Newsletter Vol. 1 No. 2 February 1995

Lesbian, Gay, Bisexual and Transgendered
Health Science Librarians

Special Interest Group (SIG) of the
Medical Library Association

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MARK YOUR CALENDARS NOW FOR THE FIRST ANNUAL SIG PROGRAM

Jean Sullivant JSSMS@CUNYVM.CUNY.EDU
Mt. Sinai Medical Center, New York City
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The Lesbian/Gay/Bisexual Health Sciences Librarians Special Interest Group and the Relevant Issues Section will cosponsor a panel discussion on the "Health Consequences of Discrimination" at the 1995 MLA Annual Meeting in Washington, DC. The program is scheduled for Monday, May 8, from 1:30 to 3:00 p.m. Three exciting speakers will participate.

Dan Hicks, MD, Capital Area Physicians for Human Rights, has agreed to address the topic of "Discrimination in Health Care." Dr. Hicks is the Vice-President of the Association of Gay and Lesbian Psychiatrists, and is affiliated with Walter Reed Army Medical Center. He will be discussing the American Association of Physicians for Human Rights report, "Anti-Gay Discrimination in Medicine: Results of a National Survey of Lesbian, Gay and Bisexual Physicians."

(name deleted at request of speaker), MA, MPH, Public Health Analyst/Advisor at the National Cancer Institute, has agreed to speak on "Measuring the Health Consequences of Discrimination." Mr. (name deleted at request of speaker), an epidemiologist, was an advisor to the Lesbian Health Survey and has been active in collecting data on activist/advocacy groups and their influence on health care policy. His research has involved using various questions as proxies in trying to gauge the effect of discrimination (lack of access, increased costs, differences in treatment patterns and preventive services) among LesBiGay people. (Note (Dec 14, 2000): Mr. (name deleted at request of speaker) is not currently engaged in this research area and is no longer available to speak on this topic)

He will discuss what work has been done to objectively measure access to health care and impact of disease on lesbian, gay and bisexual people, as well as other populations traditionally underserved by healthcare providers and systems. He will identify strategies and potential problems inherent in developing data collection tools which can quantitatively measure the health consequences of discrimination.

Our third speaker, Ruth E. Fassinger, Ph.D., has titled her talk, "'Out' Right: Anti-Gay Discrimination and Mental Health." She will cover general mental health issues related to sexual orientation, as well as specific kinds of discrimination which occur in mental health service delivery. Dr. Fassinger is Associate Professor, Counseling Psychology Program, Department of Counseling and Personnel Services, University of Maryland at College Park. She is known for her work in the psychology of women and gender, particularly women's career development and issues of sexand sexual orientation. She is a licensed psychologisonsults widely for local, state and national organizations regarding issues of gender, work, sexuality and mental health.

Our panel promises to be interesting and thought-provoking, and we have tried to schedule adequate time for questions and comments from the audience. Program moderator will be Jean Sullivant, Mount Sinai Medical Center Library, New York City.

Identifying appropriate speakers and convincing them to speak was a task which was, by turn, interesting, rewarding and frustrating. However, putting together the program was a true group effort and the teamwork made a difficult task much easier. Special thanks to our Program Committee members: Kate Benning, Jerry Perry, Sally Harvey, and Tony Gibbons for their assistance in contacting speakers by telephone and e-mail, and for their suggestions for sharpening the program's focus.

So mark your calendars for May 8, and bring a friend or colleague. We look fuality orward to seeing you at our first "outing"!

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GROUP LODGING for the MLA ANNUAL MEETING, REDUX

Bill Karnoscak
Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois
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By this time you have probably received the Preliminary Program booklet for the 95th annual meeting in Washington, D.C. this May. If you haven't call MLA at 312.419.9094 immediately. It is gratifying to see our SIG-related programming and business meeting times printed there with the others.

