Monday, September 18, 2017

One Of Our Wishes

We wish that we didn’t have to train the doctors about ourselves, that they could get that information in college, well now there are more medical school that are teaching about us (Being cynical I would say it is because we now have insurance coverage and they can make money off of us).

Anyhow, here is a research paper on teaching trans health in college,
Implementation and Evaluation of a Pilot Training to Improve Transgender Competency Among Medical Staff in an Urban Clinic
Transgender Health Volume: 1 Issue 1
By Corina Lelutiu-Weinberger, Paula Pollard-Thomas, William Pagano, Nathan Levitt, Evelyn I. Lopez, Sarit A. Golub, and Asa E. Radix
January 13, 2016


Transgender individuals (TGI), who identify their gender as different from their sex assigned at birth, continue facing widespread discrimination and mistreatment within the healthcare system. Providers often lack expertise in adequate transgender (TG) care due to limited specialized training. In response to these inadequacies, and to increase evidence-based interventions effecting TG-affirmative healthcare, we implemented and evaluated a structural-level intervention in the form of a comprehensive Provider Training Program (PTP) in TG health within a New York City-based outpatient clinic serving primarily individuals of color and of low socioeconomic status. This pilot intervention aimed to increase medical staff knowledge of TG health and needs, and to support positive attitudes toward TGI.
Results: Compared to pre-training scores, post-training scores indicated significant (1) decreases in negative attitudes toward TGI and increases in TG-related clinical skills, (2) increases in staff's awareness of transphobic practices, and (3) increases in self-reported readiness to serve TGI. The clinic increased its representation of general LGBT-related images in the waiting areas, and the staff provided highly positive training evaluations.

Conclusion: This PTP in TG health shows promise in leading to changes in provider attitudes and competence, as well as clinic systems, especially with its incorporation in continuing education endeavors, which can, in turn, contribute to health disparities reductions among TG groups.
One of the sections that I like in the study was.
Acceptability of the trainingLastly, based on the training evaluation surveys we collected at the end of each training session, we obtained 37 anonymous evaluation forms between the three training sessions (Table 3). Ninety-two percent of participants found the training to be very helpful, 87% of participants found the training to be very informative, and 95% of participants found the trainers to be highly knowledgeable.

Eighty-seven percent of participants highly agreed that the training helped them gain more knowledge and helped them feel more motivated to make changes in their interactions with TGI. Eighty-nine percent of participants highly agreed that the training helped them develop a better understanding of TG identity and 84% highly agreed that it further prepared them for interactions with TGI.

Qualitative text evaluations provided in the free-writing areas by participants reflected a positive experience, with statements such as “The session was very informative”; “I believe it was a great training and it covered a lot of material. Great information, I liked it!”; and “Everything was very good. Thanking you for being so open and informative, using personal life it always makes it interesting and engaging.”
It is good that the healthcare providers were interested in learning about us and that they thought highly of the training. I have don’t cultural training at a couple of hospitals and both had standing room only, the medical staff wants to learn about us if given an opportunity.

The non-profit that I am the Executive Director of was asked to  support a study entitled, "Development of a Transgender Affirming Medical Curriculum to Improve Medical Care and Cultural Competency for Transgender Individuals." We were asked to be a part of the Community Action Board and assist in the process of participant recruitment for the project’s in-depth interviews, as well as provide input on the development of a transgender-affirming curriculum and survey development if they receive the grant. In the past we have worked with the research organization on a pilot study of the trans people and HIV/AIDS in the Hartford area.

I hope that they receive the grant because this looks like an interesting study.

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