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 PMAbstract 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.
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!).