If you'll notice, however, on page 47, the conference hotel lodging rates are listed. I don't know about you or the funding situation at your respective institutions, but $135/night for a single is pretty steep. If you'd like to cut your lodging budget for this year's annual meeting by over 50% (yes, 50%), consider making arrangements to stay at the Kalorama Guest House, only a three-to-four block away from the Washington Hilton and Towers.

Rooms at the Kalorama are available to LGBHSL members and their MLA friends starting at $65/night for a shared bath or $85/night for a private bath. If you have a conference lodging partner, you can share quarters for an additional $10/night. Feel free to post a note to the listserv if you are seeking a roommate for the conference as that is probably the most efficient way to find one.

March 1st is the cut-off date wherein the Kalorama will hold the entire block of 31 rooms for our group. As of earlier this week, 13 of the 31 spaces are already reserved. So be sure to call them pronto, [202] 667-6369, to assure yourself accommodations there.

You should ask for Carlotta, and mention the fact you are with the MLA LGBHSL group. They're expecting to hear from us. It would be great if we could fill the four townhouse sites (they're all on the same block of Mintwood Place) and have the run of the place.

If you have any que which isstions, pleae feel free to call me [312] 942- 6832 or t, and csend me an e-mail message. I have a fact sheet and some other brochures I could fax to you to provide additional information.

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"Sunday at the Palmer House With Fred,
or, Jerry Meets With the MLA Board"

Jerry Perry
Rush-Presbyterian-St. Luke's Medical Center; Chicago, Illinois
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Mid-January, I received a letter from Carla Funk, Executive Director of MLA, responding to our SIG's letter re: MLA's new "Social Responsibility" policies. Ms. Funk wrote to invite me to attend a meeting of the MLA Board, January 22 at the Palmer House Hotel, in Chicago. Before attending, I drafted a precis of our concerns as expressed in e-mail messages. Kate Benning and Bill Karnoscak edited my draft, and I provided MLA with a copy prior to the meeting.

The entire Board was present for the Sunday mession. It was particularly helpful Daniel Richards (, Dartmouth), Joanne Marshall (Faculty, University of Toronto), the new MLA Pres. Jana Bradley, and Janet Fischer (SIG Chair) were in attendance, as they made very useful contributions to the discussion.

Pres. Fred Roper introduced me to the group, and I thanked the Board for the opportunity. I only had .5 hour, and so tried to be succinct (can you imagine!?). [Editor's note: No, I can't!] I explained our group was uniquely "cybernetic" in the way we came together and continue to communicate, and that our e-discussions of the social responsibility policies raised concerns we felt the Board needed to be aware of.

I said, in a nutshell, the problem was perception, and I referred the group to the precis. They had all apparently read it, and a few people asked questions/made comments. Jana Bradley said she was well aware there was a perception problem re: how the membership viewed the Board, and that this was a serious concern. I said that it was important for the Board to recognize that members of our SIG are particlarly tuned-in to perception issues, especially as a result of our battle to form.

I said that the SIG vote was problematic because the MLA membership did NOT vote as to whether we conflicted with Sections (per bylaw) but rather the membership voted on the validity of our interest (to form). Janet Fischer then spoke and apologized for the manner of the vote, and said it was her responsibility the vote went as it had; that Section Reps. should have been better advised and disciplined about conducting the vote. I thanked her, but said that members of our SIG were not looking to blame anyone. However, we are aware that the "litmus test of validity" had been applied to us, and that we are rightfully concerned that this not happen again as regards social issues that we or other members think important. The new policies (except meeting site) on face read as if invisible-to-the- membership, known-only-to-the-Board validity criteria or standards will be applied to social issues brought to their attention.

Daniel Richards said the policies were meant as guidelines, and that they were never intended to be rigid. He said the Board, being new at the issue on hand, turned to other associations for models. He said the policies needed to be challenged or used to see how they would work, but that there was no intent on the part of the Board to set-up barriers with the membership, particlarly our SIG. He then asked if we had alternative wordings for the policies in question. I said no, we didn't at this point, but I would refer the issue to SIG members to deterine if this was a priority.

