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1402. Creating Inclusive Clinical Learning Environments through DEI&B-Informed Practices, Pt. 2: Equity & Advocacy in Practice Focus: LGBTQ+ community and considerations for pelvic health- Registration and Pretest
Presented by Jamie Fleshman, SPT, Bridget Ochuko, SPT, Sarah Caston, PT, DPT & Anjanette C. Nuñez, PT, DPT
Name
*
First Name
Middle Init.
Last Name
Professional Credentials
Place of Employment
*
Location of Workplace
*
City, State
Email Address
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Confirmation Email
(Please ensure email addresses are typed exactly the same)
Phone Number
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Demographic Information:
Please respond:
1. Number of years as a Clinical Instructor:
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1-2
3-5
5-10
11-15
>15
NA
2. Please identify the clinical setting where you work:
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Acute
Inpatient Rehab
Outpatient
Academic/Non-Clinical
Other
3. Does the clinic/company where you work offer DEI&B-based training (e.g. implicit bias training) for employees?
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Yes
No
4. If Yes - is the bias training mandatory for all employees?
Yes
No
5. With what race/ethnicity do you identify?
*
6. How would you describe your sexual orientation?
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Heterosexual or "Straight"
Gay
Lesbian
Queer
A sexual orientation not specified above
Prefer not to say
7. How would you describe your gender identity?
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Cisgender
Transgender
Agender
Nonbinary
A gender not specified above
Prefer not to say
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In order to complete the registration process and gain access to the presentation, please complete the following Pretest:
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1401. Creating Inclusive Clinical Learning Environments through DEI&B-Informed Practices Part 2 - Pretest
1. In what way(s) do you think your sexual orientation and/or gender identity impacts your relationships with patients or students?
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2. In what way(s) do you feel your professional setting is inclusive and affirming to people with diverse sexual orientations and gender identities?
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3. Have you ever worked with the pregnant population within your clinic?
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Yes
No
4. What are some examples of gender-inclusive language in healthcare?
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Please respond to the question on each row:
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
5. I am able to differentiate between cultural
competency and cultural humility
6. I have practical, relevant resources and
skills to help facilitate cultural humility and self-reflection in the clinic.
7. I have the knowledge, tools, and understanding
to work with gender diverse patient population
Thank You!
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