Paeds Vivas · adolescent-and-young-adult-medicine
Gender diversity and gender-affirming paediatric care — branching viva
Branching viva on the four concepts, the staged reversible-first pathway, pubertal suppression at Tanner 2, bone-health and fertility surveillance, conversion-effort prohibition, and the regional guideline differences.
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Study tools
Target exams
RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
You are the paediatric registrar in an adolescent clinic. The examiner moves from definitions to the staged pathway, an eligibility and timing question, a bone-health trap, a family conversion request, and the regional guideline differences.
Stem
The examiner tests whether you can run a safe, affirming, evidence-anchored gender-care consultation under pressure and defend the timing, surveillance and consent decisions. [1] [2]
References8ShowHide
- [1]Rafferty J Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse Children and Adolescents. Pediatrics, 2018.PMID 30224363
- [2]Hembree WC, Cohen-Kettenis PT, Gooren L, et al Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab, 2017.PMID 28945902
- [3]Coleman E, Radix AE, Bouman WP, et al Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgend Health, 2022.PMID 36238954
- [7]Turban JL, King D, Carswell JM, Keuroghlian AS Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation. Pediatrics, 2020.PMID 31974216
- [8]Turban JL, Beckwith N, Reisner SL, Keuroghlian AS Association Between Recalled Exposure to Gender Identity Conversion Efforts and Psychological Distress and Suicide Attempts Among Transgender Adults. JAMA Psychiatry, 2020.PMID 31509158
- [10]Vlot MC, Klink DT, den Heijer M, et al Effect of pubertal suppression and cross-sex hormone therapy on bone turnover markers and bone mineral apparent density (BMAD) in transgender adolescents. Bone, 2017.PMID 27845262
- [11]Thompson L, Sarovic D, Wilson P, et al. A PRISMA systematic review of adolescent gender dysphoria literature: 3) treatment. PLOS Glob Public Health, 2023.PMID 37552651
- [15]Chew D, Tollit MA, Poulakis Z, et al. Youths with a non-binary gender identity: a review of their sociodemographic and clinical profile. Lancet Child Adolesc Health, 2020.PMID 31978373