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Invited Commentary
May 2017

A Transgender Military Internist’s Perspective on Readiness for Treating Patients With Gender Dysphoria

Author Affiliations
  • 1Walter Reed National Military Medical Center, Bethesda, Maryland
JAMA Intern Med. 2017;177(5):729-730. doi:10.1001/jamainternmed.2017.0140

Public awareness concerning transgender health care has grown over the last few years, to a degree I never expected a decade ago while attending the Uniformed Services University with Dr Klein, the senior author of a survey of the readiness of military family physicians to treat patients with gender dysphoria.1 Unfortunately, the survey results demonstrate that physician education and comfort in treating gender dysphoria have not changed as rapidly as public awareness. The survey reveals that 74.3% of clinicians received no training at all on transgender care during their medical education. Even more disturbing, 52.9% said they would not personally prescribe cross-gender hormone treatment even if they were given additional training or guidance from an experienced clinician.