Preparing teaching session/presentation for medical colleagues

[RunningAllDay]

Hello - I have been lurking for ages, lurking and learning from you very well-informed people. I am a GP trainee (older than the average as if is my second career) and became interested (and horrified) about the trans movement as my daughters and friends' daughters became teenagers. My experience is that my GP colleagues are not terribly well informed - keeping their heads above water is a full time job! When I realised that one of them was sending gender questioning kids to Gender GP and Mermaids for info/service (from ignorance, not ideology) I arranged to do a short teach/presentation at the next practice wide teaching day. I have also offered to give this same (as yet unwritten) presentation to a group of GP trainee colleagues.

So, all that preamble to ask what do you all think I should absolutely not miss out? What do you wish GPs knew?

I would do the Cass review as it will be respected and you can't personally be challenged on it.

Good for you OP. Much needed.
In addition to the Cass review, Transgender Trend has a couple of excellent pieces about the psychological damage done to children and teenagers from social affirmation:

www.transgendertrend.com/childhood-social-transition/

www.transgendertrend.com/teenager-says-theyre-transgender/

They also need to know that countless organisations have stopped referring children to Mermaids after their staff paedophile / porn scandals.

That replacing sex with gender even on a form for e.g. new patients to fill in causes harm.

If they want to be inclusive, they can add all the eleventy billion made up genders to the bottom of their list after the sexes male & female, but expecting people who do not subscribe to gender ideology to pretend it is a real thing excludes those people which can cause simple health problems to be come larger over time as they go untreated.

If a form asks 'what is your gender' or has the heading 'gender', there is NO option I can fill in, because I do not believe there is such a thing as 'female gender' & I am NOT the same biological being as some transperson who wants to tick the same box as me.

Ordinary & gender critical people deserve supportive healthcare too.

Inclusivity should never be at the expense of other groups.

I applaud you for stepping up to discuss this important subject with colleagues. Sex Matters have some great resources to support a professional presentation. Including a little guide called "Sex and the law - a short guide to your human rights in everyday life" which is very good and I recommend, as I've just read it. All available to download from their website.

I very cautiously snook some GC awareness into a DIT teaching session on paediatric UTI by mentioning about teenage girls refusing to drink anything all day, and ending up with bladder problems, because they were so reluctant to use mixed sex toilets in schools. I was pleasantly surprised that some of the GP trainees had some awareness of the issues. I do think clinically relevant problems is one way into the conversation.

Thankyou - these are useful. I have had some careful conversations at work and found an unmined seam of GC so I am not nervous about reception - plus I do plan to keep it sll very neutral. The Sex Matters thing is ideal - thanks - and yes, absolutely, re the forms. Gets me personally so riled. We had some awful trans 'awareness training yesterday (non medical) - I won't go into it but suffice to say that some balance is needed.

I have found that I can be very out as GC at work in the NHS. Spent a happy afternoon peaking our team leader. However senior management emails all have pronouns on and Medtwitter is a very TWAW place. So I keep quiet unless I have sussed those around me out.

Doctors net is not the big thing it used to be but it is also a very GC space.

Yeah, there are clearly some gender critical feminists on dnuk. And some allies. I'm pretty sure that some of them are on here too...

I'd also look at SEGM (segm.org/) The society for Evidence Based Gender Medicine for reference-able medical articles

And studies. It's an international group of 100 clinical pratitioners and researchers

Practitioners. So hard typing accurately on MN!

Yes our trust likes putting on Trans Awareness sessions. Luckily they are voluntary via Teams and barely anyone turns up as we're all quite busy doing clinical stuff right now.

Have just been to a conference with a big trans session, purposefully didn't go to that session as I'd have exploded but found I could easily tell my mates why I'd avoided it.

I use this manual daily in my job. I think every healthcare professional should know of it to refer to. This is the bit about sex and gender: service-manual.nhs.uk/content/inclusive-content/sex-gender-and-sexuality

Also look at Karleen Gribble who has an excellent paper on the importance of sexed language. It is very well presented, includes examples and trans people were included in the process which helps with accusations of terfdom.

How about this? 🧐

listloop.com/wpath/mail.cgi/archive/adhoc/20221125183220/

This article by Karleen Gribble, Nils Bergman, Hannah Dahlen on the effective communication and importance of sex based language in maternity care and breastfeeding support was just last week presented at the Unicef baby friendly UK conference. You might find it makes relevant points for GP practice too.

www.frontiersin.org/articles/10.3389/fgwh.2022.818856/full

Don’t forget the NICE review…

cass.independent-review.uk/nice-evidence-reviews/

Have a look at Susie Green's TED talk and consider showing some clips.

There's a couple of detransitioners on YouTube and twitter who have talked about their experiences.

Look at the safeguarding issues.

Interesting. Seems sensible... but certainly not uniformly applied 🤔

Absolutely

That is so helpfully clear, thankyou.

Of course! This piece of work is fundamental. Just this on its own, plus the self-referential WPATH rebuttal would make a whole talk

Would be great to hear ho I went, please do update us x

I was going to post this but you've already got it which is great. I keep copies in my work bag to hand out and refer back to if I need to. Great you are doing this.
I can't understand how some GPs have apparently referred on quite young children - surely any parent who complains their child is playing with the wrong toys needs to go on a parenting course and at very least close supervision from health visitors so long as they haven' fallen for the brainwashing.

Agree with pp that clinical relevance is important.

GPs also need to be careful about what children and young people understand about their own bodies. Some teenage girls believe that if they identify as "male" (or non-binary or trans or whatever) they can't get pregnant and that a boy who identifies as female (or trans etc) can't get them pregnant. GPs need to be aware of potential confusions and misunderstandings.

One of the most extreme examples was a transboy with autism who didn't believe she would get any physical side effects from taking male hormones because just being trans and chnaging pronouns etc makes her male - from Stella O'Malley's "Gender: A Wider Lens" podcasts, sorry I don't remember which one and there are a lot of them!)