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On February 12, 2024, Dr. Holt had the honor of presenting in-person to second year students at Burrell College of Osteopathic Medicine in Las Cruces, New Mexico. This Mission Medicine session dove into how to make the healthcare setting a safe and welcoming environment for LGBTQ+ patients, including the impact of the waiting room, intake forms, and patient interactions. In addition to discussing what LGBTQ+ patients are at higher risk for, we discussed how to start conversations on sensitive topics, such as sexual health, trans health, coming out, and LGBTQ+ suicide risks. 

A robust Q & A session concluded the 90 minute session.

Written Audience Feedback – Overall Comments:

Thank you so much for taking the time to speak with us today. I sincerely appreciate the perspectives and insight you provided us. I love learning about how to practice medicine in a more inclusive way, and all the wisdom you shared with us today is safely tucked in my brain to put in practice starting day one next year when I begin interacting with patients. Thank you also for sharing so much of yourself and your experiences with us. Anecdotes hold so much power, and I am extremely grateful that you chose to share that part of yourself with us.

Great lecture, very informative and necessary. I really enjoyed today’s session. I think it was one of the most informative, engaging and applicable sessions we have had.

The session was fantastic. As a former clinic admin centered in SF serving a large homeless trans population I appreciated everything that was talked about today. I think Dr. Holt was very respectful, honest, PATIENT, and informative on the needs and pressures of the LBTQI community. I think every part of his lecture was important and valid. There wasn’t a single section where I didn’t feel that multiple conversations could’ve stemmed from that point. Dr. Holt’s work is amazing, he’s an amazing lecturer, and I am so proud and glad we were able to have this conversation.

This was an amazing session. Dr. Holt, you are so passionate and I am so amazed with the work you have done. As someone from a rural town with LGBTQ family members that haven’t been able to come out to their parents for fear of being ostracized, I will share your story so they know they are not alone. <3 and remember to tell them I love them unconditionally!

I really enjoyed today’s session, it was both very moving and very informative.

I really enjoyed today’s session. Dr. Holt was raw, authentic and informative. I left today wanting to be a better advocate and ally for my future LGBTQ+ patients.

I thought the session was a great introduction on how to treat patients of the LGBTQ+ community. I valued Dr. Holt’s time and commitment to the matter and hope he continues to work for this cause.

Today I learned how to create a safe space for people to talk about their reality. Every topic in today’s conversation had a positive impact on me, from the data on suicide rates of LGBTQ+ to how I can introduce myself and my pronouns to patients so they can feel comfortable sharing theirs.

Please keep bringing Dr Holt back. The discussion was very engaging and I’m glad the entire time was used effectively.

It was a great session. The most real lecture in medical school, honestly. We need more of these. Thank you.

Very beneficial to expand empathy for those whose backgrounds are unfamiliar to our own. It was a great reminder that despite progress there are still issues facing the LGBTQ+ community.

I enjoyed today’s session and really appreciated Dr. Holt bringing his own experience and being open and honest with us about what he has dealt with. I think a lot of people often struggle in silence when they think they’re alone. When others open up about their struggles, it shows people they aren’t alone in dealing with a certain problem. I think Dr. Holt did a wonderful job.

We need more speakers like this!!

I thought today’s session was incredibly helpful and eye opening not only to me as a future physician but also as a general knowledge to learn about other population of individuals and what they may be experiencing in their daily life.

I thought today’s session was very informative and gave insight into a personal experience and how we are all called to serve all patients.

Informative and helpful in terms of treating this population of patients

It was a great session where I learned a lot! Today’s session was super informative and provided a lot of information and stats I was not aware of before.

I thought that Dr. Holt was very engaging and insightful. I would like to have more sessions with him in the future.

I really enjoyed the session and appreciate Dr. Holt’s vulnerability and sharing his experiences as an LGBTQ health provider.

Excellent presenter, very knowledgeable and experienced.

I really enjoyed learning more about becoming an empathetic and accessible physician. I decided to become a DO because the mission of the practice really resonates with me.

Excellent and thought provoking.

It was amazing.

Good Session.

It was amazing.

Interesting, but I’m not sure class is a safe place to discuss opinions without judgement.

Written Audience Feedback – What is the most important thing learned and how this talk will impact my future practice:

This talk allowed me to feel extremely empowered in what I can offer once I’m practicing. One of my biggest fears is lack of agency in the way I choose to integrate advocacy into my practice in the future. After hearing your remarks about the steps you took while working for a large HMO to ensure you were reaching/helping the individuals you wanted to, as well as the career moves you made after your time with Kaiser Permanente, showed me that physician’s have the power to fulfill their missions. It just means starting a conversation or making space or having a connection that helps bring those aspirations to fruition. Dr. Holt, your unwavering commitment to this community is extremely inspiring to me, and I am just so grateful for your time and all you shared with us today. I am inspired, motivated, and hungry to practice medicine for the populations that made me decide to apply to medical school in the first place. Thank you for everything.

Create a safe space for my patients. Let them know that I am someone they can trust and open up to. I also learned that the more I can align my personality with my practice, the more fulfilled I will feel as a physician. This was a great reminder as we head into rotations to not forget who we are, and to help our patients to the best of our abilities by taking care of being our true selves.

The most important thing learned today is that when LGBTQ+ people feel seen, heard, and true to themselves, the chances of them committing suicide lowers compared to those who are closeted or misunderstood. I will keep in mind that by simply listening to someone’s wishes on how they prefer to be addressed or accepting who someone chooses to love lowers the chances of them ending their life. Saving lives as a doctor doesn’t only have to do with medicine.

I believe the most important thing that I learned today was how to become an ally of not only the LBTQ+ community but also of my patients. It was incredibly insightful to know that the first impression of an office is what will be the first step into getting your patient to feel comfortable enough to trust and open up to you. Through this talk, I will definitely incorporate various aspects in my office to show my support to the LGBTQ+ community and how to talk in a way that allows my patients to trust me and hopefully open up to me eventually.

I think being careful to not make assumptions about people—everyone’s backgrounds/traumas are different. We have to approach all of our patients with care and compassion to gain trust and properly care for them.

I think the most important thing to me, was making my patients feel comfortable coming to me to discuss things they may not be comfortable sharing with others, especially things they are struggling with. As someone who has two best friends and a sister who are gay, I know how important it is for them to know they have someone in their corner. In the future when I’m a physician, I hope to be able to provide that support and safe place for all of my patients.

I think the most important thing I learned is that people who are going through the coming out process need to be give time and space. Always open the door for that conversation but do not push it let them come to you.

The most important thing I learned from this talk was how to create a safe environment for members of the LGBTQ+ community to discuss sensitive topics in a healthcare setting.

How to manage LGBT patients when we start working. That was very informative and I’m very glad he spoke on that because I want to advocate for my patients and support them in the best manner.

To treat everyone with dignity and respect and to give all people a safe place to communicate with a health professional without bias.

How to make my clinic a safe space and how to open the door for conversation.

I will work to make an intentionally accepting environment for all my patients. I appreciated the point that we as providers have to be bold to represent even the 5 percent of our patients so all feel equally comfortable.

I think the most important thing I learned was how to approach those more difficult conversations with patients as well as how to make everyone feel welcome even before they meet with you face to face. This information will be beneficial to me going into clinical as well as in my practice as I am more aware of the things I can do to make all of my patients comfortable.

