Tuesday, July 02, 2019

The Doctor Will See You Now

Most people don’t like going to the doctor’s office and even more so if you are trans.
New guidelines aim to enlist primary care physicians in transgender care
STAT
By Lauren Joseph
July 1, 2019

In a move that reflects a growing acceptance of transgender individuals in the U.S., the American College of Physicians on Monday issued its first guidelines on caring for transgender patients.

This isn’t the first set of such guidelines. They go back at least 10 years, initially aimed at endocrinologists, the medical specialty to which transgender individuals were often referred. What is newsworthy about the new guidelines is the audience, “your critical mass of general internal medicine people who are primary care providers and also people who are family medicine doctors,” said Dr. Joshua Safer, professor of endocrinology and executive director of the Mount Sinai Center for Transgender Medicine and Surgery in New York City.

According to the new guidelines, transgender medical care has been historically siloed to endocrinologists. “The biggest barrier to care reported by transgender people is lack of knowledgeable providers,” said Safer. Internal medicine and family physicians can provide this care, and it is in the scope of their practices, he added.
[…]
The American College of Physicians’ guidelines include sections on terminology, evaluation, medical management, transgender-specific surgeries, medicolegal and societal issues, suggestions for practice improvement, a handout for patients, and additional resources.
Maybe there’s hope for better healthcare for us. Instead of only a handful of doctors who will treat us we might have two handfuls of doctors.

I just had to break in a primary care physician and he didn’t  even blink an eyelash when he walked in to the examination room.

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