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Coleman-Chair-BP-7.jpgMedical advances, improved access to care, prevention initiatives, and our nation's aspiration of an AIDS-free generation are all good signs, but as a culture we will need to shift our perspective to stop the spread of HIV.

 
Over the last 30 years, where have we failed? We know that HIV is still mostly spread by sexual behavior. Yet, the disease is rather easily preventable through the use of condoms. Condoms are reasonably inexpensive, potentially readily available, easy to use, and highly effective in preventing HIV and other sexually transmitted infections (and unintended pregnancy). What a bargain! So, why are they not used more?


Behavioral HIV prevention strategies and interventions have tried to get people to reduce risky sexual behavior and promote condom use. While reasonably effective, there needs to be continuous implementation of these interventions, and they are costly. Investment in prevention strategies has always been difficult.


New strategies are overdue. In the United States, we continue to experience 50,000 new infections a year, with young people aged 13-29 accounting for 39% of all new HIV infections.* And, there are serious health disparities.  People of color, youth, and sexual minorities are much more likely to become infected than other groups. While 60% of new infections around the world are found in gay and bisexual men, only 2% of the global prevention budget is directed at this group. Also, transgender individuals are an overlooked population at major risk for HIV, due in large part to continued stigma and discrimination. This disparity in funding efforts represents the institutionalized stigmatization, heterosexism, and homophobia that exist in our cultures as well as in our public health systems. If we do not attend to this population as well as other marginalized populations such as sex workers and drug users, we will fail in our efforts to stop the spread of infections.


A fundamental problem remains. We remain a sexually dysfunctional culture. We live in a culture that is still uncomfortable talking about sex and sexuality in a mature and honest fashion. We continue to debate and hold back on providing comprehensive sexuality education. It is very clear that what distinguishes the United States from other developed countries in sexual health indicators is the existence of (or lack thereof) early and sustained comprehensive sexuality education. When kids are educated early they grow up to be more comfortable with talking about sexuality, more likely to be sexually responsible, and have lower rates of sexually transmitted infections and unintended pregnancies. They contribute to a cultural climate that is sexually healthy. That climate then insists on comprehensive sexuality education and thereby creates a cycle of healthiness. In the United States, we are still caught up in a negative and unhealthy vicious cycle. The goal of the Joycelyn Elders Chair in Sexual Health Education is to reverse this negative cycle.


As the current Chair in Sexual Health, I continue to push a sexual health agenda in HIV prevention. I believe in the need for a broad sexual health approach to stem the tide of the HIV epidemic. I envision an approach that goes beyond venereology and on an individual level

• emphasizes a positive and respectful approach to sexuality and sexual expression throughout the lifespan;

• acknowledges sexuality as a basic and fundamental aspect of our humanness and that the pursuit of sexual pleasure is natural and desirable;

• combats sexual coercion, shame, discrimination, and violence;

• promotes positive sexual identity and esteem;

• encourages honest communication and trust between partners;

• supports the possibility of having pleasurable, fulfilling, and satisfying sexual experiences;

• insists that individuals take responsibility of the consequences of their sexual choices and their impact on others; and

• optimizes reproductive capacity and choice

 

At the community level, it is achieved through

• access to developmentally appropriate, comprehensive, and scientifically accurate sexuality education;

• clinical and preventative sexual health services; and

• respect for individual differences and diversity and a lack of societal prejudice, stigma, and discrimination.

As the Chair in Sexual Health, I will continue to work with our faculty at the Program in Human Sexuality and with partners around the world to promote a sexually healthier culture - not only to address the sexual problems in the world -- but to advance the opportunity for everyone to lead sexually healthier lives which are pleasurable and satisfying.

Eli Coleman, PhD
Professor and Director
Chair in Sexual Health

 

New HIV Infections in the United States by Centers for Disease Control and Prevention

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MN-Med-cover-BP.jpgPHS faculty contributed to the August issue of Minnesota Medicine titled "Can we talk about sex?"

"Promoting Sexual Health: Why it's every physician's responsibility" is an editorial written by Eli Coleman, PhD. Coleman emphasized the importance of sexual health to a patient's overall health, through all stages of development. He also called for the improved training of medical students and practicing physicians.