Learned how to interact with LGBTQ patients. Taught me how to understands patients perspective and how to support them.

I learned how to talk to patients who may be spreading hatred in my clinic to make a safe space for everyone.

That simply displaying a flag in an office can go miles to make patients feel respected and welcomed which can build trust with them.

Now I know how to be a better ally for individuals of the LGBTQ+ community. I have ways to increase safety in my future clinic. I also know how to be open and welcome to my peers and my future patients.

To me the most important thing I learned was how to respond to ignorant questions during the Q/A. I also appreciated how he answered the students questions very thoughtfully.

I think the most important thing I learned today was how to essentially let my patients know that I am there for them and that they are more than welcome to speak to me about anything whether it be medically related, mentally related, or interpersonal.

To make sure my office/my presence can be a safe space. I will make sure to get a pride pin and continue to use inclusive language.

Correct pronouns. Reinforced how sensitive this LGBTQ community can be. We still need to tread carefully.

How to approach patients who are queer with homophobic family members.

How to talk to patients.

Something as small as keeping a token of being an ally can start conversations.

To be kind to everyone and always come from a place of wanting to understand and help.

Although I am already a very open person, this session showed me the importance of truly listening to patients and hearing where they are coming from in their journeys.

Learning how to open the door for patients/peers to come out.

LGBTQ health disparities and how to create a more welcoming environment for the community in my practice.

How to create a safe space for those in the LGBTQ+ community in the field of medicine.

The approach to patients with various sex and gender identities and orientations.

I liked the open the door up to allow others to feel open to come to you.

On February 10, Dr. Holt presented over zoom to Allyance members in Nebraska about the importance of advocacy for LGBTQ+ Young People. Presentation highlights included the discussion of disparities that impact LGBTQ+ rural people, real-life examples of the experiences of rural queer young people, Dr. Holt’s research results on the impact of rural geography on sexual identity, and steps on how to be an advocate for queer people.

The presentation was followed by a Q & A session.

Audience written feedback

What I Learned/Overall Comments:

1. Thank you Dr. Holt for sharing your personal story! Research on rural communities with queer youth is important, and I loved to see some separation for trans people in the percentages as well.

2. I have a trans granddaughter, and I will always love her. It’s important to advocate for her and her partner!

3. Statistics on suicide and importance of support and acceptance.

4. Very well done presentation. Was very interested in the trans statistics.

5. Having someone in my family who is bisexual, few of the survey results came as a surprise to me.

6. I am always curious how we as clergy can get out of the way and let community lead a faith community they would want.

7. I learned that there are insanely high rates of suicide attempts among people in the LGBTQIA+ community (I never realized how many people tried to commit suicide). The other thing that made me surprised was how many churches showed so much hate towards members of the LGBTQ+ community. It’s disgusting. Thank you for all that you do and helping educate everyone.

8. I found the connection between geography and levels of support, etc, very interesting. I have worked in the public school system and have witnessed resistance to supporting LGBTQIA+ students by using preferred pronouns and taking them seriously. Thank you for your work in supporting our youth.

9. Rural LGBTQ+ youth are STILL struggling in 2024. Church communities NEED to step up their game in supporting LGBTQ+ people; my fear is they don’t know HOW, or WHAT to do to achieve this.

How This Presentation Impacted Me and/or My Advocacy:

1. As someone from a rural community, it’s nice to see that there is some attention brought to queer people in those communities. You helped me to see that any advocacy work, like being a part of the Allyance group, can be very beneficial for many people of different age groups or geographic locations.

2. Will help me always advocate for the LGBTQ (gay) community – which I feel I have done.

3. Improved my knowledge.

4. Opens my mind and heart

5. N/A

6. I am a pastor and an ally. I am in a city where churches try to be allies. I am wondering how I can help my rural clergy colleagues create a more welcoming culture. (This presentation encouraged me to look at my rural neighborhood.)

7. This has given me more inspiration to speak out for my community because it really can save lives. Thank you once again, seriously.

8. Reinforced the need to be available and reach out to youth struggling with sexual identity.

9. Gave me ways to/things to say to questioning youth.

LGBTQ+ Medical Case Scenarios: An Experiential Learning Perspective

This presentation reviewed LGBTQ+ medical case scenarios through the lens of medical interpreter students at City College of San Francisco. Each of the students read and studied three LGBTQ+ themed vignettes and associated discussion points before and during class. This allowed for a robust, highly interactive three hour class discussion over zoom on how medical interpreters can collaborate with clinicians to provide more culturally competent care to the LGBTQ+ community.

The audience consisted of medical interpreter students.

Audience written feedback/impact of this presentation:

Educating the public on LGBTQ issues helps dispel falsehoods, prejudices, and sterotypes. Empathy and compassion are important to acquire because they foster an inclusive worldview that respects and values the full range of gender identities. Now that I’m more knowledgeable, I realize I can be more empathetic while also promoting a more inclusive mindset by addressing someone respectfully without assuming their gender or using gendered language. One example is to ask the person how they prefer to be addressed. One small thing I can do to help people feel secure and welcome is to include my pronoun on my name badge. Today’s activity expanded my understanding and potential for fostering empathy, inclusivity, and a greater awareness to the specific challenges that some people confront. Everything I gained by listening to your presentation enables me to help create a more friendly and inclusive social atmosphere for everyone, regardless of gender identity or sexual orientation.

Very insightful and powerful presentation. I appreciate your courage in sharing your personal experience. I know you are changing many lives with the way you are educating and motivating other people who may be unsure and scared about coming out. 

Engaging speaker: emotional connection, interesting topics, high energy, informational content, practical advice, and reasonable demand from students. Made me consider things I had never thought of and see them in a clear light. I really enjoyed this talk and hope more people (especially in the healthcare industry) but really everywhere, get to have access to this kind of information at some point. Things I learned: Sexual orientation is based on gender identity, not the sex born with; if their gender identity changes through life so does sexual orientation and we need to meet the patient at whatever stage of life they are in; queer is an umbrella term and often does not give a specific answer for gender identity or sexual orientation and that is okay; using the term “trans” is more appropriate since it does not discriminate against people who choose not to get full top and bottom surgeries. I now know how to open the door for other people to feel free to show me their true self if they so decide.

The vignettes were really powerful examples that should be more considered/practiced amongst health care professionals and interpreters who work directly with patients. My biggest take away from Dr. Holt’s presentation was the all encompassing definition of queer and how it can vary person to person. Something else that I learned was that someone’s sexual orientation is based on their gender identity, not their sex. Dr. Holt’s presentation opened my eyes to the importance of allowing people to share their feelings freely about their sexual identity/orientation rather than asking questions. It is more valuable to listen and let someone know that there is no shame or condemnation of their feelings. 

Thank you for being passionate about teaching people about the LGBTQIA+ community. It was incredible to hear your coming out story and what you overcame just to be who you are. I appreciate the case studies that you provided for our class; they were insightful into real life situations that I may encounter as a healthcare interpreter and provider. During the class session I learned most about the potential health disparities that LGBT+ members can experience when seeking care. I have often focused on the health disparities that my racial group experiences, that I had never paid attention to other marginalized groups like LGBT+ communities. I also learned to never assume someone’s sexual orientation or their partner’s gender based on their relationship status. A man could be married to a cisgender woman, but it does not mean they are straight; they could also have sexual relations with people with a penis. Someone could also believe that they are straight, while they enjoy having sex with someone of the same gender. Working in the health field, this is something I can think about when asking assessment questions that are relevant to someone’s sex life.

