Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course

Introduction Intersectionality considers how different identities simultaneously affect an individual's experiences. Those of multiple minority statuses may experience effects of intersecting systems of oppression. Most health disparities curricula do not focus on intersectionality. We studied...

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Autores principales:	Stephanie Bi, Monica B. Vela, Aviva G. Nathan, Kathryn E. Gunter, Scott C. Cook, Fanny Y. López, Robert S. Nocon, Marshall H. Chin
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	LGBTQ Sexual and Gender Minorities Human Sexuality Intersectionality Race Ethnicity Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/94fd6aba768d47ab9952b03ff2419495
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spelling	oai:doaj.org-article:94fd6aba768d47ab9952b03ff24194952021-11-19T13:45:37ZTeaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course10.15766/mep_2374-8265.109702374-8265https://doaj.org/article/94fd6aba768d47ab9952b03ff24194952020-07-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10970https://doaj.org/toc/2374-8265Introduction Intersectionality considers how different identities simultaneously affect an individual's experiences. Those of multiple minority statuses may experience effects of intersecting systems of oppression. Most health disparities curricula do not focus on intersectionality. We studied the impact of an innovative module teaching intersectionality of sexual orientation, gender identity, and race/ethnicity issues in the required Pritzker School of Medicine course Health Care Disparities: Equity and Advocacy. Methods A short lecture reviewed sexual and gender minority (SGM) health disparities, intersectionality, minority stress, and shared decision making (SDM) to establish shared language among 83 first-year medical students. Students then viewed four videos of SGM patients of color (POC) describing their health care experiences, each followed by moderated discussion about how compounded minority stress affects lived experiences and health and how to improve SDM for SGM POC. One video interviewee attended the session and answered students’ questions. Evaluation was performed using pre- and postsurveys. Results Feeling somewhat/completely confident in defining intersectionality increased from 57% to 96%. Prior to the session, 62% of respondents reported feeling somewhat/completely confident in identifying barriers to care for SGM patients, and 92% after. Thirty-three percent felt somewhat/completely confident in asking SGM patients about their identities before the session, and 81% after. Eighty-four percent rated the session as very good or excellent. Discussion The session was well received, improved student knowledge of intersectionality, and improved confidence in communicating with and caring for SGM patients. Future iterations could include condensing the lecture and including a patient panel and/or small-group discussion.Stephanie BiMonica B. VelaAviva G. NathanKathryn E. GunterScott C. CookFanny Y. LópezRobert S. NoconMarshall H. ChinAssociation of American Medical CollegesarticleLGBTQSexual and Gender MinoritiesHuman SexualityIntersectionalityRaceEthnicityMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	LGBTQ Sexual and Gender Minorities Human Sexuality Intersectionality Race Ethnicity Medicine (General) R5-920 Education L
spellingShingle	LGBTQ Sexual and Gender Minorities Human Sexuality Intersectionality Race Ethnicity Medicine (General) R5-920 Education L Stephanie Bi Monica B. Vela Aviva G. Nathan Kathryn E. Gunter Scott C. Cook Fanny Y. López Robert S. Nocon Marshall H. Chin Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course
description	Introduction Intersectionality considers how different identities simultaneously affect an individual's experiences. Those of multiple minority statuses may experience effects of intersecting systems of oppression. Most health disparities curricula do not focus on intersectionality. We studied the impact of an innovative module teaching intersectionality of sexual orientation, gender identity, and race/ethnicity issues in the required Pritzker School of Medicine course Health Care Disparities: Equity and Advocacy. Methods A short lecture reviewed sexual and gender minority (SGM) health disparities, intersectionality, minority stress, and shared decision making (SDM) to establish shared language among 83 first-year medical students. Students then viewed four videos of SGM patients of color (POC) describing their health care experiences, each followed by moderated discussion about how compounded minority stress affects lived experiences and health and how to improve SDM for SGM POC. One video interviewee attended the session and answered students’ questions. Evaluation was performed using pre- and postsurveys. Results Feeling somewhat/completely confident in defining intersectionality increased from 57% to 96%. Prior to the session, 62% of respondents reported feeling somewhat/completely confident in identifying barriers to care for SGM patients, and 92% after. Thirty-three percent felt somewhat/completely confident in asking SGM patients about their identities before the session, and 81% after. Eighty-four percent rated the session as very good or excellent. Discussion The session was well received, improved student knowledge of intersectionality, and improved confidence in communicating with and caring for SGM patients. Future iterations could include condensing the lecture and including a patient panel and/or small-group discussion.
format	article
author	Stephanie Bi Monica B. Vela Aviva G. Nathan Kathryn E. Gunter Scott C. Cook Fanny Y. López Robert S. Nocon Marshall H. Chin
author_facet	Stephanie Bi Monica B. Vela Aviva G. Nathan Kathryn E. Gunter Scott C. Cook Fanny Y. López Robert S. Nocon Marshall H. Chin
author_sort	Stephanie Bi
title	Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course
title_short	Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course
title_full	Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course
title_fullStr	Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course
title_full_unstemmed	Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course
title_sort	teaching intersectionality of sexual orientation, gender identity, and race/ethnicity in a health disparities course
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/94fd6aba768d47ab9952b03ff2419495
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Teaching Intersectionality of Sexual Orientation, Gender Identity, and Race/Ethnicity in a Health Disparities Course

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