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  1. Walking into the examination room with my first patient at the homeless youth clinic, I remained confident and composed. As the patient started listing his past and present health history, I became confused. The patient was transgender and was currently taking hormones for the current stage of their treatment. I had never discussed these treatment plans with patients nor had I been exposed to transgender patients in the primary care setting. I felt helpless and felt I was no longer of help to the patient’s needs. Leaving the room feeling confused, helpless, and frustrated, as I was eager to le
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