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Trans men and women, drag kings and non-binary folks should have a place in community, too

(Photo: Rex)

It stung when RuPaul, mother of mainstream drag, said he “probably” wouldn’t allow cis or trans women to compete on upcoming seasons of his show Drag Race . His off-the-cuff remark, mentioned in an interview with the Guardian , was made during a discussion about how drag can be an important counterbalance to male-dominated culture.

I’m new to the world of drag. But in the eight months since I became a drag artist myself, I’ve experienced similarly problematic comments. I perform as a drag king, meaning I’m a woman who takes to the stage dressed as a man. My drag character, Dreamboy, does everything on 10: big moustache, big eye makeup and a whole lot of glitter. I don’t put too much effort into making myself look hypermasculine: I’m 5’3” and have the twig arms of a weak 12-year-old. I will never be a hunk.

My handful of performances have mostly been well-received, but not by everyone. A few months back, during a drag king competition, a judge told me that my figure wasn’t masculine enough. As someone who has becoming increasingly dysphoric about the femininity of my body in recent years, this was incredibly discouraging to hear—especially in a purportedly safe queer space. After all, drag is meant to deconstruct, disrupt and reject conventional ideas about gender. It’s a way for performers to feel seen and empowered in all their differing beauty.

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When drag becomes exclusionary, it fails to live up to the values it was founded upon. By arguing for a narrow definition of what makes a “legitimate” drag king or queen, cis gay men like RuPaul—or anyone within the community—reinforce sexist, heteronormative ideas about how men and women should look and behave. Their gatekeeping supports the patriarchy: barring cis and trans women from participating, or devaluing their work, is just another way of privileging male voices.

The writer performing as Dreamboy (Photo: James Lai)

RuPaul’s remarks came just a few weeks before he became the first drag queen to get a star on the Hollywood Walk of Fame.

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In the past, when a physician wanted to view a specific patient population, he or she would need to email a data analyst who would then conduct a database query…or add it to the long list of report requests. Usually, the requests were iterative and required refinement resulting in multiple back-and-forth emails. Now, this physician (or anyone with access to the application) can use an application called Cohort Builder.

Cohort Builder is built on the Health Catalyst data warehouse and allows people who are not data analysts (nor experts on querying databases) to conduct complex queries to find patient cohorts using a self-service, simple interface. Users can input clinical and demographic criteria to identify specific populations of patients, share population definitions with other users, and download detailed information on these populations.Additionally, the application can be deployed in a patient de-identified configuration to facilitate pre-IRB analysis.

When identifying a cohort, it is important to considerthe level of detail or “grain” needed first. There are three fundamental cohort levels exposed in Cohort Builder:

It is easier to identify cohorts using procedure-based criteria (like appendectomies). Pulling cohorts based on chronic conditions (like asthma) is more difficult due to complexities in identifying patients who may not be presenting with a primary complaint related to that chronic condition Also, there are cases where patients would leave a cohort after extended periods of time in remission and re-enter if the condition re-presents itself. Episode-centric criteria (like pregnancies) become challenging because patients may have multiple encounters over many months with several providers. Determining which of these is really part of the episode and which are unrelated can be difficult.

Also, there are times it is challenging to decide whether a patient falls into a patient-centric cohort or an episode-centric cohort. Take depression as an example. If you have a traumatic event in your life that causes you to seek temporary help from a mental health specialist, you may meet criteria that would include you in a depression patient-centric cohort. However, you probably belong in a depression episodic-centric cohort. In this case, the patient-centric cohort would include you only if you have suffered and received treatment for depression since childhood.

There are many places to look when creating a cohort. Cohort Finder can leverage any discrete field in the enterprise data warehouse, but out of the box it contains many of the most valuable clinical and administrative data including:

Cohorts can be further refined through iterations with the organization’s knowledge manager, clinician input and by utilizing evidence-based standards.

After a cohort has been defined, you will begin to tie metrics and stratifications to the cohort. Each distinct cohort may have its own unique set. (We will dive into the types of common metrics and stratifications in another post.) For now, let’s tackle one of the most important stratifications found with many, if not all, cohorts: risk stratification .

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After working with thousands of schools across the United States, we've learned that implementations get the best results when administrators, teachers, and students receive the best ongoing support.

Implementing a new program can be complex, but with Lexia Implementation Services you are fully supported from day one, making the process as seamless as possible. When you purchase support services from Lexia, your assigned Implementation Manager will proactively consult with and assist your team while providing the following deliverables during your first year of implementation:

Providing technical set‐up guidance

Drafting a realistic Lexia Implementation Plan based on school improvement and/or literacy goals

Guiding scheduling of students for Lexia usage in classrooms, computer labs, intervention blocks, before/after school, and at home

Organizing and schedulinga certified Lexia Professional Learning Facilitator to deliver one full day of on-site training with your staff and schedulingneeds in mind

Reviewing real-time metrics with your team three times per year via video and phone conferences to monitor important implementation milestones in relation to goals and student and staff needs

Organizing, scheduling, and delivering web‐based professional learning sessions, as needed

Collaborating with your team to update your Lexia implementation plan to reflect refined goals and student and staff needs

More professional learning

Organization, scheduling, and delivering of web‐based professional learning sessions, as needed, with acertified Lexia Professional Learning Facilitator

Access to Training-On-Demand video modules within myLexia

Assistance with summer school implementations, end-of-year maintenance, and new year start up

“Lexia Learning is amazing! Not only do they provide a high quality technology-based literacy program, but they have supported us each step of the way with a seamless implementation plan and solid training.”

—Jan Eckola, Director of Instruction, Lake Geneva J1 School District, Lake Geneva, WI

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—Michelle Rojas,Reading Coach,Somerset Academy Miramar, FL

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During the 2015–2016 schoolyear,Lexia analyzed the implementation fidelity of nearly 1,400 schools that had asitelicenseforLexiaReadingCore5®.The analysis of all students using Core5 in schools with site licenses shows that students who use the program withfidelityare 5timesmore likelyto reach theirend-of-year,grade-levelbenchmarks in the program as compared to students using the program a minimal amount (20 minutes per week).

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