Sara Mize, PhD, and Brian Zamboni, PhD, were interviewed for the article "Seven things physicians need to know about sex and the older adult." Also contributing to the article was June La Valleur, MD, retired University of Minnesota faculty member in the Department of Obstetrics, Gynecology and Women's Health and past-chair of the PHS Leadership Council.

Michael Miner, PhD, commented on sexual offender treatment, current research, and Minnesota's unique system in "View from the Hotel California: Is it possible to rehabilitate Minnesota's most serious sex offenders?"

Katie Spencer, PhD, discussed the Standards of Care and insurance coverage for transgender patients in "Falling Through the Cracks: Health insurance policies increasingly include coverage for treatments related to gender dysphoria, but gaps remain,"

Several PHS colleagues and collaborators were featured in the article, "Out: The climate has changed for gay and lesbian physicians," including Chip Martin, MD, chair of the PHS Leadership Council.

Minnesota Medicine is an award-winning publication of the Minnesota Medical Association.

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Faculty Profile: Jamie Feldman, MD, PhD

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Jamie-Feldman-BP.jpgAssociate professor Jamie Feldman, MD, PhD, is a family physician passionate about sexual medicine research, education, and clinical care.

While Feldman was working on her medical degree at University of Illinois, Urbana, she also completed a PhD in anthropology. In 1996, after a family medicine residency at Lutheran General Hospital in Park Ridge, IL, she joined the faculty at the Department of Family Medicine and Community Health at the University of Minnesota. Initially she worked as a family physician and trained residents in HIV/AIDS clinical care. In 1998, when the HIV/AIDS residency training program was eliminated, Feldman joined the faculty at the Program in Human Sexuality, replacing retiring physician Leon Nesvacil, MD. Feldman's interest in research, HIV, sexuality, and culture has made her a great fit for PHS. "Family physicians are uniquely qualified to address sexual health. They are trained in the whole person, across all ages and genders," said PHS director Eli Coleman, PhD,

Feldman's early research was in the area of HIV/AIDS.1 When she started at PHS she realized the lack of transgender-specific research and level-1 evidence. Since then, Feldman has been involved in studies focused on transgender health from HIV/AIDS prevention to the effects of hormone therapy. She has given numerous international presentations and published many scientific articles, book chapters, and guidelines based on her research in the areas of sexual functioning and transgender health. In addition to her recent publications2, Feldman is currently working on updating guidelines for The Fenway Institute for physicians on primary care of transgender patients and guidelines for physicians in British Columbia on the physical aspects of transgender endocrine therapy. Since 2001, Feldman has served as the chair for the World Professional Association for Transgender Health's Transgender Medicine and Research Committee. As she looks to the future, she is hopeful that the National Institutes of Health and other grant funding organizations will respond to the Institutes of Medicine report, The Health of Lesbian, Gay, Bisexual, and Transgender People (2011), by funding research in transgender health beyond the rubric of HIV.

Feldman is currently working with colleagues at PHS to build a framework for clinical research in the area of transgender health care. Feldman's current research includes looking at feminizing hormone therapy in patients over age 50; a retrospective, multicenter study on the long-term health of transgender individuals receiving hormone-therapy; and a study of immunological factors and the risk of Vulvodynia (based in U of M Epidemiology).

Feldman is involved in every aspect of education at PHS. She believes that, "Caring for a patient's whole health means that family physicians should be comfortable with sexuality." On most clinical days she is shadowed by medical students or residents from family medicine, obstetrics and gynecology, or other medical schools. She is the director of the sexual medicine course required for family medicine residents. Along with her colleagues, she is an instructor for the human sexuality course for first-year medical students and gives didactics for PHS postdoctoral fellows.

At the PHS clinic, the Center for Sexual Health, Feldman sees patients for all aspects of sexual medicine including sexual functioning concerns, women's sexual health, and transgender-specific care. In addition to her time at PHS, she see patients for two half days at the Women's Health Specialists Clinic at University of Minnesota Medical Center, Fairview.

A native of Chicago, Feldman lives in Saint Paul with her husband, sci-fi /fantasy writer Doug Hulick, and their two sons. Her hobby is historical rapier combat.

1. Feldman, J.L. (1995). Plague doctors: Responding to the AIDS Epidemic in France and America. Westport, Connecticut, Bergin and Garvey.

