Author Archives: STFM News

Med School Gap Year: One Student’s Journey Advocating for Health Care

Stanford Tran

Stanford Tran

While my medical school classmates were deep in their sub-I’s, I took a year off and spent my days being chased off parking lots by grocery store managers. I often wondered what I was doing and how did I manage to drift so far from medicine.

I found myself in this unenviable position by trying to change the health care landscape. Health care in America is fragmented, expensive, and often ineffective. This has been self-evident for 20 years, yet the problem is getting worse. We have a health care system shaped largely by government policies and government dollars, and, conversely, we have a federal budget that is shaped largely by health care spending. Since I wanted to be an agent of health care reform, I thought the obvious way to do that was to run for a seat in the House of Representatives.

Sure, it is unconventional to run for federal office as a first-time candidate, to have no money or donors, and to have lived in the district for less than 3 years, but these are, in medical lingo, soft contraindications. The mechanics of running for public office is pretty much the same no matter which office—you spend your days begging for votes or for money, which in turn helps you beg for votes. You get the distinct feeling of being a panhandler, replete with being chased off from grocery stores. The only difference is that as a candidate, you are better dressed. People innately realize this because while many are politically opinionated, few ever imagine slumping to the level of a political candidate.

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Can Your Idea of Happily Ever After Interfere With IPV Patient Care?

Jennifer Ayres, PhD

Jennifer Ayres, PhD

As a trauma psychologist, I find that my greatest challenge in working with survivors of Intimate Partner Violence (IPV) is contending with my automatic bias that the “happily ever after” includes my patient leaving his or her perpetrator. When my bias arises, I reflect on three truths I learned from my undergraduate employment at a battered women’s shelter.

  • Most people go back.
  • If he or she goes back, and you made it clear that you thought it wasn’t a good decision, the patient can’t return to you the next time.
  • It will happen again.

And there are a couple truths I’ve learned since I worked at the shelter.

  • Basic decisions become complicated when you consider all the repercussions.
  • Leaving might not be the best decision.
  • If he or she does leave, the resources often aren’t available, and there is no referral for “make someone feel safe and free.”

These last three are challenging because I am much more comfortable with the patient who decides to flee the abusive situation or engage in the legal fight.

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How Family Medicine Education Can Bolster Curriculum to Meet the Needs of the LGBT Community

This is part of a series by the STFM Group on LGBT Health for LGBT Pride Month.

By Eli Pendleton, MD; Susan Sawning, MSSW, and Stacie Steinbock, MEd

My male-to-female transgender patient is in her mid-50s. She has a well-established relationship with a sex therapist, who has written a thorough letter of explanation and support. Her wife is engaged and supports her decisions. The patient comes to me hoping to begin her hormonal transition.

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