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6.2 “I think I might be trans”: navigating first consultations as rural generalists

Tracks
Crown Ballroom 3A
Thursday, October 23, 2025
2:20 PM - 2:50 PM
Crown Ballroom 3A

Details

Format: Practical workshop (90-minute)


Speaker

Dr Matthew Ruhl
Registrar
Pathology Queensland

“I think I might be trans”: navigating first consultations as rural generalists

2:20 PM - 3:25 PM

Abstract Overview

Rural generalists work across multiple settings with one commonality: we rarely know what our next patient will have as their presenting issue. Some presentations may be unfamiliar or confronting, especially if we’re underprepared to manage them—such as a first presentation of a transgender or gender diverse patient, where their gender may or may not directly relate to their presenting issue.

This workshop aims to equip participants with the knowledge to approach a first consult with a transgender or gender diverse patient, in rural generalist practice settings, including:
• The impact of bias and discrimination on transgender and gender diverse people and their access to health services
• What is affirmative care and how can you practice affirmatively?
• How to discuss pronouns, names and use appropriate language
• What to do if you say the wrong thing
• What is “trans broken arm syndrome”? How can you avoid it?
• Signalling safety in your practice and on your person
• Exploring gender and sexuality with a patient.

These issues will be discussed with facilitators in small rotating groups with case discussion, through a trauma-informed practice lens and in a supportive environment to allow participants to develop useful scripts.

Biography

Matt is a rural generalist FACRRM, with an advanced skill in mental health and special interests in addiction and sexual health, and all facets of LGBTIQAPSB+ health. He has worked for the past decade in hospitals and health facilities across south-east Queensland, and is currently on sabbatical from clinical work, completing further training in Chemical Pathology as an exploration of other practice avenues for his future work- life balance. Matt is an active clinical educator for ACRRM. He continues to study actively, is a novice researcher and supports medical student and doctor education. In his spare time, he enjoys his artistic pursuits as an amateur stained-glass maker, cooking, gaming, and sleep (especially sleep!).
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