I thought it was good to know more in-depth experiences about LGBTQIA+ community. I think the questions at the end for discussion also let me learn about different perspectives and give me ideas on how to handle an interpreting encounter. Also, I like how there are examples of what to say if someone wants to come out and how to create a more comfortable environment for them. I think even if I mean well when the situation comes up, I might not be sure about what to say, so I glad we went over that. It is good to know about the suicide rates because it inspires me to be more inclusive and aware when interpreting. I’m glad to know the difference between sex and gender now because I actually thought they meant the same until now.  I am also glad that one of my Chinese cohort asked about the term queer because we ended up asking the language coaches about the term and they told us this term that was more socially acceptable in modern days. Also, they gave us Chinese articles about LGBTQIA+ which also very informative. I will remember to ask for pronouns if my client is LGBTQIA+. Also, be more aware about pronouns and not assume based on appearance. Also, I think if others are being insensitive to my LGBTQIA+ patient/client, then I will try intervene gracefully.

This presentation made a great impact on how I serve the LGBTQ community. It is important to be respectful and not assume a person wants to be addressed a certain way or is automatically comfortable answering intake questions. I also want to be a great friend and a safe person in the case that  someone does chose to come out to me. Recently a son of a very close family friend came out to his family. I went to Middle School with his older brother and so I knew him as a baby and his growing years. I question if there were signs or opportunities that I missed where he could have felt safe to come out. I think I needed this presentation years ago in order to open that door or space for him. I haven’t seen him since he came out, but I will be sure to tell him how proud I am of him and how much he means to me.

In Dr. Ron Holt’ presentation, I’ve learned about LGBTQ+ community with more in-depth and updated information. The presentation is well presented with Dr. Ron Holt’s knowledge and personal experience. It is informative and practical. I can utilize this information in a professional setting. I learned about how to approach people who identify with LGBTQ+ with appropriate words and manner; don’t be afraid to ask questions; and apologize when you make a mistake. The scenarios are really good for holding discussion.

Before this presentation I didn’t know so much about this topic and what exactly it was. And now I am clear on it. Thank you for answering so detailed and patiently for every question! I learned what is the LGBTQ and how to distinguish between them; the difficulties and pressures they face; and the proper ways to talk with them like with patients, children , colleagues … with the respectful ways. The presentation was very helpful for me, and I learned a lot during it. It helps me have more objective perspective on LGBTQ community. I learned to get along in a more proper way. I think it would be a big help if I work as an interpreter in the future. Thank you so much!

A very interesting topic and I learn more about LGBTQ+ communities. Should not judge anyone because of gender identity or sex orientation. I learned many different definitions of LGBTQ+, such as queer, lesbian, trans etc; supporting LGBTQ+ communities and will treat them as cisgenders.

The scenarios made me well-informed to terms that I haven’t heard of before. I learned how to respectfully set the stage for a conversation when someone lets me into their personal space. “It isn’t coming out, but rather letting you in.” I’ll be mindful when interacting with the LGBQT culture.

I learned they are NOT coming out to you, they are letting you IN; healthcare is important and should be accessible to everyone regardless of sexual orientation or gender identity; “Treating the anatomy present” is essential for the human health; the importance of asking for preferred pronouns while interpreting and advocating for patients when necessary.

Great presentation. Trans people and other non-binary individuals are marginalized. Be sensitive and be cognizant of people’s pronouns and other preferences.

I learned that people who are part of the LGBTQ+  just want people to be more familiar with their gender orientation and get healthcare like any other people without being judged on their decisions  when it comes to their gender. I think I just need to be more open-minded when it  comes to meeting people who are part of the  LGBTQ+ community. And how to react when  someone trusts you and make them feel like you  are on their side or keep neutral instead of reacting too fast where I might hurt them more than helping  them. 

The vignettes presented various scenarios, allowing me to encounter different issues and gain new knowledge from each one. Asking what it means to you instead of making assumption. There are always something behind the stress, as an interpreter, I need  to be sensitive to other people’s needs. Never make assumption. I can include my pronoun in pre session so to open door for patients to  discuss theirs.  

Good examples for thought and pondering and forces one to critically think. Makes one think, I need to get down on this and understand it once and for all and not make assumptions. I would say a good 80% was new to me and I appreciated the education. I learned as interpreters, to use proper terminology for assessment so we are able to help the patient if they are willing. Maybe not at first but with trust, the session can be fruitful for all; educate ourselves to the needs of the LBGTQI+ community. I would think that I will have a whole new outlook into future LBGTQI+ engagements. I would definitely say more with an “open mind”. Having a nephew who declared himself gay and caused much turmoil throughout the family, I know I will be better able to approach and discuss life with him. I have loved him all along and was very close with him as a child. He spent his graduate school years with me away from home before coming out. It’s been 10 years since and I worry for him. I just hope he is happy. The family is very supportive up and down except the older generation. Grandparents have a hard time dealing with it.

Continue supporting and providing good services to people who really need a hand to face reality no matter what. In Dr. Holt’s presentation I learned how to address the people in the LGBT community to avoid misunderstandings or to not make them feel uncomfortable. What impact me was that transgender women experience more violent victimization than the other group. I can imagine how bad they must feel when some people don’t accept them as they are. For that reason, people must take their actions into consideration and have empathy for others no matter who they are.

Thank you for your time and friendliness! Many people are still very new to the topics! Learned so much! Most important thing(s) I learned: People are not always what we all think. For example Male/Female. A person from within may feel like a man in a woman’s body and vice versa. Never judge anyone because they are different from others. Especially when you are entering a room with other people, it is always best to introduce yourself and use your pronouns, so that way other people feel welcomed, and not rejected by others. Continue practicing using pronouns out of respect for people.

Thank you Dr. Holt for this insightful presentation. I learned to not pressure people to come out. Let them know that they can share with you and nothing will change the friendship. It is important to meet clients where they are.

I really appreciated the interactiveness of the presentation. On a more personal level, I appreciated Dr. Ron’s vulnerability and willingness to share his story. Sexual orientation is based on affirmed gender, not what sex they were assigned at birth. Clinical pearl: What can we say to make someone feel safe? As a future interpreter, I’d like to consider how I can support the role of helping the patient be more comfortable to open up. We have to meet the patient where they are at. Something I will use in future interactions is what Dr. Holt recommended: “I’m not familiar with that term, could you help me understand it/I’m wondering what it means to you.”

Really liked the case studies! They simulated the worst possible scenario that could happen. I feel like it’s not as common in San Francisco for things to happen of that nature but I do believe it still can and is underreported. If unsure of someone’s identity or pronouns, just ask and create a safe space for that person. It’s the only way they’ll open up (if they want to, of course). As a future healthcare professional, I am now more aware of sensitive topics when it comes to gender identity and have the tools to treat my patients with the utmost respect. I feel like I can approach these topics without feeling weird myself. 

