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BackTable / ENT / Podcast / Episode #150

ENT & Gender Diversity: Breaking Down Barriers in Patient Care

with Dr. Daniel Knott and Dr. Rahul Seth

In this episode, Dr. Gopi Shah discusses the role of ENT in gender-affirming care with facial plastic surgeons Dr. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. This episode is the second half of a two-part series featuring Drs. Knott and Seth.

First, the surgeons emphasize the importance of understanding terms related to gender identity and using patients’ correct pronouns. Relative to the general population, transgender individuals face higher rates of poverty, unemployment, and serious mental illness, all of which shape their interaction with the healthcare system. Then, using California as a case study, doctors Knott and Seth discuss strategies that successfully increase access to gender-affirming care. The episode finishes by addressing how insurance coverage, clinical research, education and advocacy shape gender-affirming care.

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ENT & Gender Diversity: Breaking Down Barriers in Patient Care with Dr. Daniel Knott and Dr. Rahul Seth on the BackTable ENT Podcast)
Ep 150 ENT & Gender Diversity: Breaking Down Barriers in Patient Care with Dr. Daniel Knott and Dr. Rahul Seth
00:00 / 01:04

BackTable, LLC (Producer). (2023, December 21). Ep. 150 – ENT & Gender Diversity: Breaking Down Barriers in Patient Care [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. P. Daniel Knott discusses ENT & Gender Diversity: Breaking Down Barriers in Patient Care on the BackTable 150 Podcast

Dr. P. Daniel Knott

Dr. P. Daniel Knott is a professor in the Facial Plastic, Aesthetic and Reconstructive Surgery Division and the director of Facial Plastic and Aesthetic Surgery with UCSF in San Francisco, California.

Dr. Rahul Seth discusses ENT & Gender Diversity: Breaking Down Barriers in Patient Care on the BackTable 150 Podcast

Dr. Rahul Seth

Dr. Rahul Seth is a facial plastic and reconstructive surgeon with Golden State Plastic Surgery and Golden State Dermatology in San Fracisco, California.

Dr. Gopi Shah discusses ENT & Gender Diversity: Breaking Down Barriers in Patient Care on the BackTable 150 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Show Notes

00:00 - Introduction to the Podcast
01:23 - Understanding Transgender and Gender Diverse Individuals
03:06 - Challenges Faced by Transgender and Gender Diverse Individuals
08:55 - The Role of Otolaryngologists in Gender Affirming Care
17:02 - The Impact of Insurance and State Laws on Access to Care
28:40 - The Importance of Education and Advocacy in Gender Affirming Care
40:21 - Closing Thoughts and Final Remarks

Resources

Dr. Knott's and Dr. Seth’s Facial Plastic Clinic:
https://ohns.ucsf.edu/facialplastics

Backtable ENT Ep. 148 – “Facial Masculinization in Gender Affirming Care with Dr. P Daniel Knott and Dr. Rahul Seth:”
https://www.backtable.com/shows/ent/podcasts/148/facial-masculinization-in-gender-affirming-care

Backtable ENT Ep. 125 - “Gender Affirming Voice Care with Sara Schneider MS, CCC-SLP and Dr. Mark Courey:”
https://www.backtable.com/shows/ent/podcasts/125/gender-affirming-voice-care

Backtable ENT Ep. 27 – “Facial Feminization with Dr. Sarah Saxon:”
https://www.backtable.com/shows/ent/podcasts/27/facial-feminization

Operative Techniques in Otolaryngology chapter covering facial masculinization surgery:
https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext

ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD:
https://www.enttoday.org/article/gender-affirmation-surgery-in-california/

ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for This Patient Population,” P. Daniel Knott, MD and Rahul Seth, MD
https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/

Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology:” https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2

“National Variation of Insurance Coverage for Gender-Affirming Facial Feminization Surgery,” S. Gadkaree et al.:
https://pubmed.ncbi.nlm.nih.gov/32865436/

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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