Case Studies in Providing Affirming Care for Transgender Patients – A STEP-HIV Initiative

Release Date: December 30, 2019
Expiration Date: December 30, 2020
Estimated Time to Complete: 1.0 hours

Jointly Provided by

Support for this activity has been made possible through
educational grants from Gilead Sciences and ViiV Healthcare.

Activity Description
Transgender health care has become a “hot topic” within medical circles and the public at large. Much of the conversation has revolved around sensationalized issues, such as genital surgeries, elevated rates of suicide, and the treatment of minors. While these issues are certainly deserving of time and attention, they do not reflect the day-to-day care most transgender patients seek. The truth is, transgender patients have many of the same routine medical concerns as their cisgender counterparts. And, just like their cisgender peers, transgender patients want and deserve to receive this care from affirming, respectful, informed providers, in spaces that are responsive to their basic needs. In fact, data clearly show that when transgender patients are not treated with dignity by their health care team members, they are less likely to engage in or return for care. Therefore, it is particularly important that health care professionals who care for transgender patients with chronic medical concerns, such as HIV, or those whose preventive health needs require frequent follow-up, such as those on PrEP, be prepared to offer affirming care.

This free CME/CNE-Certified webinar features a series of realistic case studies through which participants will gain insight into transgender peoples’ lived experiences. Through discussion of these cases, participants will identify actionable strategies that they can use to create an affirming and respectful care environment for transgender people seeking their services.

Learning Objectives
After participating in the activity, learners should be better able to:

  • Define and differentiate the concepts of gender identity, gender expression, gender binary, and sex assigned at birth
  • Name at least three ways in which non-affirming care can lead to negative health outcomes for gender diverse individuals
  • Identify at least three new affirming practices to implement to improve delivery of care for gender diverse people

Activity Faculty

Kyan Lynch, MD, MA
Senior Public Health Specialist
University of Rochester Medical Center
Rochester, NY

Kyan Lynch, MD, MA, works as a TA Provider/Trainer at the Center for Community Practice, University of Rochester. He received his BS in Communication Sciences and Disorders from Northwestern University. He earned his medical degree and MA in Medical Humanities, Compassionate Care, and Bioethics at Stony Brook University. He is currently enrolled in the George Washington LGBT Health Practice and Policy Graduate Certificate Program. Dr. Lynch’s previous work at the University of Rochester includes participation in the PrEP Academic Detailing Initiative, which was completed in collaboration with the New York State AIDS Institute. In this role, he educated primary care providers throughout New York State about Pre-Exposure Prophylaxis for HIV. In addition to his work related to PrEP, Dr. Lynch is also passionate about LGBTQ health. He educates health care providers regarding LGBTQ health, and serves as a member of the Transcending Gender Binary Violence Prevention and Response Impact Team, based in Albany, NY.

Accreditation and Credit Designation
In support of improving patient care, this activity has been planned and implemented by American Academy of CME, Inc. and ACTHIV Institute. American Academy of CME, Inc. is Jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

American Academy of CME, Inc., designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Practitioners/Nurses
American Academy of CME, Inc., designates this educational activity for 1.0 ANCC contact hours (0.0 Pharmacotherapeutic Contact Hours).
California: Provider approved by the California Board of Registered Nursing, Provider Number CEP16993 for 1.0 contact hours.

Physician Assistants
American Academy of CME, Inc. has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until December 23, 2020. PAs should only claim credit commensurate with the extent of their participation.

Target Audience
This activity has been designed to meet the educational needs of the HIV care team, including physicians (both specialists and primary care/family medicine), nurses, nurse practitioners, physician assistants, and pharmacists who are in practice but are newer to HIV medicine or who are in training. Other healthcare providers may also participate.

Disclosure Statement
According to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relevant relationships with any commercial interests related to this activity. The existence of these interests or relationships is not viewed as implying bias or decreasing the value of the presentation. All educational materials are reviewed for fair balance, scientific objectivity and levels of evidence. Disclosures are as follows:


  • Kyan Lynch, MD: No relevant financial relationships with any commercial interests.

Planning Committee

  • Sharon Lee, MD, Medical Director, Southwest Boulevard Family Health Care Services of Greater Kansas City, (Kansas); President, ACTHIV: No relevant financial relationships with any commercial interests.
  • John JD Juchniewicz, MCIS, CHCP, Edward Moylan, RPh, Natalie Kirkwood, RN, BSN, JD, Lead Nurse Planner, American Academy of CME, Inc.: No relevant financial relationships with any commercial interests.

The opinions expressed in this educational activity are those of the faculty, and do not represent those of Academy, ACTHIV Institute or American Nurses Credentialing Center’s Commission on Accreditation. This activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.

This activity will not discuss off-label information.

Instructions on How to Receive Credit
There are no fees to participate in the activity.  Participants must review the CME/CE information, including disclosures, and view the activity. To receive CME/CE credit for your participation, please follow the directions at the conclusion of the program and complete the program evaluation. Your certificate will be distributed immediately.

© 2019. This CME/CE-certified activity is held as copyrighted © by American Academy of CME and ACTHIV. Through this notice, the Academy and ACTHIV grant permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).