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.
Session 2: 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.
- 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.
- 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.
- 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.
- 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
When accessing cancer care, transgender and gender-nonconforming people often have to deal with many unique obstacles – be it financial insecurity, fear of discrimination, or lack of provider knowledge. As healthcare providers, you can greatly improve the quality of care transgender patients receive by filling your knowledge gaps before you encounter transgender patients. This fully online, self-guided, interactive session is designed around the most frequently asked questions about health and health care for transgender individuals. By the end of the session, you should be able to describe, explain, and identify the most important considerations and risks for your transgender and gender-nonconforming patients, and understand how you can move forward as a better LGBTQ+ cancer care provider.
- 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 Cancer 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.
- 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 Cancer
- 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
Allison Asante, PA-C, MBA
Ishani, Choksi, MD
Minghao Liu, MD
Bobbie J. Rimel, MD (moderator)