2. Recent publications

Feldman, J., & Spencer, K. (2013). Gender dysphoria in a 39-year-old man. Canadian Medical Association Journal. Published online ahead of print, October 7, 2013. doi:10.1503/cmaj.130450

Eckman, P.M., Dhungel, V., Mandras, S., Brisco, M.A., Emani, S., Duval, S., Lindenfeld, J., Sulemanjee, N., Sokos, G.G., Feldman, J. (2013). Sexual Function After Left Ventricular Assist Device. Journal of the American College of Cardiology, 61(19), 2021-2022. doi:10.1016/j.jacc.2013.02.022

Deutsch, M., Feldman, J. (2013). Updated recommendations from the World Professional Association for Transgender Health Standards of Care. Editorial in American Family Physician, 87(2):89-93.

Coleman, E., Bockting, W., Botzer, M., Cohen-Kettenis, P., DeCuypere, G., Feldman, J., Fraser, L., Green, J., Knudson, G., Meyer, W., Monstrey, S., & the WPATH Standards of Care Revision Committee. (2012). Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, 7th Version. International Journal of Transgenderism. 13(4), 165-232.

Feldman, J.L., Safer, J. (2009) Hormone therapy in adults: suggested revisions to the sixth version of the Standards of Care. International Journal of Transgenderism (11)3:146-182
Eyler, A.E. and Feldman, J.L. (2008). "Primary Care of the Transsexual Male." In Clinical Men's Health: Evidence in Practice. Heidelbaugh, J. (ed.) Atlanta, GA: Elsevier

Feldman, J.L. (2008). "Medical management of transgender patients." In The Fenway Guide to Enhancing Healthcare in Lesbian, Gay, Bisexual and Transgendered Communities, Makadon, H., Mayer, K., Potter, J., Goldhammer, H. (eds.), Philadelphia, PA, American College of Physicians.

Feldman, J.L. (2007). "Preventive Care of the Transgendered Patient: An Evidence Based Approach." In Principles of Transgendered Medicine and Surgery. Ettner, R., Eyler, A.E., Monstrey, S. (eds.) Binghamton, NY: Haworth Press.

Ross, M.W., Rosser, B.R., McCurdy, S., Feldman, J.L. (2007) The advantages and limitations of seeking sex online: A comparison of reasons given for online and offline sexual liaisons by Men who have Sex with Men. Journal of Sex Research. 44(1):59-71

Feldman, J.L., Goldberg, J. (2006). Transgender Primary Medical Care: Suggested Guidelines for Clinicians in British Columbia. Vancouver, British Columbia: Vancouver Coastal Health, Transcend Transgender Support & Education Society, and the Canadian Rainbow Health Coalition.

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Free download of gender education materials

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Transformations-BP.jpgYou can now download the play script for Trans/formation: Addressing Gender Issues in School, resources, and an educational supplement designed by Katie Spencer, PhD, and Dianne Berg, PhD.

Spencer said, "We hope that these materials will be a practical tool to help school administrators, teachers, student groups, and parents to begin an open and honest dialogue about gender. Schools could customize these materials to launch a semester-long awareness campaign or to conduct an afternoon assembly. Ideally the play will spark an ongoing conversation."

PHS joined Exposed Brick Theatre to create the play which is based on the stories, experiences, and perspectives of transgender and gender non-conforming youth. The aims of the project are to validate transgender and gender non-conforming youth experiences through performance, to educate peers, parents, families, friends, and educators about the experiences of transgender and gender non-conforming youth, and to encourage dialogues around gender issues, advocacy, and ally support for adolescents.

The educational supplement offers ideas for using the script in a classroom setting including ideas for casting and directing, preparation of the school and audience, rehearsal process and cast support, and questions for an audience discussion. Additional Spencer and Berg offer secondary resource links to gender terminology, a book list, and research on the experiences of transgender students.

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The Tawani Foundation and the California Institute for Contemporary Art (CICA) have each made challenge grants to PHS to match new gifts and accelerated pledge payments to the Joycelyn Elders Chair in Sexual Health Education through December 31, 2013.

