JUST RELEASED: Announcement of Primary Care Protocols for Transgender Patients

by Emilia Dunham

Reporting from the National Transgender Health Summit in San Francisco


There were some amazing protocols released today at the Summit which you’ll definitely want to review and show.

What did the Project Plan involve? Literature review and gap analysis, draft protocol, review meetings, core protocol, backgrounders & FAQS and ongoing development. Thrillingly, they are have reached the 4th plan which is releasing the core protocol.

One of the major aspects they are suggesting is to intake forms for gender:

  • Male
  • Female
  • Transgender Male/Transman
  • Transgender Female/Transwoman
  • Genderqueer
  • Additional Sex or Gender: Please specifcy
  • Unknown or Question Not Asked
  • Decline to State

This protocol covers: cancer, cardiovascular, vaccinations, sexual health, pulmonary screening, diabetes, musculoskeletal health, mental health, substance use. There is also a section on hormone administration involving consent and both male-to-female and female-to-male hormone use as well as surgical options. Special considerations for children/youth and aging

There were several suggestions listed for Best Practices on:

  • Sex-Segregated systems
  • Identity documents
  • Insurance problems
  • Electronic Medicaton Records (EMR)

This Protocol is all listed on their website: http://www.transhealth.ucsf.edu/tcoe?page=protocol-00-00

Precursors of this protocol were at many LGBT Centers, including Fenway Health.

Published by Emilia Dunham, MPP, MBA

Emilia Dunham is currently a Project Manager at MassHealth/Department of Public Health, and formerly the Project Manager of the Life Skills project at The Fenway Institute, an HIV intervention study for young transgender women. Emilia worked at Fenway for 7 years, first as a Quality Control and Regulatory Assistant mainly involved with biomedical HIV prevention trials, before serving as the Program Associate for The Network for LGBT Health Equity, a network instrumental in many national LGBT health policy improvements. She is also involved with the Massachusetts Transgender Political Coalition, serving as a Steering Committee member and the Policy Committee Co-Chair, an organization largely responsible for the recent passage of the Trans Rights Bill. Additionally she serves as a member of the Massachusetts Commission on Gay, Lesbian, Bisexual and Transgender Youth, Co-Chair of the Recommendations Committee. Emilia received a Bachelor’s degree from Northeastern University. There she served as President of the LGBTQ student group where she planned programs such as Pride Week, Transgender Day of Remembrance, and AIDS Week. In addition, she advocated for LGBTQ inclusive policies and programming on campus such as a Gender Neutral Housing program, an LGBTQ Center and the expansion of Women’s Studies to Women, Gender and Sexuality Studies. Emilia recently earned a Master of Public Policy and Master of Business Administration in health policy and management from the Brandeis Heller School School for Social Policy and Management.

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