Research ArticleOriginal Research

Implementation of Transgender/Gender Nonbinary Care in a Family Medicine Teaching Practice

Irene Park Ulrich, Chase Harless, Gwen Seamon, Annie Kim, Lindsay Sullivan, Jenna Caldwell, Lisa Reed and Heidi Knoll
The Journal of the American Board of Family Medicine March 2022, 35 (2) 235-243; DOI: https://doi.org/10.3122/jabfm.2022.02.210182

References

  1. 1.↵
    1. Flores AR,
    2. Herman JL,
    3. Gates GJ,
    4. Brown T
    . How many adults identify as transgender in the United States? The Williams Institute. 2016. https://williamsinstitute.law.ucla.edu/wp-content/uploads/Trans-Adults-US-Aug-2016.pdf. Accessed June 17, 2021.
  2. 2.↵
    US Census Bureau. U.S. and World Population Clock. https://www.census.gov/popclock/. Accessed June 17, 2021.
  3. 3.↵
    1. Grant JM,
    2. Mottet LA,
    3. Tanis J,
    4. Harrison J,
    5. Herman JL,
    6. Keisling M
    . Injustice at every turn: a report of the National Transgender Discrimination Survey. https://www.transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf. Published 2011. Accessed October 15, 2021.
  4. 4.↵
    1. Wanta JW,
    2. Niforatos JD,
    3. Durbak E,
    4. Viguera A,
    5. Altinay M
    . Mental health diagnoses among transgender patients in the clinical setting: an all-payer electronic health record study. Transgend Health 2019;4:313–5.
    OpenUrl
  5. 5.↵
    1. James SE,
    2. Herman JL,
    3. Rankin S,
    4. Keisling M,
    5. Mottet L,
    6. Anafi M
    . The report of the 2015 U.S. Transgender Survey. National Center for Transgender Equality. 2016. https://transequality.org/sites/default/files/docs/usts/USTS-Full-Report-Dec17.pdf. Accessed June 17, 2021.
  6. 6.↵
    1. Dubin SN,
    2. Nolan IT,
    3. Streed CG,
    4. Greene RE,
    5. Radix AE,
    6. Morrison SD
    . Transgender health care: improving medical students' and residents' training and awareness. Adv Med Educ Pract 2018;9:377–91.
    OpenUrlCrossRef
  7. 7.↵
    1. Gonzales G,
    2. Henning-Smith C
    . Barriers to care among transgender and gender nonconforming adults. Milbank Q 2017;95:726–48.
    OpenUrlPubMed
  8. 8.↵
    1. Deutsch MB
    . Guidelines for the primary and gender-affirming care of transgender and gender nonbinary people. https://transcare.ucsf.edu/guidelines. Published June 17, 2016. Accessed June 17, 2021.
  9. 9.↵
    World Professional Association for Transgender Health. Standards of care for the health of transsexual, transgender, and gender-conforming people, 7th version. 2016. https://www.wpath.org/publications/soc. Accessed June 17, 2021.
  10. 10.↵
    1. Reisner SL,
    2. Bradford J,
    3. Hopwood R,
    4. et al
    . Comprehensive transgender healthcare: the gender affirming clinical and public health model of Fenway Health. J Urban Health 2015;92:584–92.
    OpenUrlPubMed
  11. 11.↵
    National LGBT Health Education Center. Affirmative care for transgender and gender non-conforming people: best practice for front-line health care staff. 2013. https://www.lgbtqiahealtheducation.org/wp-content/uploads/2016/12/Affirmative-Care-for-Transgender-and-Gender-Non-conforming-People-Best-Practices-for-Front-line-Health-Care-Staff.pdf. Accessed June 17, 2021.
  12. 12.↵
    1. Sekoni AO,
    2. Gale NK,
    3. Manga-Atangana B,
    4. Bhadhuri A,
    5. Jolly K
    . The effects of educational curricula and training on LGBT-specific health issues for healthcare students and professionals: a mixed-method systematic review. J Int AIDS Soc 2017;20:21624.
    OpenUrl
  13. 13.↵
    1. Tabaac AR,
    2. Sutter ME,
    3. Wall CSJ,
    4. Baker KE
    . Gender identity disparities in cancer screening behaviors. Am J Prev Med 2018;54:385–93.
    OpenUrlCrossRef
  14. 14.
    1. Brown B,
    2. Poteat T,
    3. Marg L,
    4. Galea JT
    . Human papillomavirus-related cancer surveillance, prevention, and screening among transgender men and women: neglected populations at high risk. LGBT Health 2017;4:315–9.
