On June 2-3, 1970, the first Sexual Attitude Reassessment (SAR) seminar was held at the University of Minnesota, and the Program in Human Sexuality was born. This June, forty years later, the PHS faculty just completed our course in human sexuality required for all first-year medical students, which included a SAR seminar. One could barely recognize the format from the earlier years. We sit on chairs rather than pillows, and we listen to panels of people describing their sexual lives rather than being bombarded with sexually explicit media. However, the goals of the seminar remain: to explore sexual attitudes and behavior, to become "askable" physicians, to separate one's personal values from professional sexual health care, to help physicians become more comfortable in bringing up the topic, and ultimately to provide compassionate, non-judgmental, science-based sexual health care.
The SAR seminar formed the basis of the sexual health curriculum that developed at the University of Minnesota Medical School and has continued through today. The sexual health course of study at the University was one of the first comprehensive curricula developed in the United States. In the 1970s, many medical students had great difficulty talking to their patients about sexuality - especially when it differed from their own. In the 1980s, there was a conservative swing in sexual politics and the medical school curriculum was sharply being attacked under the accusation of "irrelevancy." By the end of the 1980s, more attacks centered around issues of privacy which made conducting small group processing very difficult. In the 1990s, we saw a new kind of medical student who was more interested in holistic medicine and primary care. That shifted in the latter part of the 1990s and early part of the new millennium as students moved away from primary care due to low reimbursement rates and high student debt. Now we are seeing student motivation shift again - and we hope that health care reform will bring more emphasis on primary care that is holistic and focused on psychosocial issues as much as on new technologies. At each juncture, it has been a challenge to preserve and evolve the sexual health curriculum. Fighting for this and adapting our curriculum has made us one of the survivors and we have remained as a model program in the world.
We are at a period in time where we are facing a public health imperative to provide integrated health care services that address physical, mental, and sexual health. Yet we are losing ground in terms of comprehensive sexual health curricula in our medical schools. We are an endangered species! The movement towards integrated learning in medical schools makes "stand alone" courses very vulnerable. While integrated learning works for many issues, when integrated, the complexities and nuances of human sexuality tend to be over simplified or eliminated. We have seen a national trend to eliminate human sexuality courses - which were already too few and not very comprehensive. For example, I have been part of the human sexuality curriculum at Mayo Medical School for over 25 years and it has evaporated in the last two years.
While some of the current medical students are well informed by sexual information available through the Internet or a sound sexual health education, many students have had limited sexual health education because of "abstinence-only education" programs. In spite of a deficit in basic knowledge, we are seeing students who are eager to provide patient-centered, science-based care.
Due to all these factors, we are in desperate need of a revitalization of sexual health curricula across the country and around the world. New approaches need to be developed that fit within the new paradigms of medical school education. However, there is no forum or vehicle for strategizing how we might do this. I am eager to organize a summit of medical school educators, but I have yet to find a sponsor. With universities facing enormous financial crises and travel budgets slashed, it is difficult to find the resources to make this vision a reality. We are at a critical juncture, and I feel we are losing ground day by day. This is one of the many reasons that establishing the Joycelyn Elders Chair in Sexual Health Education is so very important. We need to find a champion for this cause.
I can only assure you that this issue is at the top of my agenda and I am trying to figure out a way to address this. If you have any thoughts or ideas on this I would love to hear from you phs@umn.edu
PHOTO: Keith and Virginia Laken, authors of Making Love Again: Hope for Couples Facing Loss of Sexual Intimacy, help to instruct the 2010 U of M Medical School SAR. Keith Laken is an active memeber of the PHS Leadership Council.





What began on June 2, 1970, with the first Sexual Attitude Reassessment (SAR) in Minnesota quickly grew into a world-renowned center specializing in human sexuality. For 40 years, the Program in Human Sexuality has been a leader in the field of human sexuality through innovations in research, education, clinical service, and advocacy. We are proud to celebrate our 40 years of service and we look forward to new advances in sexual health.
A new book,
Katherine Rachlin, PhD, visited the University of Minnesota campus on March 26, 2010, to deliver a key note address and an informal talk at PHS. Rachlin presented "Challenging Assumptions About Identity Expression" at the
On June 9, 2010, the US State Department announced a 
With your help, we can work to create a sexually healthy world. Former Surgeon General Joycelyn Elders, MD, is teaming up with the PHS to advance comprehensive science-based sexual health education. Elders and PHS are responding to the current public sexual health crisis by creating the
On June 5, 2010, Rev. Dr. James "Jim" Siefkes, a founder of PHS, was awarded the Humanitarian Award by American Association of Sexuality Educators, Counselors, and Therapists (
April 28-29, 2010, Eli Coleman, PhD, participated in a technical consultation for the Centers for Disease Control and Prevention (CDC) on "Promoting a Public Health Approach to Sexual Health in the United States." This effort will help to articulate the initiatives for a national strategy to advance sexual health and revitalize the goals and guidelines from
Bean Robinson, PhD, was honored with the Faculty Mentor Award presented by the PHS postdoctoral fellows at the Family Medicine and Community Health Commencement on June 9, 2010. Graduating fellow G Zachariah White, PsyD, presented the award. He said of Robinson, "Bean is extremely genuine and is emotionally available and supportive. She creates a culture of feedback and thereby treats postdocs as colleagues. Her personality is lovely, and she brings fun, enthusiastic, and sex-positive energy to her work! She is multiculturally aware, competent, and responsible. She is an experienced and committed supervisor. She is passionate about sex and relationship therapy!"
July 14, 2010
August 11, 2010