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There is a gap in medical education training content specifically focused on the care of Sexual and Gender Minority (SGM) people and people with Differences in Sex Development (DSD). Inadequate training contributes to suboptimal health care access, utilization, and experiences among SGM-DSD people. Improving medical education training can be challenging as many clinician educators received sparse instruction themselves in these areas and there are limited teaching resources that expand beyond didactic instruction. In 2014 the Association of American Medical Colleges (AAMC) Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development published a landmark document identifying 30 specifiers of competence for best care practices and recommendations for curricular integration and assessment in medical education settings. Case Scenarios with key discussion points were included in the publication to illustrate clinical experiences encountered frequently when caring for SGM-DSD people. In this guide, we facilitate translation of this case scenario into educational curricula for application. Discussion points and experiential learning exercises can be narrowed or expanded to student learning level, time availability, and available institutional resources. Application of this guide does not require content expertise, as critical discussion content and background educational materials are included to support instruction with a minimum amount of advance preparation. The overall goal of this resource is to support the knowledge, attitude, and skill acquisition needed to provide competent care for gender diverse youth.


We would like to acknowledge AAMC Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development for spearheading the clinical case creation that is utilized in this medical education curriculum guide.