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Transgender Care - Assessment of Residents\' Comfort and Knowledge

Purpose: To assess residents’ comfort and knowledge of transgender care pre and post formalized lecture. 


Background: Addressing healthcare disparities in transgender care is long overdue. Despite social advances, transgender population still experiences significant health inequities and discrimination. Improving medical education during medical school and residency is critical to ameliorating these disparities.


Methods: A test was written to assess residents’ comfort and knowledge. Data was collected pre and post formalized lecture to measure the impact of the lecture. The test composed of 10 questions. Five questions were subjective and aimed at assessing residents’ comfort level managing various aspects of transgender care. The other five questions were knowledge-based.


Results: A total of 36 pre-test responses were collected, representing 100% response rate from UTMB OBGYN residents. For the posttest, there were 22 responses as some were unable to attend lecture. Prior to lecture, only 13.5% agreed or strongly agreed that they have good understanding of the trauma informed care. Posttest revealed 77.2% agreed or strongly agreed. 97.3% don’t feel comfortable prescribing masculinizing hormones but decreased to 27.3% post lecture. Similarly, for prescribing feminizing hormones, 91.9 % reported they were not comfortable pretest and 22.7% posttest. Only 2.7% reported a good understanding of side effects and risks of hormone replacement therapy; this improved to 72.7%. Pretest, 13.5% of residents knew where to find resources for transgender care and 68.2% in the posttest. Residents scored 70.28% correct on knowledge-based questions in the pretest and 81.84% posttest. 


Discussions: The formalized lecture significantly improved residents\' comfort level and understanding of transgender care.

Topics: CREOG & APGO Annual Meeting, 2022, Student, Resident, Faculty, Clerkship Director, Clerkship Coordinator, Osteopathic Faculty, Residency Director, Residency Coordinator, Patient Care, Medical Knowledge, GME, CME, UME, Assessment, Lecture, Advocacy, General Ob-Gyn, Sexuality,

General Information

Student,Resident,Faculty,Clerkship Director,Clerkship Coordinator,Osteopathic Faculty,Residency Director,Residency Coordinator,
Patient Care,Medical Knowledge,
Clinical Focus
General Ob-Gyn,Sexuality,

Author Information

Sarah Villarreal, MD, University of Texas Medical Branch; Ngoc Vu, MD

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