Gender-affirming enrichment guide
All patients Inclusive identifiers Does the electronic health record allow use of chosen name, legal name, or both? Can you create a pop up for names and pronouns? Introduce yourself with your pronouns to give patients permission to share theirs, if they choose to. When gathering gender identity, ask about gender and about original sex […]
Day 5: Pediatric gender-affirming care
Required reading and learning Would you like to add hours? Given the unique nature of children’s and teens’ civil rights, autonomy in medical decision-making capacity, and potential risks, care for pediatric patients presenting with gender non-conformity and gender diversity continues to have some controversy, mostly among lay people. Children as young as 2–3 years of age can present with features of gender diversity. Quite often, […]
Day 4: Gender-affirming surgical therapies
Required reading and learning Would you like to add hours? Gender-affirming surgical therapies may be an important goal for some patients seeking affirming care. Each patient will have specific needs and desires regarding, which features best align with their gender identity and expression. For some patients, surgery is one of the tools that will help […]
Day 3: Masculinizing therapies and treatments supporting masculine embodiment and expression
Required reading and learning Do you want hours here to be consistent with other days? In parallel to understanding the scope of feminizing therapies, supporting a patient seeking masculinization of gender identity and expression also may be supported first with reversible, lower risk therapies. The World Professional Association for Transgender Health (WPATH) considers all these […]
Day 2: Feminizing therapies and treatments supporting feminine embodiment and expression
Required reading and learning Required reading will take approximately 3 hours. Establishment of a diagnosis article Madeline B. Deutsch, MD, MPH. Overview of gender-affirming treatments and procedures. Gender Affirming Health Program. June 17, 2016. First, the establishment of a diagnosis and the requirement of a mental health letter of support are no longer required to […]
Day 1: Diagnosing gender dysphoria or gender identity disorder
Required reading and learning Required reading will take approximately 3 hours. A person’s first experiences with the sex assigned at birth, and how well that correlates with their gender identity, happen as early as age 2 when language develops, and young people are confronted with gender-segregated systems in the dominant culture. For some patients, a […]
Week 2: Formal diagnosis, treatment options, trauma-responsive care, and patient-centered approaches
Welcome to your second week of Gender-Affirming Care. Your learning remains paced with by daily material and assignments that will help you meet the learning goals in this course. You will find that some of the materials are assigned as required reading and others are added as supplemental learning. We encourage you to find inspiration […]
Day 5: The legal and human rights of trans- and gender-diverse people
Required reading, critical reflection, and learning Required reading and critical reflection will take approximately 3 hours. The struggle of trans and gender-diverse persons article The struggle of trans and gender-diverse persons. United Nations. This chapter from the United Nations reviews the human rights of TG/GD people based on expert opinion. It outlines current rights, responsibilities […]
Day 4: Cultural humility, values assessments, and patient-centered boundary setting
Required reading and learning Required reading will take approximately 2 hours. Inevitably, you will meet people who oppose gender-affirming care. They may have varied justifications and strategies for communication. They can show up in a variety of roles and settings. You will also likely meet clinicians who oppose gender-affirming care. Anticipating and planning for such […]
Day 3: Patient, community-centered and trauma-responsive history and exam
Required reading and learning Required reading will take approximately 3 hours. Best practices article Best Practices. American Psychiatric Association. Highlighted from the American Psychiatric Society’s, A guide for working with transgender and gender nonconforming patients briefly outlines best practices for care of GD/TG people in a variety of settings. Consider what you already learned in […]