Gender affirming care guidelines

Webinar: Providing Gender Affirming Care and PrEP in a

Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People. Transgender people have a gender identity that differs from the sex which they were assigned at birth, and are estimated to represent 0.5% of the U.S. population.[1] Numerous needs assessments have demonstrated that transgender peopl Transgender people may seek any one of a number of gender-affirming interventions, including hormone therapy, surgery, facial hair removal, interventions for the modification of speech and communication, and behavioral adaptations such as genital tucking or packing, or chest binding What is an example of medical paternalism in gender affirming care? A. Withholding a referral for orchiectomy because a patient expresses thoughts of self harm B. Asking a patient what family or social support they have for their transition C. Requiring a psych consult before prescribing hormone therapy D. Answers A and C E A Review of Clinical Guidelines for Creating a Gender-Affirming Primary Care Practice • • • Author Affiliations: University of Wisconsin School of Medicine and Public Health, Madison, Wis (Bizub, Allen). Corresponding Author: Brian Bizub, University of Wisconsin School of Medicine and Public Health, 2310 Keyes Ave, Madison, WI 53711; phon page 3 GUIDELINES FOR MEDICAL NECESSITY DETERMINATION FOR GENDER-AFFIRMING SURGERY d. The member has capacity to make fully informed decisions and has consented to the procedure after limitations, risks, and complications of the procedure have been discussed

Gender-affirming hormone therapy, which involves the use of an estrogen and antiandrogen, or of testosterone, is generally safe but partially irreversible. Specialized referral-based surgical.. 2 Gender-affirming health care options Trans Care BC Primary Care Toolkit Gender-affirming health care options Gender-affirming health care must be individualized according to a patient's goals and can involve many different aspects of social, medical, and surgical care. The care we provide is intended to relieve gender dysphoria Essential Points. Diagnosing clinicians, mental health providers for adolescents, and mental health professionals for adults all should be knowledgeable about the diagnostic criteria for gender-affirming treatment, have sufficient training and experience in assessing related mental health conditions, and be willing to participate in the ongoing care throughout the endocrine transitio

  1. g people. While flexible, they offer standards for promoting optimal health care and guiding the treatment of people experiencing gender dysphoria - broadl
  2. g surgeries listed in section III are considered medically necessary for members when diagnosed with gender dysphoria pe
  3. Care of the Transgender Patient (July 2019), Annals of Internal Medicine, American College of Physicians, USA. Clinical Practice Guidelines (Nov 2017), Journal of Clinical Endocrinology and Metabolism, The Endrocrine Society, USA. Standards of Care vol 7 (2012), World Professional Association for Transgender Health
  4. g primary care with trans and non-binary patients, like its predecessor, was authored by Dr. Amy Bourns, a family physician on Sherbourne's LGBT2SQ Health Team.In addition to incorporating recently available evidence in both general primary care and trans health, the 2019 edition features revisions and expansions in several areas.
  5. Gender-Affirmative Care In a gender-affirmative care model (GACM), pediatric providers offer developmentally appropriate care that is oriented toward understanding and appreciating the youth's gender experience

Overview of gender-affirming treatments and procedures

The Guidelines for Gender Affirming Healthcare for Gender Diverse and Transgender Children, Young People and Adults in Aotearoa, New Zealand have been developed in acknowledgement of the substantial increase in demand and significant evolution that has occurred in the period since the publication of currently used documents To that end, offering a family system, anti-bias, attachment, trauma healing, stage of development, client centered, gender affirming approach is the optimal standard of care. Naturally, we will never be on point with all approaches though openness and humility and following these other guidelines will get us closer Gender arming treatment for transgender and gender diverse youth at Fenway Health is managed through Family Medicine primary care teams. Youth and their parent(s)/guardian(s) work together with the medical provider to develop a treatment plan based on the goals of treatment and any care needs based on age, development, medical and mental health conditions. Understanding the goals and concerns of the patient is important to support the individual and the family or larger support system Gender-affirming care also means affirming you as a whole person, and recognizing that gender affirmation is more than medical procedures To compare the persistence and desistance rates of children who received a gender-affirming care approach characterized by social gender transitioning, Dr Zucker used data from Steensma et al. (2013) which reported a systematic follow-up study of children in which some children were classified as having had either a partial or a complete social transition prior to puberty

