Episode 18: The Q Card Project ft.Genya Shimkin, MPH

Thank you Marsha P. Johnson and Sylvia Rivera. We honor you!!


According to the Williams Institute at UCLA, “heightened exposure to bullying and harassment by sexual and gender minority youth is associated with increased risk of absenteeism, lower GPAs, school discipline and decreased rates of college or other post-high school plans. It is also associated with increased odds of negative health outcomes and risky behaviors, such as lower self-esteem, higher levels of depression, and increased alcohol consumption, cigarette smoking, marijuana use, and use of other illicit drugs.” How can we create positive health outcomes for our vulnerable queer young people? How can we help queer youth communicate in a healthcare setting in a way that is comfortable and safe? Today, we chat with Genya Shimkin the founder of the Q Card Project. Please enjoy!



Show Notes



Taking a badass sexual history

“In this vignette a clinician takes a gender a sexual history of a new patient. 

This vignette is part of a clinical vignette series highlighting various aspects of the health of LGBT and gender nonconforming populations and is designed to give learners the opportunity to analyze clinician-patient communication strategies. The series can be used in a variety of ways from independent learning to small group learning to large group learning. Each clip is generally 3 – 5 minutes long with discussion questions and additional resources listed at the end of each scenario. In an ideal setting the learner would be able to practice the communication strategies identified after viewing the vignettes. 

Learning Objectives:
By the completion of this vignette/vignette series, the learner will be able to:
• Identify 3 strategies for engaging LGBT patients in the clinical environment.
• Discuss methods to sensitively approach history taking and physical examination with LGBT patients.
• Describe 3 verbal or non-verbal strategies to identify sexual orientation and gender identity in the clinical environment.
• Describe 3 unique risk factors for health conditions related to sexual orientation and gender identity.
• Outline 3 techniques for tailoring health promotion strategies to the needs of LGBT patients.

To learn more, please visit:


Who is Miss Major?

Miss Major Griffin-Gracy (born October 25, 1940), often referred to as Miss Major, is a trans woman activist and community leader for transgender rights, with a particular focus on women of color. She serves as the Executive Director for the Transgender Gender Variant Intersex Justice Project, which aims to assist transgender persons who are disproportionately incarcerated under the prison-industrial complex. Griffin-Gracy has participated in activism for a wide range of causes throughout her lifetime, including the 1969 Stonewall riots in New York City.


Keep Up With Miss Major



Meet Genya Shimkin, MPH

Genya Shimkin (she/her/hers) moved to Seattle in 2011 to pursue a Master’s Degree in Community-Oriented Public Health Practice at the University of Washington, and graduated in June 2013. Her primary areas of research and practice include LGBTQ health and healthcare disparities, HIV prevention and education, and harm reduction. Originally from Albany, New York, Genya holds a Bachelor’s Degree in Human Rights and Russian Studies from Bard College. She has completed a range of community-based public health projects in New York’s Hudson Valley, St. Petersburg (the Russian one), Baltimore, and around Puget Sound. Genya currently works at Teen Feed in Seattle, where she serves as Team Lead for the Youth Access to Care project, which works to link homeless and unstably housed young adults with healthcare services. She runs the Q Card Project with a dedicated group of friends and volunteers, and offers trainings for youth and providers throughout the Seattle area (email genya@qcardproject.com if you’re interested in having her talk to your group!).

Genya enjoys drinking tea, petting puppies, and wearing bow ties.


Contact Information

Learn more about Q Card Project

Purchase Q Cards

Sponsor Q Cards

Take the Q Card Project survey





Thank you Q Card Project