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I just started the recertification process for my Family Medicine board certification. Today I’m doing an online exam (which now has the academic-sounding name Knowledge Assessment) on general medicine – no specific topic like cardiovascular disease or dermatology. It’s supposed to cover typical stuff that one is likely to encounter in a primary care office, and make sure you know what you’re supposed to do in various common situations. The first few questions were as expected, rashes, heart disease, intestinal issues, and so on. Typical stuff. And then I get to question #6:
A 13-year-old who was assigned female at birth has been diagnosed with gender dysphoria. His parents fully support their child and affirm his gender as male. On examination the patient has a sexual maturity rating of Tanner stage 3. Which one of the following steps would be appropriate for optimal support and therapy for this patient?
Ok. So the patient was “assigned female at birth.” I wonder why? Eh, no matter, I guess.
And now this patient “has been diagnosed with gender dysphoria.” Who diagnosed the patient with gender dysphoria? How? Is this doctor more likely to be correct than the doctor who “assigned female at birth“?
The question emphasizes that “His parents fully support their child…” His? Are you sure? And what exactly does “support their child” mean? Do they support “him” more than other parents support their children?
Tanner stage 3 means early puberty changes. Which, if the patient was “assigned female at birth,” that means breast development, etc.
So then, I’m supposed to answer this. And I need to get it right, so I can score high enough on the test to pass, and move on to the next stage of my recertification. I know that the first answer, “Encouraging conversion of the patient’s gender identity to be congruent with the gender assigned at birth” is obviously wrong, and is only there to identify Republicans and other hate-filled bigots. So I skip over that one.
Next, “Recommending delaying any gender-affirming treatment until he is at least 18 years old to prevent adverse psychosocial outcomes of puberty suppression“. Of course not. Another obvious trap.
The next choice seemed like a decent cop-out: “Ordering genetic testing and ultrasonography to confirm the gender assigned at birth“. I chose this one, because I wouldn’t have to mutilate a healthy child, but I could sort of pretend to play along. Why I would need “genetic testing and ultrasonography” to identify a girl I can’t imagine, but I chose this, because I just couldn’t bring myself to click on the obvious correct answer:
“Recommending GnRH analogue treatment” – using hormone analogues to shut down puberty and normal development.
As you can see, I got the question “wrong.” And my test grade fell a couple points.
They list “Peer Responses,” and 40% of physicians chose the correct answer. Probably because it’s obviously correct, and they’re trying to pass a test. I like to think that they wouldn’t actually do that to an actual child, but of course I don’t know.
Remember, this is a test question about a condition that didn’t exist until a few years ago. And now, we have “correct” answers on tests about it. You should bear in mind that we’re still arguing about how to treat heart disease, which has been killing people for as long as there have been people. We’re still not sure. But with trans-sexual children, we’re sure. So sure, that it’s on the test. With “correct” answers.
Just a few years ago, some women were more masculine than others. That didn’t mean that they weren’t women. And some men were more feminine than others. That didn’t mean that they weren’t men.
But now, just as with leftism in general, there’s no room for diversity. Try being a black Republican. Or a Democrat who is anti-abortion. Or a medical school professor who disagrees with hormone blockers in children who feel like the opposite sex.
This is how we’re treating kids who are finding their way through life. If they don’t fully conform, then we tell them they’re sick. There’s something wrong with them. They require “treatment.”
The intolerance of the left is getting worse. Fast. In all sorts of different ways – even in medical recertification exams.
This is not the first time this has happened. Looking at previous examples of leftist intolerance, the results have been horrific.
The memes and jokes write themselves for such absurdities. But this is not funny.
This is scary, scary stuff.Published in