The RAPS elective is a required elective for PRIDE Program medical student scholars. The elective provides students with facilitated learning opportunities for reflection about the intersections of gender, sexuality, health inequities and healthcare during the clinical years of training, and it is a vital course furthering students’ sense of belonging and professional development as future leaders and advocates for the LGBTQ+ Community.

The elective consists of ten mandatory sessions, covering four hours of work per session. Students will engage with the materials through didactic instruction, group reflection, self-reflection, repetition of course concepts and mentorship from faculty and peers.

Sessions:

  • one hour of podcast — Queer America (QA) Podcast
  • one hour of lecture / content 
  • one hour of reflection / application / mentoring
Month MS3 (3 Hour Sessions Each) Learning Objectives

July

August

 RAPS: Welcome to PRIDE Program RAPS Series + Queer America Podcast
  1. Welcome - review structure, layout, requirements
  2. Introduction to the Queer America Podcast Series
  3. Discussion of expectations, educational needs and career plans.
  4. Schedule planning for third/fourth year
  5. QA Podcast: Ep 1

September

 RAPS: Intersectionality & Balancing Identities for Ourselves & Our LGBTQ+ Patients
  1. Familiarize yourself with intersectional identities within the LGBTQ+ Community
  2. Reflect on how your own identities contribute to patient care
  3. Find confidence in living within our intersectionalities
  4. Learn strategies to uncover intersectional identities for your patients
  5. QA Podcast: Ep 2

October

 RAPS: The Bio-psycho-social-Spiritural Model for LGBTQ+ Patients
  1. Learn the bio-psycho-social-spiritual model of patient care
  2. Apply this model to caring for LGBTQ+ Patients
  3. Practice Patient Cases requiring the model
  4. QA Podcast: Ep 3

November

 RAPS: Access to Health Systems for LGBTQ+ Patients
  1. Review biostatistics for healthcare access in the LGBTQ+ Community
  2. Review biostatistics for for healthcare quality for LGBTQ+ Patients
  3. Discuss ways to improve healthcare access and quality for LGBTQ+ Patients
  4. Review healthcare access options for LGBTQ+ patients in Orange County and Los Angeles
  5. QA Podcast: Ep 4+5

December
  1. QA Podcast: Ep 6

January

 RAPS: Structural Competency for LGBTQ+ Patients
  1. Review Galtung’s triangle of violence
  2. Apply the triangle to how LGBTQ+ Patients experience healthcare
  3. Review Multiple patient contexts to determine sources of direct, cultural and systemic violence for the LGBTQ+ Community
  4. Explore ways to advocate for improved structrures for LGBTQ+ Patients at the individual, clinic, health system, local and national levels.
  5. QA Podcast: Ep 7

February

 RAPS: Aging & End of Life Care for LGBTQ+ Patients
  1. Discuss sociocultural norms within subgroups of LGBTQ+ patients
  2. Apply those norms to the bio-psycho-social-spiritual model of patient care
  3. Discuss where age and gender affirming care fits into this model
  4. Review legal considerations for end of life care in the LGBTQ+ community
  5. Practice end-of-life planning for LGBTQ+ Patients
  6. QA Podcast: Ep 8

March

 RAPS: Social Justice & Health Equity for LGBTQ+ Patients
  1. Review disparities in health for the LGBTQ+ Community
  2. Propose ways to close gaps in health disparities
  3. Plan advocacy on local and national levels for LGBTQ+ health equity and social justice
  4. QA Podcast: Ep 9+10

April

 RAPS: Narratives & Advocacy for the LGBTQ+ Community
  1. Choose a topic related to LGBTQ+ Healthcare from the RAPS series
  2. Make a creative work to share information related to this topic
  3. Share your narrative and creative work as a form of advocacy
  4. QA Podcast: Ep 11

May

 RAPS: Dismantling the four I’s of Oppression
  1. Discuss ideological, institutional interpersonal and internalized oppression
  2. Apply these concepts to your own life
  3. Apply these concepts to the LGBTQ+ Community (or subsegment of the community)
  4. Make a plan for dismantling one of the four arms
  5. QA Podcast: Ep 12

June

 RAPS: Presentations & Rocking Your Subinternship
  1. Review what is expected of students on subinternships
  2. Review best practices for patient encounters
  3. Review best practices for presentations
  4. Review best practices for documentation
  5. Practice
  6. QA Podcast: Ep 13