AMAF National LGBTQ+ Fellowship: Call for Letters of Intent
The RFP will be available to invited institutions beginning April 1, 2021
Every applicant must complete a Pre-Submittal Questionnaire to determine their eligibility. If eligible, the Letter of Intent portion of the application will appear on the left-hand side of the screen after you’ve submitted the questionnaire.
Since 1950, the American Medical Association (AMA) Foundation has been a leader in health care philanthropy. As the philanthropic arm of the country’s largest physician organization, the AMA Foundation has awarded more than $121 million in grants and scholarships, demonstrating nationwide programmatic excellence. With programs that advance public health and medical education, the AMA Foundation supports leadership development and promotes equity, access and excellence in medicine.
For more information about the AMA Foundation, go to: www.amafoundation.org.
For more information about the National LGBTQ+ Fellowship, please visit: National Fellowship for LGBTQ+ Health FAQ
For a comprehensive glossary of LGBTQ+ terms, please refer to: HRC's Glossary of Terms
B. The National LGBTQ+ Fellowship Program
33.3% of Medical Schools dedicated 0 hours to LGBTQ+ health;
On average, those Medical Schools that did include LGBTQ+ health only had an average of 5 hours of instruction;
Despite predictable contact with LGBTQ+ patients, 46% of heterosexual medical students showed a bias against gay and lesbian patients;
81% displayed implicit bias; and
Only 12.9% of medical students passed a test assessing medical knowledge relevant to LGBTQ+ patient care.
The AMA Foundation seeks to dramatically improve LGBTQ+ health and health equity, and with this Request for Proposals (RFP), it is launching its National LGBTQ+ Fellowship program. This unique initiative is designed to improve the health of and address health care inequities experienced by LGBTQ+ individuals, increase the availability of culturally competent medical specialists with special expertise in LGBTQ+ health, and further integrate LGBTQ+ health care curriculum into medical education. The AMA Foundation’s National LGBTQ+ Fellowship Program encourages information sharing and collaborative efforts to sustain and expand the nation’s ability to develop highly qualified leaders in LGBTQ+ health and exponentially increase the capacity to care for LGBTQ+ patients. Businessman and philanthropist John D. Evans is chairing this national initiative through the LGBTQ+ Fellowship Commission, under the auspices of the AMA Foundation Board.
Specifically, the AMA Foundation’s National LGBTQ+ Fellowship program is designed to meet the following broad objectives:
- Enhance physician training to increase knowledge, compassion, and bring awareness to the health care and institutional barriers that LGBTQ+ communities face;
- Close the gap in health disparities for LGBTQ+ people
- Enhance medical education on LGBTQ+ health, LGBTQ+ health disparities, and sex- and gender-based differences in health and health care;
- Increase the number of physicians who provide affirming care to the LGBTQ+ community that is comprehensive, team-based, patient-centered, coordinated, accessible, high quality, safe, and that is institutionally supported;
- Through this and other AMA Foundation programs, develop institutional and individual leadership qualities and initiatives to improve clinical and patient outcomes; and,
- Advance leadership and advocacy skills for creating organizational change to transform healthcare systems to be LGBTQ+ inclusive and affirming.
In July 2021, the AMA Foundation will award to a medical teaching institution a grant of up to $750,000 to support planning and implementation of three consecutive one-year medical fellowships in LGBTQ+ health. During the grant period, the grantee will develop the LGBTQ+ Fellowship program infrastructure and curriculum, recruit and select one qualified candidate per year, and provide the one-year training experience. Qualified candidates for fellowship training are physicians that have completed accredited residency training. Institutions who submit a proposal are encouraged to leverage other funding to enable expanded efforts.
It is anticipated that the AMA Foundation will award a second grant in 2022 and others in subsequent years, seeding field-building and creating opportunities for best practice development. It is expected that grantees will leverage AMA Foundation support to secure additional funding to sustain and expand their LGBTQ+ training programs over time.
C. LGBTQ+ Health National Fellowship RFP Process
The AMA Foundation National LGBTQ+ Fellowship RFP is a two-step process.
Interested applicants are asked to submit an initial letter of intent by 5:00 PM CT March 1, 2021.
By April 1, 2021, the AMA Foundation will invite submission select proposals, due by 5:00 PM CT May 1, 2021.
2021 Grant Cycle Key Dates
· Call for Letters of Intent
February 1, 2021
· Letters of Intent Due
March 1, 2021
· Release of RFP by Invitation
April 1, 2021
· Full Proposal Due
April 30, 2021
· Notification of Award
*Submissions will only be accepted via the online portal
D. Applicant Eligibility
1. Applicants must be institutions and organizational entities, not individuals, and must have direct responsibility for at least one graduate medical training program.
2. A proposal must have a single program lead (PL) who has responsibility for organizational oversight of graduate medical education (e.g., Designated Institutional Official (DIO), or Dean).
3. The requesting organization must be fully licensed and accredited.
4. Applicants need to provide at least two letters of endorsement from the Dean, DIO and/or other Executive Sponsor to be considered.
