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Supporting Patients with Intersex Traits: Everything You Ever Wanted to Know, but Were Afraid To Ask

Up to 1.7% of the population is born with a variation in their sex characteristics, including sex chromosomes, hormones, internal genitalia, and external genitalia. These variations are often referred to as intersex traits. People with intersex traits may or may not have a non-heterosexual identity, and their gender identity in adulthood may or may not align with the gender they were assigned at birth. However, people with intersex traits do share the common experiences of shame, stigma, and isolation that LGBTQ people may. Because of this, people with intersex traits have been identified as part of sexual and gender diverse populations. Additionally, many receive medical care in settings that also provide transgender health care. Because of this, it is critical that providers involved in LGBT health are culturally competent in working with people with intersex traits. This requires that providers are aware of the kinds of intersex variations, the physical and behavioral health needs of people with intersex variations, the legacy of historical trends in intersex care, and current clinical, ethical, and legal controversies in intersex care. This 90-minute session, given by Dr. Katharine Dalke, will enable learners to become intersex competent providers and allies.

Continuing Education (1.5 hr Professional CME or 1.5 hr Ethics CE)

This Enduring Material activity, “Supporting Patients with Intersex Traits: Everything You Ever Wanted to Know, but Were Afraid To Ask” , has been reviewed and is acceptable for up to 1.50 Prescribed credit(s) by the American Academy of Family Physicians. AAFP certification begins 07/15/2020. Term of approval is for one year from this date. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Gender U is an Approved Continuing Education Provider (ACEP 7060) by the National Board for Certified Counselors (NBCC). Supporting Patients with Intersex Traits: Everything You Ever Wanted to Know, but Were Afraid To Ask meets the qualifications for 1.5 NBCC Credit.

The Gender U has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7060. Programs that do not qualify for NBCC credit are clearly identified. The Gender U is solely responsible for all aspects of the programs.

This program meets the requirements of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and is approved for 1.5 CE credits. These CE credits may be applied toward AASECT certification and renewal of certification. Completion of this program does not ensure or guarantee AASECT certification. For further information please contact info@assect.org.

The Gender U is approved as an AASECT Provider of continuing education credits, Provider Number # 20-114-GEN.

About Instructor​

Katharine Baratz Dalke, MD MBE

Dr. Katharine Dalke (she/her) is a psychiatrist at Pennsylvania Psychiatric Institute in Harrisburg, Pennsylvania, and the Director for Culturally Responsive Healthcare Education and an Assistant Professor of Psychiatry at the Penn State College of Medicine. Her clinical and academic work centers on LGBTQ and intersex health, especially mental well-being. She has co-founded an integrated clinic for transgender and gender diverse youth at Penn State Hershey Medical Center, and is frequently an invited speaker on intersex health at national conferences. An intersex, bisexual woman, Dr. Dalke has been involved in intersex education and advocacy since 2006, and is among the first openly intersex physicians in the US. Dr. Dalke is a member of the Pennsylvania Commission on LGBTQ Affairs, the Transgender Health Working Group at the Pennsylvania Department of Health, the Sexual and Gender Minority Research Working Group at the NIH, and an ongoing consensus study on the well-being of Sexual and Gender Diverse populations at the National Academies of Sciences, Engineering, and Medicine. She is a past president of the board of directors for inter/ACT Advocates for Intersex Youth and an ongoing member of the medical advisory groups to inter/ACT and the Androgen Insensitivity Syndrome-Differences of Sex Development (AIS-DSD) Support Group.

Learning Objectives

Supporting Patients with Intersex Traits:
Everything You Ever Wanted to Know, but Were Afraid To Ask

  1. Appreciate the diversity of intersex traits, and the conditions associated with them
  2. Articulate historical trends in medical approach to people with sex variance
  3. Describe the physical and behavioral health needs of people with intersex traits
  4. Identify resources for supporting patients with intersex traits

Bonus material

Supporting Patients with Intersex Traits:
Everything You Ever Wanted to Know, but Were Afraid To Ask

Continuing Education
(1.5 hr Professional CME or 1.5 hr Ethics CE)

Continuing Education Provider (ACEP 7060) by the National Board for Certified Counselors (NBCC).

Download Materials

There will be PDFs available with each section for you to keep for your references

Course Beneficiary

The Gender U and instructors agree to donate 10% of the profits from each course to a nonprofit organization. This course donates to the following profits to the organization below

interACT—formerly known as Advocates for Informed Choice (AIC)—was founded by attorney Anne Tamar-Mattis with an Equal Justice Works fellowship in 2006, and continued with an Echoing Green fellowship in 2008 with a focused mission of ending harmful medical interventions on intersex children.  We began our operations with a national advisory board, including doctors, lawyers, mental health experts, and leaders of many different intersex organizations to establish our goals. 

interACT uses innovative legal and other strategies, to advocate for the human rights of children born with intersex traits.  

