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Other Issues in Primary Care Training Materials - National LGBT Health Education Center
Other Issues in Primary Care

Other Issues in Primary Care


Other Issues in Primary Care

LGBT Health Disparities & Hypertension Control Opportunities with the American Heart Association

Originally Presented On: April 19, 2018

This webinar will educate providers about LGBT health disparities and introduce providers to the American Heart Association’s hypertension control efforts and Target Blood Pressure program. Target BP is a national collaboration between the American Heart Association and the American Medical Association to reduce the number of Americans who have heart attacks and strokes by urging medical practices, health service organizations and patients to prioritize blood pressure control.

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Providing Mental Health Assessments

for Gender Affirming Surgery Referral


In this webinar, Sarah Eley, LICSW will discuss the process of providing mental health assessments for transgender and gender diverse people who are seeking a letter(s) of referral for gender affirming surger(ies).  Guidance will be provided on the steps within an assessment as well as considerations for administrative systems which can ease the process. The webinar will also address the presence of the power differential and providing assessments from a gender informed and affirming perspective.

Download the slides here: SLIDES

The Interview Guide mentioned in the webinar can be downloaded HERE.


Originally Presented On: January 22, 2019

Faculty: Sarah Eley, LICSW

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Considerations for Heart Health of LGBT Identified Patients

Lisa Neff, Community Impact Director at the American Heart Association and Dr. Alex Gonzalez, Medical Director at Fenway Community Health, will discuss cholesterol, diabetes, and other heart health considerations as they pertain to the LGBTQ community. The webinar will cover strategies for care including the AHA’s Check. Change. Control, Cholesterol program and diabetes management strategies tailored to the needs of LGBTQ people.





Heart Health for LGBTQ People SLIDES

Originally Presented On: April 3, 2019

Faculty: Alex González, MD MPH
Medical Director, Fenway Health
Clinical Instructor, Harvard Medical School & BIDMC
Lisa Neff
Community Impact Director
American Heart Association

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Same-Sex Domestic Violence: Considerations, Suggestions, and Resources

Originally Presented On: June 22, 2017

Faculty: Cara Presley, LICSW

According to a recent national survey, LGBT people experience domestic violence at least as commonly as heterosexual women, contradicting common misperceptions that men cannot be victims of abuse, and women cannot perpetrate abuse. In this webinar, Cara Presley of Fenway Health’s Violence Recovery Program, will explain the unique characteristics of same-sex domestic violence as well as the benefits of screening LGBT patients. Participants will learn to identify barriers that LGBT victims and survivors of domestic violence face when accessing health care, legal protection, and safe shelters.

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Sexual Health among Transgender People

Originally Presented On: January 25, 2017

Faculty: Alex Keuroghlian, MD, MPH, Associate Director of Education and Training, The Fenway Institute

Sponsors: LGBT Health Education Center, School-Based Health Alliance

Engaging transgender clients in exploring sexuality – including intersectionality with gender identity and shifts in attraction associated with medical affirmation—is integral to the larger, clinical goal of affirming transgender identities and providing competent care. In this webinar, Dr. Alex Keuroghlian, MD MPH, will review recent research as well as existing best behavioral health practices and therapeutic considerations for sexual health among transgender clients, including the following topics: sexual identities and fluidity, sexual satisfaction following medical affirmation, and relational health. Attention is given to providing a transgender-affirming frame and discussing sexual health risk within the context of psychosocial stressors, including challenges related to gender affirmation and experiences of transphobia.

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Addressing Social Determinants of Health among LGBTQ Latinx Young Adults

Originally Presented On: June 22, 2016

Faculty: Suyanna Barker, Community Health Action Department Director, La Clínica del Pueblo, Manuel Diaz-Ramirez, ¡Empodérate! Youth Center Manager, La Clínica del Pueblo, Alexa Rodriguez Transgender Program Coordinator for ¡Empoderáte! Youth Center

Latino(a) youth and young adult men who have sex with men or who identify as lesbian, gay, bisexual, and/or transgender often face stigma, discrimination, and language barriers that prevent them from accessing prevention and treatment at health care centers, and leaving them vulnerable to high rates of HIV and other health disparities. In this session, panelists Suyanna Linhales Barker, DrPH; Manuel Diaz-Ramirez, and Alexa Rodriguez, all from La Clinica del Pueblo, will discuss the social determinants of health that create barriers to prevention and care for young adult Latino(a)s. The panelists will draw on their experiences working with this population, including young Latinos living with HIV, and transgender latino(a)s in the Washington, DC area to give participants the tools to recognize barriers within their own organizations to better facilitate prevention and care opportunities for transgender and MSM Latino young adults.

