Transgender Pediatrics Elective

Course Description 

This course is a 2-week immersive clinical experience for pediatric residents who want to learn more about the care of transgender and gender diverse children and adolescents. Learners will rotate through different specialties and work with clinicians involved in various dimensions of gender-affirming care, including primary care, pediatric endocrinology, adolescent medicine, mental health, and a subspecialty gender affirming care clinic for children, adolescents and young adults.

Appointments with transgender patients are integrated into the overall clinic schedule, so not every patient seen during the course of the rotation will be transgender. At the discretion of the course director, the learner may be assigned clinical tasks related to gender-affirming care instead of seeing cisgender patients.

There will be dedicated time for completion of online trainings in transgender health (required).

Goals & Objectives


To familiarize residents with multiple disciplines involved in the care of transgender and gender diverse children and adolescents.


By the end of the rotation, residents will be able to: Core competency
Describe the developmental paradigm of gender Medical Knowledge
Discuss patient-centered approaches to gender care in the primary care setting Interpersonal and Communication Skills
Describe the impact of family dynamics/support on the mental & physical health of transgender and gender diverse youth/adolescents. Practice-Based Learning and Improvement
List gender-affirming hormone treatment options and dosing strategies at different pubertal stages Medical Knowledge
Employ strategies to support parents and caregivers of transgender and gender-diverse youth, particularly families who are be struggling with their child’s gender identity or understanding their child’s needs and goals Patient Care and Procedural Skills

Rotation Directors

  • Errol Lamont Fields, M.D., Ph.D., M.P.H.

    • Director, Adolescent Medicine Fellowship Program
    • Director, Pediatric and Adolescent Clinical Services, Center for Transgender and Gender Expansive Health
  • Helene Frances Hedian, M.D.

    • Director of Clinical Education, Center for Transgender and Gender Expansive Health
    • Assistant Vice Chair for LGBTQ+ Equity and Education, Department of Medicine