Abstract
The Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and other (LGBTQI+) community continues to experience health inequity and unmet needs. This manuscript examines the application of the Four Tenets of Osteopathic Medicine (FTOM) during a patient's self-disclosure of their sexual orientation and/or gender identity to the provider, also known as coming out. Tenet One discusses the interplay between intersectionality and coming out. Tenet Two elucidates how coming out moves toward a balance of homeostasis and self-healing. Tenet Three examines how structure and function can be understood on a personal level and how society influences coming out. Tenet Four explains the resources available to facilitate the previously forementioned changes. By applying the Four Tenets, the provider may more readily understand what "coming out" means on personal and social levels and what implications they may have on their patients' health.
Highlights
The Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and other (LGBTQI+) community continues to experience health inequity and unmet needs. This manuscript examines the application of the Four Tenets of Osteopathic Medicine (FTOM) during a patient’s selfdisclosure of their sexual orientation and/or gender identity to the provider, known as coming out
These findings suggest an abundance of barriers, including coming out in a healthcare setting, faced by individuals of the LGBTQI+ community not experienced by their majority counterparts
As increasing percentage of Americans identify as LGBTQI+, sexual orientation and gender identity disclosure will be a more common topic discussed in the healthcare setting
Summary
The Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, and other (LGBTQI+) community continues to experience health inequity and unmet needs This manuscript examines the application of the Four Tenets of Osteopathic Medicine (FTOM) during a patient’s selfdisclosure of their sexual orientation and/or gender identity to the provider, known as coming out. In a study analyzing the perspectives of LGBTQI+ adults aged 18–29 years old on their healthcare experiences, transgender and queer/questioning participants were found to have more negative experiences and delays in seeking care compared to LGB participants [6] These findings suggest an abundance of barriers, including coming out in a healthcare setting, faced by individuals of the LGBTQI+ community not experienced by their majority counterparts. The authors suggest utilizing an FTOM framework to assist in navigating the coming out process in the healthcare setting
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