The Elders Chair fundraising is scheduled to be complete in 2016, however, these matching grants give us a great opportunity to secure the $2 million in gifts and pledges required to start the search for someone to be "seated" in the Elders Chair in 2014. The new faculty member hired to hold the Elders Chair will focus his or her efforts on creating comprehensive life-long sexual education curricula, increasing the number of health care providers and health educators trained in sexual health, and expanding scientific research in sexuality education. We are eager to put the Elders Chair to work sooner than later!

The challenge grants will match new gifts and accelerated pledge payments (scheduled for 2014 and beyond) 2:1 up to $50,000 now through December 31, 2013. That means that for every one dollar in new gifts and accelerated pledge payments two dollars will be given to the Elders Chair. After $50,000 in new and accelerated gifts have been received, the Tawani Foundation will continue to match 1:1 up to an additional $20,000.

Fundraising for the Elders Chair has been a grass roots effort with more than 290 donors including 23 organizations from 23 states in the US and 8 countries. Recently Joycelyn Elders, MD, shared what the Elders Chair means to her, and you can watch a video of her story.

Please help us meet these challenge grants. You may make a gift online at http://z.umn.edu/eldersgift, call 800-775-2187, or mail a check to University of Minnesota Foundation, McNamara Alumni Center, 200 Oak Street SE, Suite 500, Minneapolis, MN 55455 indicating "Elders Chair" in the memo line. If you would like information about making a gift of stock, contact Holly McDonough Gulden at 612.625-8758 or hmgulden@umn.edu.

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Spencer-w-fellows-BP.jpgThe PHS postdoctoral fellows honored assistant professor Katie Spencer, PhD, with the 2013 Faculty Mentor Award. Fellows Margaret Flaget-Greener, PsyD, Krista Nabar, PsyD, Jordan Rullo, PhD, and Loren Fogel, PsyD, presented the award on July 10, 2013.

The fellows selected Spencer for her, ". . . warm presence and genuine interest in our feelings, our parallel processes, and how the power dynamic of supervision affects us." Spencer's door is always open for questions from fellows and she is extremely patient. Spencer's devotion to, ". . . revamping the transgender health services program, bringing it to cutting-edge, and dropping in her feminist equality touches has been impressive, and despite some of our resistance to a few of her program changes, she strongly marches on to reach her vision . . . and we admire that persistence." The fellows also cited Spencer's work to strengthen PHS's connection within the community.
 
Spencer herself is a graduate of the PHS postdoctoral fellowship (2009). She has been mentoring postdoctoral fellows since 2010. In response to the award Spencer said "It is such an amazing compliment to be given this award by the fellows. My work with them is one of the most rewarding aspects of my job, and I feel truly honored that they value our work together so highly. Training fellows to work with not just transgender clients, but all clients, with a critical consciousness about oppression and awareness of themselves as a tool in therapeutic work is one of my main passions, and so that they can see that coming through is really exciting!"

Spencer works with multiple community organizations to educate about LGBT healthcare issues and primarily transgender healthcare. She works with the Minnesota Trans Youth Support Network on the Community Hormone Access Project, partnering with community advocates and trans youth to develop community based hormone protocols for transgender care, in hopes to increase access to competent care and hormone provision for trans youth. She recently participated in the development of a theatre educational project for high schools on transgender youth issues. Spencer provides training education, and consultation on sexual health and transgender issues, and has worked with the Family Tree Clinic, Face to Face Health and Counseling Services, Fairview Clinics, the University of North Dakota, and the Veterans Administration. Spencer often speaks about the intersections of LGBT rights and impact on well-being, and will be presenting a First Friday Forum for the Minnesota Psychological Association on the psychological research on same sex marriage in October 2012.

Spencer received her MA and PhD in counseling psychology from the University of Missouri-Columbia. She received her BA in women's studies and psychology from the University of Wisconsin-Madison. Her internship was completed at the University of Illinois-Chicago Counseling Center. She has a strong interest in education and training of therapists and medical providers in sexual health and transgender health care competency. Her primary clinical practice is working with transgender and gender non-conforming children, adolescents, and adults, women's sexual health, and LGBT sexual health and well-being. She co-facilitates several groups, including the gender exploration group for youth and their families, the women's sexual health group, and transgender adult interpersonal groups. She has experience working with compulsive sexual behavior and general sexual dysfunction concerns. Her research and clinical interests focus on cultural competency in working with LGB and transgender populations, LGBT sexual health, sex therapy with LGBT couples, trans youth, and feminist embodied approaches to sexual health.

