Travis Reece-Nguyen, MD, MPH, FAAP (he/him/his)

All Publications

• Sexual Orientation and Gender Identity Representation in Academic Anesthesiology Department Chairs: A Cross-Sectional Survey. Anesthesia and analgesia Reece-Nguyen, T. L., Pope, S. E., Sanchez, K. J., Nisar, F., Hill, H. E., Tollinche, L. E. 2025

  View details for DOI 10.1213/ANE.0000000000007579

  View details for PubMedID 40408303

• Sociodemographic and Systems Risk Factors Associated With Nil by Mouth Noncompliance and Day-of-Procedure Cancellations: A Retrospective Multicenter Case-Control Study. Anesthesia and analgesia Goldstein, D. J., Jimenez, N., Faulk, D., Jones, J., Reece-Nguyen, T., Gooden, C. K., Markowitz, D. V., Dalal, P. G., DEI-QS Collaborative of the Society for Pediatric Anesthesia, Wells, R. J., Patel, V., Bradley, J., Chiem, J., Archilla, C. A., Perez-Velasco, D., Martin, A., Parekh, U. R., Roque, R. A. 2025

  Abstract

  BACKGROUND: Day-of-procedure cancelations are a hardship, affecting patients, families, and health care systems. One major cause of cancelations is nil by mouth (nil per os [NPO]) noncompliance. Previous single-center studies show conflicting results regarding risk factors for cancelations. The primary objective of this study was to identify demographic populations with higher-than-predicted rates of NPO noncompliance, as defined by local institutional NPO guidelines. The secondary objective was to determine whether demographic and system risk factors were associated with procedure cancelations due to NPO noncompliance.METHODS: A multicenter retrospective case-control study was conducted of children <18 years of age presenting for elective procedures requiring adherence to local institutional NPO guidelines. Data collected included sociodemographic characteristics (age, sex, race-ethnicity, language of care, and medical insurance type) and systems factors (time of day for the scheduled procedure and communication modalities used to share NPO guidelines). The primary outcome was the occurrence of noncompliance of local institutional NPO guidelines. The secondary outcome was a cancelation of the elective procedure due to NPO noncompliance. A chi2 goodness-of-fit test and multivariable logistic regression were used for statistical analyses.RESULTS: Among 164,147 pediatric patients across 10 institutions, a total of 1208 instances of NPO noncompliance were identified (0.74%). Of the patients who experienced an NPO noncompliance event, 52% had their procedure delayed to a later time of the day, and 48% had their procedure canceled. Risk factors for NPO noncompliance included being younger than <4 years old, belonging to minority race-ethnicity groups, having Spanish as the primary language of care, and having public health insurance. In the multivariable analysis, the odds of cancelation after an NPO noncompliance event were 46% higher for children whose preprocedure phone call was not answered, 62% higher for children over 4 years old, 80% higher for non-Hispanic African American/Black children, 88% higher for children with public health insurance, and twice as high for procedures scheduled in the afternoon.CONCLUSIONS: This multicenter study identified age, race-ethnicity, language of care, and health insurance type as factors associated with the occurrence of NPO noncompliance. Certain demographic and system risk factors were linked to higher rates of day-of-procedure cancelations due to NPO noncompliance. These findings raise concerns regarding disparities in access to care especially in minority populations already at an increased risk of inadequate health care access. Identifying these risk factors can help drive the development of strategies to address inequities and improve access to health care.

  View details for DOI 10.1213/ANE.0000000000007451

  View details for PubMedID 40036165

• Perioperative Considerations for Transgender and Gender-Diverse Patients. Anesthesiology clinics Aquino, N. J., Reece-Nguyen, T. L., Sanchez, K. J., Roque, R. A., Tollinche, L. E. 2025; 43 (1): 99-126

  Abstract

  Due to changes in the cultural, political, and social landscape regarding gender identity, transgender patients often encounter significant levels of transphobia and discrimination within health care environments. As this population grows, anesthesiology professionals are increasingly likely to care for transgender and gender-diverse patients undergoing both gender-affirming and non-gender-affirming procedures. The aim of this review is to equip anesthesiology professionals with a culturally sensitive and evidence-based framework for effectively managing transgender and gender-diverse patients throughout the preoperative, intraoperative, and postoperative phases.

