The Role of the Ethicist in an Interdisciplinary Transgender Health Care Team
- PMID: 31041401
- PMCID: PMC6487737
- DOI: 10.1089/trgh.2018.0058
The Role of the Ethicist in an Interdisciplinary Transgender Health Care Team
Abstract
Unique ethical issues arise in the provision of gender-affirming care to transgender and gender diverse people. One of the distinctive trends in transgender health care has been the development of interdisciplinary specialty teams with expertise in gender-affirming care. Clinical ethicists can play an important role on these teams in helping gender variant patients and gender-affirming providers navigate complex ethical issues, creating opportunities for enhancing patient experience, and easing provider moral uncertainty. Many opportunities exist for clinical ethicists to lend their skills to this area of clinical care. It is important for interdisciplinary transgender health care teams and other health care professionals providing transgender-specific care to understand the ethical issues involved in such care, the ways in which ethics expertise can be a resource, and the benefits and drawbacks of integrating a clinical ethicist into their team.
Keywords: clinical ethicist; ethics; interdisciplinary team; transgender.
Conflict of interest statement
Cecile A. Ferrando, MD, MPH receives royalties for the publication C. Ferrando (Unger) and T.N. Thomas, “Transgender surgery: Male to female,” UptoDate (June 4, 2018), https://www.uptodate.com/contents/transgender-surgery-male-to-female. Aspects of this article were presented by Hilary Mabel, JD on behalf of the authors at the American Society for Bioethics & Humanities conference in Kansas City, MO on October 19, 2017.
Similar articles
-
Interdisciplinary Transgender Veteran Care: Development of a Core Curriculum for VHA Providers.Transgend Health. 2016 Feb 1;1(1):54-62. doi: 10.1089/trgh.2015.0004. eCollection 2016. Transgend Health. 2016. PMID: 29159298 Free PMC article.
-
Clinician and Ethicist Perspectives: Understanding Moral Distress in Gender-Affirming Care for Pediatric Patients.J Pediatr. 2022 Jan;240:265-271. doi: 10.1016/j.jpeds.2021.10.059. Epub 2021 Nov 14. J Pediatr. 2022. PMID: 34788678 Review.
-
Considerations on medical training for gender-affirming care: Motivations and perspectives.Int J Transgend Health. 2019 Nov 18;21(1):79-88. doi: 10.1080/15532739.2019.1689880. eCollection 2020. Int J Transgend Health. 2019. PMID: 33015661 Free PMC article.
-
"The care is the best you can give at the time": Health care professionals' experiences in providing gender affirming care in South Africa.PLoS One. 2017 Jul 12;12(7):e0181132. doi: 10.1371/journal.pone.0181132. eCollection 2017. PLoS One. 2017. PMID: 28704458 Free PMC article.
-
The Evolving Role of Pharmacists in Transgender Health Care.Transgend Health. 2019 Apr 11;4(1):118-130. doi: 10.1089/trgh.2018.0038. eCollection 2019. Transgend Health. 2019. PMID: 31289749 Free PMC article. Review.
Cited by
-
State-Mandated Ethics Oversight Is Inappropriate for Gender-Affirming Care.J Law Med Ethics. 2024;52(4):950-952. doi: 10.1017/jme.2024.170. Epub 2025 Jan 31. J Law Med Ethics. 2024. PMID: 39885746 Free PMC article.
-
Sharing decisions amid uncertainties: a qualitative interview study of healthcare professionals' ethical challenges and norms regarding decision-making in gender-affirming medical care.BMC Med Ethics. 2022 Dec 27;23(1):139. doi: 10.1186/s12910-022-00880-y. BMC Med Ethics. 2022. PMID: 36575401 Free PMC article.
References
-
- McIntosh CA. Interdisciplinary care for transgender patients. In: Lesbian, Gay, Bisexual, and Transgender Healthcare. (Eckstrand K, Ehrenfeld J; eds). Switzerland: Springer, 2016, pp. 339–349
-
- Shipherd JC, Kauth MR, Matza A.Nationwide interdisciplinary E-consultation on transgender care in the Veterans Health Administration. Telemed J E Health. 2016:22:1008–1012 - PubMed
-
- Cousino MK, Davis A, Ng H, Stancin T. An Emerging opportunity for pediatric psychologists: our role in a multidisciplinary clinic for youth with gender dysphoria. Clin Pract Pediatr Psychol. 2014;2:400–411
-
- American Psychological Association. Guidelines for psychological practice with transgender and gender nonconforming people. Am Psychol. 2015;70:832–864 - PubMed
-
- Murphy TF. LGBT people and the work ahead in bioethics. Bioethics. 2015;29:ii–v - PubMed
LinkOut - more resources
Full Text Sources