Medical Decision Making in Pediatric Gender-Affirming Care: A Case-Based Discussion for Providers Across Pediatrics

Sunday, April 30, 2023

2:00 PM – 3:30 PM ET

Location: Convention Center: 151 B

CE: Live CME: 1.50

Selected By: Endo
Co-sponsored By: Endo, SAHM

Chair(s)

Brittany Allen, MD (she/her/hers)

Associate Professor of Pediatrics
Pediatrics
University of Wisconsin School of Medicine and Public Health
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin, United States
Gina Sequeira, MD, MS (she/her/hers)

Assistant Professor of Pediatrics
Seattle Children's
Seattle, Washington, United States

Disclosure(s):

Brittany J. Allen, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Gina M. Sequeira, MD, MS: No financial relationships to disclose

Session

Description: Many transgender, non-binary, and gender diverse (TNG) youth experience a combination of gender dysphoria (distress over one’s body not matching one’s gender identity) and anti-trans stigma and discrimination. Many healthcare providers in endocrinology, adolescent medicine, and general pediatrics are caring for increasing numbers of TNG youth. There are, however, many challenges to delivering high-quality health care for TNG youth: (1) few pediatric providers have received education or training in this area; (2) a combination of anti-trans stigma and discrimination from society, including legislative discrimination; and (3) limited opportunities to collaborate with other experienced providers about complex cases. This international conference environment provides a unique opportunity to bring individuals with diverse perspectives together to discuss challenging cases with other providers from across specialities and across the globe. This session will use a case-based format to facilitate a dialogue between providers who have existing clinical experience caring for TNG youth. It is our hope that this collaboration and the opportunity to engage with members of a multidisciplinary expert panel will provide attendees an opportunity to develop critical thinking skills to manage medically complex TNG adolescents in their clinical practice. Success metrics would include: tracking number of attendees (outcomes: total number, different specialities represented, different levels of training represented) as well as pre and post-session assessments to assess changes in provider knowledge, attitudes and skills. This proposal is supported by the Executive Committee for the AAP Section on LGBT Health and Wellness.

Learning Objectives:

Identify resources available to support the provision of gender-affirming care in pediatric primary care.
Formulate management plans for sample complex cases from available empirical evidence, clinical knowledge, and personal/expert experiences.
Describe differences approaches to sample complex cases in the care of gender diverse youth based on discussion by multidisciplinary panel of experts.

Presentations:

2:00 PM – 2:10 PM ET

Introduction: Session orientation and introduction to cases with Britt Allen and Gina Sequeira
Speaker: Brittany J. Allen, MD (she/her/hers) – University of Wisconsin School of Medicine and Public Health
2:10 PM – 2:20 PM ET

Review of cases by audience members in small groups.
2:20 PM – 3:20 PM ET

Panel Discussion (Facilitation: BA and GS, with panelists AC, KK, and a mental health provider)
Facilitator: Brittany J. Allen, MD (she/her/hers) – University of Wisconsin School of Medicine and Public Health
Speaker: Elyse Pine, MD – Chase Brexton Health Care
Speaker: Gina M. Sequeira, MD, MS (she/her/hers) – Seattle Children's
Speaker: Ariel Cohen, MD, MSEd (he/him/his) – Kaiser Permanente - Mid-Atlantic Permanente Medical Group
Speaker: Kate MacShane
3:20 PM – 3:30 PM ET

Closing Remarks Q&A
Speaker: Brittany J. Allen, MD (she/her/hers) – University of Wisconsin School of Medicine and Public Health
Speaker: Gina M. Sequeira, MD, MS (she/her/hers) – Seattle Children's