Improving Health for LGBTQ Patients

Bourns has been active in leading efforts to address potential curricular gaps that could be contributing to these disparities. “The new Foundations Curriculum is a fantastic opportunity for LGBTQ content integration,” says Bourns. Her approach emphasizes both cultural competencies and clinical knowledge. “We are really focusing on integration of this content right across the curriculum. For example, during the endocrinology unit, students will cover hormone therapy for transgender patients. Then, during geriatrics, students will learn about issues faced by older LGBTQ adults,” she explains.

“Although educators at many Canadian medical schools have been working to integrate LGBTQ content into their curricula, U of T is the first to formalize and fund a role for this purpose,” Bourns notes. “I think this sends the message to faculty, students and patients alike that our MD Program is dedicated to addressing the health care disparities of the LGBTQ population, and is committed to creating a learning environment that fosters appreciation and respect for diversity.”

Her work doesn’t stop with curriculum development. Bourns strives to create positive space on campus through a number of initiatives. During orientation week, you can find Bourns at the diversity booth greeting students and providing information on resources and support for LGBTQ students. She heads the newly formed LGBTQ Advisory Committee and Community Liaison, created to encourage student engagement and to give LGBTQ community members a voice in her initiatives.

Faculty also have the opportunity to deepen their awareness of LGBTQ health issues as part of a series of faculty development videos focused on diversity. Bourns also developed a training session for the Office of Health Professions Student Affairs and the UME Enrolment Services staff that establishes baseline competencies and best practices for safe spaces which will be delivered this summer.

Bourns also participates in and encourages research initiatives in LGBTQ health. She is involved in a study that will survey select medical schools including the University of Toronto to assess students’ sense of preparedness to provide medical care for LGBTQ patients by the end of their training.

Prior to her appointment, Bourns proposed, designed and completed the first LGBTQ Health Enhanced Skills Fellowship in Canada, and currently supervises fellows completing the program. She practices as a family physician at Sherbourne Health Centre, in its LGBT Unit.

Bourns’ maternity leave begins April 1, 2016. Her maternity leave replacement is Dr. Ed Kucharski.

LGBTQ health faculty development video focuses on terminology around LGBTQ health, historical milestones in the LGBTQ community, major health issues and assumptions that should be avoided.

This is one of the many stories highlighting the activities of the University of Toronto Undergraduate Medical Education program. You can read more from their annual report by clicking here.