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Creating LGBTQ+ Culturally Humble Medical Professionals

The National LGBT Cancer Network is proud to launch Welcoming Spaces: Treating Your LGBTQ+ Patient, our updated and expanded LGBTQ+ Cultural Humility training designed specifically for healthcare professionals. 

Developed in collaboration with the Society of Gynecologic Oncology, the eight modules are each 45 minutes long and completely free! Ready to take the training?

*Disclaimer: before you can take the course, you will have to register. Once you register it will take 24 hours for the platform to create your account. If you encounter issues please email Erin O’Connell at erin.o’connell@sgo.org. Please also note using Firefox and enabling pop-ups provides the most optimal experience for mac users *

Session 1: Terminology and Pronouns

Knowing your client’s or patient’s sexual orientation and gender identity is crucial to helping you create a welcoming environment where all patients feel safe and respected. In order to do that, you must first recognize what these terms mean and how to use them respectfully. You’ll explore terminology associated with LGBTQ+ communities, including the difference between gender identity and sexual orientation; practice using pronouns and gender-neutral language; and develop a strategy for when you mess up. In this fully online, self-guided, interactive session, you will be introduced to foundational information you’ll need to succeed in the rest of this course and ultimately start effectively and respectfully treating your LGBTQ+ clients’ or patients’.

*Disclaimer: before you can take the course, you will have to register. Once you register it will take 24 hours for the platform to create your account. If you encounter issues please email Erin O’Connell at erin.o’connell@sgo.org. Please also note Firefox is the most optimal browser for mac users*

Session 2: The Root Causes of Health Disparities

To be able to truly make a difference in the lives of your LGBTQ+ patients, it’s important to understand the unique factors and obstacles they face in health and health care. Throughout this session, you will identify the fundamental causes of health disparities in LGBTQ+ communities and the top health risks and related outcomes for this population. You’ll find out how social determinants of health impact historically marginalized populations and be introduced to the concept of intersectionality and structural discrimination. By the end of this fully online, self-guided, interactive session, you should be able to demonstrate how the knowledge of socially determined health risks impact patient treatment and/or their healthcare experience.

Learning objectives:

  • Identify the fundamental causes of health disparities in LGBTQ+ communities
  • Identify top health risks and related outcomes for this population
  • Explain and demonstrate how social determinants of health impact historically marginalized populations
  • Explore intersectionality and structural discrimination
  • Demonstrate how knowledge of socially determined health risks impact patient treatment and/or their healthcare experience
Session 3: Barriers to Care

How people approach cancer screenings and care is closely related to who they are, their access to resources, and their previous experiences with healthcare providers. In order to understand the specific barriers LGBTQ+ patients encounter, you must envision how different lived histories affect people’s treatment and outcomes. During this interactive webinar, you will hear from LGBTQ+ cancer survivors and a group of healthcare experts, who will use a combination of storytelling and current research to demonstrate how discrimination and prejudices create unfair obstacles for LGBTQ+ individuals moving through the cancer care continuum.

Learning objectives:

  • envision how different lived histories affect the way people approach their cancer screening and care,
  • demonstrate understanding of how intersectional minority identities invoke additional barriers to care, and
  • discuss different types of LGBTQ+ experiences at different stages of the cancer care continuum.

Session 4: Creating a Welcoming Environment

Going to see the doctor can be a scary experience – especially for LGBTQ+ patients. The fear of experiencing discrimination from healthcare providers can lead LGBTQ+ individuals to avoid receiving needed medical care until it is too late.This is why creating an LGBTQ+ welcoming environment is so important. In this fully online, self-guided, interactive session, you will learn about the four components of creating a more welcoming environment: public image, physical environment, systems and practices, and patient interactions. You’ll be asked to think about the messages your office currently conveys to LGBTQ+ people, and we’ll show you the different tools you can use to become a more welcoming provider.

Learning objectives:

  • Demonstrate an understanding of the 4 components of creating an LGBTQ+-welcoming environment: public image, physical environment, systems and practices, and patient interactions
  • Assess the messages your office currently conveys to LGBTQ+ persons through your online presence, your physical environment, your systems, and your patient interactions
  • Name different tools to actively convey welcoming through each of those different spheres
Session 5: Overcoming Barriers and Data Collection

Implementing meaningful changes to become more LGBTQ+ welcoming won’t be without its obstacles. In this interactive webinar, a group of experts will demonstrate the different ways anyone working within the healthcare system can become a champion of LGBTQ+ welcoming practices. Through a series of scenarios, experts will review common barriers that healthcare professionals face in implementing change and give you the tools to overcome those barriers to adopting welcoming practices. You will also learn about the challenges and benefits of adopting SOGI data collection in EHR and formulate a plan for moving to this data collection in your own institutions.

Learning objectives:

  • Describe ways to overcome barriers to adopting welcoming practices.
  • List three challenges to and three benefits for adopting SOGI data collection in EHR.
  • Formulate a plan for moving to SOGI data collection in EHR in your own institutions.

Session 6: Considerations and Risks for Gynecologic and Breast/Chest Cancers in Transgender Patients

Implementing meaningful changes to become more LGBTQ+ welcoming won’t be without its obstacles. In this interactive webinar, a group of experts will demonstrate the different ways anyone working within the healthcare system can become a champion of LGBTQ+ welcoming practices. Through a series of scenarios, experts will review common barriers that healthcare professionals face in implementing change and give you the tools to overcome those barriers to adopting welcoming practices. You will also learn about the challenges and benefits of adopting SOGI data collection in EHR and formulate a plan for moving to this data collection in your own institutions.

Learning objectives:

  • Describe what gender-affirmation is and identify why it’s important and how certain aspects may impact health.
  • Describe culturally sensitive considerations for performing a physical exam on a transgender person.
  • Explain considerations and tips for performing a culturally sensitive pelvic exam on trans men and non-binary individuals.
  • Identify gynecologic cancer risks facing transgender people.
  • Explain gynecologic cancer screening considerations for transgender people.
  • Recognize the importance of fertility considerations regardless of gender

Session 7: Considerations During and After Gynecologic Care for Transgender Patients

To be a better and more inclusive health care provider, there are certain considerations you need to keep in mind during and after gynecologic cancer care for your transgender and gender-nonconforming patients.

In this fully online, self-guided, interactive session, you will learn more about the issues directly affecting transgender cancer patients, such as onco-fertility and transgender fertility, survivorship considerations, and gender-affirming hormone therapy considerations. You will review specific case studies, as well as some data and statistics, and will be asked to think about the different physical and psychological aspects of transgender gynecologic cancer care.

Learning objectives:

  • Review specific cases of trans men with gynecologic cancers.
  • Identify the link between onco-fertility and transgender fertility and review available fertility options for trans people.
  • Recognize the specific comorbidities, mental health concerns, and other considerations facing trans and nonbinary cancer survivors.

Session 8: Hormone Considerations in Transgender Patients with Gynecologic cancerSession 7: Considerations During and After Gynecologic Care for Transgender Patients

Panelists:
Allison Asante, PA-C, MBA
Ishani, Choksi, MD
Minghao Liu, MD
Bobbie J. Rimel, MD (moderator)
 

Recorded on July 18, 2022.

This session is eligible for 1.0 CE credits.

Learning objectives:

  • Review the general standards of what’s “normal” in cross-gender hormone therapy patients with an endocrinologist
  • Explore risks and benefits of cross-gender hormones to consider if a transgender patient elects to use them
  • Discuss how to counsel a patient about hormone therapy before and during cancer treatment with a gynecologic oncologist