PATHA - Guidelines for gender affirming care

As with testosterone replacement in non-transgender men, annual visits and lab monitoring are sufficient for transgender men on a stable hormone regimen. Endocrine Society guidelines recommend monitoring of hormone levels every 3 months. In practice this is not realistic and not likely to add value once a stable dosing has been achieved Access to gender-affirming care has a positive correlation with the mental health of transgender youth, and lowers their risk of suicide (Bauer et al., 2015). Decisions about whether to seek gender-affirming care, and what specific services to utilize, must be made between a provider, patient, and the patient's parents or guardians Gender-affirming health care has been described by Radix, Reisner and Deutch [ 4] as health care that holistically attends to transgender people's physical, mental, and social health needs and well-being while respectfully affirming their gender identity This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation surgery). Gender affirming surgery is a treatment option for gender dysphoria, a condition in which a person experiences persistent incongruence between gender identity and sexual anatomy at birth The Guidelines for Gender Affirming Healthcare for Gender Diverse and Transgender Children, Young People and Adults in Aotearoa, New Zealand were developed following the recognition that the previous good practice guide required updating to be in step with current practice and international standards

Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People. June 17, 2016 Second Edition . Madeline B. Deutsch, MD, MPH Editor; Guidelines for the Primary Care of Transgender and Gender Nonbinary People Director of Clinical Services; UCSF Center of Excellence for Transgender Health Associate Professor of Clinical Family and Community Medicine; University of. GUIDELINES FOR GENDER-AFFIRMING PRIMARY CARE WITH TRANS AND NON-BINARY PATIENTS - QUICK REFERENCE GUIDE FOR PRIMARY CARE PROVIDERS. REFERENCES 1. Levy A, Crown A, Reid R Endocrine intervention for transsexuals. Clin Endocrinol 2003; 59(4):409-18 2. Fung R, Hellstern-Layefsky M, Lega I. Is the lower dose of cyproteron Practicing gender-affirming care is about, Some resources to consult include the University of California San Francisco's transgender care guidelines and Essential Access Health's guide to. Developing Guidelines to Support Gender Affirming Mental Health Care Abstract The ACT Government's Capital of Equality Strategy sets out the approach to ensuring Canberra is a place where people who identify as LGBTIQ+, their families and communities are visible, valued and respected Medically Speaking: Providing Gender Affirming Care. Medically Speaking is a new column by Dr. Daniel Shumer and members of the Child and Adolescent Gender Clinic team at the University of Michigan. On April 6, 2021, the Arkansas State Legislature passed a bill making it illegal for medical professionals to provide gender-affirming.

Gender affirming care: guidelines and resources. The Sexual Health Infolink (SHIL) have collected key guidelines and resources to support gender affirming care of young people. These include clinical resources, patient information, links to services that offer psychosocial support, resources for family and friends of trans and gender diverse. Task Coverage hints for Gender Affirming Hormone Therapy in GIM Recommended quick reference for triage: UCSF Transgender Care and Treatment Guidelines Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People | Transgender Care (ucsf.edu) Transmasculine hormone therapy After the transformative legislation in 2014, an increasing number of insurance companies established gender transition-related policies. As more patients seek gender-affirming care, insurers deviate from international guidelines and create additional benchmarks that may act as barriers to care Gender-affirming care is considered standard of care and a medical necessity by nearly every major medical association in the United States, including the American Medical Association, the American Academy of Family Physicians, and the American Psychiatric Association 3. Whenever something is deemed medically necessary, it means this care.

Guidelines for gender-affirming primary care with trans and non-binary patients Trans and non-binary is an umbrella term used to encompass all people whose gender identities and expressions do not align with norms associated with their sex assigned at birth. Gender-affirming primary care encompasses the delivery of culturally competent care to. Diagnosing clinicians, a mental health provider for adolescents, and mental health professional for adults should be knowledgeable about the diagnostic criteria for gender-affirming treatment, have sufficient training and experience in assessing psychopathology, and be willing to participate in the ongoing care throughout the endocrine. current national and international medical guidelines in the care of gender diverse people. We are committed to staying up-to-date with the latest research and medical evidence to ensure you are getting the highest quality care. We know that there are competing approaches to gender-affirming care that are not based on validated scientific evidence patient is central to gender affirming care at Fenway. Whether and when any gender affirming medical interventions are recommended or initi - ated depends on the patient's specific situation and needs. Our criteria for hormone therapy are informed by the WPATH (World Professional Association for Transgender Health) guidelines

