Introduction to Gender and Sexuality in a Health Care Setting: Providing Quality Care for Transgender and Gender Nonconforming Patients

Type: eLearning
Date: October 2017

About this Independent Study

This activity was originally released on July 31, 2015 and is available for continuing education credit until October 4, 2021. Reviewed/updated January 21, 2020.

This is part 1 of a two-part independent study series entitled Clinically Competent and Culturally Proficient Care for Transgender and Gender Nonconforming Patients.

Transgender and gender nonconforming people experience high levels of stigma and discrimination in health care. This course gives people who work in health care settings tools that will allow them to better understand their patients’ needs so they can provide culturally proficient care to transgender and gender nonconforming patients.

As highlighted on the Everyday Feminism website,, the Genderbread person was initially a community effort by trans people created through various conversations. The original credit goes to Cristina González, Vanessa Prell, Jack Rivas, and Jarrod Schwart.

Learning Objectives

Upon completion of this independent study participants will be able to:

  • Describe sex and gender continuums
  • Define terminology used to describe transgender and gender nonconforming people
  • Identify health disparities experienced by transgender and gender nonconforming people

Who Should Attend

The courses in this series are designed for all staff involved in patient care, in a variety of primary care settings including family planning clinics: physicians, nurse practitioners, nurse midwives, physician assistants, medical assistants, nurses, health educators, administrative staff and support staff.


Ginny Cassidy-Brinn, ARNP
Ginny Cassidy-Brinn, is the Clinical Training Manager at Cardea, working to design evidence-based, learner-centered education for clinical providers. She has been a nurse practitioner in the area of reproductive health for over 30 years and has co-authored several books on women’s health care.

Simon Adriane Ellis, CNM, ARNP
Simon Adriane Ellis is a Certified Nurse Midwife. His work on the ACNM’s Gender Bias Task Force has included co-authoring a position statement describing the role of midwives in providing care for transgender and gender variant individuals.

Heather McGuinness, MPH
Heather McGuinness worked on this project as her MPH capstone project. Her background is in sexual health, sex education, and LGBTQ health.

Madeline B. Deutsch, MD, MPH
Madeline B. Deutsch is the Director of Clinical Services at the University of California – San Francisco Center of Excellence for Transgender Health.

Registration & Fees

It is FREE OF CHARGE to take this course. A brief registration process is required and, upon completion of an online evaluation, participants can request a certificate of participation at no charge.

CNE or CME credits are free of charge.

Continuing Nursing Education (CNE)

Cardea Services is an approved provider of continuing nursing education by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center's Commission on Accreditation.

Continuing Medical Education (CME)

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the California Medical Association (CMA) through the joint providership of Cardea and the Center of Excellence for Transgender Health. Cardea is accredited by the CMA to provide continuing medical education for physicians.

Cardea designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim credit commensurate with the extent of their participation in the activity.

Successful completion of this continuing education activity includes the following:

  • Completing the entire CE activity
  • Completing the online evaluation
  • Submitting an online CE Request


Center of Excellence for Transgender Health
Center of Excellence for Transgender Health logo

Pride Foundation LogoThis project funded in part with a grant from Pride Foundation.
Pride Foundation is a donor-supported community foundation providing grants, scholarships, and community leadership in Alaska, Idaho, Montana, Oregon, and Washington State. Visit


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