I enjoyed reading the case study about the trans man going into the gynecology clinic. I had never thought about the health disparities regarding trans men who have female anatomy experience. I was so moved by this story that I went home and shared it with my mom. As an aspiring Nurse Practitioner, I will keep in mind what I learned during this class to ensure that everyone I meet receives the care they deserve regardless of gender identity or sexual orientation.

Great job, presentation was informative, especially about non binary or non gender conforming individuals. I learned that coming out can be a very traumatic experience. Just because a patient states they are homosexual or heterosexual does not mean that one can assume their sex partners are all one gender and the follow up question of whom do they have intimate relationships with, is an important one to ask. 

This is the first time that I really heard of LGBTQIA topic in class. Dr. Holt’s class is very informative and educational. I’m interested to know more about this topic. I learned to be more open-minded, accepting, and understanding towards gender-diverse individuals. I learned how to talk sincerely and respectfully when I come across such an encounter. Everyone should feel safe and supported to explore and express their gender identity and expression without fear of negative consequences. This is the fundamental human right and should be respected.

I feel the struggles of gender-diverse people, they may experience a range of emotions due to the lack of support and acceptance from family, friends, and society as a whole. They should be able to access counseling, educational programs, health care and mental health services as everyone else.

All the vignettes are very common in our daily lives and have symbolic meaning. The lack of understanding to LGBTQ community has caused health inequity, discrimination, abuse, and violence to this group of people who want to decide/live their own lives truly. A choice of their pronouns, a PRIDE sign, a simple supportive conversation, etc, will make a very big difference to create the open and safe spaces for the LGBTQ community. Their choices and decisions should be respected as any human being. I learned that I can show my support to LGBTQ community by recognizing who they are, ensuring that their gender identities or sexual orientation do not affect the relationship between us, respecting their lifestyles and choices. I will increase my awareness of LGBTQ community when I interact with others, by asking people’s pronouns, not making assumptions, asking questions and apologizing if a mistake is made to someone’s identity.

The most important thing I have learned from an interpreter point of view is learning how to choose the right words and different reactions will generate alternative responses. One thing I learned today is to always lend a hand and let people know that you are there for them. Words of reassurance are very impactful to one and sometimes a little extra support goes a long way.

The most important thing I learned is diversified knowledge of LGBTQIA, and some communication skills for interpretation. In this diverse world, respect everyone and be kind to everyone.

Ethical Care for LGBTQAI Patients

On November 8, Dr. Holt had the honor of returning to his alma mater, Kansas City University, to discuss LGBTQ+ healthcare with over 400 students across two campuses. 

Many topics were discussed on how to make the healthcare setting a safe and welcoming environment for LGBTQ+ patients, including the impact of the waiting room, intake forms, and patient interactions. Dr. Holt also had the opportunity to present his original research findings from his MA thesis entitled, “The Impact of Rural Geography on Sexual Identity.”

A robust Q & A session concluded the 90 minute session.

Written audience comments when asked “Impact on my future practice/other comments:”

I just wanted to say that this was one of the most impactful and important lectures I have had during my time at KCU. Gender affirming care is something that I did not know much about prior to this lecture, but now I feel like I will be a better advocate for this population. Thank you!!

I think this was an incredible talk. I think there is so much about this topic that is unknown and I think it is imperative that everyone regardless of belief and misconceptions here this talk especially those that are going to be future physicians and provide care to this community.

I think it is really important the talk emphasized the risk of suicide for LGBTQIA+ patients, and that by taking every step mentioned in the talk, we are actively fighting to save patients lives. I also really enjoyed the advice given by Dr. Holt on how to address patients and loved ones by repeatedly telling them “Hey if there is anything you would like to tell me, I’m here to listen and nothing you say will change our relationship and i will always love you”. This is helpful advice I will continue to use with patients and loved ones in the future.

I am continually more inspired to serve as an ally, and encouraged by the engagement from various members of our class. I really appreciated the practical scenarios and sample discussions to serve as a bit of a template. I love the idea that Dr. Holt realized he was needed in this mission and is out there bravely trying to make things easier for others. It could be helpful to hear suggestions for allies on ways to use our various privileges (as physicians at minimum) to bring about change and offer support.

I will absolutely remember all the stories told, including your own. They were incredibly moving and opened my eyes to a reality that I had not experienced. I will ensure to create a safe space. In fact, I am already looking at pins to buy for my friends and I.

What I listened to and learned was powerful and I believe it will add to the foundation of how I will practice medicine. I want to be an advocate for my future patients.

I really like how he talked about how to talk about more challenging topics and made them like basic conversation. I also love the responses he gave us as a physician, parent, or friend in response to someone letting you in. This talk was inspiring. I’m grateful to have heard Dr. Holt’s story, and his mission for LGBTQ+ community.

I will endeavor to include LBGTQAI welcoming features in my waiting room and on my person. I will endeavor to use the right pronouns and names, and apologize if I fail to do so. Thank you very much, Dr. Holt! Your work truly makes a difference.

This is a topic I have always been interested but attending the talk last night on gender affirming care and today about your personal experience and the statistics really solidified the type of physician I hope to be. It also reinvigorated me on the ongoing learning that is required to be a welcoming physician and human being.

This lecture didn’t directly impact how I’m going to practice in the future because everything that was discussed was already on my radar and part of my plan. However, for those who believe that they will never see or treat a queer person, I believe having this lecture, and having it be required for our class, is extremely important for those individuals especially. Just because someone isn’t going to specialize in prescribing gender affirming hormones or do gender affirming surgeries, doesn’t mean that everyone shouldn’t be competent in interacting with any member of the queer community.

Very important topic we got to hear about. It was extra special because Dr. Holt shared his personal coming out story and the challenges he had with that. This motivated me as a SD to be more of an ally for my patients and create a space so that all people feel welcome at my practice.

I think this lecture was so important for medical students to hear because we don’t always think of the way subtle things like inclusive bathrooms make a difference in peoples lives.

I want to always make sure anyone around me, especially my kids, know that I will always love them no matter what!

This was instrumental in helping establish an affirming and safe practice as well as practice equality in all situations.

I think with topics like this, the little things go a long way. Dr Holt continuously mentioned how important it is to use the same words someone uses to describe themself (ie if they refer to themselves as queer, don’t refer to them as gay). So I think getting into that habit early will make it easier to do that in future practice, and I think it helps create a much more accepting and comfortable environment for members of the LGBTQ+ community.

I have never been more committed to treating every individual that I meet with nothing but love, respect, and kindness – because they were made in the image and likeness of God.

Thank you so much for sharing your personal story and being the best role model and mentor. I’m so lucky to have your support and guidance.

Definitely will impact how I try to address my patients and just make it more natural in setting the tone of myself as a provider and ally.

I will implement the tips we learned today into my future practice because I want every patient to feel safe and comfortable under my care.

Approaching all people with compassion and understanding. I hope to work with children in the pediatric realm, possibly into adulthood through a MED/PEDS specialty and my hope would be to see kids thrive as they develop into adults and beyond. I recognize that I will likely encounter youth that identify differently and for me to help them, I must be open and knowledgeable regarding their experience, their goals, and their hopes for the future while maintaining their privacy and respecting their identity. I believe that my role as a physician is to improve the wellbeing of the patients I serve so that they are able to live fulfilled lives, if and when gender affirming care is part of that, I am open and willing to perform my due diligence in pursuing that knowledge while partnering with experts in the field to provide quality healthcare.

