Teaching Gender-Affirming Care

Teaching Gender-Affirming Care is a visual novel-style training simulation set at Rose Way Clinic. You play a newly hired physician working to make the clinic more inclusive for transgender and gender-diverse (TGD) patients. Across 18 clinical encounters with eight patients, the game offers over three hours of gameplay.

Patient care

You prescribe and optimize hormone therapy, including testosterone and estradiol regimens, counsel patients about surgical affirmation, and navigate care considerations for TGD adolescents. Your decisions affect each patient’s trust and stress levels in real time. The scenarios also address inclusive, patient-centered communication across the lifespan; individualized transition goals and clinical considerations; confidentiality, consent and documentation; and reproductive health, fertility preservation and long-term planning.

Mentorship and stories

The clinic’s attending physician, Dr. G., trains and mentors you. After each encounter, the clinic director, Dr. Jay, debriefs your performance, and you can replay encounters. Illustrated graphic novel-style cutscenes between visits offer glimpses into the patients’ personal lives.

Clinic development

You earn awards and unlock amenities to make Rose Way Clinic more LGBTQ+ inclusive, in line with the Human Rights Campaign’s Healthcare Equality Index. The 18 simulated case scenarios draw on the lived experiences of consulting LGBTQ+ patients, health providers and reviewers, and align with evidence-based practices. TGD visual artists and voice actors were recruited through an open casting call to portray the characters.