Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/22337
Title: Australian endocrinologists need more training in transgender health: A national survey.
Authors: Bretherton, Ingrid;Grossmann, Mathis;Leemaqz, Shalem Y;Zajac, Jeffrey D;Cheung, Ada S
Affiliation: Robinson Research Institute, Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia
Department of Endocrinology, Austin Health, Heidelberg, Victoria, Australia
Department of Medicine, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Issue Date: 16-Dec-2019
EDate: 2019-12-16
Citation: Clinical endocrinology 2019; online first: 16 December
Abstract: An increasing number of trans and gender diverse (TGD) individuals are seeking gender-affirming hormone therapy for gender transition. Little is known about the levels of training, experience and confidence of endocrinologists in providing care and lack of training and experience is a potential barrier to individuals seeking appropriate and timely health care. We aimed to assess the level of training and confidence of Australian endocrinologists and trainees in the endocrine management of trans and gender diverse individuals in a representative sample. Endocrinologist and trainee members of the Endocrine Society of Australia were invited to participate in an anonymous 14-item survey. Of the 545 members, 147 clinicians (95 adult endocrinologists, 2 paediatric endocrinologists and 50 endocrinology trainees) responded. When presented with a scenario regarding commencement of gender-affirming hormone therapy, only 19% felt confident providing clinical care to TGD individuals. Compared to other areas of endocrinology, 75% felt less or not at all confident in commencing hormone therapy in a TGD patient. No training in transgender medicine during medical school or during their endocrinology training was reported by 96% and 60%, respectively. There were significantly higher levels of confidence in all aspects including performing a consultation in those who had previously seen a TGD patient. The desire for more training was high (91%). These results highlight the shortfall in training in TGD health care amongst endocrinologists and show that prior clinical experience is associated with higher levels of confidence. Medical schools and endocrinology fellowship training programmes will need to adapt to meet the increasing demand for quality TGD health services.
URI: http://ahro.austin.org.au/austinjspui/handle/1/22337
DOI: 10.1111/cen.14143
ORCID: 0000-0002-7158-8804
0000-0001-8261-3457
0000-0001-5257-5525
0000-0003-3933-5708
PubMed URL: 31845345
Type: Journal Article
Subjects: Australia
education
endocrinologist
gender diverse
survey
trainees
training
transgender
Appears in Collections:Journal articles

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