Emergency Care for Transgender and Gender-Diverse Children and Adolescents (Ethics CME)

Show Notes

1. What is the difference between gender and sexual orientation?
2. What are some of the terms we may encounter (current or retired)?
3. How does a lack of knowledge/competency regarding care for transgender and gender diverse youth create barriers to effective care? Or does it negatively affect the quality of care these patients receive?
4. What is the best way to approach a transgender patient in the ED?
5. There are a number of ways transgender patient may alter their appearance. Why are these methods relevant (complications) and how do I ask about them?
   • Tucking
   • Packing
   • Binding
6. What medical gender-affirming therapies are currently available? And what complications can they cause?
   • Pubertal suppression
   • Feminizing or masculinizing hormones
   • Contraception
7. Is gender-affirming surgery used in this population? What types (chest, genital)?
8. STIs and Pregnancy
9. What are some of the problems for which transgender youth are at an increased risk?
   • Substance abuse
   • Suicide
   • Self harm
   • Anxiety
   • Depression
   • Eating disorders
   • Physicians and sexual violence
   • Family rejection
   • Homelessness
   • Food insecurity
   • Poverty
10. What are some helpful resources if I want to learn more?
    • UCSF Center for Excellence for Transgender Health
    • PFLAG