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Health care providers (HCPs) frequently dismiss sexual and gender identity as irrelevant to care. This study uses interviews with 24 physicians and 38 LGBTQ\u2010identified women to explore how routine practices in health care can perpetuate or challenge the marginalization of LGBTQ women. While physicians avoid making assumptions to reduce judgment, a \u201cneutral\u201d stance reinforces the hetero\u2010 and gender normative status quo. Cultural competence with LGBTQ patients requires learning with, rather than learning about, LGBTQ people's particular health care concerns as well as paying explicit attention to pervasive power relations and normative contexts.<\/jats:p>","DOI":"10.1111\/maq.12129","type":"journal-article","created":{"date-parts":[[2014,9,8]],"date-time":"2014-09-08T09:33:23Z","timestamp":1410168803000},"page":"578-598","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":101,"title":["Making Assumptions, Making Space: An Anthropological Critique of Cultural Competency and Its Relevance to Queer Patients"],"prefix":"10.1111","volume":"28","author":[{"given":"Kelly","family":"Baker","sequence":"first","affiliation":[{"name":"Department of Anthropology Western University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda","family":"Beagan","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy Dalhousie University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,8]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"American Psychological Association Task Force on Gender Identity and Gender Variance2009Report of the Task Force on Gender Identity and Gender Variance.www.apa.org\/pi\/lgbc\/transgender\/2008TaskForceReport.html(accessed June 27 2014)."},{"key":"e_1_2_6_3_1","unstructured":"Baker K. andB. 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