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Overview. The Center for Gender-Affirming Care, under the direction of Program Director Bixby Marino-Kibbee, LCSW, and co-medical directors Maja Marinkovic, M.D., and David Inwards-Breland, M.D., treats children, adolescents and young adults with gender dysphoria and related health care needs. We strongly believe that all youth deserve to have a medical home at Rady Children's Hospital-San. Discuss clinical guidelines for hormonal therapy for patients who are transgender and/or nonbinary. Practice having conversations around hormone therapy with transgender and/or nonbinary patients. Identify best practices that clinics can use to provide nondiscriminatory care, including the training of support staff Dr. Torres is a graduate of Wake Forest University School of Medicine. She is a member of the World Professional Association for Transgender Health (WPATH.) Her practice is informed by guidelines created by WPATH and by the UCSF Guidelines for Gender-Affirming Care. Dr. Torres is fluent in English and Spanish Gender-affirming pharmacological interventions for adolescents with gender dysphoria may be used to promote positive psychological well-being and mental health outcomes. Interventions range from completely reversible to partially irreversible, based on the age and sexual maturity of the adolescent * Abbreviations: GAC — : gender-affirmative medical care GnRHa — : gonadotropin-releasing hormone analogue TGD — : transgender and gender-diverse Transgender and gender-diverse (TGD) youth experience barriers to accessing health care and are at risk for poorer overall health compared with cisgender peers. In the last year, dozens of US legislative bills have been proposed to restrict the.

Statement on Gender-Affirmative Approach to Care from the Pediatric Endocrine Society Special Interest Group on Transgender Health (Curr Opin, Peds 2017) Read More UCSF Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary Peopl Mental health care may need to be continued after gender affirming surgery. The overall success of treatment depends partly on the technical success of the surgery, but more crucially on the psychological adjustment of the trans identified person and the support from family, friends, employers and the medical profession Guideline A. Hormone therapy (whether or not in preparation for gender affirming/reassignment surgery) will be covered as follows: 1. Treatment with gonadotropin-releasing hormone agents (pubertal suppressants) when based upon a determination by a qualified medical professional that the member is eligibl i The IEHP Transgender COE Program Guidelines were developed using the following document: Deutsch, M, Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People, UCSF Center of Excellence for Transgender Health, June 17, 2016

The World Professional Association for Transgender Health , the Endocrine Society , and other institutions (e.g., the University of California, San Francisco) provide excellent primary and gender-affirming care guidelines for TGE people Fortunately, WPATH updates its surgery and treatment guidelines every five to ten years. In general, these standards of care have become less restrictive over time. This reflects the growing recognition of gender diversity in society. The information below is based on version 7 of the standards of care, published in 2011

Our gender-affirming care benefits are based on the World Professional Association for Transgender Health (WPATH) guidelines. This is important because it ensures you have access to psychotherapy, hormonal therapy and medically necessary surgical services. We also don't limit sex-specific recommended preventive services based on your sex. Additionally, the Massachusetts Transgender Health Coalition has put together an information guide for gender-affirming care in the time of COVID-19. There are some helpful tips on who to reach out to for support and expertise in navigating issues like discrimination and delayed procedures 6728 Old McLean Village Dr McLean, Virginia 22101. Phone 703-718-6023 Fax 703-556-8729 info@pedsendo.or Arkansas passed a law April 6 prohibiting gender-affirming care for minors, the first law of its kind in the United States. These policies criminalize physicians' efforts to provide needed medical care and disregard widely accepted medical evidence, including the Society's internationally recognized Clinical Practice Guideline. Scientific. Every major medical association in the United States has issued statements supporting gender-affirming care for youth who meet the diagnostic criteria laid out in these standards of care and guidelines. By 2013, the year Max turned five, the fifth edition of DSM recategorized transgender people in terms of gender dysphoria rather than disorder..

