Gender Identity & Transgender Care (I)

Gender Identity & Transgender Care (I)

December 17, 2019

Nicole Avant, PharmD, BCACP - Assistant Professor at the University of Cincinnati and Founder/CEO of Avant Consulting Group - and Tennille McKinney - HIV Educator and Consultant with Avant Consulting Group - talk with us about gender expression/identity, cis-privilege, and transphobia.

Key Lessons:

  • Sex and gender are not synonymous.  Sex is based on biology and gender is a social construct. Sex is determined by genes and assigned at birth. Gender is influenced by cultural norms and internal sense of self.
  • Transgender persons identify with a gender that is different from the sex that was assigned at birth.  Cis-gender persons identify with the gender that is congruent with the sex assigned at birth.
  • Some transgender persons, but certainly not all, seek medical and/or surgical gender-affirming treatments to express their gender identity.
  • Cis-privilege includes the rights and advantages that cis-gender persons enjoy.  This includes respect for one's gender identity and freedom from harassing comments or intrusive questioning.
  • Deadnaming is the act of referring to and calling someone by their birth name rather than their chosen name which is congruent with their current identity.
  • Transgender persons face social stigma from both the lay public and health professionals.  This sigma often results in transgender persons seeking care outside of traditional institutions and relying on self-care.

To learn more, view and download the Show Notes!

Social Determinants of Health and Healthcare Delivery (II)

Social Determinants of Health and Healthcare Delivery (II)

October 22, 2019

Lea Eiland, PharmD, BCPS, BCPPS - Clinical Professor and Associate Department Head, Department of Pharmacy Practice, Auburn University Harrison School of Pharmacy — talks to us about the impact of generational differences ... and why these differences influences our patients' communication perferences, beliefs, and expectations.

Key Lessons:

  • Our patients and workforce are more diverse than ever - including their generational experiences that influence their expectations related to work, healthcare delivery, and communication.
  • Generational differences are generalizations - so not all people within a generation fit the stereotype and we need to be careful to not make assumptions.
  • The generations currrently in the workforce and healthcare delivery systems are Traditionalist, Baby Boomers, Gen-X, Millennials, and Gen-Z/iGeneration.
  • Comfort levels with digital technology and communication formats vary by generation.  Older generations tend to prefer face-to-face and long-form written communications ... while more recent generations prefer short-form written communications.  But everyone can learn to adapt!
  • Recent generations prefer short, action-oriented, on-demand learning methods.
  • Feedback preferences are also generational. Older generations generally desire less frequent feedback and more recent generations prefer more.
  • Learning how to function well as a team requires a shared vision about the goals and valuing the contributions of each person on the team.
Social Determinants of Health and Healthcare Delivery (I)

Social Determinants of Health and Healthcare Delivery (I)

September 24, 2019

Magaly Rodriguez de Bittner, PharmD, BCPS, CDE - Professor and Associate Dean for Clinical Services and Practice Transformation, University of Maryland School of Pharmacy - talks to us about the impact of culture on behaviors and health outcomes ... and why healthcare practitioners need to develop cultural awareness and move toward cultural proficiency to achieve optimal outcomes for the patients they serve.

Key Lessons:

  • Culture is the characteristics, knowledge, and beliefs of a group of people including their shared language, religious/spiritual beliefs, habits, and values.   Culture impact beliefs about diseases, medications, and healthcare.
  • Many patients are reluctant to tell healthcare providers about their culturally-related health behaviors for fear of being judged or may believe such information is irrelevant.
  • Behaviors and beliefs, regardless of source, can impact health outcomes and can augment, detract, or have no impact on the recommended treatment plan.
  • Openly discussing beliefs and behaviors is critical.  Supporting patient decisions based on their beliefs builds trust.
  • Communicating in the patient's preferred language is mandated by law. Use trained interpreters. Have written materials available in the patient's preferred language.
  • Cultural awareness and moving toward cultural proficiency makes good business sense as you are better able to understand the needs of your patients.
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