Spectrum of Provider Competency

In an effort to increase access to informed care options we have created a self-rating scale for each of our clinicians to use as a tool to communicate their level of training and experiences in TGE care. This tool has been integrated as a requirement of membership starting in 2019.

By nature of the self-rating process, this tool is not a guarantee of competency level and CTHCG. Instead, including this self-rating tool is an effort to increase the level of information available to consumers and to encourage clinicians new to TGE care to participate as members as they work toward increased cultural competency through continuing education related to more advanced skill areas of TGE care.



The “cultural competence” self-rating system for CTHCG members was designed to assist individuals in the community in locating clinicians who can provide the level of affirming and/or specialized care they are seeking. Please identify your current level of competence in providing services to TGNC clients/patients, by indicating ages served by level.

_____________Trans-friendly: Defined as open, non-judgmental, and accepting with general knowledge only. These are often general practitioners and providers specializing in other clinical areas, who know a great deal about a variety of presenting issues and can help with many different concerns, but don’t necessarily have a specialty in helping patients with sexuality and gender concerns.

______________Trans-informed: Defined as possessing specific knowledge of minority stress, gender dysphoria and transgender and gender non-conforming (TGNC) identities. These providers have attended training(s) to educate themselves more specifically in order to provide TGNC focused services. These providers have some previous experience providing professional services to TGNC individuals and may often consult with Trans-specialists. 

______________ Trans-specialist: Defined as very experienced and educated regarding transgender and gender non-conforming (TGNC) patients. They are knowledgeable about various aspects of minority stress, transition considerations, and can adequately assess informed consent to provide referrals or provide the relevant transition-related care.  They have previously provided professional services to multiple TGNC individuals and may provide consultation, mentorship or supervision to trans-informed, trans-friendly and other trans-specialist providers. They are committed to ongoing TGNC professional development opportunities and often are members of professional organizations centered on TGNC care to remain informed on the latest research and clinical considerations.