Fred Roper said the Board very often reconsiders policies, ithdraws some drafted by previous Boards, re-works old ones, etc., and so if any of the membership take issue with a policy, the Board is open to suggestions for change. Jana Bradley added she felt what was at issue was a need for massive communication, to help guiorning sde the Board.

Joanne Marshall said she felt the membership of MLA generally were supportive of progressive social issues, and that, again generally, our group should feel welcome and at ease in contributing. I said there was good will on the part of our SIG members, that we perceive the Board as acting with the best intentions, and that we felt it was important for our group to communicate with and educate the general membership re: our concerns. I mentioned we have submitted a poster re: our SIG to the Midwest Chapter.

With that, Fred Roper let me know time was up, and I was thanked for coming. I'd like to point out, I was definitely not rushed. In a nutshell, I feel we had our say and I am confident we had a good hearing. I think it was a very useful meeting in that it showed the Board we are more than willing to roll up our sleeves and get personally involved in the Association.

Rather than address the wording issue of the policies in question, I think we should "test" the policies by bringing to the Board our Position Statement re: the need to take a stand against censoring our collections of LesBiGay content. I also think we need to move forward with promoting adoption of the meeting site policy at the Chapter level. Finally, as we consider our second year as a SIG, I think we need to "get proactive" by launching a campaign directly to the membership about what our issues and concerns are. The Board is important, but it's the membership that needs to be addressed, IMHO! e let me know if there are any questions about the meeting, or my perspective!

Respectfully submitted,
Jerry Perry

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TREASURER'S CORNER

Peter M. Jones , Co-Treasurer/Recruiter
Champlain Valley Physicians Medical Center, Plattsburgh, New York
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This is the first update regarding our financial status. The Lesbian, Gay, Bisexual Health Sciences Librarians (LGBHSL) Special Interest Group (SIG) of the Medical Library Association now has a checking account. Jerry Perry and myself are the two treasurers.

Since SIGs are not allowed (per MLA By-laws) to collect dues, donations to the SIG treasury are purely voluntary. Anyone wishing to make a contribution, please feel free to give as little or as much as you can/want. Anyone who cannot donate should not feel guilty. Donations will be directed towards the cost of general operations (mailings and supplies) and possibly toward an honorarium (or at least a dinner) for our speakers in May.

Honesty was an issue which needed to ne addressed. To establish a system of checks-and-balances, the account requires Jerry's signature (which is notarized and on record at the bank, Evergreen Bank) and mine for each withdrawal. The account is set up to require two signatures for access to money. No ATM card is allowed for this account.

This checking account is strictly for LGBHSL business. I do not benefit from it in any way. It is a non-interest bearing account and we are charged .35 for each check drawn on the account.

If anyone wishes to donate, make the check payable to LGBHSL and write "For Deposit Only" on the back of the check (additional insurance the funds will be properly handled). Please send your contributions to:
Peter M. Jones
3 Giroux Road
West Chazy, NY 12992

I will either e-mail a confirmation of receipt of funds or I will mail back a copy of the deposit slip to the donator. If you have questions, please call me at [518] 561-8605 or send e-mail to me at the e-mail address supplied in the above byline.

It occurs to me some of the SIG members might not know who I am and might feel odd about sending money to a stranger. I assure you that this is strictly above-board and I will not benefit financially from this endeavor.

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POSINT BALLOT RESULTS: UNANIMOUS!

Bill Karnoscak
Rush-Presbyterian-St. Luke's Medical Center; Chicago, Illinois
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Of the 32 ballots mailed out to LGBHSL/MLA members I received 29. They were all "accept" votes. The response rate (for all you stats buffs) was 90.6% (29/32) and the following table breaks down the method chosen to make your voice heard:

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    # of responses        Voting Method        Percentage
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         22            U.S. Postal Service        75.9%
          5            Telefax                    17.3%
          2            Electronic Mail             6.8%
                                                 ~~~~~                       
                                                 100.0% 
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        3/32           AbstTION STATEMEained (courteously      9.3%   
                        or otherwise)

Thanks again to Karen Zundel and Mitch Walters for their hard work and generosity of time.

