10.1177/0094306113491549bbb
Google Scholar CrossrefBilodeau, B. L., & Renn, K. A. (2005). Analysis of LGBT Identity Development Models and Implications for Practice. In R. L. Sanlo (Ed.), Gender Identity and Sexual Orientation: Research Policy, and Personal Perspectives (pp. 25-39). San Francisco: Jossey-Bass.
Google Scholar CrossrefCase, K. A., & Stewart, B. (2010). Changes in Diversity Course Student Prejudice and Attitudes Toward Heterosexual Privilege and Gay Marriage. Teaching of Psychology, 37(3), 172-177. doi: 10.1080/00986283.2010.488555
Google Scholar CrossrefCrisp, C., & McCave, E. L. (2007). Gay Affirmative Practice: A Model for Social Work Practice with Gay, Lesbian, and Bisexual Youth. Child and Adolescent Social Work Journal, 24(4), 403-421. doi: 10.1007/s10560-007-0091-z
Google Scholar CrossrefCronin, A., & King, A. (2010). Power, Inequality and Identification: Exploring Diversity and Intersectionality amongst Older LGB Adults. Sociology, 44(5), 876-892. doi: 10.1177/0038038510375738
Google Scholar CrossrefD’Eon, M., Proctor, P., Cassidy, J., McKee, N., & Trinder, K. (2010). Evaluation of an interprofessional problem-based learning module on care of persons living with HIV/AIDS. Journal of Research in Interprofessional Practice and Education. from http://www.jripe.org/index.php/journal/article/viewArticle/28
Google Scholar CrossrefDavy, Z. (2011). The promise of intersectionality theory in primary care. Quality in Primary Care, 19(5), 279-281.
Google Scholar CrossrefDavy, Z., & Siriwardena, A. N. (2012). To be or not to be LGBT in Primary Care: health care for lesbian, gay, bisexual and transgender people. British Journal of General Practice, 62(602), 491-492. doi: 10.3399/bjgp12X654731
Google Scholar CrossrefEliason, M. J., Dibble, S. L., & Robertson, P. A. (2011). Lesbian, Gay, Bisexual, and Transgender (LGBT) Physicians' Experiences in the Workplace. Journal of Homosexuality, 58(10), 1355-1371. doi: 10.1080/00918369.2011.614902
Google Scholar CrossrefEllison, G., & Gunstone, B. (2009). Sexual Orientation Explored: A Study of Identity, Attraction, Behaviour and Attitudes in 2009. Manchester: Equality and Human Rights Commission.
Google Scholar CrossrefFish, D., & de Cossart, L. (2007). Developing the wise doctor: a resource for trainers and trainees in MMC. London: Royal Society of Medicine Press.
Google Scholar CrossrefForrest, S. (2012). Straight Talking: Challenges in teaching and learning about sexuality and homophobia in schools. In M. Cole (Ed.), Education, Equality and Human Rights: Issues of gender, 'race', sexuality, disability and social class (3rd ed., pp. 128-158). London: Routledge.
Google Scholar CrossrefFoucault, M. (1977). The History of Sexuality. london: Penguin.
Google Scholar CrossrefFreire, P. (2000 [1970]). Pedagogy of the oppressed (M. Bergman Ramos, Trans. 30th anniversary. ed.). New York: Continuum.
Google Scholar CrossrefGeneral Medical Council. (2009). Tomorrow's Doctors. London: General Medical Council.