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Syphilis among Men Who Have Sex with Men: Clinical Care and Public Health Reporting

Originally Presented On: June 9, 2016

Faculty: Kevin Ard, MD, MPH, Medical Director, National LGBT Health Education Center; Massachusetts General Hospital
Brenda Hernandez, Special Project Coordinator, Massachusetts Department of Public Health

The CDC reports that 83% of primary and secondary syphilis cases occur among gay, bisexual, and other men who have sex with men (MSM). With syphilis on the rise, health centers have an opportunity to prevent, screen, and treat syphilis among these vulnerable populations. In this webinar, Kevin Ard, MD, MPH will explain the diagnostic and therapeutic approach to syphilis based on the clinical stage of the disease, and will explain what to do when there are discordant results on diagnostic tests.  Dr. Ard will be joined by Brenda Hernandez, who will explain syphilis case reporting and partner services so that health centers can effectively work with public health departments to help control the epidemic.

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Reducing Tobacco Use in LGBT Communities: How Can We Do Better?

Originally Presented On: May 5, 2015

Faculty: Phoenix Matthews, PhD, Associate Professor and Clinical Psychologist, University of Illinois at Chicago

Sponsors: Arkansas Department of Health, CVS Caremark, and the National LGBT Health Education Center

Lesbian, gay, bisexual, and transgender (LGBT) people smoke at roughly twice the rate of non-LGBT people, putting them at elevated risk for smoking-related health disparities. In this webinar, Phoenix Matthews, PhD, Associate Professor and Clinical Psychologist at the University of Illinois at Chicago, will educate participants about smoking disparities among LGBT people, including a discussion of what motivates LGBT people to smoke, what clinicians can do to help LGBT people quit, and what the state of the science says about smoking cessation interventions for LGBT people. Dr. Matthews is nationally and internationally known for health disparities research with underserved populations primarily focused on culturally targeted cancer risk reduction interventions. Currently Dr. Matthews is the Principal Investigator of an NIH-funded study to conduct a randomized clinical trial of a smoking cessation intervention for adult smokers.

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Structural Stigma and the Health of Lesbian, Gay, and Bisexual Populations

Originally Presented On: February 11, 2016

Faculty: Mark L. Hatzenbuehler, PhD, Associate Professor, Department of Sociomedical Sciences, and Co-Director, Center for the Study of Social Inequalities and Health, Columbia University Mailman School of Public Healt

Sponsors: The National Center for Innovation in HIV Care and the National LGBT Health Education Center

Psychological research has made significant advancements in the study of stigma but has tended to focus almost exclusively on individual and interpersonal stigma processes. Recently, researchers have expanded the stigma construct to consider how broader, macrosocial forms of stigma—what we call structural stigma—also disadvantage stigmatized individuals. In this webinar, Dr. Mark L. Hatzenbuehler of the Columbia University Mailman School of Public Health will review current research demonstrating that structural stigma has far-reaching health consequences for lesbian, gay, and bisexual (LGB) people. Dr. Hatzenbuehler will also examine future directions for structural stigma research, including exploring how providers at health centers, ASOs, CBOs, and other health care organizations can mitigate the effects of structural stigma with their LGB patients.

