190602 - Primary Health Care for Trans, gender diverse and non binary people: an online training module
This module is designed for general practitioners, practice nurses and medical students to become familiar with and sensitive to the diverse terminology, experiences, health issues, standards, and referral pathways with respect to trans, gender diverse, and non-binary (TGDNB) patients. The overarching purpose is to promote more inclusive and responsive services for TGDNB people in primary health care settings.
The module complies with the current global best practice standards developed by WPATH (Wylie 2016) and current Australian practice. A TGD consumer reference group was consulted and the module was modified to reflect current community terminology and networks. The module contains information, interactive sections, video clips of experts in TGD care, a video of an interaction between a gender diverse patient and a GP, a case scenario to work through, and links to clinical and peer support referral networks around Australia.
There is an increasing number of transgender (‘trans’), gender diverse and non-binary (TGD) people presenting to general practice for care. They may present at any age from early childhood to older adults, both for standard primary care and for care associated with affirmation of their gender. GPs need to become more trans and gender diverse knowledgeable.
GPs have a number of important roles when seeing TGD patients. These include affirmation of gender identity and expression, referral for gender assessment to experienced clinical psychologists or psychiatrists, provision of supportive counselling or referral if there are psychosocial problems, initiation and monitoring of gender affirmation hormones, referral for speech pathology, referral for gender affirmation surgery, and support for families and partners.
To date there has been little or no access to TGD training for GPs.
D1. Communication skills and the patient-doctor relationship
Communication is clear, respectful, empathic and appropriate to the person and their sociocultural context
D2. Applied professional knowledge and skills
Appropriate mode of care delivery to suit the needs of the patient
D3. Population health and the context of general practice
The patterns and prevalence of disease are incorporated into screening and management practices
D4. Professional and ethical role
Professional knowledge and skills are reviewed and developed
D5. Organisational and legal dimensions
Patient confidentiality is managed appropriately
- Sex, sexuality, gender diversity and health
- Psychological health
- General practice teaching
Australia and New Zealand Professional Association for Transgender Health (ANZPATH) – endorsement Northwest Melbourne Primary Health Network – funding body and host of the module.