ADA Statement
The Gender U provides upon request appropriate academic accommodations for qualified students with disabilities. The typical accommodations provided for our courses is accessible course materials and closed captioning for videos, but please note this is not a comprehensive list as accommodations are determined on a case-by-case basis. Since important course announcements will be communicated via email, you are required to have an active email address linked to The Gender U platform. Please make sure to check your email for any updates from about the online platform. The Gender U instructors and staff will check emails at least once per day and respond to email as soon as we can to make the course as accessible as possible. To request accommodations, please email the support team via support@thegenderu.com so we can provide the best learning experience possible.

Intersex 101 and Beyond

Much misinformation and myth surrounds Intersex. It is the most often ignored and misunderstood letter in the panoply of the queer community. Indeed inclusion of Intersex in the queer lexicon is a still much-debated topic within the community. In this workshop we will untangle some of the mystery of what is Intersex and what it means to be Intersex. The history of treatment and, more importantly, mistreatment of Intersex individuals by the medical establishment will be discussed. The impact of the violent and systemic erasure of Intersex bodies will be examined on the societal, familial and individual levels. How does an individual’s other identities, such as race, gender, and sexual orientation, intersect with their Intersex identity? Health care disparities for people of color, particularly black people, are well documented. Does this also impact how Intersex POC are treated? This workshop will dig into these questions. We’ll also look at the history of Intersex activism, its outcomes, and ongoing work. Falling outside the staunchly held sex binary results in different traumas for Intersex individuals. Together we will delve into the various spaces these traumas occur. We will also look at the ways Intersex individuals and communities have fostered healing, empowerment, and support for themselves and how mental health providers can align themselves with and support these practices.

Continuing Education (1.0 hr Professional Ethics CE)
The Gender U is an Approved Continuing Education Provider (ACEP 7060) by the National Board for Certified Counselors (NBCC). Intersex 101 and Beyond meets the qualifications for 1.0 NBCC Credit.

The Gender U has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7060. Programs that do not qualify for NBCC credit are clearly identified. The Gender U is solely responsible for all aspects of the programs.

This program meets the requirements of the American Association of Sexuality Educators, Counselors and Therapists (AASECT) and is approved for 1.5 CE credits. These CE credits may be applied toward AASECT certification and renewal of certification. Completion of this program does not ensure or guarantee AASECT certification. For further information please contact info@assect.org.

The Gender U is approved as an AASECT Provider of continuing education credits, Provider Number # 20-114-GEN.

About Instructor​

INSTRUCTORPHOTO_NikiKhanna

Niki Khanna MA, LMFT

Niki Khanna MA, LMFT is a therapist and educator in the Bay Area, CA.
Her focus is working within the Queer, Trans and Intersex communities. She is also a certified Sexual Health Educator and has spent over 20 years working in Sex Education, Sexual Assault and Rape Prevention Education as well as Intimate Partner Violence Prevention Education. She identifies as a Femme, Intersex, and POC. She is passionate about finding ways to use the skills she has developed to contribute to the Intersex community. She provides workshops and mental health support to both the AIS-DSD Support Group and InterAct, two of the largest Intersex support and advocacy organizations in the country. Her current projects are developing practical training modules for mental health providers working with Intersex clients and their families and writing/editing a chapter focused on Intersex for a forthcoming textbook on trauma within the
LGBTIAQ+ communities.

Learning Objectives

INTERSEX 101 AND BEYOND

  1. Understand the meaning of intersex variations and identities
  2. Consider the implications of medical interventions on intersex bodies and the trauma these
    interventions can cause.
  3. Examine the ways in which an intersex person’s identities such as race, gender, sexual orientation and
    social or economic positions intersect and impact their lives and these medical interventions
  4. Cultivate ways to support and ally with intersex individuals

Bonus material

Intersex 101 & Beyond

1 HR CE Certification

Continuing Education (1.0 hr Professional Ethics CE) (Provider Number 7454) by the Texas State Board of Social Worker Examiners.

Download Materials

There will be PDFs available with each section for you to keep for your references

Course Beneficiary

The Gender U and instructors agree to donate 10% of the profits from each course to a nonprofit organization. This course donates to the following profits to the organization below

interACT—formerly known as Advocates for Informed Choice (AIC)—was founded by attorney Anne Tamar-Mattis with an Equal Justice Works fellowship in 2006, and continued with an Echoing Green fellowship in 2008 with a focused mission of ending harmful medical interventions on intersex children.  We began our operations with a national advisory board, including doctors, lawyers, mental health experts, and leaders of many different intersex organizations to establish our goals. 

interACT uses innovative legal and other strategies, to advocate for the human rights of children born with intersex traits.  

