Resource Library - Indian Country ECHO

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Past Presentation

How Do Estrogen and Anti-Androgens Work Together? | January 25, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #anti-androgens #estrogen #hormone therapy #hormones

In this brief presentation, Dr. Jerrica Kirkley, Chief Medical Officer and Co-Founder of Plume, an app to help trans folks get medical care, offers guidance on dosing, lab work, and other considerations for clinicians consulting with patients who may be ...

Date added: 01/25/21

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Past Presentation

Consent Practices in Gender Affirming Hormone Therapy | November 23, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #consent #consent practices #hormone therapy #hormones

Gaines Blasdel, a community organizer and gender affirming care researcher presents two models for approaching consent in hormone therapy. He describes healthcare the roles that can assess a patient’s ability to give consent for gender affirming care.

Date added: 11/23/20

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Past Presentation

Gender-Affirming Care in 2020 – What is it? Why Does it Matter? | October 26, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #defining gender-affirming care #pride and connectedness survey

Itai Jeffries and Morgan Thomas, from the 2SLGBTQ+ program at the Northwest Portland Area Indian Health Board, present a revised definition of gender-affirming care based on the results of the 2020 Two Spirit and LGBTQ+ Pride and Connectedness Survey.

Date added: 10/26/20

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Past Presentation

Trauma-Informed Care for Transgender/Non-Binary Patients | August 26, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #gender bias #trauma #trauma-informed care

Aster Wolfe, a registered nurse based in Portland, Oregon, presents on the principles and practice of trauma informed care, the trauma exposure of trans and non-binary patients, and the stress response that trauma can cause. Mr. Wolfe also shares how ...

Date added: 08/26/20

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Past Presentation

Legal and Social Support for Transitioning Patients | August 12, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #legal supports #social supports

Cecelia "Cec" Hardacker, Director of Education at Howard Brown Health Center, provides information, recommendations and tools for healthcare providers to offer support to patients who wish to have gender-affirming surgery.

Date added: 08/12/20

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Past Presentation

Primary Care Considerations in Transgender Health | June 24, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #primary care in transgender health #transgender care

Dr. Maddie Deutsch, Medical Director of UCSF Transgender Care, shares important information regarding a wide spectrum of topics, including health disparities for transgender individuals, gender-affirming interventions, and primary prevention and screening for this population.

Date added: 06/24/20

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Past Presentation

Mental Health for Trans and Non-Binary Patients | June 10, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #mental health

Dandy Johns, a Care Coordinator at Cascadia Behavioral Healthcare, provides an overview of mental health care considerations for trans & non-binary patients.

Date added: 06/10/20

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Past Presentation

Gender Identity Development Over the Lifespan | May 27, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #gender expression #gender identity

Jess, a social worker at OHSU’s Transgender Health Program, speaks about gender as a social construct and the emotional and physiological experience of gender expression and identity throughout childhood, puberty, adolescence, adulthood, and seniority.

Date added: 05/27/20

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Past Presentation

Gender-Affirming Hormones for Adults and Adolescents | May 13, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #hormone therapy #transgender care

Dr. Robert Goldstein, Medical Director of the Transgender Health Program at Massachusetts General Hospital, explains the importance of obtaining consent before beginning hormone therapy and the variable timeline of physical change once hormone therapy has begun. Dr. Goldstein also provides ...

Date added: 05/13/20

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Past Presentation

Creating Safe and Friendly Clinical Environments for Transgender and Non-Binary Patients | April 22, 2020

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #affirming environments #affirming spaces #gender-affirming care #words matter

Jean Baptiste, a person who identifies as transmasculine, provides an overview of the basics of gender identity and terminology, and the importance of showing respect through using appropriate language. They share their insight on what steps clinicians can take to ...

Date added: 04/22/20

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	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

	Carrie Sampson-Samuels is an enrolled member of the Confederated Tribes of the Umatilla Indian Reservation located in Eastern Oregon. Carrie has an early background in nursing providing patient care in long term and clinical care settings. Carrie then furthered her education in community health and health studies at Portland State University, later advancing her education in healthcare management at Oregon Health and Sciences University while serving in leadership and executive management for a Tribal health organization as the Community Health Director. Carrie has served Tribes from Oregon to Montana and the Treaty 7 Blackfoot Confederacy in Southern Alberta. As the Community Health Aide Project Director for the Northwest Portland Area Indian Health Board, Carrie has provided leadership, advocacy and project management for expansion for the Behavioral Health Aide and Community Health Aide Program under the umbrella and direction of the Tribal Community Health Provider Project. This work has led to the expansion of Tribal Community Health Providers in Washington, Oregon, and Idaho. Carrie is responsible for leading partnerships with the education institutions, key Tribal partner sites, contract experts and advisory workgroups. This includes development of education infrastructure, education curriculum, recruitment strategies, tools for integration of providers into tribal health organizations, and working with state partners to develop policy and infrastructure for provider reimbursement. Carrie manages and writes multiple grants that support all aspects of this work and provides technical assistance support to the Portland Area CHAP Certification Board. Carrie is the proud mother of 4 daughters and resides on a small ranch on her Tribal homelands.

	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix