A Third Of Endocrinologists Are Unwilling To Care For Transgender Patients

Reuters Health – People who are transgender may have difficulty finding endocrinologists who feel comfortable and competent in providing needed care, according to a new survey of physicians.

Endocrinologists are often key healthcare providers for people who are transgender. But about a third of endocrinologists are unwilling to care for patients who are transgender, and less than half say they feel at least somewhat competent in providing that care, said Dr. Michael Irwig, who surveyed the doctors at an endocrinology meeting last year.

“There is still a big access problem,” said Irwig, associate professor of medicine at the George Washington University School of Medicine and Health Sciences in Washington, D.C. “The fact that 30 percent won’t see transgender patients wouldn’t happen with any other diagnosis.”

“Basically, nobody had really done a similar survey before,” said Irwig, who is also director of the Andrology Center at GW Medical Faculty Associates.

He asked 80 endocrinology providers from Delaware, Maryland, North Carolina, Virginia and Washington, D.C. to answer a 19-item survey. About 80 percent answered the survey.

Overall, 15 percent said they were not at all comfortable discussing gender identity, and another 34 percent said they were only slightly comfortable discussing the subject, according to the study online now in Endocrine Practice.

Fifty-eight percent reported being less comfortable with transgender patients than with non-transgender patients.

Fellowship training on transgender care was uncommon, reported by less than one-third of the doctors overall and by 58 percent of those ages 25 to 39.

Only 41 percent of participants felt at least somewhat competent in providing care to transgender people.

And only 63 percent said transgender patients could be seen at their practice. Irwig said he asked participants to explain why such patients couldn’t be seen, “but a lot of them didn’t fill in that open-ended question.”

He told Reuters Health there could be a number —> Read More

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