Joshua D. Safer, MD; Vin Tangpricha, MD, PhD
CME Objective: To review current evidence for terminology, initial evaluation, medical management, transgender-specific surgeries, medicolegal and societal issues, and practice improvement of transgender patient care.
Funding Source: American College of Physicians.
Disclosures: Dr. Safer, ACP Contributing Author, reports that he is employed at Icahn School of Medicine at Mount Sinai, served on an advisory panel for Endo Pharmaceuticals, and has given invited lectures for various academic institutions and professional organizations. His spouse is employed by Parexel. Dr. Tangpricha, ACP Contributing Author, has nothing to disclose. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-0182.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Catharine B. Stack, PhD, MS, Deputy Editor, Statistics, reports that she has stock holdings in Pfizer, Johnson & Johnson, and Colgate-Palmolive. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
With the assistance of additional physician writers, the editors of Annals of Internal Medicine develop In the Clinic using MKSAP and other resources of the American College of Physicians.
In the Clinic does not necessarily represent official ACP clinical policy. For ACP clinical guidelines, please go to https://www.acponline.org/clinical_information/guidelines/.
Transgender persons are a diverse group whose gender identity differs from their sex recorded at birth. Some choose to undergo medical treatment to align their physical appearance with their gender identity. Barriers to accessing appropriate and culturally competent care contribute to health disparities in transgender persons, such as increased rates of certain types of cancer, substance abuse, mental health conditions, infections, and chronic diseases. Thus, it is important that clinicians understand the specific medical issues that are relevant to this population.
Safer JD, Tangpricha V. Care of the Transgender Patient. Ann Intern Med. 2019;171:ITC1–ITC16. doi: https://doi.org/10.7326/AITC201907020
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Published: Ann Intern Med. 2019;171(1):ITC1-ITC16.
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