Photo: Margaret Flaget-Greener, PsyD, Krista Nabar, PsyD, Katie Spencer, PhD, Jordan Rullo, PhD, Lauren Fogel, PsyD

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Congratulations PHS fellowship graduates

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Flaget-Greener-Rullo-Nabar-BP.jpgThe Program in Human Sexuality graduated three postdoctoral fellows at the Family Medicine and Community Health commencement this spring. On June 4, 2013, Margaret Flaget-Greener, PsyD, Krista Nabar, PsyD, and Jordan Rullo, PhD, were recognized for completing two years of intensive clinical and research training at PHS.

Flaget-Greener will be joining the Associated Clinic of Psychology based out of Minneapolis. She will be part of their long term care/nursing home services team. Her role will be to go to facilities to work with the residents and their families, the professional caregivers, physicians, and other professionals, to provide integrated clinical services to each referred resident. Flaget-Greener will present her research on August 14, 2013, at PHS "Mental healthcare providers' attitudes toward older adults' sexuality and their implications for psychological assessment and treatment: A randomized vignette study."

Nabar is taking a few months off to enjoy her recent journey into motherhood. She is looking to return to the field and is seeking a position that allows her to use her knowledge gained at PHS, particularly working with individuals who have committed sexual offenses and/or doing some relationship and sex therapy.

Rullo will be completing her fellowship at the end of September, and starting a position at the Mayo Clinic in Rochester, Minnesota, as a Sexual Health Specialist and Assistant Professor in their Department of Psychiatry and Psychology and Women's Health Clinic. Rullo will present her research on September 11, 2013, at PHS "Sexual Health Consultation within a Multidisciplinary Health Care Team."

Photo: Margaret Flaget-Greener, PsyD, Jordan Rullo, PhD, Krista Nabar, PsyD
Photo credit: Tim Rummelhoff Photography

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Sandra-Nohre-BP.jpgIn 1977 when director Eli Coleman, PhD, first arrived at the Program in Human Sexuality, Sandra Nohre, PhD, served as a mentor in his sexuality education. Through many years of Sexual Attitude Reassessments (SAR), Nohre has trained hundreds of students, medical students, physicians, clergy, and clients: individuals and couples. This year she will retire from her work as a sexuality educator and therapist.

Nohre has loved her work and enjoyed the many wonderful encounters with her co-workers at PHS over the years. She considers her career path a marvelous choice. She joined PHS in the early years, attending her first SAR in 1973 and joining the staff in 1974. She remembers, "One of the early challenges we had was getting people to use the language of sex - to even use the word 'sex.' Many people had a difficult time talking openly with their therapist and with their partners." She adds that compared to the early 1970s, people today have much more information about sexual health and sexual medicine. She credits the baby boomers for instigating the sexual information revolution by demanding answers to their questions about sex and health.

In 1998 Nohre was promoted to assistant professor at PHS. In addition to her personal travel to over 20 countries, Nohre has conducted workshops and presentations throughout the US and abroad.

In her therapy practice, Nohre enjoyed helping clients meet their goals, which she describes as transformative for them and for the staff. "It has always been a great honor and privilege to be a part of the therapeutic process." Nohre ran a women's sexuality group for forty years. She said of the group, "It was one of my greatest joys. I was able to watch women find support in their sexual process which boosted their self-esteem and helped them to grow in amazing ways."

Nohre offered some advice for individuals and couples:

  • First, it is essential to make "Prime Time" with your partner. What Nohre means is to make quality time every week and to ask your partner, "How are we doing with each other?" This is not the time to discuss work, family, or the household. Nohre believes that this is essential to keep passion alive; otherwise, "It can slip like sand through an hourglass and one day you wake up and the passion is gone."
  • Next, for couples that are considering therapy, "it's best to do it sooner than later I have seen couples struggle with issues for 10 to 20 years before they seek help, and often they are at a point where their relationship cannot be reconciled. It is also important to find a competent and compatible therapist."
  • Nohre's final piece of advice comes from her father-in-law. In 1981 when Nohre married Mario Petrini, his father took their hands in his and said, "Every day - I mean every day - hold each other like gold. And remember, the courtship starts today." Nohre says, "It changed our lives."
Nohre has finished her private practice in Minneapolis. At the end of the summer she and Petrini will establish their primary residence in Fort Myers, Florida. Now in her 70s, Nohre plans to take some time to relax, play, write and enjoy the benefits of retirement.