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The Affordable Care Act: Building Health Equity for LGBT People

Originally Presented On: December 7, 2015

Faculty: Kellan Baker, MPH, MA, Senior Fellow, Center for American Progres

Sponsors: The National LGBT Health Education Center and The National Center for Innovation in HIV Care

Under the Affordable Care Act, health centers and community based organizations continue to serve a critical role in helping LGBT people access health insurance coverage. In this webinar, Kellan Baker, MPH, MA, a Senior Fellow at the Center for American Progress, will explain how reforms under the new system have impacted multiple aspects of health care for LGBT people, including data collection, prevention and wellness, Medicaid and other health insurance coverage. He will also address strategies that health centers and other organizations can use to enroll LGBT people into health care to continue to reduce the number of uninsured LGBT people, especially people living with HIV/AIDS.

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Anal Dysplasia and Cancer in At-Risk Groups: What Providers Need to Know

Originally Presented On: April 9, 2013

Faculty: Lori Panther, MD, MPH, Clinical Director of the Infectious Diseases Dysplasia Clinic, Beth Israel Deaconess Medical Center; Medical Provider at Fenway Health, and Associate Medical Director for Clinical Research, The Fenway Institute, Fenway Health

Sponsors: The National LGBT Health Education Center

Anal cancer is on the rise in the United States. Men who have sex with men (MSM) and HIV-infected people have a higher risk of developing anal cancer compared to the general male population. Although the majority of anal cancers are caused by the human papillomavirus (HPV)–the same virus that causes cervical cancer–there is no official guidance that promotes routine screening for anal cancer. What can health center providers do to prevent anal cancer in their patients? In this webinar, Dr. Lori Panther reviews the basic epidemiology of HPV, and discusses the signs, symptoms, potential screening mechanisms, and prevention methods for anal cancer that providers can offer their patients.

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Breast Cancer Risk and Prevention in Lesbian and Bisexual Women

Originally Presented On: November 19, 2014

Faculty: Jennifer Potter, MD, Director, Women's Health Program, Fenway Health, Director, Women's Health, Healthcare Associates, Beth Israel Deaconess Medical Center, Boston, MA

Recommendations for breast cancer screening are not standardized across organizations, causing confusion for patients and providers. In this webinar, Dr. Jennifer Potter, the Women’s Health Program Director at Fenway Health and Beth Israel Deaconess Medical Center in Boston will explain how varying screening guidelines can be interpreted, with a particular focus on screening for lesbian and bisexual women (a population group that may have more risk factors, yet lower screening rates). In addition, she will describe the feasibility and acceptability of routine breast cancer risk assessment in an urban, LGBT health center, and identify preventive strategies to reduce breast cancer risk among high-risk women.

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Implementing Routine Intimate Partner Violence Screening in a Primary Care Setting

Originally Presented On: November 19, 2015

Faculty: Jennifer Potter, MD, Medical Director, Women’s Health Team, Fenway Health, and Professor of Medicine, Harvard Medical School; Cara Presley, LICSW, Manager, Violence Recovery Program, Fenway Health; and Catherine Basham, Family Health Coordinator, Fenway Health

Sponsors: The National LGBT Health Education Center

Domestic violence or intimate partner violence (IPV) is a significant social and health concern, resulting in 5.8 billion dollars in medical costs annually. The US Preventive Services Task Force recommends IPV screening for women of childbearing age, and screening interventions tested among women show that those who talk to their health provider about partner violence are four times more likely to use intervention services. Additionally, research shows that people who identify as lesbian, gay, bisexual or transgender (LGBT) experience IPV at rates similar to or higher than heterosexual women. This webinar will identify unique features of intimate partner violence among LGBT-identified people and describe barriers to accessing support services. Dr. Jennifer Potter, the Medical Director of the Women’s Health Department at Fenway Health; Cara Presley, LICSW, the Director of the Violence Recovery Program in the Behavioral Health Department at Fenway Health; and Catherine Basham, Family Health Coordinator at Fenway Health, will describe a universal IPV screening intervention that has been successfully implemented at an LGBT-focused community health center. This systems based screening strategy includes: 1) staff training; 2) administration of a gender-neutral screening survey; 3) implementation of electronic health record reminders and forms to promote effective documentation/tracking; and 4) creation of a referral process to reliably connect patients to violence recovery and prevention services.

