Three surgeons, one of who is wearing a mask with the intersex flag.

Intersex Traits, Genital Surgery: Who Gets to Decide & Why? Considerations in Surgical Care

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Course Credit

The following credits are available for this course:

Risk Management Credits0.75 hours
AMA PRA Category 1 Credits™ (MD, DO, NP, PA)0.75 hours
American Academy of Physician Assistants (AAPA) Category 1 CME Credits0.75 hours
Contact Hours (Nurse)0.75 hours

(Note: a course evaluation is required to receive credit for this course).

Barbara Chubak, MD

Assistant Professor, Urology
Icahn School of Medicine at Mount Sinai

Anne-Marie Amies Oelschlager, MD, FACOG

Professor of Obstetrics & Gynecology
Pediatric & Adolescent Gynecology
Adjunct Professor of Pediatrics, University of Washington School of Medicine

In this debate, Dr. Anne-Marie Amies Oelschlager presents the four arguments that support parents as decision makers in the treatment of children with DSD diagnoses. Dr. Barbara Chubak makes the opposing argument by elaborating why and how pediatric patients born with intersex DSD conditions should be considered an exception to the general rule of parents being decision makers. The presentation was recorded at Intersex Traits (Differences in Sex Development); Clinical and ethical considerations in care across the lifespan, on Oct. 25-26, 2021.

Learning Objectives: 

At the conclusion of this educational program, learners will be able to:

  1. Clarify the unique bioethical challenges of consent to surgery.
  2. Describe the moral foundation and flaws in parental proxy consent to healthcare for their children.
  3. Analyze the arguments for and against parents as decision makers in the treatment and care of pediatric patients with DSD diagnoses.

In support of improving patient care, Boston Children’s Hospital is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician

Boston Children’s Hospital designates this live activity for a maximum of 0.75 AMA PRA Category 1 Credits ™. Physicians should claim only credit commensurate with the extent of their participation in this activity.

Risk Management

This activity meets the requirements for 0.75 Risk Management Credits as proscribed by the Massachusetts Board of Registration in Medicine and defined in 243 CMR 2.06(5)(d) I. Please check your individual state licensing board requirements before claiming these credits.

Physician Assistant

Boston Children’s Hospital has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credits for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Nurse

Boston Children’s Hospital designates this activity for 0.75 contact hours for nurses. Nurses should only claim credit commensurate with the extent of their participation in the activity. 

Disclosure Policy

Boston Children’s Hospital adheres to all ACCME Essential Areas, Standards, and Policies. It is Boston Children’s policy that those who have influenced the content of a CE activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that Boston Children’s may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

Disclosure Statement

The following planners, speakers, and content reviewers, on behalf of themselves, have reported the following relevant financial relationships with any entity producing, marketing, reselling, or distributing health care goods or services consumed by, or used on patients: 

Barbara M. Chuback, MD

Anne Marie Amies Oelschlager, MD

None

Consultant, Affiliate Risk Management Services

Expert Witness in Gardasil Trial

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