OHSU expanding, improving transgender health services

Editorial Guidelines Proper gender-affirming care can mitigate a patient's clinical distress and lead to significant improvements in the overall well-being of youth and adolescents who. Gender affirming care. Gender affirming care is for transgender and gender-diverse youth who experience gender dysphoria (i.e., distress associated with physical sex characteristics). While not all individuals who experience a discrepancy between their gender identity and sex assigned at birth experience gender dysphoria, many do

Less emphasis is placed on the provision of mental health care until the patient requests it, unless significant mental health concerns are identified that would need to be addressed before hormone prescription. WPATH Standards of Care V7. See below for standards, guidelines and templates, including a GP Gender Affirming Management Plan. These. A new paper published May 25 in the journal LGBT Health presents guidelines for providing gender-affirming care of trans masculine patients enrolled in the iPledge program for treatment of severe inflammatory or scarring acne. Recommendations include collecting gender identity data in the iPLEDGE program to learn more about the use of isotretinoin among gender-diverse patients and increasing. Pentagon officials announced new guidelines Wednesday allowing transgender people to enlist and serve freely in the US military, as well as receive gender-affirming medical care. The new policies effectively sweep away some of the last vestiges of the Trump administration's ban on transgender troops serving openly HIV care providers should be familiar with initial laboratory monitoring and gender-affirming hormone treatment or provide referral to a clinician or endocrinologist experienced in transgender care. 96. Cancer screening should be conducted based on guidelines for the organs and tissues present in the individual. Evidence Summar

This includes gender identity-related care for patients ages 18-26 who identify as transgender. [NOTE: Fenway Health requires consent of all legal guardians prior to gender-affirming medical treatment for anyone under the age of 18.] To see a quick infographic, click here. For more information, go here Transgender Medical Care Guidelines. Dr. Gary Wheeler, who is a pediatric infectious disease physician and the president of the American Academy of Pediatrics Arkansas Chapter, says, HB1570 limits physician care and referral for transgender patients and is a dramatic invasion of the legislature into patient and physician privileged care All the guidelines discussed in this manuscript were designed for cis-gender patients and applied to the transgender community based on small case series. Currently, there is not sufficient to evidence to determine the long-term effects of gender-affirming hormone therapy on an individual's cancer risk Cancer care in transgender patients: Things to consider. Increasingly, transgender youth and adults are undergoing (or planning) gender-affirming surgery and taking masculinizing or feminizing hormones. If they have cancer, these treatments can have implications for their care, and cancer treatments in turn can have implications for their.

Gender affirming hormone therapy for individuals aged 17 and older. Parental/guardian consent required for <18 years. Resources and referrals for primary care, mental health, surgery, dental care, legal services, electrolysis, support groups, and more. Sensitive sexual/reproductive health care and preventive screenings N.W.T. health authorities have eliminated a requirement for transgender people to receive a psychiatric diagnosis before they can be referred for gender-affirming care. The guidelines, which. In the wake of that decision, Mika Covington, now 31, scheduled gender-affirming surgery as part of a decade-long process of transitioning to life as a female. Before the operation could take place, Gov. Kim Reynolds and the Iowa Legislature approved a law, House File 766 , intended to negate the effect of Supreme Court's decision

aspects of gender-affirming care, New York's policy is among the most expansive. 14 MassHealth, Guidelines for Medical Necessity Determination for Gender-Affirming Surgery, M ass . gov (July 31, 2019 ), https:/ Practical Guidelines for Transgender Hormone Treatment. Adapted from: Gardner, Ivy and Safer, Joshua D. 2013 Progress on the road to better medical care for transgender patients. Current Opinion in Endocrinology, Diabetes and Obesity 20(6): 553-558. KEY POINTS Developing Guidelines to Support Gender Affirming Mental Health Care Abstract The ACT Government's Capital of Equality Strategy sets out the approach to ensuring Canberra is a place where people who identify as LGBTIQ+, their families and communities are visible, valued and respected

Guidelines for Medical Necessity Determination for Gender

Local and national guidelines for LGBTQ population health issues. Best Practices in Gender-affirming Care. Guidelines for the primary and gender-affirming care of transgender and gender nonbinary peopl Gender-Affirming Health Care Should Be a Right, Not a Crime. As outlined in guidelines from the Endocrine Society, no medical interventions occur before the onset of puberty for education, care, and referrals. The need for more formal training, standardized treatment, and research on safety and medical outcomes often leaves providers feeling ill equipped to support and care for patients that identify as TGD and families. In this policy statement, we revie Even for providers offering gender-affirming care, the standard set out by the World Professional Association for Transgender Health (WPATH) is based on binary folks interested in fully transitioning. But that didn't fit the path that Reddit user Sarah Valentine wanted in their gender-affirming journey

