Population-Based Health in Practice: Improving Gender-Informed Care Through an Understanding of Personal Pronouns

Faculty

Rakesh Jain, MD, MPH
Clinical Professor
Department of Psychiatry
Texas Tech Health Sciences Center
School of Medicine – Permian Basin
Midland, TX
Diane M. Bruessow, MPAS, PA-C, DFAAPA
(she/her/hers)
Director of Justice, Equity, Diversity, and Inclusion, PA Online Program
Assistant Professor Adjunct, Department of Internal Medicine
Yale School of Medicine, New Haven, CT
Transhealth, Florence, MA
Healthy Transitions
Montclair, NJ
Diane M. Bruessow, MPAS, PA-C, DFAAPA

Diane Bruessow, PA-C, divides her time between practicing and teaching medicine. She is the Director of Justice, Equity, Diversity, and Inclusion and an Assistant Professor adjunct at the Yale School of Medicine PAO program, where she teaches the next generation of medical professionals about sexual and gender minority health. Her medical practice, Healthy Transitions, LLC, is dedicated to the care of transgender and nonbinary patients across the lifespan.

Tiffany A. Najberg, DO, FACEP
(she/her/hers)
CEO and Founder, Butterfly Medical Care
Shreveport, LA
Tiffany A. Najberg, DO, FACEP

Dr. Tiffany is a Board-Certified Emergency Physician who has served in busy emergency departments and provided prehospital care as well as remote care since 2007. A transwoman currently transitioning herself, she is the first open trans woman Emergency Physician in Louisiana. She is a business owner who owns her clinic, Butterfly Medical Care, in Shreveport, Louisiana. She practices acute care, primary care, LGBTQ care, and gender-affirming care there and via telehealth throughout the state. Her experience in remote medical direction led her to begin practicing transgender medicine via telemedicine, as making it accessible to all, even in isolated locations, is something she cares deeply about. She received her medical degree at the University of North Texas in Fort Worth and completed her emergency medicine residency at LSU New Orleans (Charity Hospital) and EMS fellowship with New Orleans EMS. She has been part of the teaching staff at Ochsner in New Orleans and St. Francis in Monroe and has a passion for medical education. She still actively instructs medical students at her clinic. Her non-medical interests include amateur storm chasing, writing, all things social, and she is a fierce advocate for public health, trans rights, women’s rights, and LGBTQ issues through her sizable online platforms.

Statement of Need

Transgender and non-binary individuals face overt discrimination and outright hostility in daily life, and the health care setting is not always a safe, welcoming place for these patients. This collective stigmatizing, invalidating, and traumatizing experience contributes to poor health outcomes for these individuals, including a disproportionate burden of depression, anxiety, and suicidal ideation and attempts. One low-effort, low-cost way to begin improving the care experience for transgender and non-binary patients is for clinicians and staff to ask for and use each patient’s preferred personal pronouns. This modest effort, when accompanied by empathetic communication and behavior, can begin to improve the experience for transgender and non-binary individuals and can encourage them to seek care proactively.

This educational presentation features health care experts who will share actionable strategies for incorporating the use of personal pronouns into clinical practice to foster a safe and inclusive care environment.

Learning Objectives

At the conclusion of this activity, learners will be able to better:

  • Identify the significance of personal pronouns in clinical practice, particularly in the care of patients who identify as transgender and/or non-binary
  • Implement actionable strategies incorporating the use of personal pronouns in clinical care to foster a safe, inclusive health care environment

Financial Support

This program is supported by an independent medical education grant from CVS Health.

Target Audience

Physicians, nurses, pharmacists, pharmacy technicians, physician associates (PAs), nurse practitioners (NPs), and other applicable health care clinicians

Credit Information

Jointly Accredited Provider

In support of improving patient care, CME Outfitters, LLC, 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.

Physicians (ACCME) 0.75

CME Outfitters, LLC, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Pharmacists (ACPE) 0.75

This application-based activity is approved for 0.75 contact hours (0.075 CEUs) of continuing pharmacy credit (JA0007185-0000-23-129-H01-P).

Pharmacy Technicians (ACPE) 0.75

This application-based activity is approved for 0.75 contact hours (0.075 CEUs) of continuing pharmacy credit (JA0007185-0000-23-129-H01-T).

 

 

Nurses (ANCC) 0.75

This activity is designated for 0.75 contact hours.

California Residents: Provider approved by the California Board of Registered Nursing, Provider # CEP 15510, for 0.75 Contact Hours.

Interprofessional (IPCE) 0.75

This activity was planned by and for the healthcare team, and learners will receive 0.75 Interprofessional Continuing Education Credit for learning and change.

Physician Assistants (AAPA) 0.75

CME Outfitters, LLC, 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 0.75 AAPA Category 1 CME credits. Approval is valid until 12/13/2026. PAs should only claim credit commensurate with the extent of their participation.

ABIM MOC 0.75

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Dietetics (CDR)

Completion of this RD/DTR profession-specific or IPCE activity awards CPEUs (1 IPCE credit = 1 CPEU). If the activity is dietetics-related but not targeted to RDs or DTRs, CPEUs may be claimed which are commensurate with participation in contact hours (1 hour/60 minutes = 1 CPEU). RDs and DTRs are to select activity type 102 in their Activity Logs. Performance Indicator selection is at the learner’s discretion.

