"The visit with my patient helped to change my perspective. I should not have made assumptions about her based on my implicit bias. I highly recommend the Harvard Implicit Bias tests as an exercise in introspection. We also need to share and reflect on our experiences — especially when we were clearly incompetent.

There are a number of systems in place that reinforce structural heteronormative care. We need to identify these structures and work to make them more inclusive. The confines of iPLEDGE are exemplary of the problem — the health care system is structurally heteronormative."

Naila Russell is a nurse practitioner. She can be reached on Twitter @nailarussell.

She shares her story and discusses her KevinMD article, "A call to dismantle structural heteronormative care."

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