Google Scholar CrossrefHall, J. A., Roter, D. L., & Katz, N. R. (1988). Meta-Analysis of Correlates of Provider Behavior in Medical Encounters. Medical Care, 26(7), 657-675. doi: 10.2307/3765489
Google Scholar CrossrefHarry Benjamin International Gender Dysphoria Association. (2001). The Harry Benjamin International Gender Dysphoria Association's Standards of Care for Gender Identity Disorders, Sixth Version. Retrieved 1st August, 2004, from http://www.hbigda.org/socv6.cfm
Google Scholar CrossrefHayes, J. A., & Erkis, A. J. (2000). Therapist homophobia, client sexual orientation, and source of client HIV infection as predictors of therapist reactions to clients with HIV. Journal of Counseling Psychology, 47(1), 71. doi: 10.1037/0022-0167.47.1.71
Google Scholar CrossrefHealth and Care Professions Council. (2012). Standards of Proficiency-Practitioner Psychologists. London: Health and Care Professions Council.
Google Scholar CrossrefHicks, S., & Watson, K. (2003). Desire Lines: 'Queering' Health and Social Welfare. Sociological Research Online, 8(1). http://www.socresonline.org.uk/8/1/hicks.html
Google Scholar CrossrefHinchliff, S., Gott, M., & Galena, E. (2005). ‘I daresay I might find it embarrassing’: general practitioners’ perspectives on discussing sexual health issues with lesbian and gay patients. Health & Social Care in the Community, 13(4), 345-353. doi: 10.1111/j.1365-2524.2005.00566.x
Google Scholar CrossrefHolmes, G. (1995). Queer Cut Bodies: Intersexuality & Homophobia in Medical Practice. Retrieved 12th September, 2002, from http://www.usc/isd/archives/queerfrontiers/queer/papers/holmes.long.html
Google Scholar CrossrefJakubowski, L. M., & Burman, P. (2004). Teaching Community Development: A Case Study in Community-Based Learning. Teaching Sociology, 32(2), 160-176. doi: 10.1177/0092055x0403200202
Google Scholar CrossrefJani, J. S., Pierce, D., Ortiz, L., & Sowbel, L. (2011). Access to Intersectionality, Content to Competence: Deconstructing Social Work Education Diversity Standards. Journal of Social Work Education, 47(2), 283-301. doi: 10.5175/jswe.2011.200900118
Google Scholar CrossrefKolb, D. A. (1984). Experiential Learning. Engelwood Cliffs: Prentice-Hall.
Google Scholar CrossrefLeiblum, S. R. (2001). An established medical school human sexuality curriculum: Description and evaluation. Sexual and Relationship Therapy, 16(1), 59-70. doi: 10.1080/14681990123463
Google Scholar CrossrefMcGibbon, E., & McPherson, C. (2011). Applying Intersectionality & Complexity Theory to Address the Social Determinants of Women's Health. Women's Health and Urban Life, 10(1), 59-86. http://hdl.handle.net/1807/27217
Google Scholar CrossrefMcNair, R. P., & Hegarty, K. (2010). Guidelines for the Primary Care of Lesbian, Gay, and Bisexual People: A Systematic Review. Annals of Family Medicine, 8(6), 533-541. doi: 10.1370/afm.1173
Google Scholar CrossrefMooney, L. A., & Bob, E. (2001). Experiential Learning in Sociology: Service Learning and Other Community-based Learning Initiatives. Teaching Sociology, 29(2), 181-194. http://www.jstor.org/stable/1318716
Google Scholar CrossrefPress for Change. (1998). High Court: A, D and G v N-W Lancashire Health Authority: Full text of the judgment of the High Court. Retrieved 2nd Jan, 2008, from http://www.pfc.org.uk/node/317
Google Scholar CrossrefRennstam, J., & Ashcraft, K. L. (2014). Knowing work: Cultivating a practice-based epistemology of knowledge in organization studies. Human Relations, 67(1), 3-25. doi: 10.1177/0018726713484182
Google Scholar CrossrefRichardson, D., & Monro, S. (2012). Sexuality, Equality & Diversity. Basingstoke: Palgrave Macmillan.