MIPS Improvement Activity

Completion of this accredited CME activity meets the expectations of an Accredited Safety or Quality Improvement Program (IA_PSPA_28) for the Merit-based Incentive Payment Program (MIPS). Clinicians should submit their improvement activities by attestation via the CMS Quality Payment Program website.

Royal College MOC

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Disclosure Declaration

It is the policy of CME Outfitters, LLC, to ensure independence, balance, objectivity, and scientific rigor and integrity in all of their CE activities. Faculty must disclose to the participants any relationships with commercial companies whose products or devices may be mentioned in faculty presentations, or with the commercial supporter of this CE activity. CME Outfitters, LLC, has evaluated, identified, and mitigated any potential conflicts of interest through a rigorous content validation procedure, use of evidence-based data/research, and a multidisciplinary peer review process. The following information is for participant information only. It is not assumed that these relationships will have a negative impact on the presentations.

Dr. Jain reports the following financial relationships:

Advisory Board: Adamas Pharmaceuticals, Inc.; Alkermes; Corium, Inc.; Eisai Inc.; Janssen Pharmaceuticals, Inc.; Lilly; Lundbeck; Merck & Co., Inc.; Neos Therapeutics, Inc.; Neurocrine Biosciences, Inc.; Otsuka America Pharmaceutical, Inc.; Pamlab; Pfizer Inc.; Sage Therapeutics, Inc.; Shire Pharmaceuticals; Sunovion Pharmaceuticals Inc.; Supernus Pharmaceuticals, Inc.; Takeda Pharmaceuticals U.S.A., Inc.; Teva Pharmaceuticals USA, Inc.; and Usona Institute

Consultant: AbbVie Inc. (Allergan); Acadia Pharmaceuticals Inc.; Adamas Pharmaceuticals, Inc.; Alfasigma USA, Inc.; Axsome Therapeutics, Inc.; Biogen; Boehringer Ingleheim; Corium, Inc.; Cingulate; Eisai Inc.; Evidera; Impel Pharmaceuticals Inc.; Janssen Pharmaceuticals, Inc.; Lilly; Lundbeck; Merck & Co., Inc.; Neos Therapeutics, Inc.; Neurocrine Biosciences, Inc.; Osmotica Pharmaceuticals; Otsuka America Pharmaceutical, Inc.; Pamlab; Pfizer Inc.; Sage Therapeutics, Inc; Shire Pharmaceuticals; Sunovion Pharmaceuticals Inc.; Supernus Pharmaceuticals, Inc.; Takeda Pharmaceuticals U.S.A., Inc.; Teva Pharmaceuticals USA, Inc.; and Transcend Therapeutics

Research Support: AbbVie Inc. (Allergan); Lilly; Lundbeck; Otsuka America Pharmaceutical, Inc.; Pfizer Inc.; Shire Pharmaceuticals; and Takeda Pharmaceuticals U.S.A., Inc.

Speakers Bureau: AbbVie Inc. (Allergan); Alkermes; Axsome Therapeutics, Inc.; Corium, Inc.; Eisai Inc.; Indivior; Intra-Cellular Therapies, Inc.; Ironshore Pharmaceuticals Inc.; Janssen Pharmaceuticals, Inc.; Lilly; Lundbeck; Merck & Co., Inc.; Neos Therapeutics, Inc.; Neurocrine Biosciences, Inc.; Otsuka America Pharmaceutical, Inc.; Pamlab; Pfizer Inc.; Shire Pharmaceuticals; Sunovion Pharmaceuticals Inc.; Takeda Pharmaceuticals U.S.A., Inc.; Teva Pharmaceuticals USA, Inc.; and Tris Pharma, Inc.

Dr. Najberg reports no financial relationships to disclose.

Ms. Bruessow reports no financial relationships to disclose.

 

The following individuals have no financial relationships to disclose: 

Joshua Caballero, PharmD, BCPP, FCCP (Peer Reviewer)
Jeffrey Helfand, DO (Peer Reviewer)
Morgan Stockberger, MD (Planning Committee)
Jessica Whelan, DNP, APRN, FPMHNP-BC, RN-BC (Planning Committee)
Susan H. Yarbrough, CHCP (Planning Committee)
Sandra Caballero, PharmD (Planning Committee)
Sharon Tordoff (Planning Committee)
*All identified conflicts of interest have been mitigated.

Unlabeled Use Disclosure
Faculty of this CME/CE activity may include discussions of products or devices that are not currently labeled for use by the FDA. The faculty have been informed of their responsibility to disclose to the audience if they will be discussing off-label or investigational uses (any uses not approved by the FDA) of products or devices. CME Outfitters, LLC, the faculty, planners, and reviewers do not endorse the use of any product outside of the FDA labeled indications. Medical professionals should not utilize the procedures, products, or diagnosis techniques discussed during this activity without evaluation of their patient for contraindications or dangers of use.

Obtaining Credit

Post-tests, credit request forms, and activity evaluations must be completed online (requires free account activation), and participants can print their certificate or statement of credit immediately (70% pass rate required). This website supports all browsers except Internet Explorer for Mac.

Questions about this activity?

Call us at 877.CME.PROS (877.263.7767).

SNE-228-101725-80

Population-Based Health in Practice: Improving Gender-Informed Care Through an Understanding of Personal Pronouns
Event Date: 10/17/2025