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HQ 76.25: A CHAPTER ANNOTATION

Karen Zundel
McKeesport Hospital; McKeesport, Pennsylvania
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Ruth Schwartz. Lesbian health concerns. In: Knaus JV, Isaacs JH, eds. Office gynecology: advanced management conk: Springer-Verlag, 1993: 276-86.

Dr. Schwartz was asked to write this chapter on lesbian health concerns by editor John Isaacs. Although the publisher did not want the chapter included in the textbook, Dr. Isaacs insisted and Springer agreed finally. Dr. Schwartz feels the medical literature dealing specifically with lesbian halth concerns is lacking and has spoken to groups of physicians in an attempt to orient them to medical issues pertaining to their lesbian patients.

The chapter begins with definitions of homosexuality and a discussion of incidence and etiology. Although Dr. Schwartz briefly discusses some of the specific medical concerns of lesbians such as: abnormal pap smears, vaginal infections, HIV infection, cystitis, pregnancy sexual abuse and others, her main focus is to educate the physician to recognize their own bias and to offer suggestions for improving the all-important doctor-patient dialog. Schwartz includes 42 references for further reading.

Dr. Schwartz is a Clinical Professor of Obstetrics and Gynecology at the University of Rochester School of Medicine and has a private practice also in Rochester, NY.

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SIG POSTER PROPOSAL ACCEPTED

Bill Karnoscak
Rush-Presbyterian-St. Luke's Medical Center; Chicago, Illinois
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Among the many irons the SIG has in the fire, another initiative is afoot. Jerry Perry submitted a poster session application to the program divas for the 1995 Midwest Chapter of MLA (MC/MLA) meeting which will be held in October. It has been accepted! At this point, the presentors of the poster will be Tony Gibbons, Kettering Medical Center, Kettering, OH; Jerry Perry, Rush- Presbyterian-St. Luke's Medical Center, Chicago, Illinois; and myself. Any other folks who are planning to be at MC/MLA are welcomed to also sign on as "co-authors."

The actual poster will be designed and created at thcepts. New Yore Department of Biomedical Illustration at Rush (they have already done several posters for Jerry in the past, and the results were smashing) so the cost will be absorbed by our institution (which is the least they can do for us after we've slaved so much for them!). The mounting board is fairly sturdy, so we are hoping others will want to facilitate at their local chapter meetings in future years. We'll even give you the information sheet which was required for all program entries, so it's really a no-brainer as far as work output once the initial poster is created...

If there additional questions or suggestions regarding the poster (I don't believe the request for the poster has been submitted), or if you want to be "way out there," dispensing information about our SIG, please contact Jerry, Tony or myself.

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SIG SOCIAL! NEED INPUT FROM THE MEMBERSHIP-AT-LARGE

Bill Karnoscak
Rush-Presbyterian-St. Luke's Medical Center; ChicaDirectorgo, Illinois
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As plans for the formal program are now in place, we need to consider what we'd like to do in terms of kicking back during the free time the conference allows. In San Antonio, a local person assisted mightily in orgranizing a social night at one of the local bars in town. This year we'd like to do something a little different (that's not to say a bar or two won't be descended upon!). One suggestion which has gotten some discussion was a personal tour of the NIH.

Another idea would be to reserve space at the Kalorama for an evening social (this would run us about $100 to cover custodial costs for the Guest House; and provide you all with a good reason to crack open your checkbooks to contribute to the SIG treasury -- sorry, that will be the only shameless plug to build the treasury). But this might prove to be problematic if we don't completely fill at least one of the townhouses; as we'd be restricted by not wanting to disturb other guests if it ran past a certain time in the evening.

In any event, think about what would be fun to do (those of you who are veteran visitors to, or local residents of, the nation's capital be forthcoming with ideas). Because the conference schedule is so tightly packed, we're probably going to have to plan an evening event. Post your brainstorms to the list for consideration.

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