In This Month's Issue

As an official publication of the Society of General Internal Medicine, SGIM Forum takes pride in amplifying and, as necessary, repeating the various ways that certain policy changes go against SGIM's core values and vision of a just system of care in which all people can achieve optimal health. This includes policies that interfere with the patient-physician relationship or penalize evidence-based care, which includes policies that threaten the well-being of gender-diverse and sex and gender minority populations.

In this SGIM Forum theme issue on “LGBTQIA+, Sex, and Gender Minority Health, we take pride in offering multiple viewpoints and tools from authors on: Providing a list of concrete actions to foster inclusivity, combat stigma, and advocate for reforms on behalf of LGBTQIA+ patients; Describing the work of SGIM’s LGBTQ Health Interest Group;
recounting lessons learned from coordinating a timely and impactful response to harmful legislation; Sharing insights from an academic career spent advocating for sexual and gender minorities; Outlining practical guidance for how to integrate gender-affirming care into a primary care setting; Discussing processes for recruitment and retention of sexual and gender minority medical students and trainees; and Offering personal reflections on a system that too often reinforces stigma and causes pain, and on attending to the spiritual needs of persons seeking gender affirming care.

We hope these pages will inspire you to raise your voices and focus your unique expertise to ensure that sensitive, individualized, and life-affirming health care is available to all.

From the Editor

Smile More: Spotlighting Hidden Hurdles Experienced by Women Leaders

Alia Chisty, MD, MS
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Featured Column

What Are General Internists For?

Sabrina Felson, MD; Erin Krebs, MD, MPH; Mark D. Schwartz, MD
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Beyond Precepting: Using Longitudinal Clinic Coaching to Strengthen Ambulatory Education

Jessica Valente, MD, MPH; Christina Rinaldi, DO; Jeffrey Alexander, MD; Stephanie Myers, MD; Donna Williams, MD
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Grounding in Purpose, Flourishing in Leadership: Reflections on the 2026 ACLGIM Leon Hess Management Training and Leadership Institute

Kate Hust, MD, MPH; David Callender, MD, MPH
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Other Articles

50 Years of SGIM: How Women’s Lives Have Changed in the Workplace and at Home

Kristin A. Swedish, MD, MPH; Anne Cioletti, MD
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Will I Be Okay after Surgery? Counseling Our Patients on the Road to Recovery

Ryan Munyon, MD; Richard Silbert, MD; Matthew A. Pappas, MD; Michele Fang, MD
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PREVENTATIVE Screening Guidelines: Population vs. Individual Benefit

Ebrahim Barkoudah, MD, MPH, MBA, FACP; Michael Landry, MD, MSc, FACP
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Q & A on #ProudtobeGIM: Empowering the Next Generation of Leaders

Eric B. Bass, MD, MPH; Elizabeth Davey, MBA; Francine Jetton, MA, CAE; Shelly-Ann Fluker, MD
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Reflections on The Fiscal Frontier: Lessons Learned at the Intersection of Leadership and Finance in Academic Medicine

Sunil K. Sahai, MD, FACP, SFHM, DFPM
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Tiering Health Care Apart: When Better Care Becomes a Luxury Good

Mark D. Schwartz, MD President, SGIM
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