The WPATH Standards of Care are a copyrighted publication which is made freely available in English and many other languages. We are very pleased to grant you permission to re-print an excerpt under the condition that the source of the excerpt is cited in such a way as to give full credit and ownership to the World Professional Association for Transgender Health and the authors of the document affirmation. This care of the patient and the provision of CSHT will be achieved with a client-centered approach that balances individual needs within a harm reduction philosophy. We also recognize that caring for TGNC patients is more than just the provision of CSHT and gender-affirming surgical procedures Introduction. Over the past several years, there has been sustained growth in institutional and social support for transgender and gender non-conforming (TGNC) care, including gender-affirming surgery (GAS) ().The American Society of Plastic Surgeons (ASPS) estimates that in 2016, no less than 3,200 gender-affirming surgeries were performed by ASPS surgeons WPATH Guidelines. The World Professional Association for Transgender Health promotes the highest standards of health care for individuals through the articulation of Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People. The SOC are based on the best available science and expert professional consensus. The overall goal of the SOC is to provide. If the patient desires gender affirming hormones, refer to the primary care provider (PCP), if not previously completed. Encourage the patient to join a transgender support group, if available. MEDICAL Perform history - focus on past medical history and history of GD hormones/surgery, include review of MH assessment (Pg. 5)

Caring for Transgender and Gender-Diverse Persons: What

care providers are expected to exercise their medical judgment in providing the most appropriate care for the individual clinical practice guidelines. Medicare coverage guidance is not available for gender affirming interventions. Therefore, the health plan's medical policy is applicable Institutional guidelines for transgender children and adolescent minors fail to adequately address a critical juncture of care of this population: how to proceed if a minor and their parents have disagreements concerning their gender-affirming medical care. Through arguments based on ethical, paediatric, adolescent and transgender health research, we illustrate ethical dilemmas that may arise. Indeed, in the recent update of its 2009 clinical practice guideline, the Endocrine Society recognizes that some youth may benefit from earlier administration of gender-affirming hormones (i.e., between age 13.5 and 16 yr).40 Many youth understandably express the desire to go through puberty in their affirmed gender at similar ages to their.

Gender Dysphoria/Gender Incongruence Guideline Resources

Background Transgender and non-binary people are disproportionately burdened by barriers to quality healthcare, mental health challenges, and economic hardship. This study examined the impact of the novel coronavirus disease (COVID-19) pandemic and subsequent control measures on gender-affirming care, mental health, and economic stability among transgender and non-binary people globally psychosocial readiness and eligibility of PATIENT who is seeking gender-affirming hysterectomy surgery. I am experienced in caring for peoplewith gender dysphoria, and am aware of the WPATH Standards of Care, version 7, guidelines for gender-affirming surgery. I have worked with PATIENT since MM/DD/YYYY in [weekly/monthly/etc. therapy OR for Primary Care Initiated Gender-Affirming Therapy for Gender Dysphoria: A Review of Evidence Based Guidelines. Chen S, Loshak H. Canadian Agency for Drugs and Technologies in Health, Ottawa (ON)Primary Care Initiated Gender-Affirming Therapy for Gender Dysphoria: A Review of Evidence Based Guidelines, 29 Oct 202 The number of children and adolescents seeking support for gender dysphoria—the distress caused by incongruence between gender identity and sex assigned at birth—has soared in recent years. On June 18, the first guidelines focusing solely on the care of transgender and gender-diverse children and adolescents were published by the Royal Children's Hospital Gender Service, Melbourne, Australia The best way to learn about coverage of gender-affirming care is to speak with your insurance provider to understand your benefits, if any, and exactly what your coverage will be. Beyond changing the pitch, are there other voice effects after an operation? Yes. Sometimes the voice will sound rougher and may require more effort to produce

