I wanted to share our pediatric content roadmap with you. First let me remind you that most large, respected US medical organizations have policy statements indicating the medical necessity of gender affirming medical care for youth including but not limited to:

• American Academy of Pediatrics
• The Endocrine Society
• The Pediatric Endocrine Society
• American Academy of Child and Adolescent Psychiatry
• American Academy of Family Physicians
• American Academy of Pediatrics
• American College of Obstetricians and Gynecologists
• American College of Physicians
• American Medical Association
• American Osteopathic Association
• American Psychiatric Association
• American Public Health Association

Further a brief reference summary of some of the leading research in gender affirming medical care for youth:

• Tordoff, D. M., Wanta, J. W., Collin, A., Stephney, C., Inwards-Breland, D. J., Ahrens, K. (2022) Mental Health Outcomes in Transgender and Nonbinary Youths Receiving Gender-Affirming Care. JAMA Network Open, 5(2), e220978.
• Turban JL, King D, Carswell JM, Keuroghlian AS. Pubertal Suppression for Transgender Youth and Risk of Suicidal Ideation [published correction appears in Pediatrics. 2021 Apr;147(4):]. Pediatrics. 2020;145(2):e20191725. doi:10.1542/peds.2019-1725
• Green, A. E., DeChants, J. P., Price, M. N., & Davis, C. K. (2021). Association of gender-affirming hormone therapy with depression, thoughts of suicide, and attempted suicide among transgender and nonbinary youth. Journal of Adolescent Health.
• de Lara, D. L., Rodríguez, O. P., Flores, I. C., Masa, J. L. P., Campos-Muñoz, L., Hernández, M. C., & Amador, J. T. R. (2020). Psychosocial assessment in transgender adolescents. Anales de Pediatría (English Edition), 93(1), 41-48.
• Kaltiala, R., Heino, E., Työläjärvi, M., & Suomalainen, L. (2020). Adolescent development and psychosocial functioning after starting cross-sex hormones for gender dysphoria. Nordic Journal of Psychiatry, 74(3), 213-219.
• Achille, C., Taggart, T., Eaton, N. R., Osipoff, J., Tafuri, K., Lane, A., & Wilson, T. A. (2020). Longitudinal impact of gender-affirming endocrine intervention on the mental health and well-being of transgender youths: preliminary results. International Journal of Pediatric Endocrinology, 2020(1), 1-5.

• Hodax JK, Wagner J, Sackett-Taylor AC, Rafferty J, Forcier M. Medical Options for Care of Gender Diverse and Transgender Youth. J Pediatr Adolesc Gynecol. 2020 Feb;33(1):3-9. doi: 10.1016/j.jpag.2019.05.010. Epub 2019 May 30. PMID: 31154017.
• Kuper, L. , L. E., Stewart, S., Preston, S., Lau, M., & Lopez, X. (2020). Body dissatisfaction and mental health outcomes of youth on gender-affirming hormone therapy. Pediatrics, 145(4).
• Allen, L. R., Watson, L. B., Egan, A. M., & Moser, C. N. (2019). Well-being and suicidality among transgender youth after gender-affirming hormones. Clinical Practice in Pediatric Psychology, 7(3), 302.
• Kimberly LL, Folkers KM, Friesen P, Sultan D, Quinn GP, Bateman-House A, Parent B, Konnoth C, Janssen A, Shah LD, Bluebond-Langner R, Salas-Humara C. Ethical Issues in Gender-Affirming Care for Youth. Pediatrics. 2018 Dec;142(6):e20181537. doi: 10.1542/peds.2018-1537. Epub 2018 Nov 6. PMID: 30401789.
• Wiepjes CM, Nota NM, de Blok CJM, et al.  The Amsterdam Cohort of Gender Dysphoria Study (1972-2015): trends in prevalence, treatment, and regrets. J Sex Med. 2018;15(4):582-590.
• Simone Mahfouda, Julia K Moore, Aris Siafarikas, Florian D Zepf, Ashleigh Lin, Puberty suppression in transgender children and adolescents, The Lancet Diabetes & Endocrinology, Volume 5, Issue 10, 2017, Pages 816-826, ISSN 2213-8587, https://doi.org/10.1016/S2213-8587(17)30099-2
• De Vries, A. L., McGuire, J. K., Steensma, T. D., Wagenaar, E. C., Doreleijers, T. A., & Cohen-Kettenis, P. T. (2014). Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134(4), 696-704.
• de Vries AL, Steensma TD, Doreleijers TA, Cohen-Kettenis PT. Puberty suppression in adolescents with gender identity disorder: a prospective follow-up study. J Sex Med. 2011 Aug;8(8):2276-83. doi: 10.1111/j.1743-6109.2010.01943.x. Epub 2010 Jul 14. PMID: 20646177.

Okay and onto the QueerCME pediatric content plans (please note some dates or topics may change due to availability):

• Webinars (with CE/CME)
• July
• Puberty Blockers in Gender Affirming Care- available 7/14
• August
• Ask the Expert with Pediatric Endocrinologist Juanita Hodax (she/her)- August 25, 5:30PM PT
• Register here
• Vodcast episode with guest Vincent Feuilles (he/him) on Legal Transition for Trans Youth
• September
• Adolescent Gender Affirming Care with Testosterone- September 15, 5:15PM PT
• Vodcast episode with guest Dr. Shane Morrision (he/him) on Pediatric Gender Affirming Surgeries
• October- 
• Adolescent Gender Affirming Care with Estrogen and Progesterone- October 20, 5:15PM PT
• Vodcast episode with guest Lindz Amer (they/them) from Queer Kid Stuff
• November
• Supporting Families through Gender Affirming Medical Care- November 17, 5:15PM PT
• Vodcast episode with guest from GenderSpectrum on working with schools supporting youth in transition
• December
• Ask the Expert with a mental health professional focused on working with youth
• Vodcast episode with Kathy Moehlig (she/her) from TransFamily Support Services on services they offer to support trans youth and families

I look forward to you joining me as we continue to grow the QueerCME content and learn together. My practice is about ¼ youth with the youngest patient I have met being 7 years old (that kiddo was not ready for medical intervention but the family wanted to establish early to build a therapeutic relationship). I always advise families seeing me that adolescent care is more ideally offered at a speciality clinic with a multi-speciality team and wrap-around services. That is not available to many of my youth patients who live in Alaska. As I often try to fill the gaps of mental health, social work, and nursing support, I have accumulated a lot of resources throughout my practice and look forward to sharing them with you. That said, I certainly am not trained in those areas and look forward to having guests who are! See you soon!