Department: General Internal Medicine
Location of elective: multiple sites
Elective director: Lisa Reeves, MD
Maximum # of students per module: 1
Modules elective is available: all, 4 weeks
On the first day students report to: Lisa Reeves, MD, Comprehensive Family Care Center, 1621 Eastchester Road, Suite 215, Bronx
Time: TBA by Dr. Reeves
General Description and Goals
This elective will provide the senior medical student with a diverse, meaningful, and focused exposure to the healthcare needs of Lesbian, Gay, Bisexual and Transgender (LGBT) patients. Areas of study include identity, life cycle, bias, disparities, legal discrimination, violence, health promotion, harm reduction, prevention, and clinical practice. Learning goals focus on cultural as well as clinical competence in the care of the LGBT patient, and include a requirement for an educational, service or research activity pertaining to LGBT healthcare.
Measurable learning objectives of elective
- Describe specific healthcare needs of LGBT patients;
- List challenges faced by LGBT patients in accessing health care and identify ways to overcome these challenges;
- List local and national resources for LGBT patients
- Identify and develop a skill(s) to engage in LGBT-related research, teaching and/or service.
The elective will have three core components: clinical, didactic, and an LGBT-related project. While all components are required, the percentage of each will be tailored by the student’s preferences. These preferences will be determined via a pre-elective form which asks the student to state his/her goals for the elective and the ways in which s/he would like to achieve them. Because of the personalized nature of this elective, we ask that the student contact the course director for pre-approval at least 3 months prior to the start of the elective in order for the course director to coordinate with other faculty members.
Clinical: Students will have up to four outpatient clinical sessions a week during which they will see patients under supervision at community based organizations such as the South Bronx Community Health Center (SBCHC), the Montefiore MMG Health Care Centers (CFCC and CHCC) , and the Callen-Lorde Community Health Center (CLCHC, an LGBT health center in Manhattan). They will also have an opportunity to go out on several Homeless Youth Outreach Mobile Vans (Streetworks at SBCHC or HOTT at CLCHC). Students will keep a narrative journal of their experiences which will be reviewed with the medical director weekly.
Didactic: Students will have weekly required readings and educational videos. They will also be required to attend at least one resident-level lgbt educational seminar led by faculty from a variety of disciplines (e.g. internal medicine, family medicine, pediatrics, ob-gyn, emergency medicine). These are offered regularly at varying times throughout the month and will be chosen based on the student’s preference and availability.
Educational / Research / Service Project: Students will be required to engage in at least one LGBT-related research, educational, or service-related activity of their choice. Examples of prior and current educational projects include: creating or refining teaching presentations within various disciplines (i.e., updating references for existing workshops); developing and evaluating the Safe Zone Ally and Mentoring Workshops for the medical community; helping to run a Safe Zone Workshop; creating an educational video; updating a local resource guide; assisting in developing LGBT curriculum for the medical school (e.g. helping to develop LGBT case scenarios that can be substituted into any course instead of an existing example); writing an article for the quarterly Einstein LGBT Bulletin; doing research in social media; and helping to organize the LGBT Health Workforce Conference (annual event). In addition, the student will be required to attend monthly LGBT Einstein Steering Committee meetings, at which time s/he will be able to meet and network with LGBT faculty, students, staff, and supportive allies; and also learn about the steps for advancing LGBT policy, practice, and academic scholarship at Einstein. There will be an optional component for students to spend one day a week with a self-indentified LGBT faculty member in the field of the student’s choice.
Method of Student Feedback and Evaluation
Students will meet at the onset of the course and then weekly with the course director to monitor the progress of the student in meeting his/her personal goals as well as the formal course requirements. Specifically, the course director will 1) review the student’s clinical activities of the previous week, including a discussion of the narrative journal entries; 2) learn about the progress of the research / educational/service-related project; and 3) confirm the plans for the future week.
The course director will complete an official Einstein evaluation that will be based on 1) the student’s motivation and initiative; 2) feedback from the individual faculty members who work directly with the student at the clinical site and during the scholarship work; and 3) the results of a formal exam to assess knowledge learned about best practices regarding the healthcare of LGBT patients.