E. Review Criteria
Proposals will be evaluated based upon the following criteria:
- Selection process and selection criteria for the fellow
- Program benefits and measured outcomes
- Training gaps to be addressed, proposed solutions and anticipated outcomes
- Defined metrics for success and how they will be tracked and reported
- Quality of didactic and experiential training opportunity
- Institutional Integration and Impact
- Leadership training/development opportunities
- Support and training for faculty
- Generalizability, transferability of program model
- Involvement of partner organizations (e.g., other undergraduate or graduate medical or nursing training programs, community engagement programs, health systems, or specialty societies)
- Medical education across the institution (UME and/or GME) by fellow and faculty on LGBTQ+ health, LGBTQ+ health disparaties, and sex- and gender-based differences in health and health care
- Program sustainability beyond AMA Foundation grant completion
- LGBTQ+ Patient Care Access and Quality
- Workforce gaps to be filled, current experience with and access to patient base to support training opportunities
- Demonstrated involvement of other departments, partner organizations, community engagement, and other non-classroom experience, leading to expedited and increased impact on LGBTQ+ health care
- Contribution to improved LGBTQ+ health equity and impact on social determinants of health
Fellowships may be in pediatric or adult primary care, specialty care, or surgical specialty domains, including but not limited to:
- Youth and adolescents
- Transgender population
- Lesbian population
- Gay population
- Bisexual population
- Older adults
- Transgender health
- Mental health
- Gender dysphoria
- Behavioral Health
- Substance Use
F. Grant Expectations
Term of the Agreement is no more than four years. Notice of non-completion by either party must be provided at least 120 days in advance.
Grant payments will be mutually determined by the AMA Foundation and Grantee
Payment is conditioned on satisfactory progress of Fellowship planning and implementation, and the annual availability of Grant funds by the AMA Foundation.
Grant funds can be used only to pay Eligible Costs as set forth in the approved Project Budget.
No more than one year may be used for program and curriculum development, with the first fellowship commencing no later than the second year of funding.
The Grantee will complete an Annual Report (including Work Plan and annual Project Budget) for each year of the grant, with additional interim reports as determined by the Grantee and the Foundation.
The Grantee will give the AMA Foundation written notice of any significant changes to the Project Plan or Project Budget.
The Grantee represents that it (and any collaborators) is not debarred or excluded from any federal health care program and maintains appropriate U.S. accreditation, if applicable.
The Grantee will:
Appoint a single Program Lead (PL) who agrees to coordinate the project.
Share with the AMA Foundation the Project’s outputs and outcomes as listed in the Proposal, including the academic curriculum for its LGBTQ+ fellowship, and, as needed, engage with the LGBTQ+ Fellowship Commission to help inform future RFPs.
Present outcomes at a national conference(s) and/or at a meeting of the American Medical Association.
Please note: Following the inaugural fellowship, as other institutions are awarded grants, the AMA Foundation will convene meetings with the current and past fellowship recipients, as well as participating institutions to build a consortium of institutions and facilitate the sharing of best practices.
The Grantee will maintain an administrative process to identify and resolve financial and other conflicts of interest and will inform the AMA Foundation of any conflicts of interest and how they have been resolved.
In the case of collaborating applicants, one institution or entity must be identified as the lead applicant and each collaborator as a co-applicant. Note that, if selected, the lead applicant will be awarded funding by the AMA Foundation and will be responsible for distribution of funding to co-applicants and oversight of the conflicts of interest administrative process.
AMA Foundation reserves the right to withdraw, cancel, and/or amend, in part or entirely, this RFP for any reason and at any time.
G. Submission deadline
Letters of intent must be submitted to AMA Foundation by 5:00 PM CT March 1, 2021.
If you have any questions about the AMA Foundation National LGBTQ+ Fellowship, or proposal submission, please contact: Sandi Smith, Director of Advancement at firstname.lastname@example.org.
John D. Evans (Chair)
Co-Founder of C-SPAN, Philanthropist
Jeffrey Akman, MD
Former Vice President for Health Affairs and Dean, School of Medicine and Health Sciences, George Washington University
David Brown, MD
University of Michigan Associate Vice President and Associate Dean for Health Equity and Inclusion
William H. Carson, Jr., MD
President and CEO (retired), Otsuka Pharmaceuticals, Chairman OTSUKA Foundation
Andrea Cubitt, PhD
VP External Scientific Alliances and Intellectual Property at aTyr Pharma
Alan Downs, PhD
LGBTQ Psychologist, Author, The Velvet Rage
Erick Eiting, MD
Founding Member, LGBTQ Founding Donor; Vice Chair of Operations for Emergency Medicine at Mount Sinai Downtown (NY, NY)
Kim Hunt, MPP
Pride Action Tank, AIDS Foundation of Chicago
Bianca Jenkins, MD
Family Medicine Resident at Northwestern
Kate Kendell, JD
Interim Legal Director, SPLC; Campaign Manager, Take Back the Court & Formerly Executive Director of the National Center for Lesbian Rights
Richard Marfuggi, MD, FACS, DMH
Surgeon and instructor
Scott Nass, MD
President, GLMA: Health Professionals Advancing LGBTQ Equity
Shilpen Patel, MD
AMA Advisory Committee on LGBTQ Issues
Kim Templeton, MD
Professor, Orthopedic Surgery; Past President, American Medical Women’s Association