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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 / ACRRM

“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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Dr Emily Moody
National Clinical Educator
ACRRM

Co-presenter

Biography

Emily is a dedicated Rural Generalist currently serving as a Senior Medical Officer at Boonah Health Service in Queensland. She has extensive experience in delivering primary and secondary care, as well as providing anaesthetic services to various rural facilities and community general practices across Queensland, including the communities of Kingaroy, Ayr, and Laidley. Passionate about rural medical education, Emily serves as the National Clinical Educator for the Australian College of Rural and Remote Medicine’s Fellowship Education Program. Emily's commitment to rural health advocacy is evident through her role as Co-Chair of the Queensland Rural and Remote Clinical Network, and her recent appointment as Chair of the Queensland Clinical Networks Executive. She also works for the Queensland Rural Generalist Pathway as a Pathway advisor.
Dr Joel Keene
Ed Smp
WACHS

Co-presenter

Biography

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