Lack of a welcoming environment as perceived by MSM^6,7

Ensure that all office publications, websites, and social media include photos of MSM couples and welcoming symbols, such as rainbow flags and pink triangles

Revise intake forms to include MSM-friendly terms such as “partnered” in addition to “married” or “single”

Facilitate training for front office staff in orientation sessions and diversity workshops to use gender-neutral, MSM-friendly terminology

Address confidentiality concerns with MSM patients; discuss what will be entered in the health record and who will have access to it

Lack of focus on routine health care

Provide MSM with the same comprehensive health care as for all patients, in addition to targeted care for common issues in the population

Lack of awareness of health disparities among MSM

Facilitate training for all staff (including physician assistants, nurses, and others) on issues that are disproportionately represented in the MSM population, including sexually transmitted infections, substance use, and psychological issues

Lack of awareness of community resources

Become familiar with community resources for referral as necessary

Lack of focus on issues of significance to MSM

Screen for depression and other psychological issues and their effect on safer sex practices

Inquire about substance use and its effect on safer sex practices

Assess risks for HIV and other sexually transmitted infections, including multiple or anonymous sex partners, lack of condom use, and substance use before or during sex

Test and treat as appropriate

Discuss preexposure or postexposure prophylaxis as appropriate for MSM at high risk of HIV

Refer to community resources as appropriate

Lack of a plan for proper follow-up

Remain current on guidelines from the CDC and other authorities

Follow up at least annually according to risks and as indicated by guidelines

Be prepared to refer to community resources as necessary