title: A SIMPLE INTERVENTION RAISED RESIDENT-PHYSICIAN WILLINGNESS TO ASSIST TRANSGENDER PATIENTS SEEKING HORMONE THERAPY.
abstract: OBJECTIVE
  Lack of physician knowledge about transgender medicine is a barrier to care. An intervention with medical students changed attitudes about providing transgender medical care, but it is unknown whether at the level of postgraduate education an intervention could have a similar effect. We conducted such an intervention with resident-physicians.
  
  
  METHODS
  An intervention on transgender medicine covering the durability of gender identity and hormonal treatment regimens was added to the curriculum for residents. An anonymous survey assessed the residents' knowledge and willingness to assist with hormonal therapy before and after the lecture.
  
  
  RESULTS
  The percent of residents who agreed that they felt sufficiently knowledgeable to assist with hormonal therapy for a female-to-male patient increased significantly, from 5% before to 76% following the lecture (χ(2), 24.7; degrees of freedom, 1; P<.001). The percent of residents who reported that they felt sufficiently knowledgeable to assist with hormonal therapy for a male-to-female patient increased significantly, from 5% before to 71% following the lecture (χ(2), 24.0; degrees of freedom, 1; P<.001). The intervention increased resident knowledge about hormonal therapy for hypogonadal men (χ(2), 11.4; degrees of freedom, 1; P<.001) and women (χ(2), 9.4; degrees of freedom, 1; P = .002). The intervention made more residents agree that gender identity has a biologic basis that remains constant (P<.001) and that hormonal and surgical therapies should be offered (P = .047).
  
  
  CONCLUSIONS
  The lecture significantly increased residents' knowledge and willingness to assist with hormonal therapy for transgender patients.
authors.forename: Dylan D
authors.initials: DD
authors.lastname: Thomas
authors.forename: Joshua D
authors.initials: JD
authors.lastname: Safer
mesh_terms: D000328:Adult; D003479:Curriculum / Q000592:standards; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D020249:Hormone Replacement Therapy / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency; D008297:Male; D020380:Needs Assessment; D010820:Physicians / Q000523:psychology* / Q000706:statistics & numerical data; D016079:Refusal to Treat / Q000706:statistics & numerical data; D057829:Gender-Affirming Procedures / Q000523:psychology / Q000706:statistics & numerical data; D013337:Students, Medical / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D063106:Transgender Persons / Q000523:psychology; D014189:Transsexualism / Q000628:therapy*; D054928:Validation Studies as Topic; D014836:Volition