An Effective Gender-Affirming Care and Hormone Prescribing Standardized Patient Case for Residents

Date of Review: June, 2022

This resource, from MedEdPortal, is a standardized patient case that was developed to evaluate and improve family medicine residents’ knowledge, awareness, attitudes, and intent regarding providing gender-affirming care and hormone prescriptions for transgender patients. The case took approximately one hour and consisted of a brief information session, history collection from the standardized patient (SPs), and a review of guidelines and discussion with a content expert, as well as time to obtain additional information, complete an informed consent, and discuss a plan. SPs and students received training prior to the case sessions for their respective roles. Several resource documents were also provided to the SPs and residents that contained information regarding gender terminology and definitions, primary care, and hormone evaluations.Each participant was given a pre- and post-survey that measured knowledge, attitudes, awareness, and intended behavior. The self-reported knowledge and awareness increased for several categories, including affirmed name/pronouns, evaluating a patient for gender dysphoria, discussing the safety of hormones, executing an informed consent and formulating a plan for hormones. The faculty involved in the program also reported that they felt they learned something from the simulation. A checklist is provided for faculty to observe students. This is a comprehensive curriculum that has all the components needed to integrate it into a clinical simulation curriculum for students and residents, however, recruiting expert SPs and faculty are needed to implement this case. –Ashti Doobay-Persaud, MD, NCEAS

Corresponding Author’s Email:


Oregon Health & Science University

Where was the Curriculum Implemented:

Portland, Oregon

Clinical Specialty

Family and Community Medicine

Outcomes that Have Been Reported for the Curriculum:

Learner Satisfaction or reaction

Self-reported learner attitude

Measured in learner knowledge

Self-reported learner behavior in simulated setting

Measured learner behavior in simulated setting

Outcome and Study Design:


Level of Learner Assessment

Appreciation of content/attitude assessment (self-reflection, blogging with rubric)

Demonstration of skill in a controlled environment (OSCE, Simulation)

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