Patient Name
Danny Clarke
Reason for Visit
38 year old trans man (assigned female at birth) is presenting to establish care by video visit and asking if he needs a pap smear.
Setting
Telehealth Visit
Sexual Orientation, Gender Identity and Expression (SOGIE)
- Gender Pronouns: He/Him
- Sex Assigned at Birth: Female
- Gender Identity: Man
- Sexual Orientation: Straight
Timing
Participants have 20-30 minutes to conduct this visit.
Tasks
- Introduce self with pronouns and ask patient’s pronouns and name (“what name do you go by?”
- Describe the recommended approach for cervical cancer screening in trans and gender diverse patients (i.e., who qualifies for screening, when, and how often)
- Used shared decision-making to plan a trauma-informed pap smear with patient
- Recognize the value of gender-affirming hormone therapy provision in the primary care setting, as it can reduce barriers for routine health screenings and primary care.
Feedback
There will be verbal feedback with the SP following the visit.
Learning Objectives
- Practice introducing oneself with pronouns and effectively establishing a respectful and inclusive healthcare environment.
- Utilize shared decision-making techniques to collaboratively plan a trauma-informed pap smear with a patient, taking into account their unique needs, preferences, and any potential trauma history.
- Demonstrate an understanding of the recommended approach for cervical cancer screening in trans and gender diverse patients, including the ability to assess eligibility criteria, determine appropriate timing, and establish the frequency of screenings.
- Recognize the value of gender-affirming hormone therapy provision in the primary care setting, as it can reduce barriers for routine health screenings and primary care.
Who Should Participate?
Although this case may of particular interest to clinicians who perform pelvic exams as part of their practice (e.g. clinicians in Primary Care, OB/GYN, and Emergency Medicine), a trauma-informed physical exam is a valuable practice for clinicians in all disciplines of medicine.
