Improving Care: How Gender-Affirming Language Matters in Neurology

In the world of neurology, the language we use makes a huge difference, especially when it comes to caring for transgender and gender diverse (TGD) individuals. You might think that language has come a long way, with explicit pronouns and all, but there's still much to be done. Historically, sex and gender were often used as if they meant the same thing, but they're actually quite different. This distinction is crucial, especially when dealing with patients whose assigned sex and gender don't match up. When it comes to healthcare, TGD individuals often face issues like being misgendered or having their identity invalidated. This can lead to them avoiding healthcare altogether or not trusting their providers. To tackle this, gender-affirming language needs to be integrated into clinical care right from the start of neurology residency and fellowship programs. Consider three scenarios: epilepsy, multiple sclerosis, and stroke cases. Each shows how language is used in neurology and offers tips for trainees to use gender-affirming language effectively. The goal is simple: ensure health care equity and create a safe, inclusive environment for everyone. It's vital for residents and fellows to understand cultural humility and the correct terminology. They should also learn to ask questions when unsure about someone's gender identity, instead of making assumptions. This builds trust, reduces discrimination, and ultimately leads to better health outcomes for TGD patients.