As a Christian, I absolutely want to treat every patient equally and with the utmost respect, but I’m not sure if I am able to give up my own convictions in the process of doing so. This is certainly something I will continue to wrestle with, but I firmly believe that I have the capability of providing high quality care to all patients, including members of the LGBTQ community.

I definitely want to find ways for patients to feel safe to be themselves in the clinic, and most importantly recieve any necessary mental or emotional support they need. I want them to be able to recieve the care they need and not feel stigma or judgement associated with their identity, especially since so many in the LGBTQIA community suffer from serious but preventable health issues due to that fact that they are unable to get the care they need or are too afraid to do so.

Creating an inclusive, welcoming space for my patients even by designing my waiting room to be more inclusive

How I’ll have my intake forms structured and the new phrases I’ll add in while speaking to patients.

I definitely will be getting a pin.

I always try to be conscientious about not misgendering individuals but I have in the past and likely in the future will do the same, hopefully not as frequently and ideally not at all, but knowing that simply acknowledging my mistake and moving on is at times enough to relay my sense of allyship does loads to ease my anxiety when being present and creating space as a future physician for those who might be feeling alone.

The advice on how to make a practice more welcoming to LGBT individuals is definitely something I will implement in the future.

I will absolutely show that I am an ally to those in need in my future clinic.

Definitely gonna consider how best to make my future clinic an affirming place.

Will make certain that my clinic feels like a safe and welcoming place to all.

I used to be a camp counselor and I had numerous kids come out to me in my time as a counselor. I didn’t get to speak to you after lecture but I was wondering if you ever thought about giving a training to YMCA camp counselors. I was in college when this happened and I think having some form of training on how to approach these situations to make sure they’re positive would be so beneficial. Each conversation I had was very positive and emotional but I could see where someone in my position wouldn’t know what to say or how to help provide resources.

Written audience comments when asked “most important thing I learned:“

The most impactful parts were storytelling- whether that was Dr. Holt’s or the examples he shared from his email or the optional responses.

The idea of the power of story telling was very insightful. I have been hearing about the idea as far as advocacy and talking with elected officials, and the presentation drove home the point nicely. The rank order and challenges faced by bisexuals was a new and helpful piece of information.

I thought your research on rural LGBTQ health and suicide rates was fascinating, and something that will stick with me as I hope to practice in rural communities.

Hearing Dr. Holt’s story about his father’s reaction to Dr. Holt coming out. The fear and the trauma associated with that experience were apparent in his voice and it helped me relate better with the experience that those in the LGBTQ+ community encounter when trying to seek medical care and even in daily living. It is a startling reality. People deserve compassion. As a physician, in a position of trust and responsibility, I must be present and serve in a manner that allows patients to feel safe, know that their concerns are valid, that they are heard, and that I will do my best to help them.

Thank you for being here. I am so sorry you had to experience so many of the things you experienced, especially with your dad. You’re amazing though for using all of your experience to help make the world a better place.

I’ve been fortunate to have been previously educated on most of the topics discussed in the lecture, so for me I thought it was really valuable to have someone come and share their personal experience, especially one so heartbreaking at times. I think it’s always very helpful to have these conversations because, as a straight person, it can be hard to understand why it’s so difficult for some people to be out, or why LGBTQ+ people are so hesitant to access healthcare. It shows us how far we’ve come as a society and as a healthcare system, but also the flaws that still remain and how we can further create an inclusive environment for all.

The rates of suicide and other mental health concerns for trans and gender diverse patients are so so concerning. We can do better by simply being better human begins. All we need to do is be kind to each other and treat everyone like they’d want to be treated. I wish more people understood this as plain and simple as it is.

This lecture helped me to understand that gender affirming care is more than just puberty blockers and discussion of surgery, it helped me to understand that it was also creating a welcoming environment. Making everyone feel heard and seen and called by the correct names. And more on how to approach certain difficult situations and questions.

That gender affirming care is SO much more than the actual medical interventions. It begins the second a patient walks into your office or for someone like me (emergency medicine interested) the second you begin an interaction with a patient. It begins with wearing a rainbow pin on my badge or white-coat to signify I’m a safe place for a patient and that I will respect each patient and treat them with equality.

I have 2 things… the first being the importance as a physician of being accepting of all patients regardless of sexual orientation or gender identity. Not just being outwardly accepting with non gendered restrooms and rainbow signage, but also truly being accepting and a safe space for your patients to be whoever they want and to show up however they please. Also I learned that gender affirming care expands far beyond just prescribing medicine or performing surgery. I think this is a very common misconception in society so I think it was very important to make sure this is understood amongst medical students.

The small things I can do that’ll make a big impact on someone who is struggling.

I learned how there are small things I can do as a physician to make everybody feel comfortable. A flag, a pin, a sign, those things matter to patients to let them know they are safe.

What seems like small and insignificant things to one person, can be the most significant things to another which is why we need to be conscientious of how our words and actions affect those around us.

One way to create a safe space for your pts is by making sure your waiting room area has things that show support for LGBTQ community.

Staggering rates of suicide affecting the community.

The barest minimum to affirm a person is to simply respect them as a human being.

How vital gender affirming and welcoming patient care is to individuals and ways to be proactive not just reactive when a patient or loved one decides they feel comfortable enough to speak to you about their experience.

How to be welcoming to LBGTQAI patients especially how to reduce risk of suicide.

It is better to ask up front than to have to apologize later. I think this is so important because while it might feel awkward to ask someone their pronouns, etc. it is better to do so initially than inadvertently offend someone later.

How to best care for and support the LGBTQ+ community, and provide a safe space for those individuals when they are my patients.

The importance of setting the tone for my patients so they feel safer, and verbal and non-verbal ways I can do that. New vocabulary.

The statistics behind the disparities of transgender youth and the general population. I also found how to make the clinical environment safe for patients who are in the LGBTQ+ community very helpful.

The Trans community tends to be at the highest risk for suicide and mental health issues out of all the individual groups in LGBTQIA.

How high suicide rates are among trans patients.

I gained a better view of the trauma that LGBTQIA people are suffering and have suffered.

Make allyship visible in the office to create a safe space for everyone, but especially for people who undergo so much more than the typical person.

The importance of being a safe space and welcoming and affirming physician to the LGBTQIA community.

The unsettling statistics of the LGBTQ+ community and their mental health. Rainbow railroad.

How to make space for an individual who you suspect might be hesitant about being open about their identity and the importance of saying sorry after misgendering or deadnaming.

I knew the statistics on LGBT abuse and suicide were much worse than the general population, but it was eye opening to learn exactly how much worse they are.

How to care for marginalized members of our community

To be caring and to show that I’m on their side.

City College of San Francisco

LGBTQ+ Medical Case Scenarios: An Experiential Learning Perspective

The presentation consisted of reviewing LGBTQ+ medical case scenarios through the lens of City College of San Francisco medical interpreter students. Class was held over zoom. Each of the students read and studied three LGBTQ+ themed vignettes and associated discussion points before and during class. This allowed for a robust, highly interactive class discussion over zoom on how medical interpreters can collaborate with clinicians in providing more culturally competent care to the LGBTQ+ community.

The audience consisted of medical interpreter students.