ADA Statement
The Gender U provides upon request appropriate academic accommodations for qualified students with disabilities. The typical accommodations provided for our courses is accessible course materials and closed captioning for videos, but please note this is not a comprehensive list as accommodations are determined on a case-by-case basis. Since important course announcements will be communicated via email, you are required to have an active email address linked to The Gender U platform. Please make sure to check your email for any updates from about the online platform. The Gender U instructors and staff will check emails at least once per day and respond to email as soon as we can to make the course as accessible as possible. To request accommodations, please email the support team via support@thegenderu.com so we can provide the best learning experience possible.

Understanding and Preventing Suicide in the Transgender Community

Research has revealed alarmingly high rates of suicide attempt in transgender people. This workshop will aim to increase participants’ understanding of risk and resilience factors for suicidal behavior in this population, as well as teach culturally-informed methods of suicide assessment and prevention. In order to improve the current condition of treatment for this population, providers’ ethical responsibilities of respecting the dignity and worth of all people, increasing scientific knowledge of behavior and people’s understanding of themselves, protecting human rights, and nonmaleficence will be reviewed throughout this course as they pertain to providing services for transgender people. Frameworks for understanding distress and suicidality will be grounded in the interplay between the evidence based gender minority stress model and the interpersonal theory of suicide. Based on the combined framework of these models, recommendations for both mental and medical health providers for effective suicide assessment and prevention will be provided. 

Continuing Education (1.0 hr Professional Ethics CE)
The Gender U is an Approved Continuing Education Provider (ACEP 7060) by the National Board for Certified Counselors (NBCC). Understanding and Preventing Suicide in the Transgender Community  meets the qualifications for 1.0 NBCC Credit. 

The Gender U has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7060. Programs that do not qualify for NBCC credit are clearly identified. The Gender U is solely responsible for all aspects of the programs.

About Instructor​

DrColtMeier_GEN

Dr. Colt M. St. Amand

Colt St. Amand, Ph.D., M.D., (he/they) is a licensed psychologist and family medicine physician who routinely provides training on gender affirmative treatment of transgender clients. He provides education on gender and sexuality as a lecturer in the Psychology Department of the University of Houston and an assistant professor in the Menninger Department of Psychiatry and Behavioral Services at Baylor College of Medicine. In his part-time private practice, Dr. St. Amand provides therapy, consultation, and evaluation services to transgender clients as young as 4. His research focuses on examining the effects of testosterone on the mental health and quality of life of transgender men as well as the experiences of parents of transgender children. He completed his Ph.D. in Child/Family Clinical Psychology at the University of Houston and his MD at the University of Texas Medical Branch in Galveston, Texas.

WPATHLOGO

Learning Objectives

Understanding & Preventing Suicide in the Transgender Community

  1. Participants will be able to outline the rates of suicidal ideation and suicide attempts in transgender adolescents, adults, and elders.
  2. Participants will be able to state the unique risk and resilience factors in the transgender population.
  3. Participants will be able to Identify and describe how to use at least one ethical principle to guide advocacy for and clinical work with transgender people who are experiencing suicidal ideation. 
  4. Participants will be able to locate at least one transgender specific resource for suicide prevention.

Bonus material

Understanding & Preventing Suicide in the Transgender Community

1 HR CE Certification

Continuing Education (1.0 hr Professional Ethics CE) (Provider Number 7454) by the Texas State Board of Social Worker Examiners.

Download Materials

There will be PDFs available with each section for you to keep for your references

Course Beneficiary

The Gender U and instructors agree to donate 10% of the profits from each course to a nonprofit organization. This course donates to the following profits to the organization below

Trans Lifeline

Trans Lifeline is a grassroots hotline and microgrants 501(c)(3) non-profit organization offering direct emotional and financial support to trans people in crisis – for the trans community, by the trans community. Trans Lifeline is committed to being a resource that the trans community can continue to rely on for years to come. With your support, we can keep these vital services available to those in our community who need them most.

ADA Statement
The Gender U provides upon request appropriate academic accommodations for qualified students with disabilities. The typical accommodations provided for our courses is accessible course materials and closed captioning for videos, but please note this is not a comprehensive list as accommodations are determined on a case-by-case basis. Since important course announcements will be communicated via email, you are required to have an active email address linked to The Gender U platform. Please make sure to check your email for any updates from about the online platform. The Gender U instructors and staff will check emails at least once per day and respond to email as soon as we can to make the course as accessible as possible. To request accommodations, please email the support team via support@thegenderu.com so we can provide the best learning experience possible.

The Gender ASSET Training

The Gender Affirmative and Supportive Surgery Evaluation Tool (Gender ASSET) is an assessment tool developed by trans and genderqueer mental health professionals Becca Keo-Meier, MSW and Colt M. St. Amand, Ph.D. The Gender ASSET was designed for mental health providers to use in support of transgender clients preparing to undergo surgery as a part of their gender transition. This online course includes a Gender ASSET workbook along with on-demand training videos and sample letters. 