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LGBT Families: Improving Access to Better Health Care

Originally Presented On: April 9, 2014

Faculty: Michael Porcello, Esq, Legislative Counsel for the Family Equality Council

Sponsors: The Family Equality Council and the National LGBT Health Education Center

Increasing numbers of LGBT people are forming unions and building families in an ever-changing legal landscape. In order to increase access to quality care for LGBT couples and families, health care providers may need to familiarize themselves with the current local and federal policies that affect LGBT health care. In this webinar, Michael Porcello, Legislative Counsel for the Family Equality Council, will focus on health care access issues for LGBT couples and families, including implications from the Affordable Care Act, and will offer suggestions for improving health care access for LGBT families. This webinar is the first of a two-part series on LGBT families being offered by the Family Equality Council and the National LGBT Health Education Center.

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Pathways to LGBT Parenthood: Assisted Reproduction and Adoption

Originally Presented On: June 12, 2014

Faculty: Kim Bergman, PhD, Growing Generations and Family Equality Council, and Ethan Brackett, MD, Fenway Health

Sponsors: The Family Equality Council and the National LGBT Health Education Center

In the U.S., about three million parents are LGBT people, and many more desire to become parents. In this webinar, Kim Bergman, PhD and Ethan Brackett, MD will discuss ways in which health care providers can assist same-sex couples and other LGBT patients in their pursuit of becoming parents. The speakers will touch on the often complex clinical and mental health aspects related to the process of adoption, fostering, surrogacy, and donor insemination. This webinar is the second in a two-part series with the Family Equality Council. To watch the first webinar “on demand,” click here.

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Same-Sex Domestic Violence: Considerations, Suggestions, and Resources

Originally Presented On: May 22, 2013

Faculty: Cara Presley-Kimball, LICSW, Coordinator, Violence Recovery Program, Fenway Health; and Jessica Newman, LMHC, psychotherapist, Violence Recovery Program, Fenway Health

Sponsors: The National LGBT Health Education Center

According to a recent national survey, LGBT people experience domestic violence at least as commonly as heterosexual women, contradicting common misperceptions that men cannot be victims of abuse, and women cannot perpetrate abuse. This webinar, led by Jessica Newman and Cara Presley-Kimball of Fenway Health’s Violence Recovery Program, explains the unique features of same-sex domestic violence as well as the benefits of screening LGBT patients. Participants will also learn to identify barriers that LGBT victims and survivors of domestic violence face when accessing health care, legal protection, and safe shelters. There is also a brief overview of the Violence Recovery Program at Fenway Health, a unique model program that is integrated into the behavioral health department of a community health center.

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Achieving Health Equity for LGBT People

This module provides an overview of LGBT health disparities, demographics, and terminology, as well as key strategies for bringing high quality care to LGBT people at health centers and other health care organizations. Strategies for collection of sexual orientation and gender identity data in clinical settings will be addressed. Participants will also learn about creating LGBT-inclusive environments of care and about the intersections of LGBT health, population health and team-based care..

This module will:

  1. Describe health disparities in lesbian, gay, bisexual, and transgender (LGBT) populations
  2. Explain LGBT definitions and concepts
  3. Describe ways to overcome barriers to providing better care to LGBT people

This activity has been reviewed and is acceptable for up to 1.0 Prescribed credits by the American Academy of Family Physicians. Participants should claim only the credit commensurate with the extent of their participation in this activity.

You will need to or register to access the complete Learning Module content.


LGBT Health Websites

Lesbian, Gay, Bisexual, and Transgender Health

This website, hosted by the Centers for Disease Control and Prevention (CDC), offers an overview of LGBT health issues, and displays national health reports, journal articles on health disparities, data and statistics, news stories, and resource lists for LGBT individuals.

Gay and Lesbian Medical Association (GLMA)

GLMA offers information on LGBT health, resources for patients, providers, and students, and provides news on advances in health care for the LGBT population.

Human Rights Campaign (HRC)

The HRC is one of the largest LGBT political organizations in the United States. Visit its website for information on health and aging, and resources for transgender people and parents of LGBT individuals.

National Coalition for LGBT Health

The National Coalition for LGBT Health’s website features publications, webinars, data and statistics, and an LGBT Health Training and Certificate Program.

National LGBTQ Task Force

A collection of news, fact sheets, infographics, reports, and studies related to LGBT population health.

The Williams Institute

The online home for an institute responsible for research on sexual orientation and gender identity law and public policy.

The Mautner Project of Whitman-Walker Health

Specializing in services for LGBT people with cancer, the Mautner Project website includes law and policy information as well as research related to LGBT population health.

Referral Directories

CenterLink LGBT Community Center Member Directory

A database containing information about LGBT Community Centers and their member affiliates, both in the United States and around the world.

Gay and Lesbian Medical Association (GLMA): Find a Provider

GLMA’s online Provider Directory, allowing users to search for primary care providers, specialists, therapists, dentists, and other providers by type and location.

World Professional Association for Transgender Health (WPATH): Find a Provider

WPATH’s online Provider Directory for transgender affirming providers, allowing users to search by first and/or last name, specialty, and location.


Taking A Sexual History

A Guide to Taking a Sexual History

Created by the Centers for Disease Control and Prevention (CDC), this online PDF guide offers tips for creating dialogue around sexual health issues, including a sexual history. The goal of the guide is to help providers determine STD risk among patients, and to determine how best to perform testing.

Ready, Set, Go! Guidelines and Tips For Collecting Patient Data on Sexual Orientation and Gender Identity (SO/GI)

This guide is designed to help your health center successfully collect SO/GI data, no matter where you are in the process. For those just beginning, the guide can be used from start to finish. If you have already created a system, but have encountered challenges and questions, this guide can help you address them. Even if your system is working smoothly, you will find resources and recommendations here that will help you move to the next level of data collection and analysis.

Patient Sexual Health History: What You Need to Know to Help

On online video published by the American Medical Association (AMA), intended to help physicians take a more thorough sexual history and respond to patients’ needs accordingly. The video emphasizes the pressing need for open and respectful communication between doctors and patients around sexuality.

HIV Risk Assessment & HIV Risk Reduction

Published by the Mountain Plains AIDS Education and Training Center as part of their HIV Provider Reference Series, this online PDF quick reference guide highlights strategies for HIV risk assessment, risk reduction, and HIV prevention, including sample questions to ask patients around sexual history, and general tips for dialogue, as well as resulting action.

The Proactive Sexual Health History

A 2002 article promoting the collection of patients’ sexual history by clinicians, arguing that such practices could decrease high-risk sexual behaviors among patients.

Discrimination in Health Care

2014 National Healthcare Quality & Disparities Report

An annual report produced by the Agency for Healthcare Research and Quality, summarizing the state of health care in the United States as a whole, as well as the disparities faced by racial, ethnic, and socioeconomic groups in 2014.

When Health Care Isn’t Caring: Lambda Legal’s Survey on Discrimination Against LGBT People and People Living with HIV

The first survey created to measure disparities in health care experienced by the LGBT population in the United States. The report includes findings and recommendations for providers to improve fairness in health care.

Injustice at Every Turn: A Report of the National Transgender Discrimination Survey

A report based off of the 2011 National Transgender Discrimination Survey, conducted by the National Center for Transgender Equality (NCTE) and the National LGBTQ Task Force. Includes a full report, as well as shorter summaries focused on states, regions, and race/ethnicity.

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HUD Offers Guidance On “Appropriate Placement” Of Transgender People In Homeless Shelters

The US Department of Housing and Urban Development (HUD) has published new guidelines for emergency homeless shelters that explicitly state that people who are transgender should be assigned to single-sex shelters that conform with their gender identity. The guidelines were published to clarify a ru

LGBT Health Week 2014

This year for LGBT Health Week, the National LGBT Health Education Center is releasing new materials focused on the importance of helping LGBT patients feel empowered to talk to their providers about being LGBT. These publications are a great way to get the conversation started! We are also offering

Welcoming LGBT Patients to Your Practice

Dr. Harvey Makadon is featured in this article from the August 2014 Issue of Chicago Medicine, a publication of the Chicago Medical Society. From the magazine: “Chicago’s lesbian, gay, bisexual and transsexual population is estimated at more than 100,000 individuals. Yet even in this LGBT