When Sarah Spiegel was in her first year at New York Medical College in 2016, she sat in a lecture hall watching a BuzzFeed video about what it’s like to be an intersex or a transgender person.

“It was a good video, but it felt inadequate for the education of a class of medical students, soon to be doctors,” says Spiegel, now in her third year of medical school. The video, paired with a 30-minute lecture on sexual orientation, was the only LGBT-focused information Spiegel and her fellow classmates received in their foundational course.

“It’s not adequate,” Spiegel remembers thinking. By her second year, after she became president of the school’s LGBT Advocacy in Medicine Club, she rallied a group of her peers to approach the administration about the lack of LGBT content in the curriculum.

Spiegel says administrators were “amazingly receptive” to her presentation, and she quickly gained student and faculty allies. As a result, the school went from one and a half hours of LGBT-focused content in the curriculum to seven hours within a matter of two years, according to Spiegel. Spiegel says she doesn’t think the change would have happened had the students not pushed for it.

The extent of LGBT education medical students receive varies greatly, but a 2011 study found that the median time spent on LGBT health was five hours. The topics most frequently addressed include sexual orientation, safe sex, and gender identity, whereas transgender-specific issues, including gender transitioning, were most often ignored. And some medical students receive no LGBT education at all.

“There’s not really a consistent curriculum that exists around this content,” says Deutsch.

As a result, physicians often feel inadequately trained to care for LGBT patients. In a 2018 survey sent out to 658 students at New England medical schools, around 80 percent of respondents said they felt “not competent” or “somewhat not competent” with the medical treatment of gender and sexual minority patients. Read more via NPR