TransECHO: A National Tele-Education Program for Expanding Transgender and Gender Diverse Health Care

Bruno, Jack; Vedilago, Virginia; Goldhammer, Hilary; Campbell, Juwan; Keuroghlian, Alex S.

doi:10.1089/lgbt.2022.0355

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…Examples of such programs include the WPATH clinical training program on the WPATH Standards of Care, 14 and the University of California San Francisco's Center of Excellence for Transgender Health multidisciplinary clinical training tracks that occur the day prior to its biennial research and policy conference. Several medical professional organizations offer online TGD training opportunities, 16 as does our organization, the National LGBTQIA + Health Education Center, which, in addition to the AETH session recordings, produces free TGD health-focused webinars and publications and operates a Project Extension for Community Healthcare Outcomes (ECHO) on TGD health 25 that emphasizes participant-led case discussions and peer-to-peer knowledge sharing. 26 Our conference evaluation had several limitations.…”

Section: Item Meanmentioning

confidence: 99%

Advancing Excellence in Transgender Health: An International Professional Development Conference on Affirming Care for Transgender and Gender Diverse People

Mitnick

Goldhammer

Thompson

et al. 2023

Journal of Medical Education and Curricular Development

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OBJECTIVE Increasing workforce capacity to provide knowledgeable, skilled, and affirming care for transgender and gender diverse people is critical to reduce health inequities; however, few clinicians receive sufficient training on this topic. This article describes Advancing Excellence in Transgender Health (AETH), an annual international conference that offers continuing professional development on evidence-based medical and behavioral healthcare for transgender and gender diverse people across the lifespan. METHODS Registration data and post-conference evaluation data were descriptively analyzed to assess conference reach, participant satisfaction, and participant intentions to change practice. RESULTS Between 2015 and 2022, AETH trained 2677 participants from all US states and 24 countries. Based on post-conference evaluations, 2017-2022, participant satisfaction was high (mean ≥4.4 on a 5-point scale) on all measures, including meeting learning objectives, quality of presentations, and relevance to practice. Participants reported intentions to: implement new information or skills (86.7%); create or revise protocols, policies, and/or procedures (63.2%); and seek additional information (64.2%). To increase equity, the conference waives fees for transgender and gender diverse participants and offers free online sessions. The conference also holds sessions specifically for transgender and gender diverse participants to promote opportunities for community-building, self-care, and professional networking. CONCLUSION The broad reach of AETH demonstrates a large demand for more continuing professional development on transgender and gender diverse healthcare. This conference has expanded the availability of training designed to increase and enhance clinical workforce capacity to meet the health needs of transgender and gender diverse communities in the US and across the world.

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Section: Item Meanmentioning

confidence: 99%

Advancing Excellence in Transgender Health: An International Professional Development Conference on Affirming Care for Transgender and Gender Diverse People

Mitnick

Goldhammer

Thompson

et al. 2023

Journal of Medical Education and Curricular Development

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“…Clinical practices may utilize innovative models, such as the Child Psychiatry Access Program or the Trans ECHO Program, to help address mental health needs in concert with pediatricians and adolescent medicine practitioners who deliver GAMC. 55 Engagement of MHPs should not delay timely access to GAMC when there are no concerns about acute safety or capacity to provide informed assent. This approach aligns with the WPATH SOC 8 guidance that "the lack of available disciplines should not preclude a young person from accessing needed care in a timely manner."…”

mentioning

confidence: 99%

“…Importantly, multidisciplinary care with MHP involvement is often not possible in under-resourced settings. Clinical practices may utilize innovative models, such as the Child Psychiatry Access Program or the Trans ECHO Program, to help address mental health needs in concert with pediatricians and adolescent medicine practitioners who deliver GAMC 55 . Engagement of MHPs should not delay timely access to GAMC when there are no concerns about acute safety or capacity to provide informed assent.…”

mentioning

confidence: 99%

Removing Barriers and Honoring Autonomy: Rethinking Mental Health Professional Assessments in Adolescent Gender-Affirming Medical Care

Mosier-Mills,

Kim,

Keuroghlian

2024

Harv Rev Psychiatry

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Adolescents seeking gender-affirming medical care (GAMC) face numerous barriers that may delay or inhibit their access to these services. Such obstacles include mental health professional (MHP) assessment requirements prior to initiating GAMC. MHP letters ultimately carry little benefit for patients. Their formulaic nature discourages nuance, reduces likelihood of capturing gender embodiment goals (beyond a narrow definition of gender dysphoria), and may cause clinicians to overlook presenting mental health concerns. MHP assessment requirements also reinforce the conception of gender dysphoria as a mental health disorder. Moreover, studies have not shown that requiring MHP assessment letters effectively reduces regret among patients. Fortunately, primary clinicians who provide GAMC are most often capable of assessing patients without additional input from an MHP. In this article, we provide an ethical framework for clinicians that prioritizes patient autonomy through an informed assent approach. We discuss Appelbaum’s criteria and its application, and contexts in which MHP consultation is appropriate. We also address common questions about informed assent among clinicians, patients, and families. Finally, we advocate for bolstering multidisciplinary support teams involved in GAMC to facilitate the informed assent process. This approach upholds patient autonomy, expands access to GAMC, and utilizes the mental health workforce more effectively.

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ECHO “Bootcamp”: An Innovative Training Model to Onboard Providers in the Care of Gender Diverse Patients

Hoffner-Heinike,

Iwamoto,

Saxon

et al. 2024

Telemedicine and e-Health

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TransECHO: A National Tele-Education Program for Expanding Transgender and Gender Diverse Health Care

Cited by 5 publications

References 22 publications

Advancing Excellence in Transgender Health: An International Professional Development Conference on Affirming Care for Transgender and Gender Diverse People

Advancing Excellence in Transgender Health: An International Professional Development Conference on Affirming Care for Transgender and Gender Diverse People

Removing Barriers and Honoring Autonomy: Rethinking Mental Health Professional Assessments in Adolescent Gender-Affirming Medical Care

ECHO “Bootcamp”: An Innovative Training Model to Onboard Providers in the Care of Gender Diverse Patients

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