Lesbian, gay, bisexual, and transgender patients present unique challenges to treating physicians, but their specific needs may not be getting enough attention in some medical schools.44 medical schools reported dedicating no teaching time to LGBT-related content during clinical years, and in preclinical curricula, nine medical schools reported spending no time on LGBT issues, according to a study published Tuesday in the Journal of the American Medical Association. Across all medical schools that participated, the median time spent on LGBT-related content was just five hours, though time spent varied widely by school.In addition to persistent social stigma, there are structural barriers to health care access among the LGBT community, such as partners not qualifying for employer-sponsored health care coverage.An Institute of Medicine report cites that 57% percent of Fortune 500 companies extend benefits to domestic partners of LGB employees, with far fewer smaller companies doing the same.The study on LGBT medical curricula has its limitations.Researchers assessed time spent explicitly on 16 different LGBT topics including sexual orientation, gender identity, mental health issues, LGBT adolescents, and coming out, but did not assess knowledge, attitudes, or skills directly.
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