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Martes, Marso 14, 2017

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Are military physicians ready to treat transgender patients?


A little overview of military doctors discovered most did not get any formal preparing on transgender care, most had not treated a patient with known sexual orientation dysphoria, and most had not gotten adequate preparing to recommend cross-hormone treatment, as indicated by another exploration letter distributed online by JAMA Internal Medicine. 


The restriction on transgender people serving transparently in the U.S. military was lifted by the Pentagon in 2016 and military human services recipients will probably look for administrations for sex dysphoria (GD). It has been assessed that almost 13,000 transgender people as of now serve in the U.S. military, 200 of whom will look for GD-related treatment every year. Family pharmaceutical doctors have an essential part in treating administration individuals and different recipients with GD since family drug doctors are in charge of essential tend to the greater part of the dynamic obligation drive and their families found in military treatment offices, as indicated by the article. 

David A. Klein, M.D., M.P.H., of the Uniformed Services University of the Health Sciences, Bethesda, Md., and the Fort Belvoir Community Hospital, Fort Belvoir, Va., and coauthors report review reactions from 180 respondents who took an interest in the 2016 Uniformed Services Academy of Family Physicians yearly meeting. The majority of the respondents were white (85.5 percent), male (62.8 percent) and doctors (78.3 percent) honing in a scholarly medicinal setting (54 percent). 

The vast majority of the gathering (94.9 percent) had gotten three hours or less of preparing on transgender care amid their medicinal preparing, with 74.3 percent getting no preparation by any stretch of the imagination. Moreover, 87.1 percent said they had not gotten adequate instruction to give cross-hormone treatment to patients prepared for sex move and 52.9 percent said they would not by and by recommend cross-sex hormones to a grown-up patient, regardless of the possibility that they got extra training or assistance from an accomplished clinician, the article reports. 

Most respondents (76.1 percent) said they could give "nonjudgmental" care to a patient with GD and half (50.9 percent) said introduction to straightforwardly transgender administration individuals would build their solace in administering to transgender patients. More noteworthy therapeutic preparing in transgender care was related with the probability of endorsing cross-hormone treatment to a qualified patient, as per the outcomes. 

"Given that education in transgender care was significantly associated with greater likelihood of prescribing hormone therapy and that prior research shows that additional medical instruction on transgender care contributes to greater competency, it will be vital to augment the training of military physicians to ensure skill and sensitivity in treating patients with GD," the examination letter closes.

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