Makini Chisolm-Straker1, Cathleen Willging2, Adrian D Daul3, Shannon McNamara4, S Cham Sante5, Daniel G Shattuck2, Cameron S Crandall5. 1. Mount Sinai Brooklyn Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: Makini.Chisolm-Straker@mssm.edu. 2. Pacific Institute for Research and Evaluation, Albuquerque, NM. 3. Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA. 4. St. Luke's/Mount Sinai West Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. 5. Department of Emergency Medicine, University of New Mexico, Albuquerque, NM.
Abstract
STUDY OBJECTIVE: We explore self-reported knowledge, attitudes, and behaviors of emergency physicians in regard to the care of transgender and gender-nonconforming patients to identify opportunities to improve care of this population. METHODS: From July to August 2016, we electronically surveyed the American College of Emergency Physicians' Emergency Medicine Practice-Based Research Network of 654 active emergency physician participants. We performed frequency tabulations to analyze the closed-ended response items. RESULTS: Of the 399 respondents (61% response rate), 88.0% reported caring for transgender and gender-nonconforming patients in the emergency department (ED), although 82.5% had no formal training about this population. The majority of physicians (86.0%) were comfortable asking about personal pronouns. Only 26.1% of respondents knew the most common gender-affirming surgery for female-to-male patients; 9.8% knew the most common nonhormone gender-affirming medication that male-to-female patients use. Almost no respondents (<3%) were aware of emergency medicine practitioners' performing inappropriate examinations on transgender and gender-nonconforming patients. CONCLUSION: Although transgender and gender-nonconforming people represent a minority of ED patients nationwide, the majority of respondents reported personally providing care to members of this population. Most respondents lacked basic clinical knowledge about transgender and gender-nonconforming care.
STUDY OBJECTIVE: We explore self-reported knowledge, attitudes, and behaviors of emergency physicians in regard to the care of transgender and gender-nonconforming patients to identify opportunities to improve care of this population. METHODS: From July to August 2016, we electronically surveyed the American College of Emergency Physicians' Emergency Medicine Practice-Based Research Network of 654 active emergency physician participants. We performed frequency tabulations to analyze the closed-ended response items. RESULTS: Of the 399 respondents (61% response rate), 88.0% reported caring for transgender and gender-nonconforming patients in the emergency department (ED), although 82.5% had no formal training about this population. The majority of physicians (86.0%) were comfortable asking about personal pronouns. Only 26.1% of respondents knew the most common gender-affirming surgery for female-to-male patients; 9.8% knew the most common nonhormone gender-affirming medication that male-to-female patients use. Almost no respondents (<3%) were aware of emergency medicine practitioners' performing inappropriate examinations on transgender and gender-nonconforming patients. CONCLUSION: Although transgender and gender-nonconforming people represent a minority of ED patients nationwide, the majority of respondents reported personally providing care to members of this population. Most respondents lacked basic clinical knowledge about transgender and gender-nonconforming care.
Authors: E Coleman; A E Radix; W P Bouman; G R Brown; A L C de Vries; M B Deutsch; R Ettner; L Fraser; M Goodman; J Green; A B Hancock; T W Johnson; D H Karasic; G A Knudson; S F Leibowitz; H F L Meyer-Bahlburg; S J Monstrey; J Motmans; L Nahata; T O Nieder; S L Reisner; C Richards; L S Schechter; V Tangpricha; A C Tishelman; M A A Van Trotsenburg; S Winter; K Ducheny; N J Adams; T M Adrián; L R Allen; D Azul; H Bagga; K Başar; D S Bathory; J J Belinky; D R Berg; J U Berli; R O Bluebond-Langner; M-B Bouman; M L Bowers; P J Brassard; J Byrne; L Capitán; C J Cargill; J M Carswell; S C Chang; G Chelvakumar; T Corneil; K B Dalke; G De Cuypere; E de Vries; M Den Heijer; A H Devor; C Dhejne; A D'Marco; E K Edmiston; L Edwards-Leeper; R Ehrbar; D Ehrensaft; J Eisfeld; E Elaut; L Erickson-Schroth; J L Feldman; A D Fisher; M M Garcia; L Gijs; S E Green; B P Hall; T L D Hardy; M S Irwig; L A Jacobs; A C Janssen; K Johnson; D T Klink; B P C Kreukels; L E Kuper; E J Kvach; M A Malouf; R Massey; T Mazur; C McLachlan; S D Morrison; S W Mosser; P M Neira; U Nygren; J M Oates; J Obedin-Maliver; G Pagkalos; J Patton; N Phanuphak; K Rachlin; T Reed; G N Rider; J Ristori; S Robbins-Cherry; S A Roberts; K A Rodriguez-Wallberg; S M Rosenthal; K Sabir; J D Safer; A I Scheim; L J Seal; T J Sehoole; K Spencer; C St Amand; T D Steensma; J F Strang; G B Taylor; K Tilleman; G G T'Sjoen; L N Vala; N M Van Mello; J F Veale; J A Vencill; B Vincent; L M Wesp; M A West; J Arcelus Journal: Int J Transgend Health Date: 2022-09-06
Authors: Ryan M Surmaitis; Marna Rayl Greenberg; Natalie E Ebeling-Koning; Phillip M Grenz; Cody R McWhirter; Beth A Careyva; Judith N Sabino; Matthew D Cook; Robert D Cannon; Andrew L Koons; Kenneth D Katz; Hope Kincaid; Lexis T Laubach; Gillian A Beauchamp Journal: J Med Toxicol Date: 2020-06-17
Authors: Joel Moll; David Vennard; Rachel Noto; Timothy Moran; Paul Krieger; Lisa Moreno-Walton; Sheryl L Heron Journal: AEM Educ Train Date: 2021-04-01
Authors: Lovro Markovic; Daragh T McDermott; Sinisa Stefanac; Radhika Seiler-Ramadas; Darina Iabloncsik; Lee Smith; Lin Yang; Kathrin Kirchheiner; Richard Crevenna; Igor Grabovac Journal: Int J Environ Res Public Health Date: 2021-06-27 Impact factor: 3.390
Authors: M Kathryn Allison; S Alexandra Marshall; Gray Stewart; Melissa Joiner; Creshelle Nash; M Kathryn Stewart Journal: J Emerg Med Date: 2021-06-25 Impact factor: 1.473