Evidence-Based Care of LGBTQ-DSD Patients Using The eQuality Toolkit

This clinical skills training addresses knowledge gaps to care for patients who are lesbian, gay, bisexual, transgender, queer (LGBTQ) or have a difference of sex development (DSD). Providers will learn practical skills to improve patient interactions by creating an inclusive clinical environment, which will help address health disparities related to stigma and discrimination around LGBTQ/DSD identities.


Target Audience
This activity is intended for physicians, nurses, residents, and other healthcare professionals or trainees who interact with patients. This training was developed to be a primer that is accessible to healthcare providers at different stages, so any provider or trainee can learn inclusive clinical skills through this course.

Course Learning Objectives
As a result of participating in this activity, participants should be able to:
1. Identify heteronormative/cisnormative biases in patient care settings.
2. Practice inclusive communication when taking a patient history.
3. Discuss essential gender-affirming care options.

Accreditation Statement
 The University of Louisville School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement
 The University of Louisville School of Medicine designates this enduring material for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses - This program has been approved by the Kentucky Board of Nursing for 3.6 continuing education credits through University of Louisville Hospital, provider number 4-0068-7-20-1137. The Kentucky Board of Nursing approval of an individual nursing education provider does not constitute endorsement of program content. Completion criteria to obtain CE's: Attend entire session and complete the evaluation.

This self-paced online CME activity has been developed by medical educators at the University of Louisville School of Medicine. During the course you will access a free online LGBTQ clinical skills training manual and apply this content to a patient scenario. You will receive feedback on your answers throughout the training module. After a brief post-test, you will then log in or register to create a CME user profile, complete a course evaluation, and generate your CME/CE certificate.

Hardware & Software Requirements
Private browsing is not recommended if you complete the course in more than one sitting (see below).

Course Director
Laura Weingartner, PhD, MS
Research Manager, Undergraduate Medical Education
University of Louisville School of Medicine
Louisville, KY

Course Coordinator
Emily Carr, MA
Research Coordinator, Undergraduate Medical Education
University of Louisville School of Medicine
Louisville, KY

Planning Committee and Faculty Members
Amy Holthouser, MD
Senior Associate Dean for Undergraduate Medical Education
Professor of Medicine and Pediatrics
University of Louisville School of Medicine
Louisville, KY

Suzanne Kingery, MD
Associate Professor of Pediatrics
Director, Pediatric and Adolescent Gender and Education Program
Division of Pediatric Endocrinology
University of Louisville School of Medicine
Louisville, KY

Emily Noonan, PhD, MA
Research Manager, Undergraduate Medical Education
University of Louisville School of Medicine
Louisville, KY

Jennifer Potter, MD
Professor of Medicine, Harvard Medical School
Co-Chair, The Fenway Institute
Boston, MA

Susan Sawning, MSSW
Director of Medical Education Research
University of Louisville School of Medicine
Louisville, KY

Stacie Steinbock, MEd
Former Director of the LGBT Center on the Health Sciences Center
University of Louisville
Louisville, KY

Laura Weingartner, PhD, MS
Research Manager, Undergraduate Medical Education
University of Louisville School of Medicine
Louisville, KY

As a provider accredited by the ACCME, the Office of CME&PD, School of Medicine, University of Louisville, must ensure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities. All Planners, faculty, reviewers, and other persons that affected the content of this CME activity were required to submit a financial disclosure form from which relevant conflicts of interest were determined. The course director, coordinator, planning committee and faculty members have no relevant financial relationships to disclose.

The University of Louisville CME & PD Advisory Board and office staff have nothing to disclose with the following Board Member exceptions:   Sathya Krishnasamy, MD -  Kowa Pharmaceuticals (Grant Funding), Novo Nordisk (Grant Funding);  Ashlee Bergin, MD – Merck Pharmaceuticals (Speaking);  Michael Sowell, MD – Amgen (Speaking), Impax Pharmaceuticals (Grant Funding); Rainer Lenhardt, MD - CSL Behring and Merck (Speaking).

The eQuality project is possible through the generous time, energy, and expertise that numerous LGBTQ and DSD-affected community members have provided to ULSOM, and the staff of the UofL LGBT Center have sustained strong community involvement in this project. The leadership of the eQuality Steering Committee, including Dr. M. Ann Shaw, Vice Dean for Undergraduate Medicine Education, and the continued support of Dr. Toni Ganzel, Dean of ULSOM, have been vital to the establishment and success of eQuality. The National Institute for Health Care Management (NIHCM) Foundation supported critical research into LGBTQ and DSD healthcare training gaps, the outcomes of which are reflected in this course.

Original Release & Termination Dates
Medium or combination of media used: Online enduring material activity
Method of Physician Participation: Online
Estimated time to complete the educational activity: 3 hours
Course Originally Released on: 8/1/2019
Course Termination Date: 8/1/2021

Special Services
If you need special accommodations due to a disability, or for an alternative form of course materials, please contact . Continuing Medical Education & Professional Development fully complies with the legal requirements of the ADA and the rules and regulations thereof.

Provider Contact Information
If you need technical support or have questions about the course, please e-mail us at

Privacy Policy
The University of Louisville's Continuing Medical Education and Professional Development office respects your privacy. Personal information collected from participants of our medical educational activities will not, unless required by law, be shared with any third party. The primary reason we collect your personal information is for accountability and documentation of your continuing education activities in compliance with Accreditation Council for Continuing Medical Education (ACCME) regulations. We do not distribute unsolicited e-mails, nor, unless required by law, do we share the names of our subscribers with any third party.

The University of Louisville has obtained permission to use the content in this educational activity.

Commercial Support
No commercial support was received or used to fund this online course.

Online Module
Click on the link below to access the online module. Once you complete the patient scenario and post-test, the final page provides instructions to claim continuing education credit, access the evaluation, and generate your CME/CE certificate. If you are do not complete the course in one sitting, you may re-access the material by clicking into the course link in the same browser (do not use private browsing settings, which will not cache your session progress). If you need help re-accessing your partial course completion, please email the course director at .

Registration Fees
This course is provided at no cost to participants.