{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T15:55:17Z","timestamp":1745855717807,"version":"3.40.2"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Transgender individuals face significant health disparities including deficiencies in physician education, knowledge, and comfort with care. The objective of this study was to determine the perceptions, practice patterns, and familiarity of facial plastic surgeons with transgender health care. An anonymous questionnaire was sent to facial plastic surgeons within the American Academy of Facial Plastic and Reconstructive Surgery list-serve. Primary datapoints included participant characteristics, transgender-related experience, and educational goals. Of the 66 facial plastic surgeons surveyed, 49% had treated 1 to 10 transgender patients during their career, and 70% were actively treating at least 1 transgender patient. The number of patients treated and surgeries performed was significantly associated with self-perceived competence, comfort counseling on gender-affirming surgeries, discussing gender identity, asking preferred pronouns, and a desire to learn more about transgender care. Most participants (61%) obtained transgender care training through real-world experience, with only 18% receiving formal training in residency or fellowship. In total, 50% of respondents believe transgender care training among facial plastic surgeons is inadequate and 60% support its incorporation into residency\/fellowship curricula. Increased awareness is needed to address the disparities experienced by transgender patients. Many facial plastic surgeons desire to learn more and support incorporating transgender care into training. Understanding the current state of transgender care can assist the facial plastic community in promoting education that strengthens physicians' ability to deliver competent care that addresses the inequities faced by this diverse group.<\/jats:p>","DOI":"10.1055\/a-2295-6582","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:17:42Z","timestamp":1711585062000},"page":"260-265","source":"Crossref","is-referenced-by-count":1,"title":["Perceptions and Understanding of Transgender Patient Care: A Survey of Practicing Facial Plastic Surgeons"],"prefix":"10.1055","volume":"41","author":[{"given":"Megan L.","family":"Swonke","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Texas Medical Branch, Galveston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony E.","family":"Brissett","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2701-4798","authenticated-orcid":false,"given":"Najm S.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua J.","family":"Kain","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred J.","family":"Bressler","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amina I.","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tariq A.","family":"Syed","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela K.","family":"Sturm","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Houston Methodist Hospital, Houston, Texas"},{"name":"Dr. Angela Sturm, 6750 West Loop Street, Bellaire, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"volume-title":"The Report of the 2015 U.S. Transgender Survey","year":"2016","author":"S E James","key":"ref2"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1370\/afm.2298","article-title":"Primary care clinicians' willingness to care for transgender patients","volume":"16","author":"D A Shires","year":"2018","journal-title":"Ann Fam Med"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"713","DOI":"10.2105\/AJPH.2007.132035","article-title":"Health care utilization, barriers to care, and hormone usage among male-to-female transgender persons in New York City","volume":"99","author":"N F Sanchez","year":"2009","journal-title":"Am J Public Health"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1097\/SCS.0000000000004609","article-title":"Educational exposure to transgender patient care in otolaryngology training","volume":"29","author":"B B Massenburg","year":"2018","journal-title":"J Craniofac Surg"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.urpr.2018.08.002","article-title":"Transgender patient care in urology: evaluation of attitudes, knowledge and practice patterns among urologists in the New York Metropolitan Area","volume":"6","author":"J S Winoker","year":"2019","journal-title":"Urol Pract"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.21037\/tau-20-954","article-title":"Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model","volume":"9","author":"J Sterling","year":"2020","journal-title":"Transl Androl Urol"},{"issue":"06","key":"ref8","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1016\/j.jaad.2019.05.088","article-title":"A cross-sectional survey of knowledge, attitudes, and practice in the prescription of isotretinoin for transgender patients among academic dermatologists","volume":"81","author":"C J Ensslin","year":"2019","journal-title":"J Am Acad Dermatol"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/MED.0000000000000227","article-title":"Barriers to healthcare for transgender individuals","volume":"23","author":"J D Safer","year":"2016","journal-title":"Curr Opin Endocrinol Diabetes Obes"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1089\/jwh.2014.4918","article-title":"Care of the transgender patient: a survey of gynecologists' current knowledge and practice","volume":"24","author":"C A Unger","year":"2015","journal-title":"J Womens Health (Larchmt)"},{"issue":"07","key":"ref11","doi-asserted-by":"crossref","first-page":"832","DOI":"10.4158\/EP151185.OR","article-title":"Transgender care by endocrinologists in the United States","volume":"22","author":"M S Irwig","year":"2016","journal-title":"Endocr Pract"},{"issue":"01","key":"ref12","first-page":"21","article-title":"Medical students' ability to care for lesbian, gay, bisexual, and transgendered patients","volume":"38","author":"N F Sanchez","year":"2006","journal-title":"Fam Med"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1080\/10401330802199567","article-title":"A critical intervention in lesbian, gay, bisexual, and transgender health: knowledge and attitude outcomes among second-year medical students","volume":"20","author":"L Kelley","year":"2008","journal-title":"Teach Learn Med"},{"issue":"09","key":"ref14","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1001\/jama.2011.1255","article-title":"Lesbian, gay, bisexual, and transgender-related content in undergraduate medical education","volume":"306","author":"J Obedin-Maliver","year":"2011","journal-title":"JAMA"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"2382120520934813","DOI":"10.1177\/2382120520934813","article-title":"Current state of transgender medical education in the United States and Canada: update to a scoping review","volume":"7","author":"I T Nolan","year":"2020","journal-title":"J Med Educ Curric Dev"}],"container-title":["Facial Plastic 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