ECHO Ontario Trans and Gender Diverse Healthcare –          Supporting clients with medical and surgical transition


Location: Videoconferencing
When: Thursdays Weekly
Dates: September 12 – November 21 2019
Time: 9:00 – 10:30 AM EST
Who: Physicians, nurse practitioners, psychologists, social workers, registered nurses

Are you a member of a primary healthcare team (physician, nurse practitioner, psychologist, social worker or registered nurse)?

Are you working with clients who have transition-related goals, including hormone replacement therapy and gender-affirming surgeries?

Do you want to connect with and learn from other healthcare providers who are also doing this work?

If so, please join this ECHO, which aims to provide a trans-affirming space for healthcare providers to learn from one another about medical transition, with a focus on supporting clients towards gender-affirming surgeries.

Why Apply?

  • It’s free. ECHO is fully funded by the Ministry of Health and Long-Term Care.
  • It’s virtual. All you need is a computer and a web cam, or a smartphone.
  • It’s fun. Connect with a growing community of primary and community care providers (including physicians, nurse practitioners, social workers, and more) across the province and build a Community of Practice.
  • Earn CME credits. ECHO has been certified by the College of Family Physicians of Canada and the Ontario Chapter for up to 1.5 Mainpro+ credits per session.
  • It works for you – and our system. ECHO represents a significant opportunity to improve individual knowledge and skills and also reduce disparities in the quality of care for rural and underserved areas.
What Will I Be Learning?

Please see the sample curriculum below:

Session # Presentation Topics
1 Introduction to gender-affirming healthcare
2 Increasing provider confidence in diagnosing gender dysphoria
3 Feminizing hormone therapy
4 OHIP-funded feminizing surgeries
5 Masculinizing hormone therapy
6 OHIP-funded masculinizing surgeries
7 Supporting clients to meet the WPATH readiness criteria for surgery
8 Discussing informed consent with clients
9 Providing comprehensive post-operative care and support
10 Flex session: Practical aspects of making referrals  for gender-affirming surgeries
11 Unique considerations for youth

Note: ECHO Ontario Trans and Gender Diverse Healthcare developed this curriculum based on a needs assessment and expert consensus, conducted with provincial primary care providers.

What is the Structure of a Session?

Each session consists of:

  • Introductions and announcements
  • A 20-minute presentation on a given topic (e.g., key processes to access OHIP-funded transition-related surgery)
  • 50 minutes of case-based learning, where healthcare providers (Spokes) present de-identified cases to the Community of Practice and receive recommendations from both the specialist Hub team and other community partner Spokes. All teach, all learn.
What is the Commitment?

  • Attend weekly 1.5 hour sessions (one representative from your organization should attend at least 60% of the sessions held)
  • Present 1-2 cases to the group during the cycle.
  • Participate in evaluation activities (e.g., surveys, focus groups).
What is Your Contact Information?

Please email Lucy at !


Hub Team


Frequently Asked Questions

What is the Cost?

All of our sessions are free, but require a commitment to actively engage in the peer learning community by sharing experience and presenting cases.

What Equipment is Needed?

ECHO Ontario at CAMH and UofT uses an internet-based video technology called Zoom. Participants can connect to the video sessions through their phone, tablet, laptop, or a computer with a webcam. Technical support is provided.

Is This Only for Physicians?

Any healthcare professional interested in engaging around a topic, sharing their experience, and learning from their peers can attend ECHO sessions. We welcome physicians, nurses, psychologists, counselors, social workers, healthcare administrators, community health workers, pharmacists, and public health practitioners. If you have any questions, please don’t hesitate to contact us.

Will My Case Presentation Be Confidential?

Only non-identifiable information is shared during the sessions. Our sessions are PHIPA compliant and a secure place to share information.

Can My Client Make an Appointment at ECHO?

Clients do not attend and are not seen during Project ECHO sessions. Instead, these sessions facilitate a way in which community providers connect to specialists and other community partners who help co-manage patients.