March 22, 2021

Transgender Care

                                                                                                                                                                                                                                                             

Resources

 

Video Presentation

Providing Quality Primary Care for our LGBTQ+ Patients

Presentation by Dr. Tiffany Covas, Virtual Primary Care Grand Rounds 2/24/21

https://duke.zoom.us/rec/share/2Bq98YNpA1vKQgaMYdfPS4esMXT0m8DYw_Ze7vvgo4Te-iUEzcaxFl4Mzp2KqOpA.__ls2bBTa7GMKx-4

 

Articles

Care of the Transgender Patient

Annals of Internal Medicine July 2019

https://pubmed.ncbi.nlm.nih.gov/?myncbishare=dukemlib&dr=abstract&otool=dukemlib&term=31261405

 

Caring for the Transgender Patient: Grand Rounds Discussion From Beth Israel

Annals of Internal Medicine

https://pubmed.ncbi.nlm.nih.gov/?myncbishare=dukemlib&dr=abstract&otool=dukemlib&term=32016334

 

Health Coverage and Care for Transgender People- Threats and Opportunities

NEJM

https://pubmed.ncbi.nlm.nih.gov/?myncbishare=dukemlib&dr=abstract&otool=dukemlib&term=33314870

 

The Power and Limits of Classification- A 32-year-old Man with Abdominal Pain

NEJM May 16, 2019

https://pubmed.ncbi.nlm.nih.gov/?myncbishare=dukemlib&dr=abstract&otool=dukemlib&term=31091369

 

Informational Website

Website detailing medical therapies for transitioning for adult patients

From UCSF

https://transcare.ucsf.edu/guidelines

 

Learning Modules at Duke

Connect to the modules here:

https://hr.duke.edu/training/learning-management-system

Search for these 3 Topics:

Collecting Sexual Orientation and Gender Identity Information on our Patients

Documenting Sexual Orientation & Gender Identity (SOGI) in Maestro Care

Duke LGBTQ+ in-person training- Improving care for the LGBTQ+ community

 

Sites at Duke where patients can be referred to

LGBTQ PCMH@ Duke Family Medicine

https://fmch.duke.edu/patient-care-community-health/lgbtq-patient-centered-medical-home 

Duke pediatric and adolescent gender care

https://www.dukehealth.org/locations/duke-child-and-adolescent-gender-care

Duke adult gender medicine

https://www.dukehealth.org/treatments/adult-gender-medicine

 

Maestro Care Quick Tips

Updating demographics

QUICK TIP

  • Updating demographics and adding a preferred name there are times when a provider receives demographic information from a patient or family that has not been documented by the front desk or scheduling team. Providers have the ability to update certain parts of the patient demographics. Here are the basic functions and some cautions:Providers should update only patient phone numbers, patient email addresses, emergency contact, and family contact information, and the patient’s preferred name (or nickname)Accessing: The Demographics function can be accessed from several places, but the easiest is by clicking on the patient’s name in Storyboard. This opens the Demographics Activity.Updating: There are 4 sections that providers may update:
  • Patient phone numbers
  • Patient email address
  • Patient emergency contact/family contact information
  • Patient preferred name (Nickname)

How to Add Sexual Orientation and Gender Identity in Maestro

To find the Sexual Orientation and Gender Identity form in Maestro, go to the Storyboard on the left side of the patient’s record and click on the line that identifies their sex and DOB. That will open the form. It works best to complete this with a patient.

Once you have completed the form, the header will update and include the patient’s sexual identity and preferred pronouns. If there is some additional information available, you will see this designation, which tells you additional information is available. At that point, hovering will provide all of the information.