Audience written comments

“Dr. Holt, thank you so much for the great presentation. It was really touching to hear your personal story. It brought tears to my eyes when I heard about all your hardships growing up, coming out as gay and being harassed by your own father. You are a true inspiration because you overcame all of it and are now using your experience to help others. Through your presentation I was able to better understand some of the different terms used in the LGBTQIA community. More importantly, I got a new insight into what some of the hardships this community faces and some of the ways to approach others in a sensitive and respectful manner. This helped me to be more mindful of my body language and words I use. As an interpreter, this training will help me to be more alert and responsive to the needs of all patients, regardless of sexual orientation or gender identity. Thank you for taking the time to share your personal experiences and helping us understand how to be better allies.”

“I really appreciate having the opportunity to learn more about the LGBTQIA+ community. Dr. Holt provided great scenarios and thought-provoking discussion questions for the class to examine and analyze. From today’s activity, I feel more comfortable talking about this topic with others. In the past, I often felt uncomfortable to talk about this because I wasn’t as informed about the different terminologies, and I was terrified of accidentally offending other people due to my ignorance. However, from today’s activity, I realized that it is okay to make mistakes and to own up to my mistakes. Every individual has their own definition/understanding of their gender identity and sexual orientation even when they use certain terminologies. To better understand someone, it is best to use the terminology that they use as well as keep an open mind so that we do not make any assumptions.”

“I appreciated that Dr. Holt began his presentation with his personal story opening, which helps to open people’s hearts and minds. The scenario exercises and the analysis that followed were very informative. I also thought that Dr. Holt created a safe space for students with different life experiences and possibly limited exposure to LGBTQ-plus identified people. Thing(s) I learned: Rule #1. Focus on the patient’s healthcare needs. Part of that requires being sensitive and alert and being able to think on one’s feet. Aim to remove barriers, not to create them unnecessarily and cause harm. Never make assumptions about anybody but ask. For example, misidentifying pronouns, gender, sex, etc.…can needlessly lose that patient’s trust.  On the other hand, winning the patient’s trust can go a long way toward the patient’s positive healthcare outcome. Stay on top of evolving LGBTQ Plus healthcare needs, culture, and languages through continuing education, reading, and learning. Signal that you are LGBTQ-welcoming. A little rainbow heart sticker on a badge can make a  world of difference to make someone feel safe. The lessons learned can apply to all aspects of life: business, personal, family school, etc… Thank you for the fantastic, heartfelt presentation.”

“This presentation is a must-have one for everyone, especially for training Medical Interpreter students who are or will be working in the medical setting.  I learned: Understand the LGBTQIA community members and treat them equally and respectfully just as the same ways we expect others to treat us anytime and anywhere. In case, my co-worker, classmates, and / or any close friend telling me their gender identities and sexual orientations, we know how to handle the situation smoothly. We must accept who they are and keep our relationship (friendship) unchanged. In addition, we will provide any peer supports to them whenever applicable and available.”

“Great! I like the way that Dr. Holt helped us to distinguish the different concepts of LGBTQ through case study. I learned that the different definitions of LGBTQ. The most impact one to me  is to respect different groups before I fully know about them.”

“It was a great topic to learn, especially I live in San Francisco where the LGBTQ community is enormous. Not just the LGBTQ people, but other people also can be their supporters. I think people all need to be open-minded and try to understand the others, so that there will be no discrimination nor conflict between each person or community. I had a great opportunity to learn more about LGBTQ. Before learning this topic, I couldn’t distinguish each alphabet and the type of people. However, I have more understanding and conformity toward the LGBTQ people now.”

“I really like that the vignettes work the topic about the LGBTQ+ from something more general to something more specific and more complex, making it easier to understand and approach. Thank you so much Dr. Holt. This was a wonderful class and I appreciate it so much for you to share all this with us. I learned sometimes you will be the first person that some might open up, so please be kind and show your support to them; Don’t make assumptions when someone opens up to you – Always start with: Thank you for sharing this with me. Please feel free to tell me more about it; As much as possible use gender neutral vocabulary. Don’t label them. Just use the terminology that the person uses; When introduce yourself, use your pronouns as a way to make them comfortable to be open with theirs.”

“Thank you Dr. Holt for the presentation. I learned a lot that I never know about before. I learned: Sex is about anatomy sex; Gender is about self-identification; Sex orientation is whom to attract. I learned how to be respectful during the interpretation counter, and how to create a safe statement let others know I am the safe place to talk with me. I always respect the LGBTQIA community. Today’s class taught me that people might get into struggle about their identity. I learned how to be respectful and do my best to help ones in a healthcare setting.”

“The vignettes and the discussion it generated in the large group were great. The vignettes are relatable and are common scenarios LGBTQ folks may encounter. I like the discussion points because they prompt me to think about not only why it’s important to understand gender and sexuality, but also think about how using inclusive nonverbal and verbal communication can affect the patient’s experience and their health care. I’m glad more awareness is being brought these issues.”

“I really appreciate that Dr. Holt shared his experience today, I understood that people experience such a huge struggle and life-threatening situations such as depression, alcohol/drug use, threats by homophobia people, suicide intent. The suicide attempts rates are incredibly high, especially for transgender people. I also learned that they live with lots of fear, fear of being rejected by loved ones after coming out. Even after coming out, their life could be very challenging without good and comprehensive support. Actually, I had an impression that LGBTQ people are happy and intelligent. I don’t know if I feel that way because I live in SF or if the time changed since 1960. But today I learned about different side of their lives, vulnerabilities, and struggles, I will keep it in mind and learn more about it to understand better. Thank you so much for giving us the precious opportunity to learn.”

“The vignettes were great, and the discussion points really got me to think more critically and helped me have a better insight of the LGBTQIA+ community. Thank you so much, Dr. Holt! The most important thing I learned is that we identify a person’s sexual orientation by their gender identity rather than their anatomical sex. Today’s activity would have an impact on how I speak or what to say especially if I were in a situation like the DL scenario. From this scenario, I learned that we should be mindful of not making assumptions as it can be offensive.”

“I was happy to see that a person like Ron Holt has helped so many people nationwide to understand LGBTQ issues. In many areas people don’t have the most basic knowledge, so there is so much discrimination. I learned: The issues of gender identification, and preference in partners are different issues. The case studies were touching. Today’s information and talk will help me have an open mind when meeting people. I will try not to make assumptions.”

“Vignettes were thought provoking. Through case studies, I could understand the 2SLGBTQIA+ community better. I learned: there are not only two genders in our society but also some non-binary people who do not identify themselves exclusively men or women. Society is now much more diverse than ever before. Everyone should be respected and not be judged even though they are different. Understanding and acceptance are very important. Learning more about the 2SLGBTQIA+ community will help improve behaviors and create a more supportive social environment.”

“Provided great scenarios to start a discussion that help people learn about LGBTQIA+. Sexual orientation is based on gender identification. Negativity makes them less likely to open up, so  we should make them feel safe and welcome. Be more aware of how to address others using open-ended and gender-neutral language to make them feel included.”

“Learned about the terms used by the LGBTQ community. Be more inclusive about genders. Do not make assumptions. People from the LGBTQ community are treated differently occasionally within a hospital or clinic in the United States. I always think a patient must feel very safe and comfortable in a healthcare facility.”

