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December 7, 2011

Lesbian, Gay, Bisexual, and Transgender Health and Medical Education

Author Affiliations

Author Affiliation: Center for Internal Medicine–Pediatrics, Case Western Reserve University School of Medicine, Cleveland, Ohio (

JAMA. 2011;306(21):2326-2327. doi:10.1001/jama.2011.1782

To the Editor: “Are you sexually active? With men? With women? With both? Do you practice safer sex?” Many medical students believe that by asking these questions, they have completed the sexual history. They may fail to realize that each question serves as a beginning and can lead to further discussion and opportunity for counseling and education. The study by Dr Obedin-Maliver and colleagues1 confirmed that in undergraduate medical education, medical students have been taught to ask these questions in the social history. However, a system has not yet been developed to teach students to delve deeper to understand the constructs of human sexuality and their effect on health.

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