Using gender-inclusive language can improve patient experience
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Dermatologists should adapt gender-inclusive language and practices to welcome patients seeking gender-affirming care, according to recommendations published in the Journal of Drugs in Dermatology.
“A dermatologist is often a patient’s point of entry into medical care. This is a big responsibility,” Marc M. Beuttler, MD, of the department of dermatology at Louisiana State University Health Sciences Center, told Healio. “Using pronouns that align with our patients’ identity — whether masculine, feminine or nonbinary — is an important first step toward building a trusting, collaborative patient-physician relationship with the goal of providing optimal care. The second step is using descriptive, rather than historically gendered, language.”
Beuttler and his coauthor, Jennifer L. MacGregor, MD, of UnionDerm in New York City, outlined how clinicians can begin to incorporate gender-inclusive language into their respective practices, from how to address patients individually to what kind of language can be using in written communications, as well as why this is important to all patients, but especially to transgender and nonbinary patients.
A genderless approach to language, which uses specific descriptions rather than labeling certain features as masculine or feminine, is one way to begin being more inclusive.
This includes using terms such as “wider, more angular forehead” and “smooth, convex forehead” or “wider, squarer chin” and “smaller, narrow or elongated chin” rather than “masculine” or “feminine.”
The authors included a list of these possible changes in the article, with language for upper face, mid face, lower face, nose and mouth.
“Successful dermatology requires clear description. When it comes to developing a plan of care, descriptive language, rather than gendered language, is simply better medicine,” Beuttler said. “By describing features individually and clearly, we better allow patients to express nuanced preferences for aesthetic outcomes. We’re not proposing language for transgender dermatology. We are building vocabulary to make aesthetic dermatology more accessible, inclusive and medically sound for all people.”
The authors suggest always using the patient’s preferred pronouns, training staff to use gender neutral pronouns as much as possible and including gender inclusive language everywhere, from intake forms and marketing materials to a practice’s website.