“Good lecture! I learned a lot about LGBTQIA, will respect them when I have them as my classmate/co-worker/colleague and client. Take their feeling into account in whatever we say or do. Through the discussion we become more empathetic and understanding of transgender people. One day as a medical interpreter if we see transgender patients I’ll know how to talk to them and treat them, will treat them as nice as we treat regular patient. 

“I learned: Don’t assume people’s gender and always ask people how they want to be address. Today’s activity allows me to understand the various pronoun that exist in today’s gender culture, which made me more aware of people’s need to the recognize as individual.” 

“It is hard for a person in the LGBTQIA to disclose the importance of a provider to pay attention in minimum requirements, learning the terms, listening, practicing inclusivity, not assuming – asking the person, getting all the cues in order for the individual to feel safe, respected and be able trust and provide what the individual is suffering from. Speaking to someone can prevent suicides in the community because there can be support, awareness and empathy. Letting the individual know when an action is taken not for the individual to be surprise.  In expressions when a patient is hurting allowing the providers to promptly apologize and not ignore the issues. Let the individual know how the examination will begin where they will be touched instead of feeling shock, surprised, nervous, anxious, etc. simply provide details as best as you can and if you don’t know something simply ask in a professional and appropriate manner.”

On September 23, Dr. Holt had the honor of returning to his alma mater, Kansas City University, to discuss LGBTQ+ healthcare with students. He had the opportunity to present to over 400 attendees across two campuses. 

Many topics were discussed on how to make the healthcare setting a safe and welcoming environment for LGBTQ+ patients, including the impact of the waiting room, intake forms, and patient interactions. Dr. Holt also had the opportunity to present his original research findings from his MA thesis entitled, “The Impact of Rural Geography on Sexual Identity.”

LGBTQ+ Medical Case Scenarios: An Experiential Learning Perspective

This presentation consisted of reviewing LGBTQ+ medical case scenarios through the lens of KCU CME conference attendees. Each of the physicians read and reviewed two LGBTQ+ themed vignettes and associated discussion points before the session. This allowed for a robust, highly interactive experiential learning discussion on how physicians can provide more culturally competent care to the LGBTQ+ community.

The audience consisted of practicing physicians.

Queer in the Cornfields

On October 6, Dr. Holt presented on the Wayne State College campus about the importance of advocacy for LGBTQ+ Youths. Presentation highlights included the discussion of disparities that impact LGBTQ+ rural youth, real-life examples of the experiences of rural queer youth, newly released research results from a WSC survey on the impact of rural geography on sexual identity, and steps on how to be an advocate for queer youth.

The audience of over 60 attendees included students, faculty, staff, administration, and community members.

Complimentary copies of Dr. Holt’s books were made available after the presentation.

LGBTQ+ Medical Case Scenarios: An Experiential Learning Perspective

This presentation consisted of reviewing LGBTQ+ medical case scenarios through the lens of City College of San Francisco medical interpreter students. Due to COVID-19, class was held over zoom. Each of the students read and studied three LGBTQ+ themed vignettes and associated discussion points before class. This allowed for a robust, highly interactive class discussion over zoom on how medical interpreters can collaborate with clinicians in providing more culturally competent care to the LGBTQ+ community.

The audience consisted of medical interpreter students.

Audience feedback/impact of this presentation:

Thank you so much Dr. Holt for a wonderful presentation. During my time in school and medical field I have not experienced such a deep, detailed, and informative presentation on LGBTQI. It blows my mind on how much I learned today, words that I was not sure off, and you made everything so clear and easy to understand. Enjoyed how you kept the class active and allowed for group discussion vs sitting down and just listening. You are an amazing teacher/Dr. and full of knowledge on this topic. Thank you for your valuable time! The most important thing I learned today was not just one thing but many. I am more informed on how to approach a person with different gender identity. Also being able to know the definition of all words that relate to a person was so helpful. For years I was confused on these definitions and did not know how to respond but now I am more aware and know what the description of the word is. (For example, sexual orientation, gender nonconformity and gender dysphoria). This allows me to engage more with that person and make them feel comfortable, secured, and important. The impact of todays class was being more open minded of all different ways that a person can relate to. This will allow me to interpret better and refer to the patient the right way to make them feel comfortable and to help that patient out even more vs not knowing how to refer to them or what they might be going through. Not everyone is knowledgeable on how to treat LGBTQI people and feel like they are alone in the world. Being able to have this understanding changes the way we see each other and be able to pass that word on so more people know and understand with out judging. ***

I enjoyed the presentation completely. Dr. Holt was very informative, easy to understand and open. I learned: I obtained clarity on “gender” (biological) and “sexual orientation” (a person’s preference and how they identify themselves). Another important topic covered was gender dysphoria and the possible consequences. The facts presented helped me realize that not only do I need to practice humility between cultures, it is also very important for me to check my biases when it comes to how each person identifies themselves. Everyone deserves the same respect and I also will continue to educate myself in this area. ***

Dr. Holt has a great voice and is a natural presenter. The vignettes he provided were incredibly helpful, without which our understanding wouldn’t have deepened. His work is important for anyone studying to enter the health care industry. I learned: I didn’t think I’d learn much as over a third of my friends are LGBT. But I certainly did. I’ve learnt the challenges LGBTQIA people face in medical settings – it had never quite occurred to me. I’m sure these insensitivities still exist somewhere in SF Bay Area when health care staff are not well-trained. Unimaginable in the conservative parts of the country. Since I’ll be serving primarily the Chinese population and the older LGBTQIA among them are still mostly in the shadow, for instance, one of my close friends is a middle-aged Chinese male who has always had a close relationship with his mother and yet his sexuality has never been revealed or discussed, I shall exercise even more care when assisting these men and women. ***

Vignettes are very detailed and interesting. Felt like they described what LGBTQIA people are going through. I learned: The health disparities that LGBTQIA people encounter everywhere including in health care and how it affects them profoundly when seeking medical advice or treatment. I familiarized myself with terms used and will be able to be respectful when addressing LGBTQIA people. Will be attentive to degradation or privacy violations. Also, inequalities that occur within the medical field, including other parts of the country with less resources, should be reason to propose laws/bills that allow LGBTQIA people to receive quality care and services. This activity encouraged me to advocate and support LGBTQIA human rights. I will be more sensitive when referring to the LGBTQIA community. ***

It was a great learning experience. It highlighted things that as a heterosexual person I would not think twice about like the importance of pronouns, or the difference between gender, sex, and sexual orientation. I learned how at-risk transgender people are and how important it is to create a save and inclusive space for everyone. I will be more mindful of the language I use and try to educate myself not to make people feel excluded or offend anyone out of ignorance. ***

I think it was a very straight forward presentation to clarify/know the basics, but most important aspects of those who are trans. I learned: Respect is the most important. Be open when I do not know what a gender denomination means. Since I’m on the shy side, I’m always shamed to ask for more information if the other person does not disclose it to me, but here I learned that are ways to live a safe open door incase somebody would like to express the real person. ***

All the case studies are really good. We had a lot of good discussions among our group and learned a lot from all the cases. I learned: A person being transgender doesn’t mean they have gone through the surgery and a MTF transgender that is interested in men shouldn’t be identified as gay. ***

