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Caring for transgender inpatients

Hospitalists seek better training on gender identity issues


Dr. Katie Imborek
The Iowa clinic, which has been operating on Tuesday nights since 2012, has seen more than 600 patients, with 80% coming from outside the county in which the clinic is located.

“Many providers feel like they haven’t had the appropriate training to provide medically competent care for transgender patients – including cross-sex hormones, referrals, and care coordination to ensure patients receive the mental health care, medications, and procedures needed to treat their gender dysphoria,” Dr. Imborek said.

Despite the knowledge gaps, a shift is definitely underway, she said. Dr. Tangpricha concurred, noting that the interest in WPATH’s training programs has increased dramatically.

“In the past, there was a CME program on transgender medicine every 2 years. Now we have courses every 3-4 months and we still can’t keep up with the demand. Employers and hospital systems are adopting transgender medicine as a covered benefit which has driven the need for physician education.”