Author Archives: STFM News

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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Leading the Way

Jen Hartmark-Hill, MD

Jen Hartmark-Hill, MD

One of my top priorities for staying involved in health care advocacy is to promote a better future for my students.

As a medical educator, I often ponder the uncomfortable paradox of training medical students to become “ideal” physicians, only to send them out into a far less than ideal health care system upon graduation. Preparing and educating future physicians to lead health care transformation is essential, but we who serve as educators and role models cannot stop there.

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