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拟议的研究项目工作是一项实施前研究，将填补我们在性别扩张患者（确定为变性人的个人和那些从社会性别概念中扩大的人）与cisgender患者之间癌症筛查和风险降低服务方面的知识空白。有了这个补充，BRIDGE-C2中心有两个主要目标：目标1：检查宫颈癌筛查和结果的护理经验和模式，以及与OHSU初级保健诊所看到的顺性别患者相比，性别扩张患者的烟草使用状况和戒烟服务。目标二：通过实施教学课程、体验活动、参加和出席会议的机会、研究和专业技能的导师以及临床指导，为硕士学位后的实习生陈先生提供指导性的研究培训和职业发展。

The proposed research project work is a pre-implementation study that will fill gaps in our knowledge around cancer screening and risk reduction services among gender-expansive patients (individuals who identify as transgender and those whose gender is broadened from society’s notion of gender) compared to cisgender patients. With this supplement, the BRIDGE-C2 Center has two main aims: Aim 1: Examine the experience and patterns of care for cervical cancer screening and results, and tobacco use status and cessation services among gender-expansive patients compared to cisgender patients seen in OHSU primary care clinics. Aim 2: Provide mentored research training and career development to Mr. Chen, a post-master’s degree trainee, by implementing didactic coursework, experiential activities, opportunities to attend and present at conferences, mentorship for research and professional skills, and clinical shadowing.