Please join us for a retirement party for Sandra Nohre, PhD
Thursday, September 12, 2013
6 PM - 9 PM
1300 South 2nd Street, Cafeteria, Minneapolis, MN 55454

Kindly RSVP by September 10, 2013, by contacting Jenae Batt at
jenae@umn.edu or 612-625-1331

You may contact Sandra after September 18 at:
Sandra Nohre, PhD
14586 Jonathan Harbour Drive
Fort Myers, FL 33908
Cell: (952)944-1585 (anytime)
nohre001@umn.edu (please don't send your RSVP to Sandra)

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Debby-Herbenick-BP.jpgWhat do young women and men do as part of their sexual experiences? How many are abstinent? How many engage in sex - and what types of sex? And, importantly, to what extent do they experience sexual pleasure as well as sexual difficulties in connection with their sexual experiences?

Join us for "First Blush: Adolescent and Young Adult Sexual Experiences in America," by Debby Herbenick, PhD, MPH. Herbenick will present data from two nationally representative studies of sexual behavior in the United States - the 2009 and 2012 National Surveys of Sexual Health and Behavior, conducted by Herbenick and her colleagues at Indiana University. Together, the studies track the sexual experiences of about 10,000 Americans from ages 14 to 94.

Herbenick is co-director of the Center for Sexual Health Promotion at Indiana University, the sexual health educator at The Kinsey Institute for Research in Sex, Gender and Reproduction, a widely read sex columnist, and author of five books about sex and love. She has authored more than 70 scientific publications on sexuality topics and is particularly focused on research related to sexual behavior in the US, female orgasm, and genital perceptions.

"First Blush: Adolescent and Young Adult Sexual Experiences in America"
Debby Herbenick, PhD, MPH

Friday, September 13, 2013
12:10 - 1 PM, doors open at 12 PM
Moos Tower 2-620

Free and open to the public
Lunch will be provided while supplies last

Please reserve your seat at phs@umn.edu

The John Money Lecture in Pediatric Sexology is hosted by the Program in Human Sexuality, Department of Family Medicine and Community Health, and the University of Minnesota Medical School.

Photo: Courtesy of Indiana University

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Coleman-Chair-BP-7.jpgAs I have said before, we are facing a crisis in declining curriculum on sexuality education in medical schools across the United States and Canada. There is a very clear need to better prepare medical students to be able to attend to the myriad of sexual health problems that their patients face. We have a public health imperative to address these problems.

Last fall we brought together 55 experts for a summit on medical school education in sexual health. The purpose of the summit was to examine the situation, discuss the challenges and opportunities, share lessons learned, and make recommendations for ensuring that physicians are properly trained to address the sexual health needs of their patients as they go into practice. In April the meeting report was published in the Journal of Sexual Medicine.

The expert consensus recommended:

•  Sexual health education should be integrated longitudinally throughout four years of medical school.

•  Sexual health education should be "introduced early and often."

•  Working together should be the norm and not the exception. There are other disciplines and experts who have an interest and a need in sexual health education.

•  Developing evaluation mechanisms incorporating multiple methods of measurement to help medical schools understand how to best teach sexual health.

•  Much like students, faculty members need content and curricula to build their skills and comfort in sexual health.

•  Create a cross-organizational effort using multiple partnerships to advance the cause.

•  Participants strongly endorsed an initiative to commission an Institute of Medicine (IOM) report, which would also describe the need to address sexual health education for health care providers. This IOM report would be a collaborative project.

One approach to building a healthier society is to better train physicians. The training of medical students is an essential step to advance sexual health. It is time to ensure that in our society new doctors as well as practicing health professionals are prepared to address the sexual health needs of their patients from adolescence through seniority.

As Joycelyn Elders, MD, said in the closing of the summit, "A society grows great when old men and old women plant trees under whose shade they will never sit. At least we're planting trees." The passion displayed by the summit participants needs to continue. The group is committed to carrying out the recommendations.

