Table 2.
Initial learning objectives generated by the study team
| Learning objective | Importance rating: n experts who rated item as “very important” or “extremely important”/n experts who responded to the item (%) |
|---|---|
| Content Area 1: Basic Reproduction | |
| 1. To identify the kinds of gametes your body can produce for reproduction | 62/76 (82) |
| 2. To explain the role of puberty in facilitating reproduction | 56/76 (74) |
| 3. To describe how a baby is conceived | 52/75 (69) |
| Content Area 2: Gender-Affirming Medical Interventions: Impacts on Fertility | |
| 4. To explain how gender-affirming hormone treatment impacts fertility | 75/77 (97) |
| 5. To describe what pubertal suppression treatment is | 72/77 (94) |
| 6. To explain how pubertal suppression treatment impacts fertility | 71/76 (93) |
| 7. To describe what gender-affirming hormone treatment (testosterone/estrogen) is | 69/76 (91) |
| 8. To identify how gender-affirming “bottom” surgery impacts fertility | 68/77 (88) |
| 9. To describe how gender-affirming hormone treatment (testosterone/estrogen) works | 60/76 (79) |
| 10. To identify types of gender-affirming “bottom” surgery | 57/77 (74) |
| 11. To describe how pubertal suppression works | 54/76 (71) |
| Content Area 3: Established Fertility Preservation Options | |
| 12. To identify established fertility preservation options in the United States | 74/77 (96) |
| 13. To summarize the process for obtaining mature gametes for cryopreservation and timeline to complete gamete cryopreservation | 68/77 (88) |
| 14. To identify costs associated with gamete harvesting, long-term storage, and future gamete use | 68/77 (88) |
| 15. To describe the process for using cryopreserved gametes in the future | 62/76 (82) |
| Content Area 4: Benefits and Risks of Established Fertility Preservation Procedures | |
| 16. To summarize the benefits and risks of established fertility preservation | 75/76 (99) |
| Content Area 5: Alternate Pathways to Parenting | |
| 17. To identify two alternative pathways to parenting aside from being a biological parent (including choosing not to parent) | 62/75 (83) |
| 18. To describe unique considerations pursuing adoption or fostering as a transgender or gender-expansive individual | 47/75 (63) |
| 19. To summarize the process for adoption | 46/75 (61) |
| 20. To describe costs associated with adoption | 39/75 (52) |
| Content Area 6: Experimental Fertility Preservation Options | |
| 21. To define what it means for a procedure to be considered “experimental” | 51/75 (68) |
| 22. To identify costs associated with gonadal tissue harvesting, long-term storage, and future use | 48/74 (65) |
| 23. To identify experimental fertility preservation options (ovarian and testicular tissue cryopreservation) | 42/76 (55) |
| 24. To describe the process for obtaining gonadal tissue for cryopreservation (including need for IRB-approved protocol) | 39/75 (52) |
| 25. To describe the necessary scientific advancements needed to use cryopreserved testicular/ovarian tissue | 33/75 (44) |
Note. Learning objectives that met 75% agreement for importance are listed in bold