Faculty Director: Dr. Odrin Castillo
The LGBT Medicine Area of Concentration is a longitudinal curriculum designed to broaden the resident’s understanding of providing medical care to LGBT patients. LGBT medicine is a new, rapidly evolving field of medicine, born of necessity in the context of health disparities between LGBT and non-LGBT patients.
This track focuses on three broad learning objectives:
(1) Initiation, titration, and maintenance of gender-affirming hormone therapy;
(2) Sexually-transmitted disease prevention and treatment;
(3) Preventive and primary care in LGBT patients of all ages.
Residents in this track, through supervised patient care, didactics, conferences and community outreach, will gain medical experience caring for LGBT patients and advocacy experience working with LGBT community leaders. We have an established partnership with the Long Beach LGBT Center (affectionately referred to as The Center). Our residents interested in LGBT medicine have the option of coming with Dr. Castillo to the weekly STI Clinic every Wednesday, where they learn how to counsel patients on STI prevention, become comfortable discussing sexual history taking and terminology, and have the opportunity to give Rocephin and Bicillin injections themselves. In the 2020-21 academic year, we will also be establishing and LGBT Free Clinic at The Center, which will give our residents the opportunity to offer care to this vulnerable population in a community setting.
After completing this track, residents should feel prepared to provide acute and primary care for LGBT patients, and to have a nuanced understanding of LGBT status as a social determinant of health.
On completion of the curriculum in this Area of Concentration, each resident should be able to:
- Provide culturally- and medically-competent primary care of LGBT patients
- Understand the different health care needs of LGBT patients
- Identify key health disparities and barriers to care impacting the health of LGBT patients, and design and implement targeted interventions aimed at health equity
- Initiate, titrate, and troubleshoot gender-affirming hormone replacement therapy in transgender patients
- Understand the basics of the most common types of gender-affirming surgery (mammoplasty, phalloplasty, metoidoplasty, vaginoplasty) and the after-care for each
- Know how to initiate treatment for HIV and know when referral is necessary
- Know the most common STDs in the LGBT population, as well as how to diagnose and treat these diseases
- Teach medical students and other residents about the most essential topics in LGBT medicine