The Program in Human Sexuality has been on the forefront of sexual health education for medical students since it began in 1970. We have been able to preserve one of the country's premier courses and curriculum. With the support of the Joycelyn Elders Chair in Sexual Health Education, we are committed to taking a leadership role in ensuring that not only our curriculum remains the best, but that we foster the highest quality sexual health education for other medical students in the United States and around the world.

Coleman, E., Elders, J., Satcher, D., Shindel, A., Parish, S., Kenagy, G., Bayer, C. R., Knudson, G., Kingsberg, S., Clayton, A., Lunn, M. R., Goldsmith, E., Tsai, P., & Light, A. (2013). Summit on Medical School Education in Sexual Health: Report of an Expert Consultation. Journal of Sexual Medicine, 10(4), 924-938. doi:10.1111/jsm.12142

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Coleman-&-Bowbeer-BP.jpgWe are excited to announce the new Michael E. Metz Fellowship in Couples' Sexual Health that will help prepare postdoctoral fellows for a career that will combine clinical and scholarly endeavors in the area of couples' sexual health.

The Metz Fellowship was created with a generous gift from Hildy Bowbeer to honor the life and work of her husband, Michael E. Metz, PhD. Metz was a nationally respected psychologist and couples therapist, who for 12 years served on the faculty of PHS and directed the relationship and sex therapy program. Metz passed away in March 2012.

Bowbeer said, "Mike was not only committed to couples' sexual health in his own clinical and research work, but was also passionate about training the next generation of scholars and therapists in this field. I'm thrilled to be able to help PHS carry on his legacy in this way."

The Metz Fellowship is a two-year program that will follow the training model of our postdoctoral fellowship, but the Metz Fellow will focus her or his clinical work on couples' sexual health. Bowbeer's gift will enable the Metz fellow to dedicate thirty percent of their time to research in the area of couples' sexual health. "This is a great opportunity for a postdoctoral fellow to have more time to focus on research and scholarly work," said Eli Coleman, PhD, director.

As a clinician Metz worked with more than 6,000 couples, addressing and resolving relationship and sexual problems, improving their quality of life. He authored 4 books and more than 60 professional articles and book chapters in the areas of couple intimacy, relationship conflict styles, sexual health, sexual medicine, and cognitive-behavioral features of satisfying relationships. He conceptualized the "Good Enough Sex Model" which was greeted with great appreciation. Throughout his career, Metz received many awards and honors.

Now accepting applications for fall 2013
http://z.umn.edu/metz

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Summit on sexual health in medical education

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Summit-BP.jpgA recent summit hosted by PHS gathered key medical school educators and sexual health experts to discuss the challenges and opportunities for ensuring physicians are properly trained to address the sexual health needs of their patients.

Participants included former US Surgeons General Joycelyn Elders, MD, and David Satcher, MD, PhD, as well as representatives from the Centers for Disease Control and Prevention, the American Medical Association, the Association of American Medical Colleges, the American Medical Student Organization, and a wide range of medical schools, universities, and organizations. The summit's premise was based upon a series of recently published papers, covering the state of sexual health education in the US and Canada and recommended curriculum changes. Invited speakers shared their perspectives in a think-tank format culminating in a working group session. A meeting report will be prepared and shared with interested parties and key stakeholders.

Eli Coleman, PhD, the event organizer said, "It is our hope that this summit and meeting report will serve as a catalyst for re-invigorating the necessary sexual health curriculum to meet the needs of physicians of the future."

During the summit participants heard from educators, students, and researchers, including many of the authors whose articles were used for background. Educators from a range of medical schools shared information about their sexual health curricula and training programs. On Tuesday morning participants gathered into work groups around the topics of curriculum placement, evaluation, faculty development, inter-professional education and training for integrated care, and cooperative strategies and partnerships.

The event was held on December 3 - 4, 2012, at the Commons Hotel in Minneapolis, Minnesota. The event was made possible through funds from the Joycelyn Elders Chair in Sexual Health Education and the University of Minnesota Medical School through support of a Herz Grant and the Office of Minority Affairs and Diversity.

PHOTO: summit participants; credit Duane Rost

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