• Makini Chisolm-Straker, Cathleen Willging, Adrian D Daul, Shannon McNamara, S Cham Sante, Daniel G Shattuck, and Cameron S Crandall.
• Mount Sinai Brooklyn Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: Makini.Chisolm-Straker@mssm.edu.
• Ann Emerg Med. 2018 Feb 1; 71 (2): 183-188.e1.

Study ObjectiveWe explore self-reported knowledge, attitudes, and behaviors of emergency physicians in regard to the care of transgender and gender-nonconforming patients to identify opportunities to improve care of this population.MethodsFrom July to August 2016, we electronically surveyed the American College of Emergency Physicians' Emergency Medicine Practice-Based Research Network of 654 active emergency physician participants. We performed frequency tabulations to analyze the closed-ended response items.ResultsOf the 399 respondents (61% response rate), 88.0% reported caring for transgender and gender-nonconforming patients in the emergency department (ED), although 82.5% had no formal training about this population. The majority of physicians (86.0%) were comfortable asking about personal pronouns. Only 26.1% of respondents knew the most common gender-affirming surgery for female-to-male patients; 9.8% knew the most common nonhormone gender-affirming medication that male-to-female patients use. Almost no respondents (<3%) were aware of emergency medicine practitioners' performing inappropriate examinations on transgender and gender-nonconforming patients.ConclusionAlthough transgender and gender-nonconforming people represent a minority of ED patients nationwide, the majority of respondents reported personally providing care to members of this population. Most respondents lacked basic clinical knowledge about transgender and gender-nonconforming care.Copyright © 2017 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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