UCLA Health and the David Geffen School of Medicine are proud to offer a LGBTQ Healthcare Fellowship designed to train future primary care physicians to be sensitive, comfortable, clinically knowledgeable and culturally competent in delivering healthcare to sexual and gender minority patient populations.
This one-year fellowship beginning on July 1, 2022, is a junior academic appointment as a Clinical Instructor in both general primary care and LGBTQ subspecialty and specialty care. The fellow will have yearlong longitudinal clinical rotations in a variety of UCLA and affiliated clinical sites, with some flexibility in tailoring the experiences to the learning environment and career goals of the fellow.
These experiences include:
- Primary Care for MSM
- Primary Care for WSW
- Transgender Care and Hormone Management
- Urology, Gynecology and Gender-affirming Surgery
- Hepatitis B & C
- HIV Treatment and Management
- High Resolution Anoscopy
- Substance Abuse and Drug Addiction
- Mental Health including LGBTQ Adolescents and Young Adults in Transition
- Mental Health in HIV+ Patients
- Behavioral health coursework and workshops spanning a variety of topics including human sexuality, bisexual identity, affirmative psychotherapy, and LGBTQ domestic violence.
Successful applicants are U.S.-trained MDs and DOs with a strong interest in caring for LGBTQ communities and have completed or will be completing their residency training by June 30, 2022 in Internal Medicine, Family Medicine, or Internal Medicine/Pediatrics combined specialties. Applicants should also have a passion for leadership, teaching, research and a motivation to expand the current field of LGBTQ medicine.
Please visit www.uclahealth.org/lgbtq/fellowship-program for more information.
Resident Friday School
Transitions of Care within Rheumatology: Dr Chira, from the Rady Children’s Hospital Department of Rheumatology, gave a session on Transitions of Care! Dr Chira emphasized the importance of a transition process for all children transferring care from the pediatric to adult health care system. He highlighted the 6 Core Elements of Transition from GotTransitions.org! The second half of the session was spent in small groups working through cases and building models to help us transition and welcome our young adult patients in our Internal Medicine clinics.
Health Disparities in Asthma: Dr Akuthota, from our Pulmonary & Critical Care Department, highlighted the high proportion of asthma and ER visits related to asthma in Latinx and Black ethnicities. These discrepancies between races are most likely multifactorial- SES, genetics, Vitamin D status, history of violence/stress, access to healthcare, environmental exposures.
Pregnancy and Autoimmunity: Dr Smith, from our Rheumatology Department, emphasized that a “planned pregnancy is the best pregnancy” with our patient with autoimmune diseases. Low risk medications during pregnancy include HCQ, NSAIDs, AZA, calcineurin inhibitors, sulfasalazine, TNF alpha inhibitors! Do NOT use MTX, MMF, cyclophosphamide in pregnancy! HCQ is also associated with better pregnancy outcome in patients with SLE!
Mystery Case: Today we interviewed a patient about his symptoms. He endorsed worsening back pain and stiffness starting in his early twenties. As time passed, his symptoms became worse and he started to notice decreased range of motion of his back. Pain was worse at night and was associated with considerable morning stiffness. What was the final diagnosis? Ankylosing Spondylitis! Thank you to Mr H for joining us and telling us your amazing story!
Intern Friday School
The interns had a separate session dedicated to the knee and shoulder exam! Dr Quan walked them through the exam with interactive videos with real patients to help illustrate many of the physical exam maneuvers we use in clinic!
Click our Rheumatology and Allergy/Immunology in our Friday School section on the blog to get access to presentations and articles presented during these sessions!