Resource Library - Indian Country ECHO

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Primary Care Considerations for Transgender and Gender Diverse Youth (AAP)

Type: Download

Audience: Clinical

Guidance for pediatric primary care physicians who treat transgender and gender diverse youth.

Date added: 07/24/21

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Past Presentation

How Can a Clinician Approach Sexual Health with Gender-Diverse Youth Through an Affirming Lens? | July 12, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #gender-affirming care #gender-diverse youth

Dr. Elizabeth Boskey, a social worker with the Center for Gender Surgery at Boston Children's Hospital, provides tips and strategies to have affirming interactions with gender-diverse patients focused on their sexual health.

Date added: 07/12/21

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Past Presentation

Supportive and Affirming Therapy for Gender-Diverse Youth and their Relatives | June 14, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #affirming psychotherapy #gender-diverse youth #psychotherapy

This video walks us through principles for supportive and affirming psychotherapy for gender-diverse youth and their relatives, including specific guidance in four case presentations.

Date added: 06/14/21

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Past Presentation

How Should a Clinician Connect Gender-Diverse Youth to Resources? | May 10, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #clinician support #gender-diverse youth

In this presentation, Dr. Alessandra Angelino, resident pediatrician at University of North Carolina-Chapel Hill, describes various resources clinicians can offer to gender-diverse youth and their families, including support groups, videos, toolkits, and picture books.

Date added: 05/10/21

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Past Presentation

How Should a Clinician Approach Hormone Therapy for a Non-Binary Patient? | April 26, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #gender diversity #hormone therapy #non-binary

In this short presentation, Dr. Jamie Conniff covers the basics of hormone therapy for adults who identify as non-binary, genderqueer, gender-fluid, or another gender identity which does not easily match to a male-female binary.

Date added: 04/26/21

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Past Presentation

Gender-Affirming Primary Pediatric Care | April 12, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #defining gender-affirming care #gender-diverse youth #pediatrics #primary care in transgender health #youth

Dr. Vinny Chulani, Medical Director of Phoenix Children's Adolescent Medicine Program, covers the basics of primary care for gender-diverse youth, including recommendations for sexual and social health screenings, approaches to primary care, and important aspects of the clinician’s mindset and ...

Date added: 04/12/21

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Past Presentation

Decolonizing Gender in Clinical Spaces | March 22, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #decolonizing #gender identity

This short presentation offers questions and prompts for providers to consider in their approach to identity and gender within clinical spaces for both themselves and patients.

Date added: 03/22/21

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Past Presentation

Walking the Tightrope – Consent Working with Gender-Diverse Youth | March 8, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #gender-affirming care #gender-diverse youth #parental consent #youth

Jess, social worker with OHSU's Transgender Youth Program, shares knowledge to help providers navigate parental consent when providing gender-affirming care to youth, and discusses when it is appropriate to consider emancipation.

Date added: 03/8/21

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Past Presentation

Testosterone: Types and Delivery Methods | February 22, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #hormone therapy #hormones #testosterone #testosterone delivery

J. Aleah Nesteby, Director of LGBTQ Services at Cooley Dickinson Hospital, offers information about the different types of testosterone, their pros and cons, and describes appropriate follow-up when prescribing testosterone.

Date added: 02/22/21

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Past Presentation

How Can a Clinician Support the Family of Gender-Diverse Youth Pre-Puberty? | February 8, 2021

Type: Past Presentation

Audience: Clinical

Program: Trans & Gender Affirming Care ECHO Program

Keywords: #clinician support #gender-diverse youth

Dr. Coleen Williams, Attending Psychologist at the Gender MultiSpecialty Service (GeMS), provides strategies for clinicians when working with the caregivers of gender-diverse youth.

Date added: 02/8/21

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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