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The British Student Doctor Journal VOLUMEVOLUME 5, No.1 5, No. 2 The British Student 31 30January April 20212021 ISSNISSN 2514-3174 2514-3174 DoctorThe Student Journal bsdj.org.ukbsdj.org.uk Doctor Journal #BSDJPRIDE: The LGBTQ+ Issue The British Student Doctor is an open access journal, which means that all content is available without charge to the user or their institution. You are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from either the publisher or the author. bsdj.org.uk Journal DOI 10.18573/issn.2514-3174 /thebsdj Issue DOI 10.18573/bsdj.v5i2 @thebsdj @thebsdj The British Student Doctor is published by The Foundation for Medical Publishing, a charitable incorporated organisation registered in England and Wales (Charity No. 1189006), and a subsidary of The Academy of Medical Educators. This journal is licensed under a Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International License. The copyright of all articles belongs to The Foundation for Medical Publishing, and a citation should be made when any article is quoted, used or referred to in another work. C b n d The British Student Doctor is an imprint of Cardiff University Press, an innovative open-access publisher of academic re- search, where ‘open-access’ means free for both readers and writers. cardiffuniversitypress.org Contents EDITORIAL 1 Callum Phillips, Dr Caitlin Young, JanCarlo Caling and Dr James M. Kilgour Editorial 2 Dr Duncan McGregor Guest editorial: GLADD, The Association of LGBTQ+ Doctors and Dentists ORIGINAL RESEARCH 4 Zoe Binse The representation of women who have sex with women (WSW) in sexual health promotion in England: a frame analysis DISCUSSION 21 Dr Ben Vincent and Dr Sophie Quinney What all doctors should know about trans health: a conversation between a medic and a sociologist 27 Gabrielle M. Finn, William Ballard, Marina Politis and Megan EL Brown It’s not alphabet soup – supporting the inclusion of inclu- sive queer curricula in medical education 38 Brian Chi Fung Ching, Amy Campbell, Angela Chase, Merle Schlief and Jane Sungmin Hahn Facilitation of sexual and gender identity disclosure and improved healthcare for LGBTQ+ patients: current pro- cesses, shortcomings and recommendations for change 47 Rae Halliday Is biomedicine compatible with contemporary understand- ings of queerness? 56 Joseph Rojo, Lexi Dickson and Mollie Marr The importance of near-peer mentorship of LGBTQ+ medical students 65 Lee Joshua Melo Social barriers to pre-exposure prophylaxis uptake within sexual and gender minorities in the UK Contents 75 Dr Katie E. McDowell Trans-formational? Why we need to do better for trans young people in the UK 85 Dr Michael Farquhar The rainbow NHS badge EDUCATION 88 Adam Williams Health inequalities among LGBTQ+ communities 95 Eduardo A. Bracho Montes de Oca, Sam Deboel, Laura Van den Bosch and Luna Verspreet “Baby, you were born this way”: LGBTQI+ discrimination in communication between healthcare provider and patient REFLECTIONS 103 Dr William Topping Village boy moves to London 106 Dr Jane Doherty Should I come out at work? 108 Anna Helppi and Sam Pliener Queerness and professional identity formation 111 Eve Benfield Trans ally, always: my commitment to patients, colleagues and the community The British Student Doctor, 2021;5(2):1 doi: 10.18573/bsdj.298 Editorial It is my pleasure to welcome you to the LGBTQ+ Special Issue of The British Student Doctor Journal. We began work on this issue over a year ago and it has been a phenomenally inspiring journey. From an idea formed in response to both my lived experiences in the NHS, and as a witness to those of other LGBTQ+ people, it stands now as a powerful queer expression of resilience and pride. We partnered with GLADD, The Association of LGBTQ+ Doctors and Dentists, to co-publish this issue, and they have provided great support and a wonderful editorial exploring many of the themes which have been included in this supplement. There are a number of very exciting, thought-pro- voking, and educational articles which we are delighted to be able to share with you. Editorial It was important for us to create an issue which celebrated and platformed the LG- BTQ+ community. As part of that mission, we commissioned a wonderful queer artist, JanCarlo Caling, to design the beautiful bespoke art featured on the front cover Callum Phillips of this special issue. In his own words, JanCarlo explores his work: University of Southampton (he/they) JanCarlo Caling (he/him) is a freelance illustrator based in Birmingham. He is currently studying a masters’ degree in visual communication at Birmingham City University. Dr Caitlin Young NHS Greater Glasgow and Clyde This illustration was motivated by the huge reach of the LGBTQIA+ community - from our (she/her) influence on pop culture to the hardships that we have faced throughout history. I wanted to em- phasize how diverse the community truly is, by featuring famous historical LGBQTIA+ icons of JanCarlo Caling varying