The Advanced Training in Gender and Sexual Minority Health Care Certificate is designed to supporting the cultivation of critical knowledge to enhance the delivery of quality, culturally competent patient-centered care to lesbian, gay, bisexual, and transgender communities. This program includes a comprehensive series of modules involving a variety of medical specialties including but not limited to Primary Care, Adolescent Medicine, Psychiatry, Endocrinology, OBGYN, and Plastic and Urologic Surgery. Topics included in the curriculum include Social Determinants of Health, Sexual Health and Wellness, Gender Affirming Care, Family Planning, Vocal Therapy, and Advancements in GSM Research and Innovation.
Program MissionThe Advanced Training in Gender and Sexual Minority Health Care Certificate program is designed to empower students to transform health care delivery via instruction and formation of foundational skillsets in informed patient engagement, environmental patient safety, allyship, advocacy, research, service, health care policy and legislation. Coursework is aimed to reduce health disparities, health care discrimination, systemic oppression, and stigmatization for LGBTQIA+ populations. About
Who may participate?
Wake Forest School of Medicine MD, PA, CRNA, and Graduate students may enroll. Residents, faculty, and staff of Wake Forest and Atrium Health are eligible beginning in the Fall of 2022.
SafeZone in Medicine Three Night Training
This training provides instruction of proper terminology and patient engagement practices for working with LGBTQI+ patients and staff. This training includes an interactive telehealth simulation clinic and a community panel of LGBTQI+ community members and professionals from our area.
Module 1: Primary and Preventative Care
Preventative care, social determinants of health, sexual health, hormone replacement therapy, and common clinical complaints presented by LGBTQI+ patients in the adult and adolescent primary care settings.
Module 2: Mental Health
Mental health topics in LGBTQI pediatric, adolescent, and adult patients. DSM V definitions, physician experiences of working with adults, families and adolescent LGBTQI+ populations, navigating and utilizing appropriate resources including therapy, social work, and local community offerings. Diagnostic requirements for initiation of hormone therapy, gender-affirming surgical care.
Module 3: Reproduction and Reproductive Health
This module focuses on generalized reproduction topics on family planning for LGBTQI+ patients and preservation of fertility for patients who undergo gender-affirming treatment. Topics discussed will include a cohesive and holistic approach to understanding the medical system, interactions of different professional roles, and navigating family planning, gestation, and birth for LGBTQI+ community members.
Module 4: Endocrinology
This module focuses on the Endocrine Society Clinical Practice Guidelines on Endocrine Treatment of Gender-Dysphoric Persons. Establishes a framework for the appropriate treatment of gender-diverse individuals including Hormone Replacement Therapy for transgender women, transgender men, gender non-binary and desired physical changes, such as enhanced breast growth, growth or reduction of facial and body hair, vocal changes, and fat redistribution.
Module 5: Surgical Care
A brief overview of gender-affirming surgeries including top, facial, vocal, body contouring, and the convergence of fertility with surgery. Presented as a large open community event.
Specialized Electives (3 Required for Certificate Completion)
Example 1: Moderate a Session at Southern Trans Health and
Example 2: Volunteer for a community LGBTQIA+ event
Example 3: Attend special elective lecture on gender affirming vocal care.
A minimum of three supplemental modules may be completed on topics relating to LGBTQIA+ Health. Examples are not limited to: Safe Zone Guest Speaker Lunches, Diversity and Inclusion Guest Lectures, free LGBTQ modules from the AAMC website, or participating in a relevant healthcare or research conference.
Health Equity Capstone Project
Intended to be broadly defined to enable students to practice or apply learned information and skills from the 3-Night Training, Modules and Specialized electives. Students may complete the capstone at their convenience. Students who go above and beyond on their capstone project may be selected for the Making Wake a Better Place Award which recognizes a student’s exemplary contributions made to support gender and sexual minorities' health and/or communities within the education system, health system, or the Winston-Salem community.