Inpatient Care of Transgender Individuals: Gender Affirming Hormone Therapy
Series Summary
LGBTQ+ patients face unique challenges that results in worse health outcomes, many of these are amplified when patients require hospitalization. To provide the highest value of care, Hospitalists must be aware of these challenges. This session is part of a series meant to prepare hospitalists to provide patient-centric care for LGBTQ+ patients.
This content developed out of work by the LGBTQ+ Task Force of the SHM Education Committee.
Target Audience
Physicians, NPs, and PAs practicing hospital medicine.
Series Learning Objectives
- Recognize LGBTQ+ as a social determinant of health.
- Document using language that is consistent with patients’ sexual orientation and gender-identity.
- Recognize that risk scoring systems and laboratory reference ranges are not validated for transgender patients.
- Described the risk of abruptly stopping gender-affirming hormone therapy.
- Describe best-practices for pre-exposure prophylaxis (PreP) therapy while patients are admitted to the hospital.
- Identify methods to advocate for LGBTQ+ patients.
- Apply methods for discussing gender identity, organ inventory, and sexual orientation with patients.
Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Statement
The Society of Hospital Medicine designates this enduring internet activity for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CONFLICT OF INTEREST DISCLOSURE POLICY
In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.
Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.
Disclosures
The faculty and planners of these activities have no relevant relationships to disclose unless otherwise explicitly noted below. All relevant relationships were mitigated prior to the start of this activity.
Faculty
Nicole Rosendale, MD (she/her)
Assistant Professor of Neurology
UCSF
Planning Committee
Tyler Anstett, DO (Course Director)
Keshav Khanijow, MD
Nicole Rosendale, MD
Rita Lee, MD
Scott Ness, MD
CONFLICT OF INTEREST DISCLOSURE POLICY
In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.
Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.
Accreditation Statement
The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Statement
The Society of Hospital Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Available Credit
- 0.25 ABIM MOC Self Evaluation PointsSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- 0.25 AMA PRA Category 1 Credit™
- 0.25 Non-physician