    OpenUrl
  15. 15.↵
    1. Kiely D
    . Transgender patient screening: breast cancer risk assessment and screening recommendations. Clin J Oncol Nurs 2017;21:E67–E70.
    OpenUrl
  16. 16.↵
    1. Hill L,
    2. Asheville NC
    . May be the most LGBT-friendly city in the U.S. Livability website. https://livability.com/nc/asheville/where-to-live-now/asheville-nc-may-be-the-most-lgbt-friendly-city-in-the-us. Published June 22, 2016. Accessed June 17, 2021.
  17. 17.↵
    1. Frechtling J,
    2. Sharp L
    . Overview of qualitative methods and analytic techniques. In: Handbook on designing and conducting mixed method evaluations. National Science Foundation. 1997. https://www.nsf.gov/pubs/1997/nsf97153/chap_3.htm. Accessed October 15, 2021.
  18. 18.↵
    1. Bengtsson M
    . How to plan and perform a qualitative study using content analysis. Nursing Plus Open 2016;2:8–14.
    OpenUrl
  19. 19.↵
    1. Stuckey H
    . The second step in data analysis: coding qualitative research data. J Soc Health Diabetes 2015;3:7–10.
    OpenUrl
  20. 20.↵
    1. Morenz AM,
    2. Goldhammer H,
    3. Lambert CA,
    4. Hopwood R,
    5. Keuroghlian AS
    . A blueprint for planning and implementing a transgender health program. Ann Fam Med 2020;18:73–9.
    OpenUrlAbstract/FREE Full Text
  21. 21.↵
    Centers for Disease Control and Prevention. Patient-centered care for transgender patients. https://www.cdc.gov/hiv/clinicians/transforming-health/health-care-providers/affirmative-care.html. Updated April 1, 2020. Accessed June 17, 2021.
  22. 22.↵
    1. Keuroghlian AS,
    2. Ard KL,
    3. Makadon HJ
    . Advancing health equity for lesbian, gay, bisexual, and transgender (LGBT) people through sexual health education and LGBT-affirming health care environments. Sex Health 2017;14:119–22.
    OpenUrl
  23. 23.↵
    1. Grant JM,
    2. Mottet LA,
    3. Tanis J,
    4. Harrison J,
    5. Herman JLK
    . Injustice at every turn: a report of the National Transgender Discrimination Survey. National Center for Transgender Equality and National Gay and Lesbian Task Force. 2011. https://transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf. Accessed June 17, 2021.
  24. 24.↵
    1. Puckett JA,
    2. Cleary P,
    3. Rossman K,
    4. Newcomb ME,
    5. Mustanski B
    . Barriers to gender-affirming care for transgender and gender nonconforming individuals. Sex Res Social Policy 2018;15:48–59.
    OpenUrlCrossRef
  25. 25.↵
    Institute of Medicine (US) Committee on Lesbian, Gay, Bisexual, and Transgender Health Issues and Research Gaps and Opportunities. The Health of Lesbian, Gay, Bisexual, and Transgender People: Building a Foundation for Better Understanding. Washington (DC): National Academies Press (US); 2011. https://www.ncbi.nlm.nih.gov/books/NBK64806/. Accessed October 15, 2021.
  26. 26.↵
    Centers for Disease Control and Prevention. Collecting sexual orientation and gender identity information. https://www.cdc.gov/hiv/clinicians/transforming-health/health-care-providers/collecting-sexual-orientation.html. Updated April 6, 2020. Accessed June 17, 2021.
  27. 27.↵
    1. Goldstein DA,
    2. Sarkodie E,
    3. Hardy WD
    . Transgender and nontrans patients do not receive statistically different quality primary care at Whitman-Walker Health, 2008–2016. Transgend Health 2019;4:200–8.
    OpenUrl
  28. 28.↵
    1. Kiran T,
    2. Davie S,
    3. Singh D,
    4. et al
    . Cancer screening rates among transgender adults. Can Fam Physician 2019;65:e30–7. https://pubmed.ncbi.nlm.nih.gov/30674526/. Accessed June 17, 2021.
    OpenUrlAbstract/FREE Full Text
  29. 29.↵
    1. Deutsch MB,
    2. Green J,
    3. Keatley J,
    4. Mayer G,
    5. Hastings J,
    6. Hall AM
    ; World Professional Association for Transgender Health EMR Working Group. Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group. J Am Med Inform Assoc 2013;20:700–3.
    OpenUrlCrossRefPubMed
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