Google Scholar CrossrefRobinson, K. H., & Ferfolja, T. (2001). 'What are We Doing this For?' Dealing with Lesbian and Gay Issues in Teacher Education. British Journal of Sociology of Education, 22(1), 121-133. doi: 10.1080/01425690020030828
Google Scholar CrossrefSchilt, K., & Westbrook, L. (2009). Doing Gender, Doing Heteronormativity: "Gender Normals," Transgender People, and the Social Maintenance of Heterosexuality. Gender & Society, 23(4), 440-464. doi: 10.1177/0891243209340034
Google Scholar CrossrefSequiera, G. M., Chakraborti, C., & Panunti, B. A. (2012). Integrating Lesbian, Gay, Bisexual, and Transgender (LGBT) Content Into Undergraduate Medical School Curricula: A Qualitative Study. The Ochsner Journal, 12(4), 379-382. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527869/
Google Scholar CrossrefStewart, M. A. (1995). Effective physician–patient communication and health outcomes: a review. Canadian Medical Association Journal, 152(9), 1423-1433. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1337906/?page=11
Google Scholar CrossrefThe Lesbian & Gay Foundation. (2011). Pride in Practice: Excellence in Lesbian Gay and Bisexual Healthcare. Retrieved 14th March, 2012, from http://www.lgf.org.uk/prideinpractice
Google Scholar CrossrefVaid, U. (1995). Virtual Equality: The Mainstreaming of Gay and Lesbian Liberation. New York: Anchor Books.
Google Scholar CrossrefVan Den Bergh, N., & Crisp, C. (2004). Defining Culturally Competent Practice with Sexual Minorities: Implications for Social Work Education and Practice. Journal of Social Work Education, 40(2), 221-238. doi: 10.1080/10437797.2004.10778491
Google Scholar Crossrefvan Mens-Verhulst, J., & Radtke, H. L. (n.d.). Intersectionality and Health Care: Support for the Diversity Turn in Research and Practice. Retrieved 15th June 2010, from http://www.vanmens.info/verhulst/en/wp-content/Intersectionality%20and%20Health%20Care-%20january%202006.pdf
Google Scholar CrossrefWhittle, S. (2006). Homophobia: what is it, and what is its impact. Paper presented at the Pre-Conference of the 23rd ILGA World Conference, Geneva.
Google Scholar CrossrefWhittle, S., Turner, L., Combs, R., & Rhodes, S. (2008). Transgender EuroStudy: Legal Survey and Focus on the Transgender Experience of Health Care. Retrieved 7th November, 2012, from http://www.pfc.org.uk/pdf/eurostudy.pdf
Google Scholar CrossrefWilloughby, B. L. B., Hill, D. B., Gonzalez, C. A., Lacorazza, A., Macapagal, R. A., Barton, M. E., & Doty, N. D. (2010). Who Hates Gender Outlaws? A Multisite and Multinational Evaluation of the Genderism and Transphobia Scale. International Journal of Transgenderism, 12(4), 254-271. doi: 10.1080/15532739.2010.550821
Google Scholar CrossrefWilson, C. K., West, L., Stepleman, L., Villarosa, M., Ange, B., Decker, M., & Waller, J. L. (2014). Attitudes Toward LGBT Patients Among Students in the Health Professions: Influence of Demographics and Discipline. LGBT Health. doi: 10.1089/lgbt.2013.0016
Google Scholar CrossrefWorld Professional Association of Transgender Health. (2012). Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People. Retrieved 11th December, 2012, from http://www.wpath.org/documents/SOC%20V7%2003-17-12.pdf
Google Scholar CrossrefZucker, K. J., & Bradley, S. J. (1995). Gender Identity Disorder and Psychosexual Problems in Children and Adolescents. New York: Guilford Press.
Google Scholar CrossrefDownloads
Published
Metrics
Almetric
Dimensions
How to Cite
Issue
Section
License
All articles are published under Creative Commons copyright (CC BY). Authors hold the copyright and retain publishing rights without restrictions, but authors allow anyone to download, reuse, reprint, modify, distribute, and/or copy articles as the original source is cited.
