Talking, gawking, or getting it done: Provider trainings to increase cultural and clinical competence for transgender and gender-nonconforming patients and clients

摘要

This article presents a set of preliminary policy recommendations regarding competency trainings for health care providers to improve service delivery to transgender and gender-nonconforming clients. These recommendations are based in part on a program evaluation of trainings conducted in the northwestern United States in 2005–2006. Using a mixed-methods approach, the evaluation assessed the effectiveness of 3 competency trainings administered by a nonprofit health education and outreach organization serving lesbian, gay, bisexual, transgender, gender-nonconforming, and questioning people. Quantitative data indicated that the trainings were effective in transferring knowledge. Qualitative data confirmed this finding and elicited a number of themes about providers’ experience of the trainings and their posttraining questions about interacting with transgender and gender-nonconforming patients and clients. The authors propose policy recommendations to guide curriculum developers and trainers in developing content and structure and to facilitate implementation of lessons learned in trainings at an agency- or organization-wide level.