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The 25th Annual Martha Browning Bryant Memorial Lecture

October 7th, 2017 • Collaborate Life Science Building at OHSU • 2730 SW Moody Ave, Portland, OR 97201

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Come celebrate 25 years of MBB with us! This year's Martha Browning Bryant Memorial Lecture will focus on gender-affirming care and family building with transgender patients. Local experts from the Equi Institute, Kaiser and OHSU will help us build a framework of practice that can improve the quality and experience for our patients who do not identify with a gender binary and that will support the health and well-being of all of our patients.


Regular Registration: $150
Early Bird: $125
Students: $50

Please also consider making a donation to our Carol Howe Scholarship Fund, or the Marc Huggins Compassionate Support Fund.

Tuition includes: Continuing education certification, program syllabus, continental breakfast and lunch. Vegetarian meal option available.
Register online here.




American College of Nurse-Midwives Position Statement on Transgender/Transsexual/Gender Variant Health Care




Angela Carter, ND Dr Angela Carter began serving the LGBTQI2S community at 16 when they joined the Lavender Youth Recreation and Information Center (LYRIC) in San Francisco as a peer counselor on their youth hotline. They moved to Seattle in 1997 and joined Q Patrol, Seattle's LGBTQI2S street safety patrol organization. Over many years of volunteering with service orgs for and being part of the LGBTQI2S community, Dr. Carter developed a keen understanding of the discrimination and health disparities faced by their community. In 2007, they began medical school with an interest in Queer and Transgender health care. In 2009, they became chair of the Queers and Allies group on campus, facilitating educational seminars on LGBTQI2S health, changing clinic and school policy around gender requirements and improving aspects of LGBTQI2S care in the community clinics.

Dr. Carter's work has attracted a large and primarily transgender and queer patient base to their practice, uniquely positioning them to see larger trends in LGBTQI2S health and care. They have over 450 trans, non-binary and intersex patients under their care at this time. Dr Carter has attended and spoken at numerous conferences around the country in LGBTQI2S health. They teach classes and continuing education focused on the culturally-specific variables in primary care for LGBTQI2S and sexual minority communities and are adjunct faculty at the University of Western States. They also work with the Oregon Sexual Assault Task Force to improve the experience of Transgender and Gender Non-Conforming survivors of sexual assault. Dr. Carter is the Medical Director of The Sacred Vessel Clinic as well as co-director of the Equi Institute. They are a member of WPATH and the Oregon Transgender Health Coalition. They have volunteered continuously with the Portland LGBTQ Meaningful Care Conference since 2009, acting as co-director for two conferences.

Gene de Haan, MD Grew up in Salem, Oregon, moving to Portland after high school to attend Reed College. After earning a degree in English, Gene accepted a job at the Coordinator of Q Center, Portland's LGBTQ Community Center. While at Q Center, Gene organized a number of programs serving Portland's Queer and Trans communities. After creating a conference promoting LGBTQ cultural competency amongst health care providers, Gene became interested in medicine. Gene completed a second Bachelor's degree in Organismal Biology from Portland State University, and then attended medical school at the University of California, San Francisco. While at UCSF, Gene organized a multidisciplinary elective for health professional students focused on Transgender health care and participated in numerous research projects related to Trans health. Upon graduation, Gene moved back to Portland to complete residency training at OHSU. Gene's primary interest is LGBTQ health, with a focus in Trans care. Gene is a proud member of the Trans and Genderqueer community and is looking forward to serving the community in the Portland area.

Stephanie Detlefsen, MD Dr. Stephanie Detlefsen is a board certified Internal Medicine physician who created and is the physician lead of Kaiser Permanente Northwest's Gender Pathways Clinic. Practicing at Kaiser since 2001, Dr. Detlefsen developed a passion for caring for the transgender community, gradually specializing in transgender care over her tenure.

Dr. Detlefsen is also an assistant professor at OHSU, where she finished a Women's Health Fellowship in 2001. Before that, Dr. Detlefsen completed her residency at Dartmouth-Hitchcock Medical Center and medical school at Georgetown University School of Medicine. She holds a Bachelor of Arts from Princeton University and is originally from Northern California.

Mitzi Hawkins, MD Earned undergraduate degrees in Women Studies and Psychology at Seattle University before attending medical school at the University of California, San Francisco. Previously worked as community educator and advocate for sexual and reproductive health and anti-violence organizations. Before medical school, Mitzi worked in medical education research and curriculum development. Coauthor of the Early Abortion Training Workbook and contributor to American Academy of Pediatrics curriculum on adolescent sexual health. As a medical student, Mitzi was a volunteer and trainee at Lyon-Martin Health Services, a community feminist LGBTQ health center in San Francisco. Mitzi's clinical and research interests include comprehensive care for LGBTQ and specifically trans people, patient centered intrapartum care, medical education and family planning.

Heather Leffler, MSW, LCSW I am a Licensed Clinical Social Worker, licensed through the Oregon State Board of Clinical Social Workers. I received by BA in Psychology from Indiana University in 1992 and after working in community mental health for four years, I went on to obtain my Masters in Social Work from Portland State University's School of Social Work in 1998.

I have worked with queer, transgender, non-binary, kink, poly and HIV+ communities in outpatient medical and mental health settings and in private practice for the last 20 years both as a medical social worker and as a clinical counselor/therapist. I am currently part of the Gender Pathways Clinic team at Kaiser Permanente NW, providing care coordination and surgery readiness assessments for our trans and non-binary patients. As part of the GPC team, I assist with training both support staff and providers around how to improve care for our transgender and non-binary patients. Dr. Detlefsen and I also collaborate with OHSU's Transgender Health Program to provide patient education classes for people considering gender affirming surgeries. In addition to my work at GPC, I am the medical social worker for KPNW's Immune Deficiency Clinic, providing care coordination and counseling to our patients living with HIV/AIDS. I am a member of WPATH, the TransHealth Coalition and the Ryan White Planning Council.

Margot Presley, DNP, FNP Margot Presley is doctorate-prepared Family Nurse Practitioner (FNP) and works at Multnomah County Mid County Clinic as a primary care provider. She graduated in 2016 from OHSU with a Masters of Nursing as a Family Nurse Practitioner and completed her Doctor of Nursing Practice in 2017. Margot obtained her Bachelor's degree in Sociology from University of Wisconsin-Madison before pursuing a Masters of Nursing from the University of Minnesota-Twin Cities in 2011. Prior to her career in primary care, Margot worked as a social worker and mental health nurse for several years as a case manager working with LGBT young adults and people experiencing homelessness. Her areas of clinical interest include trans health, addiction, prenatal care and refugee and immigrant health.


Martha was a treasured member of the Portland midwifery community who was tragically murdered on her way home from a birth in 1992. The Martha Browning Bryant Memorial Lecture has been held annually to honor her memory and remember her spirit.

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Contact Lori Swain, Registrar, for more information:

Looking for more ACNM-Oregon Affiliate events? Check out our upcoming Miles for Midwives annual 5K fun run on September 24, 2016. Registration and details available here.

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