Gender Affirming Care - NSW Sexual Health Info Link

Finland Issues Strict Guidelines for Treating Gender Dysphoria. Western countries around the world are grappling with how to treat the exponentially growing number of children and adolescents being referred to gender clinics for puberty blockers, cross-sex hormones and gender-affirming surgery. Finland recently issued very strict clinical. GUIDELINES 3 & 4 GL 3: Psychologists seek to understand how gender identity intersects with the other cultural identities of TGNC people. GL 4: Psychologists are aware of how their attitudes about and knowledge of gender identity and gender expression may affect that quality of care they provide to TGNC people and their families

Primary Health Care for Trans Patients | Rainbow HealthClinical Transgender Program - Brigham and Women&#39;s Hospital

allows Medicaid and other state-funded health care providers to choose not to cover transgender-related care. As a result, the current ability of transgender Iowans to access gender-affirming care through Medicaid is uncertain, and advocates are pursuing clarification (and access to care) through the court system. Kansa As health care providers, prescribing gender affirming hormones is no different than prescribing medicines for pregnancy prevention, blood pressure control, or diabetes management. We assess the clinical scenario, discuss available therapeutic options for the desired goals — with their risks and benefits — and the patient decides whether to. Gender-affirming hormones can be prescribed and monitored in a primary care setting in most cases. Several local resources have been developed to assist GPs to prescribe hormone therapies. Training and professional development activities are available, and mentoring by a colleague with experience working in the field is recommended

4th edition: Sherbourne's Guidelines for gender-affirming

In 2017, the Ryan White HIV/AIDS Program provided services for 8,811 transgender people, representing 1.8% of Ryan White clients. 15 Of these transgender clients, 7,837 (89%) were transgender women, 853 (10%) were transgender men, and 121 (1%) were transgender with current gender unknown. The majority were black and/or African American (5,081. The affirmation of smaller studies that observed positive health outcomes associated with gender-affirming care has an enormous impact on improving access to gender-affirming care. Organizations, like the American Psychiatric Association, will now be able to write much more robust guidelines for providing gender-affirming care with the amount.

Rainbow Health Ontario

Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People. Second ed., Deutsch MB, ed. University of California, San Francisco, Transgender Care. [Published: Jun 2016; Accessed: Apr 2020 Medical training in transgender health care is lacking and 79% of Australian clinicians experienced in prescribing gender‐affirming hormone therapy supported the development of local guidelines.11 As such, we aim to provide specific recommendations for the hormonal and related management of TGD individuals aged over 18 years for Australian. A judge has temporarily blocked enforcement of a first-of-its-kind law passed in Arkansas that bans gender-affirming treatment for trans youth.. On Wednesday, U.S. District Judge Jay Moody granted an injunction against Arkansas' House Bill 1570, which bars doctors and other medical professionals from prescribing transition care to minors under the age of 18 Many major U.S. medical societies and associations, including the American Academy of Family Physicians, have issued statements in support of insurance coverage for gender-affirming care Transgender hormone therapy, also sometimes called cross-sex hormone therapy, is a form of hormone therapy in which sex hormones and other hormonal medications are administered to transgender or gender nonconforming individuals for the purpose of more closely aligning their secondary sexual characteristics with their gender identity.This form of hormone therapy is given as one of two types.

Ensuring Comprehensive Care and Support for Transgender

Gender affirming health care, including surgical procedures such as those listed below, are the responsibility of DHBs. Guidelines for gender affirming healthcare for gender diverse and transgender children, young people and adults in New Zealand. Healthpoint: Northern Region Transgender Health Services Providing youth with access to comprehensive gender-affirming and developmentally appropriate health care. Providing family-based therapy and support be available to meet the needs of parents, caregivers and siblings of youth who identify as transgender Health care for transgender New Zealanders. Social stigmatisation and discrimination, including within the health care system, is a barrier to accessing health services and contributes to adverse outcomes. Transgender people have the right to respectful health care. General health care needs are best supported in primary care The Medical Care Criteria Committee (MCCC) produces the HIV Care guidelines The NYSDOH Clinical Education Initiative (CEI) provides CME on HIV, HCV, and STD care → Learn More Subscribe to our mailing list to be notified when new or updated guidelines are published → Sign up no Join GPs and trans advocates on the morning of Sunday 26th September at the PATHA Symposium to learn more about providing gender affirming health care in general practice. This session will have a focus on prescribing gender affirming hormone therapy, how to support your gender diverse patients and will explore the proposed guidelines for.