"A good history and physical, including screening, can prevent consequences that burden a patient's daily life and increase health care costs. Assessing cardiovascular risk is a key part of the evaluation. Transgender individuals may have a compounded risk. Awareness and education for both the patient and the provider are vital. Currently and in the future, given the gender fluidity of society, we need to be aware and not make assumptions about a patient's gender. Finally, we cannot discount informed consent. The young individual involved in hormonal treatment must understand not just the benefits but also the risks."

Maria Mba Wright is a pediatrician. Carol Reavis is a nurse.

They share their stories and discuss their KevinMD article, "You need to ask these questions to teens starting hormone therapy."

The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience.

With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients.

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Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR.

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