Before today’s lecture I only heard LGBT and now I learned LGBTQIA. Very good lecture and Dr. Ron Holt’s passion for teaching us how to treat these groups of people with respect and love.  Dr. Holt taught us how to address and to affirm a transgender during her Pap smear check. To assure that I am affirming of the patient’s gender and explained the procedure is to check the anatomy is present. To make the patient feel safe is priority. Show love and respect to others regardless of their choices for being themselves. ***

Never make assumption on anyone’s gender identity or gender orientation. Confidentiality. Never disclose any information you learn about the person to others without their permission. Understand that they are sharing this with you because they trust YOU, not your friends or family members. Never judge a book by its cover. To learn how to create a safe environment for others to open themselves to you. Stay open-minded and know that our words have impact on others as much as they have on us. ***

It is a really interesting talk and clarify a lot of misconception that I had it before. Dr. Holt has interacting with the class and make it more fun. I really enjoyed it. I learned what it is mean by straight, gay. The meaning of trans-gender. Why it is important to introduce myself to another person by pronouns. ***

They were complex and full of new terminology that I was not 100% familiar with. The questions were also complex and had to read it a couple of times to grasp the meaning. I learned: Do not assume anyone’s pronouns, sexual orientation, and/or gender identity. Is safe to respectfully ask if I do not know. Was a positive impact on me as it amplified the understanding of how someone’s identify his/her/themselves and part of the struggle his/her/they have to go through to be accepted by society. I will be more patient, open, and empathetic when meeting new people. ***

Great management of information and knowledge of the subject. I learned: Knowing the different genders and sexualities, which will help me personally to understand and accept each person as they want to be or appear without judging or offending. On the contrary, it makes me more kind and gentle when understanding what everything is about. Study cases in the breakout room was good because it gave me the opportunity to discuss a situation with others with different views and cultures. ***

This is a very meaningful lesson and learned a lot of LGBTQI topic. I learned: how to address someone’s gender better in a more respectful way. I learned to not make an assumption on someone’s gender based on their appearance and how to handle when someone reveal his/her/they gender to me. ***

It was quite challenging to answer the questions for each vignette because I was not very familiar about this topic and I did not have too many chances with the LGBTQIA population. So, it was difficult to come up with an answer because I was not sure if that’s the right action to do it or not. I learned: Know the differences between gender identity and sexual orientation. Always no assumption. Respect people all the way because we never know what others had gone through. Treat people equally and treat them in the way that they want. ***

City College of San Francisco

LGBTQ+ Medical Case Scenarios: An Experiential Learning Perspective

The presentation consisted of reviewing LGBTQ+ medical case scenarios through the lens of City College of San Francisco medical interpreter students. Due to COVID-19, class was held over zoom. Each of the students read and studied three LGBTQ+ themed vignettes and associated discussion points before class. This allowed for a robust, highly interactive class discussion over zoom on how medical interpreters can collaborate with clinicians in providing more culturally competent care to the LGBTQ+ community.

The audience consisted of medical interpreter students and one graduate student.

Audience feedback/impact of this presentation:

I found the vignettes very eye opening and helpful. When you are explaining how an office can be more inclusive, I realized I’ve never seen inclusivity at an office. Putting out a rainbow flag or changing the sign at an office is so fast and simply and yet it hasn’t happened in every office. Really upsetting.

Impact of session: Being able to practice multiple times how to talk to our coworkers, friends, and loved ones if they need to talk while giving them time to express their feelings in their own time! Having *** express how she would talk to her son made me emotional, because I could really feel the love in her words and if that makes me feel good, I can only imagine what it must be for someone who is really going thru that time in their life.

Do not assume people’s gender identity. I learned how to approach people without offending them.

I really like the three examples. I learned reactions matter. Reacting with love, compassion, and being judgment free saves lives. Do not assume gender and sexuality of others.

The vignettes of the three different stories were well chosen and the questions at the end of each one were very insightful. I think they really left an impression on our minds. The most important thing I learned is that I am now more competent to identify the terms lesbian, gay, bisexual, transgender, homosexual, and heterosexual. Thanks to this activity, I am now more aware of the importance of treating people ethically, using open-ended questions and gender-neutral language, so that they feel comfortable and safe in case they need to disclose any personal information. 

Great presentation with the case studies! Nice sharings! I learned a lot about LBGT topic. I appreciated this learning. I learned what it means to be an LBGTQIA individual; some terms such as genderqueer, internalized homophobia, and internalized transphobia; some open-ended and gender-neutral language can prevent awkward or offensive social situations.

Be more aware and careful when talking to people especially I realize that SF is a very diverse place. Never make assumptions (think before speaking) about a person’s potential queer identity. Always be careful speaking with the sensitive topics. Be careful with the word choices as sometimes its’s easy to take things for granted.

Today’s topic/activity kinda reminds me of an interaction with a previous coworker who I didn’t realize might be a gay. I made some assumption that he’s straight, which created some embassassing/awkward moment – he asked me if I hate gays which made me feel bad…I think I really need to be more aware and open minded (which is easier said then done) in the future in my interatctions with others.

Great! It was great to learn ways in which clinics and places can be made more inclusive and welcoming towards the LGBTQ+ community. It was also nice to learn speech techniques that might help people we know feel safe and comfortable speaking with us about their sexuality and know they won’t be judged. I now have some knowledge of what words to avoid and which are better choices.

Thank you. Do not harm. I’ll remember to be careful.

The beginning of the class was a wonderful ice-breaking moment. It was great to have Dr. Holt’s owns perspective base on his personal life experience. I am very grateful for that. 

I learned that premature disclosures can lead to suicidal ideation and great distress or harm. An excellent way to open the door for someone I think is struggling with personal sexual orientation or gender identity is to keep a gender-neutral language and understand how the key is to create a safe and open environment. Finally, do not “out” the person. 

As a Spanish medical interpreter, I can make the difference for our LGBTQIA+ community by showing respect to them by the correct use of pronouns and preferred name, not making assumptions about a person’s gender, and creating a safe and open environment.  

Dr. Holt explains very well about LGBT. It helps me better understand as an interpreter how to speak to LGBT patients.

I really enjoyed the way the class was. It was easy to follow and easy to learn.                                                         

I learned the difference between gay and transexual, the difference between sex and gender and what is the risk of suicide among the LGTB community.                                                                                        

I learned different scenarios and new vocabulary about LGBTQI community. I learned trans can be straight, lesbian, or gay. Some people can notice their gender identity at very young age. Keep an open mind and be compassionate.

Very nice lecture. Information is consistent and relevant. I will definitely look for some of the disparities and barriers pertaining to LGBT healthcare environment.

LGBT people are not treated equally in this society. I would treat LGBT groups equal as other humans in health care facility.

I learned a lot from these vignettes. They were really specific and realistic. I learned how to be a LGBTQ ally to support them and show my love to them. Ways to open the door for a friend, family member, or coworker who is struggling with sexual orientation or gender identity to come out to me. Today’s lesson has change my view, as a healthcare interpreter, what I can do to improve their clinic experience. Respecting and treating LGBTQ patients the way they want to be treated.

I enjoyed all the vignettes, they were very informative and educational. They illustrated different scenarios that allowed us to examine the different outcomes in a medical setting and our role as interpreters in them. I enjoyed the questions and discussions that follow them.

I will be always be open, respectful and supportive of other person’s identity, orientation and sexual expression