The World Professional Association for Transgender Health (WPATH) sets forth the Standards of Care (SOC). The 7th version of the SOC recommends transgender clients provide their surgeons with one to two letters from mental health providers before they are cleared for surgery. However, the majority of mental health providers have neither received adequate nor comprehensive training in providing this type of evaluation and are not familiar with the multiple surgical options available or the process of recovering from a major surgery.

Led by Dr. Colt M. St. Amand, this multi-part workshop is designed for mental health professionals who would like to receive training on evaluating and writing letters for transgender clients who desire to undergo gender affirming surgical procedures. The specific focus will be on assisting clients to be practically prepared for the process of surgery and recovery. This course is best suited for mental health providers who have some experience working with transgender clients.

Continuing Education (6 APA CEs)

We have partnered with the National Register to provide continuing education credits for The Gender ASSET. The National Register of Health Service Psychologists is approved by the American Psychological Association to sponsor continuing education for psychologists. The National Register maintains responsibility for this program and its content.

National_Register_Logo_for_Partners

About Instructor​

DrColtMeier_GEN

Dr. Colt M. St. Amand

Colt St. Amand, Ph.D., M.D., (he/they) is a licensed psychologist and family medicine physician who routinely provides training on gender affirmative treatment of transgender clients. He provides education on gender and sexuality as a lecturer in the Psychology Department of the University of Houston and an assistant professor in the Menninger Department of Psychiatry and Behavioral Services at Baylor College of Medicine. In his part-time private practice, Dr. St. Amand provides therapy, consultation, and evaluation services to transgender clients as young as 4. His research focuses on examining the effects of testosterone on the mental health and quality of life of transgender men as well as the experiences of parents of transgender children. He completed his Ph.D. in Child/Family Clinical Psychology at the University of Houston and his MD at the University of Texas Medical Branch in Galveston, Texas.

WPATHLOGO

Learning Objectives

Gender Affirmative Supportive Surgery Evaluation Tool (ASSET)

  1. Discuss and critique the history of mental health evaluations for transgender clients seeking gender affirmative surgeries.
  2. Explain the purpose of the World Professional Association for Transgender Health (WPATH) Standards of Care criteria for surgeries related to gender transition.
  3. Identify and discuss multiple gender transition-related surgeries with clients.
  4. Use the Gender Affirmative Supportive Surgery Evaluation Tool (Gender ASSET) to conduct mental health assessments of transgender clients preparing to undergo gender-affirming surgery.
  5. Identify the application of the ethical concepts of autonomy and practice within one’s scope of competence in the development and use of the Gender ASSET with transgender clients.
  6. Use the Gender ASSET to provide education on the process of undergoing and recovering from specific surgical procedures to transgender clients.
  7. Identify and discuss multiple pre-operative preparation steps as well as post-operative recovery supplies for transgender-related surgeries.
  8. Prepare letters in support of transgender clients accessing surgery for insurance coverage and for coordination of care with surgeons.

Course curriculum

Course Completion 1-Year time limit

Instructional Level: Advanced

Course Content

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Topic Content
0% Complete 0/1 Steps

Bonus material

Gender Affirmative Supportive Surgery Evaluation Tool (ASSET)

Workbook

The Gender Affirmative Supportive Surgery Evaluation Tool (Gender ASSET) to conduct mental health assessments of transgender clients preparing to undergo gender-affirming surgery.

CE Certification

Continuing Education (6 APA CEs) or Certification of Completion from Gender Education Network

Download Materials

There will be PDFs available with each section for you to keep for your references

Course Beneficiary

The Gender U and instructors agree to donate 10% of the profits from each course to a nonprofit organization. This course donates to the following profits to the organization below

GENDERBANDS

Genderbands was founded in March of 2015 as a way to fundraise for founding President Ian Giles’ top surgery. In June of 2015, the organization broadened its efforts and restructured into its current state. Genderbands is an international nonprofit 501(c)(3) organization that serves the transgender, gender non-conforming, and other gender diverse communities. The organization is volunteer-lead and executes programming, services, and events on both a local and international scale. Genderbands operates primarily through the support from partnerships, direct sales, and the solicitation of donations.

ADA Statement
The Gender U provides upon request appropriate academic accommodations for qualified students with disabilities. The typical accommodations provided for our courses is accessible course materials and closed captioning for videos, but please note this is not a comprehensive list as accommodations are determined on a case-by-case basis. Since important course announcements will be communicated via email, you are required to have an active email address linked to The Gender U platform. Please make sure to check your email for any updates from about the online platform. The Gender U instructors and staff will check emails at least once per day and respond to email as soon as we can to make the course as accessible as possible. To request accommodations, please email the support team via support@thegenderu.com so we can provide the best learning experience possible.
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