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- W2014694330 abstract "Background: In 2010, a clinic diabetic patient was noticeably depressed with increasing A1C and school difficulties. He confided with the social worker that he had always felt female. The goal to coordinate quality care for transgender youth began. Purpose: The Endocrine Clinic established a program to care for transgender youth, recognizing the difficulties gender variant individuals have in receiving appropriate care locally. Funded to pilot a Transgender clinic (T-Clinic), the T-Clinic team provided comprehensive medical, behavioral, and support services for this unique patient population. Description of Topic: An understanding of and training in gender dysphoria (GD) for all staff was crucial. The T-Clinic strives to be patient and family centered, cost effective, sustainable, innovative, and aligned with today’s health care transformation. Marketing the T-Clinic through outreach to local primary care physicians was crucial for growth. A local publication and involvement on boards of LGBT advocacy groups has resulted in inquiries and referrals from as far as Madrid, Spain, Texas, and Florida. In 2011 we served 2 patients. Presently over 40 GD patients, with 1-4 new referrals per month are followed in the T-Clinic. Clinical Implications: Today, GD is being identified and accepted by parents, clinicians, and communities at an increasing rate. The endocrinology nurse must possess knowledge of this unique patient population to advocate for each individual’s needs and to coordinate appropriate care, including the complex authorization process for appointments and medications, and obstacles set forth by insurance. Knowledge of current legal processes that could help end discrimination against transgender individuals is essential. Early medical and behavioral intervention is crucial for GD patients to have successful transition and social acceptance. Occasional complex clinical presentations require additional mental health support. The endocrinology nurse is an integral leader in the unique coordination of GD patients from referral to adult transition." @default.
- W2014694330 created "2016-06-24" @default.
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- W2014694330 date "2015-03-01" @default.
- W2014694330 modified "2023-09-27" @default.
- W2014694330 title "004–The Evolution of Randall Children's Transgender Clinic" @default.
- W2014694330 doi "https://doi.org/10.1016/j.pedn.2015.01.003" @default.
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