Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned
Background:. Every day, we see more patients present to hospitals and clinics seeking gender-affirmation care to ameliorate the symptoms of gender dysphoria. However, to provide a multidisciplinary approach, it is important to offer an integrated clinical program that provides mental health assessme...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2021-03-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003478 |
| _version_ | 1819094130965348352 |
|---|---|
| author | Oscar J. Manrique, MD, FACS Samyd S. Bustos, MD Valeria P. Bustos, MD Andres A. Mascaro, MD Pedro Ciudad, MD, PhD Antonio J. Forte, MD, PhD Gabriel Del Corral, MD, FACS, MS Esther A. Kim, MD, FACS Howard N. Langstein, MD |
| author_facet | Oscar J. Manrique, MD, FACS Samyd S. Bustos, MD Valeria P. Bustos, MD Andres A. Mascaro, MD Pedro Ciudad, MD, PhD Antonio J. Forte, MD, PhD Gabriel Del Corral, MD, FACS, MS Esther A. Kim, MD, FACS Howard N. Langstein, MD |
| author_sort | Oscar J. Manrique, MD, FACS |
| collection | DOAJ |
| description | Background:. Every day, we see more patients present to hospitals and clinics seeking gender-affirmation care to ameliorate the symptoms of gender dysphoria. However, to provide a multidisciplinary approach, it is important to offer an integrated clinical program that provides mental health assessment, endocrine therapy, physical therapy, research, and the full spectrum of surgical services devoted to transgender patients. This article describes our experience on building a specialized, multidisciplinary, academic state-of-the-art gender-affirmation program.
Methods:. Herein, we describe the main and critical components on how to build a multidisciplinary academic gender-affirmation program. We share our lessons learned from this experience and describe how to overcome some of the obstacles during the process.
Results:. Building a multidisciplinary academic gender-affirmation program requires an invested team, as each and every member is essential for feedback, referrals, and to improve patient’s experience. Institutional support is essential and by far the most important component to overcome some of the obstacles during the process. Having all team members working under the same institution provides all the critical components needed to improve outcomes and patient satisfaction. In addition, the collection of prospective data with a well-structured research team will provide information needed to improve clinical services and standardize clinical protocols, while leaving space for innovation.
Conclusions:. This article describes the steps and experience needed to build a multidisciplinary holistic academic gender-affirmation program. We provide our lessons learned during the process that will help guide those who intend to start an academic gender-affirmation program. |
| first_indexed | 2024-12-21T23:22:31Z |
| format | Article |
| id | doaj.art-0e27edd0840b4f8484539d344969bdff |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-21T23:22:31Z |
| publishDate | 2021-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-0e27edd0840b4f8484539d344969bdff2022-12-21T18:46:45ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-03-0193e347810.1097/GOX.0000000000003478202103000-00024Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons LearnedOscar J. Manrique, MD, FACS0Samyd S. Bustos, MD1Valeria P. Bustos, MD2Andres A. Mascaro, MD3Pedro Ciudad, MD, PhD4Antonio J. Forte, MD, PhD5Gabriel Del Corral, MD, FACS, MS6Esther A. Kim, MD, FACS7Howard N. Langstein, MD8From the * Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, N.Y.† Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, Pa.‡ Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.§ Department of Plastic and Reconstructive Surgery, Cleveland Clinic, Weston, Fla.¶ Department of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru‖ Division of Plastic and Reconstructive Surgery, Mayo Clinic, Jacksonville, Fla.** Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C.†† Division of Plastic and Reconstructive Surgery, UCSF, San Francisco, Calif.From the * Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, N.Y.Background:. Every day, we see more patients present to hospitals and clinics seeking gender-affirmation care to ameliorate the symptoms of gender dysphoria. However, to provide a multidisciplinary approach, it is important to offer an integrated clinical program that provides mental health assessment, endocrine therapy, physical therapy, research, and the full spectrum of surgical services devoted to transgender patients. This article describes our experience on building a specialized, multidisciplinary, academic state-of-the-art gender-affirmation program. Methods:. Herein, we describe the main and critical components on how to build a multidisciplinary academic gender-affirmation program. We share our lessons learned from this experience and describe how to overcome some of the obstacles during the process. Results:. Building a multidisciplinary academic gender-affirmation program requires an invested team, as each and every member is essential for feedback, referrals, and to improve patient’s experience. Institutional support is essential and by far the most important component to overcome some of the obstacles during the process. Having all team members working under the same institution provides all the critical components needed to improve outcomes and patient satisfaction. In addition, the collection of prospective data with a well-structured research team will provide information needed to improve clinical services and standardize clinical protocols, while leaving space for innovation. Conclusions:. This article describes the steps and experience needed to build a multidisciplinary holistic academic gender-affirmation program. We provide our lessons learned during the process that will help guide those who intend to start an academic gender-affirmation program.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003478 |
| spellingShingle | Oscar J. Manrique, MD, FACS Samyd S. Bustos, MD Valeria P. Bustos, MD Andres A. Mascaro, MD Pedro Ciudad, MD, PhD Antonio J. Forte, MD, PhD Gabriel Del Corral, MD, FACS, MS Esther A. Kim, MD, FACS Howard N. Langstein, MD Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned Plastic and Reconstructive Surgery, Global Open |
| title | Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned |
| title_full | Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned |
| title_fullStr | Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned |
| title_full_unstemmed | Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned |
| title_short | Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned |
| title_sort | building a multidisciplinary academic surgical gender affirmation program lessons learned |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003478 |
| work_keys_str_mv | AT oscarjmanriquemdfacs buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT samydsbustosmd buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT valeriapbustosmd buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT andresamascaromd buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT pedrociudadmdphd buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT antoniojfortemdphd buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT gabrieldelcorralmdfacsms buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT estherakimmdfacs buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned AT howardnlangsteinmd buildingamultidisciplinaryacademicsurgicalgenderaffirmationprogramlessonslearned |