race and body shapes such as Marsha P. Johnson, Audre Lorde, and Keith Haring. I tied Birmingham City University this all together to create something more contemporary by incorporating up and coming LGBT- (he/him) QIA+ activists such as Jamie Windust, Chella Man, and Eddie Ndopa. It is important to show the many faces of those who helped to shape the future of LGBTQIA+ people, especially those so Dr James M. Kilgour often forgotten to history. These individuals pave the way for future generations of queer people by Stanford University educating us, inspiring us, and fighting for our rights as humans. They deserve to be recognised, (he/him) remembered, and celebrated. Address for Correspondence: You can reach me on Instagram: @jn_crlo or via e-mail me at [email protected]. Callum Phillips The British Student Doctor As I reflect on this issue, I am reading through the aims I listed when scribbling Cardiff University Press plans in my notebook. To platform, to inspire, to educate. It is my hope that this issue is a PO Box 430 steppingstone for aspirational queer medics to continue working on rectifying the in- 1st Floor, 30-36 Newport Road equalities that our community still faces and to achieve incredible things in the future. Cardiff, CF24 0DE This special issue has certainly inspired me to do so. United Kingdom We hope you thoroughly enjoy The LGBTQ+ Issue of The British Student Doctor Email: [email protected] Journal as much as we have enjoyed its curation. We would like to thank GLADD for their support and belief in this special issue, even when it was just a concept in my No conflicts of interest to declare notebook; the authors for their hard work and for sharing their voices; the editorial team for their unwavering support; the peer reviewers for their rigorous evaluations; Accepted for publication: 07.04.21 the faculty advisory board for their mentorship; and our publisher, Cardiff University Press. The British Student Doctor, 2021;5(2):2-3 doi: 10.18573/bsdj.294 Editorial It is with great pleasure that I write in advance of this LGBTQ+ Special Supplement of The British Student Doctor Journal. I would like to warmly welcome the reader- ship to a timely and important discussion of the current state of LGBTQ+ health in the UK. Modern healthcare is no longer strictly a series of means by which to diagnose and treat pathology. Understanding of the interplay between diversity, individual identity, and the wider society impacts on health has become increasingly more recognised as important. Unfortunately, however, there continue to be significant areas where the data have not been collected, or wherein data exist but have failed to be acted upon – to the detriment of the health of minority communities. The LGBTQ+ community is one such example. We see, even in modern healthcare, that the spectre of Section 28 – a tremendously damaging piece of historical legislation, which prohibited “promotion of homosexu- ality” – lives on within the memory of our health service (Topping). While the rights GLADD, The (as enshrined in law) of lesbian, gay and bisexual people have improved in this coun- try; there remains to be a significant disparity between legal rights and the actual, lived experiences of everyday inequalities. We live in a society where transphobia runs Association rife, with the trans community under near-daily siege by mainstream media and on wider social media platforms (McDowell). of LGBTQ+ Whilst the government and wider society fail to appropriately address issues pertain- ing to a raft of LGBTQ+ societal inequalities, it is clear that there is a role for the health service and healthcare providers in addressing this. Such matters of identity Doctors and negatively impact on many areas of individual health when faced with discrimination and prejudice – both individual and institutional. The interactions between modern concepts of individual identity and the established model of medical care are complex, Dentists however in the pursuit of wellness and health, this model may well be failing queer communities (Halliday). Dr Duncan McGregor A key driver of health inequalities experienced by the LGBTQ+ community lies in Co-Chair, GLADD – The Association of the interactions between healthcare provider and individual identity. Precipitated by LGBTQ+ Doctors and Dentists previous direct or indirect experiences of negative attitudes from healthcare providers, (he/him) LGBTQ+ people often develop anticipation, or even fear of, negative attitudes. This phenomenon can drive patients to avoid disclosure of sexual orientation or gender Address for Correspondence: identity to clinicians, or even avoid healthcare settings entirely; to the detriment of Dr Duncan McGregor their own health (Bracho Montes de Oca et al). GLADD – The Association of LGBTQ+ Doctors and Dentists To begin addressing these pervasive issues, it is evident that appropriate education for BM Box 5606, healthcare providers is of fundamental importance.
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