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Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

  • 1.  Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-05-2022 11:15
    Thank you for attending the Academy webinar entitled "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    I was so happy to work with my colleague Renée Reopel on this topic! We had a lot of excellent questions during the webinar, but we want to keep the conversation going here! Please post any additional questions to this thread, and we'll answer them as we are able.

    If you missed the webinar, you can watch the recording and receive CME/CE credit using the link below:
    https://education.aahivm.org/courses/47909

    ------------------------------
    Michelle Ogle
    Bronx NY
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  • 2.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-05-2022 11:18
    Hello,

    How do you keep track of preferred names/pronouns in minors if they prefer to keep them confidential?  If they don't want their parents to know this info?

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    Kristin Walker
    Philadelphia PA
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    Original Message


  • 3.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-05-2022 12:19

    With preferred names and pronouns, my approach is different because I'm the medical provider and my records are medical / legally available for attorneys if they ever need them.  : (

    I tell my patients upfront, if you have a preferred name / pronouns, they will go in your record and everyone who needs to access your medical records will see it; if you don't want anyone else to know, don't tell me. 100% of my kids are happy to tell me and understand that others will affirm their preferred names and pronouns as well. 



    ------------------------------
    Michelle Ogle
    Bronx NY
    ------------------------------


  • 4.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-05-2022 13:20
    The short answer is this varies a lot between medical record systems if there's a way to mark notes as confidential, create confidential visits, or have a piece of the medical record that isn't released. In a number of states, HIV-related care, substance use care, and MH care all have an extra layer of confidentiality and can be marked as such in a medical record in order to alert medical records to not release those or speak to the provider before releasing them. This would be a conversation with your institution's legal team and compliance.

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    Renée Reopell
    ------------------------------


  • 5.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-06-2022 12:07
    Hello,

    As a cis-woman, I often feel like an "imposter" trying to provide training to other health-care clinics on the topic of sensitivity/diversity/inclusion. I'm often not the best at this in practice and I clearly have no "lived" experience. What is the best way to go about this?


    ------------------------------
    Michelle Lewis
    University of Oklahoma
    Oklahoma City OK
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    Original Message


  • 6.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-06-2022 13:09

    I never feel like an imposter. I'm not trying to say I am a member of the LGBTQIA Community or pretend to know more about their individual experiences, I am an Advocate and Ally. As an African American woman, I can relate to many of their experiences; misogyny, racism, etc. Members of any marginalized group need allies in positions of power or with platforms to be a voice for those whose voices aren't heard. I've also had training, taken courses and attended Transgender symposiums to better understand the people I provide medical are for. It's not different from any other group you provide care for. I use my platform as a physician, and advocate to speak truth to power to amplify their voices. You don't have to be a trandgender person to advocate on their behalf or teach others cultural humility. Be your genuine self, if you care they will know and respond.

    You don't have to speak of "lived" experience BUT you can speak to what you've learned in understanding what your patients share with you. Giving guidance to other clinicians or teaching them how to provide care for these patients is not being an imposter, it's your way of expanding access to care.

    Just be yourself!



    ------------------------------
    Michelle Ogle
    Bronx NY
    ------------------------------


  • 7.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-06-2022 13:45
    I loved Dr. C's answer here. The only piece I'd add is to seek out trainings/ workshops/ community events BY trans/ nonbinary people.

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    Renée Reopell, LCSW
    Director, Gender Diversity and Resilience Program
    Child Guidance Center of Southern CT
    Faculty, Albert Einstein College of Medicine at Montefiore
    ------------------------------


  • 8.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-06-2022 15:49
    This is great. I do a lot of training through AETC, and I always struggle with how to best present this content. Thanks

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    Michelle Lewis
    University of Oklahoma
    Oklahoma City OK
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  • 9.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-06-2022 18:48
    Hello Team,
    The other piece I would add outside of training is simply sharing how your organization has successfully implemented diversity and inclusion amongst staff and patients. Sharing tangible and real world examples applying the things we hear about in training, is valuable no matter your identification markers.

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    Serina Madden, DNP, APRN-CNP
    OKC, OK
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    Original Message


  • 10.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-20-2022 12:23
    Agreed! I've had good luck finding trans/nonbinary-led trainings on Linkedin. Additionally, I am a member of TPATH, an organization for transgender professionals and academics in trans care. Several fellow members offer online trainings. Crystal Beal has a website with free and paid CME called www.queercme.com.

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    Ari Kravitz, FNP-C (he/him/his)
    AZ
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    Original Message


  • 11.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-09-2022 07:04
    Hello, 

    During the webinar, I heard Dr. Ogle talking on how the patients that come to her practice are seeking reaffirming care. In my practice is general practice, so what is the best way to advocate for them without being intrusive?

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    Lorena Cavazos
    Carrollton TX
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    Original Message


  • 12.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-09-2022 09:11
    I strongly recommend attending transgender healthcare conferences/symposiums and trainings as well to help you be more familiar with the many challenges transgender people face trying to access healthcare. There are several courses you can take through WPATH and other places to help you be more comfortable with language, medical care, etc. Also, know the laws in your part of the world (not sure where you live); know who your legislators are and go for it!

    My golden rule: Treat transgender people with the same respect and compassion as anyone else, and you won't have to worry about being too intrusive.

    Be yourself!

    I hope this answers your question. 


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    Michelle Ogle
    Bronx NY
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  • 13.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-09-2022 10:01
    One of the easiest ways to show you are a safe provider, educate the community, and create an open space for clients is to ask EVERYONE their pronouns, and share yours with everyone. It starts a conversation with other patients about the importance of outwardly supporting trans people and sets the tone for the values of your practice. This also indicates to trans/ nonbinary people they can come out to you, and you want to have these kinds of conversations in a safe way. 

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    Renée Reopell, LCSW
    Director, Gender Diversity and Resilience Program
    Child Guidance Center of Southern CT
    Faculty, Albert Einstein College of Medicine at Montefiore
    ------------------------------


  • 14.  RE: Thank You: Webinar "Am I A Risk Factor? Addressing Stigma, Social determinants, and Interventions for the Transgender Community."

    Posted 12-20-2022 12:44
    I am a transgender man who became a nurse practitioner to help serve my community. I appreciated this webinar a lot and learned more about our history! As trans people, we are so often blamed for our circumstances and who we are that it's very powerful just to hear the words, "it's not your fault- it's how others treat you that is the problem". I feel like that distinction gives us more agency. Thank you for this presentation.

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    Ari Kravitz, FNP-C (he/him/his)
    AZ
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    Original Message


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