Posted: September 16, 2013

Assessing Minority Stress and Risk Behaviors


In this vignette a clinician assesses the impact instances of discrimination and stigma have had on a patient. This vignette is part of a clinical vignette series highlighting various aspects of the health of LGBT and gender nonconforming populations and is designed to give learners the opportunity to analyze clinician-patient communication strategies. The series can be used in a variety of ways from independent learning to small group learning to large group learning. Each clip is generally 3-5 minutes long with discussion questions and additional resources listed at the end of each scenario. In an ideal setting the learner would be able to practice the communication strategies identified after viewing the vignettes. Actors: Clinician - Andrés F. Sciolla, MD, Associate Professor, Department of Psychiatry and Behavioral Sciences, UC Davis Health System; Karen (Patient) - Tiffani St.Cloud, CPC, Director of Educational Initiatives, Diversity, Policy, and Programs, Association of American Medical Colleges.


LGBT, Health Promotion, Lesbian, Gay, Bisexual, Transgender, Sexual Orientation, Gender Identity, Gender Non-Conforming, Clinician-Patient Communication


Kristen L. Eckstrand, MD, PhD, Vanderbilt University School of Medicine

Carey Roth Bayer, EdD, RN, CSE, Morehouse School of Medicine