Gender Dysphoria Treatment Guidelines: Assessment of Trustworthiness

**If you intend to claim CME credit for this course, you must be logged in to CloudCME (a WSU email address is not required). If you have trouble, please contact [email protected].**

Clinical practice guidelines (CPGs) are essential tools for translating scientific evidence into high-quality care, but the field of youth gender medicine has yet to fully realize their potential. This course equips participants with the skills to critically evaluate treatment guidelines and their role in shaping care for gender-dysphoric youth. Through an in-depth analysis of two prominent CPGs, this course highlights the challenges and opportunities in promoting evidence-based, ethical, and effective care. Learn how rigorous guideline development can address clinical uncertainties and improve outcomes for young patients, ensuring a more informed and balanced approach to their care.

This course includes three videos* and one post-test. Upon completion, you may download your certificate from the "My CME>Evaluations & Certificates" menu above. Alternately, you can download a CME transcript from the "My CME>Transcript" menu above.

**Select "Launch Course" above to begin.**

About the Speakers

Ivan Florez MD, PhD (Colombia) is the leader of the AGREE Collaboration for the evaluation of practice guidelines, director of Cochrane Colombia, a practicing pediatrician and associate professor of Health Research Methodology at McMaster University.

Susan Bewley MD PhD (U.K.) is Emeritus Professor (Honorary), King’s College London Department of Obstetrics & Women’s Health. Dr. Bewley has established many innovative services and authored over 400 publications and edited seven books. She has participated in, and chaired, many guideline development groups (NICE, MAGICApp, WHO) and recently chaired the charity HealthSense-U.K. which campaigns “for science and integrity in healthcare.” She was the cofounder Chair of GLADD (the LGBT+ Association of Doctors and Dentists in the U.K.) and has published original research in gender medicine.

Will Malone MD (U.S.) is a board-certified endocrinologist and founding board member of the Society for Evidence-Based Gender Medicine. He is a graduate of Stanford University and New York University Medical School. He completed a residency in Internal Medicine and fellowship in Endocrinology, Diabetes, and Metabolism at Los Angeles County/University of Southern California Medical Center. He has been in clinical practice since 2008 and is Assistant Clinical Professor of Endocrinology at the Idaho College of Osteopathic Medicine.

Series Overview

Recent research has prompted significant shifts in international consensus on safe and effective care for gender-dysphoric youth. This CME series is led by prominent clinical experts and researchers specializing in pediatric gender medicine and related fields. It presents perspectives, research, and clinical experience primarily from Western European countries, providing clinicians with guidance on the benefits, risks, and ethical implications of medical interventions for gender-dysphoric and gender-questioning youth. The series aims to support informed clinical decision-making that prioritizes patient safety and informed consent.

*Note: Some videos may have been edited during the development of this CME course. The views, opinions, and beliefs expressed within the video presentations are solely those of the presenters and do not necessarily reflect the views, opinions, or beliefs of the Society for Evidence-Based Gender Medicine.

1. Differentiate trustworthy guidelines from less credible treatment recommendations.
2. Recognize how the AGREE II framework can help evaluate the trustworthiness of treatment guidelines.
3. Evaluate the strengths and limitations of several well-known treatment guidelines for gender dysphoria.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Washington State University Elson S. Floyd College of Medicine and the Society for Evidence-Based Gender Medicine. The Washington State University (WSU) Elson S. Floyd College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The WSU Elson S. Floyd College of Medicine designates this activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Participants should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes viewing all videos in entirety, completion of post-tests with feedback, and participation in the evaluation component, enables the learner to earn up to 1 MOC points in the American Board of Pediatrics (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.

Please assure that your CloudCME Profile includes your first and last name, month and day of birthdate, and ABP Diplomat ID. These are required for transmission of ABP MOC learner completion data. You can view and edit your profile above under My CME>Profile.

Accessibility

WSU College of Medicine Continuing Medical Education (CME) is committed to ensuring that its programs, services, goods and facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 2008. If you have needs that require accommodation please contact the CME Unit at [email protected]

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At Washington State University, we are committed to fostering an environment where diverse ideas and perspectives can flourish. As such, the university will maintain a practice of neutrality and will not take a position on contentious political or social issues, except in rare circumstances. Please visit WSU's Office of the President for more information.

Disclaimer

The material presented in this continuing medical education program is being made available for educational purposes only. This material is not intended to represent the best or only methods or procedures appropriate for the medical situation discussed; rather the material is intended to present an approach, view, statement, or opinion of the authors or presenters, which may be helpful or of interest to other practitioners. This program does not represent or speak on behalf of Washington State University and/ or Elson S. Floyd College of Medicine. Participants should carefully consider all available scientific data before acting on knowledge gained through this activity.

Mitigation of Relevant Financial Relationships

Washington State University Elson S. Floyd College of Medicine adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all financial relationships with ineligible companies within the past 24 months. This information is listed below. All relevant financial relationships, if applicable, have been mitigated. If the topic is non-clinical, financial disclosures are not required.