Podcast 685: Cultural Sensitivity with LGBTIQ+ Patients - The Emergency Medical Minute

Podcast 685: Cultural Sensitivity with LGBTIQ+ Patients

Contributor: Dr. Nick Gorton, MD

Educational Pearls:

  • Use transgender people’s correct names and pronouns, the Russell study found a 56% reduction in suicide behavior with chosen name usage
  • ⅕ to ½ of transgender people report they avoided seeking care in the ED because of fear of transphobic treatment
  • Understanding the definitions of gender identity, gender expression, assigned sex at birth, physical attraction, and emotional attraction are necessary for improving treatment of the LGBTIQ+ community
  • Explain reasons for asking questions that address physical characteristics and/or sexual attraction
  • Lastly, if you make a mistake simply correct the mistake, apologize, and immediately move on


Transgender Unicorn


Treatment Guideline

Silicone pumping handout for patients and providers


Pollitt, A. M., Ioverno, S., Russell, S. T., Li, G., & Grossman, A. H. (2019). Predictors and mental health benefits of chosen name use among transgender youth. Youth & society, 0044118X19855898.

Russell, S. T., Pollitt, A. M., Li, G., & Grossman, A. H. (2018). Chosen name use is linked to reduced depressive symptoms, suicidal ideation, and suicidal behavior among transgender youth. Journal of Adolescent Health, 63(4), 503-505.

Samuels, E. A., Tape, C., Garber, N., Bowman, S., & Choo, E. K. (2018). “Sometimes you feel like the freak show”: a qualitative assessment of emergency care experiences among transgender and gender-nonconforming patients. Annals of emergency medicine, 71(2), 170-182.

Thompson-Blum, D. N., Coleman, T. A., Phillips, N. E., Richardson, S., Travers, R., Coulombe, S., … & Davis, C. (2021). Experiences of Transgender Participants in Emergency Departments: Findings from the OutLook Study. Transgender Health.

Bauer, G. R., Scheim, A. I., Deutsch, M. B., & Massarella, C. (2014). Reported emergency department avoidance, use, and experiences of transgender persons in Ontario, Canada: results from a respondent-driven sampling survey. Annals of emergency medicine, 63(6), 713-720.

*Ongoing LGBTQIA+ topics are identified through collaborations with local Denver organization the Queer Umbrella as part of a new longitudinal effort to raise awareness of health disparities affecting the LGBTQIA+ community.

Stay tuned as we continue to provide educational content to support this community and uplift LGBTQIA+ health providers and their practices all year long.

2 comments on “Podcast 685: Cultural Sensitivity with LGBTIQ+ Patients

  1. Eric Jaeger says:

    Thank you. An outstanding introduction to this topic. I am an EMS Educator at Exeter Hospital in New Hampshire. I am hoping to work towards addressing this issue with EMS providers.

    1. EMMadmin says:

      We are glad you enjoyed it! It’s such an important topic, glad that you enjoyed it. Let us know if you want to collaborate on any education in the future!

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