  View details for DOI 10.1016/j.anclin.2024.07.004

  View details for PubMedID 39890325

• Analysis of Transgender and Gender-Diverse Topics Within Diversity, Equity, and Inclusion Curricular Content in Pediatric Anesthesiology Fellowship Programs in the United States and Canada-A Prospective Survey. Paediatric anaesthesia Krueger, M. E., Roque, R. A., Reece-Nguyen, T. L., MacCormick, H. 2024

  Abstract

  BACKGROUND: Transgender and gender-diverse individuals experience higher burdens of health disparities compared to their cisgender counterparts. Contributing factors include decreased access and denial of care, experiences and fear of medical violence, and increasing legislative barriers. These patients often report having to educate healthcare professionals due to lack of expertise of transgender and gender-diverse issues within the medical community, with training deficits observed at all levels of medical training.AIMS: We surveyed pediatric anesthesiology fellowship directors in the United States and Canada with an aim to describe the current state of transgender and gender-diverse topics within diversity, equity, and inclusion curricular content across pediatric anesthesiology fellowship training programs.METHODS: A 25-question descriptive, cross-sectional, electronic survey was created and distributed to all pediatric anesthesiology fellowship program directors in the United States and Canada investigating the inclusion of transgender and gender-diverse topics within diversity, equity, and inclusion curriculum (if present) for pediatric anesthesiology fellows.RESULTS: A total of 33 responses were collected from 69 total invited programs. Diversity, equity, and inclusion curricula were present in 93.5% (29/31) of fellowship programs but only 29% (9/31) of programs included content specific to transgender and gender-diverse populations. Just 17% (5/29) of program directors thought their curriculum adequately prepared their graduates to care for transgender and gender-diverse patients. However, 69% (20/29) expressed a desire to see more educational content included in the future. Lack of knowledgeable faculty educators and time were the most chosen perceived barriers to inclusion.CONCLUSIONS: To our knowledge, this study is the first to evaluate pediatric anesthesiology fellowship curricula for inclusion of transgender and gender-diverse topics within diversity, equity, and inclusion curriculum. As the population of known transgender and gender-diverse youth increases, all pediatric anesthesiologists must be equipped to treat this population with appropriate clinical and cultural sensitivity. Future endeavors must include robust sexual orientation and gender identity data collection, access to educational materials from content experts, recruitment and empowerment of LGBTQ+ anesthesiologists, and increased dedicated time toward diversity, equity, and inclusion education, specifically in regard to the transgender and gender-diverse population.CLINICAL IMPLICATIONS: Lack of physician education on the care of transgender and gender-diverse patients is one of several factors contributing to the health disparities seen in this population; training deficits in the care of transgender and gender-diverse patients have been observed in all levels of medical training. Our data show a critical deficiency of transgender and gender-diverse topics within diversity, equity, and inclusion curricular content in pediatric anesthesiology fellowships in the United States and Canada and identify potential barriers to the inclusion of such content.

  View details for DOI 10.1111/pan.15053

  View details for PubMedID 39644198

• Underrepresented in Medicine Trainees' Sense of Belonging and Professional Identity Formation after Participation in the Leadership Education in Advancing Diversity Program. Academic pediatrics Yemane, L., Powell, C., Edwards, J., Shumba, T., Alvarez, A., Bandstra, B., Brooks, M., Brown-Johnson, C., Caceres, W., Dunn, T., Johnson, C., Perez, F. D., Reece-Nguyen, T., Thomas, R. P., Watkins, A. C., Blankenburg, R. 2024

  Abstract

  There are persistent structural barriers that threaten inclusion and retention of underrepresented in medicine (UIM) residents and fellows (trainees) as future faculty in academic medicine. We developed the Leadership Education in Advancing Diversity (LEAD) Program at a single, academic institution, to address these barriers through a 10-month longitudinal curriculum across GME for trainees to develop leadership and scholarship skills in DEI.Explore how participation in LEAD impacted UIM trainees' sense of belonging and professional identity formation in academic medicine; as well as perceptions about pursuing a career in academic medicine and future leadership roles.IRB-approved qualitative study in August 2020-August 2021 with individual, semi-structured interviews of UIM LEAD graduates from the first 4 cohorts (2017-2021). Data were analyzed by two authors using modified grounded theory.14 UIM trainees were interviewed; seven themes emerged. Critical aspects of the program: (1) Creation of a community of shared DEI values (2) Mentorship (3) Role of allies. Results of the program: (4) Deepened appreciation of personal and professional identity as UIM (5) Fostered belonging in academic medicine (6) Appreciation of different careers in academic medicine and how to integrate DEI interests (7) Inspired trainees to pursue leadership roles.LEAD can serve as a model for other institutions that seek to support UIM trainees' sense of belonging, professional identity formation, and perceptions about pursuing careers in academic medicine and future leadership roles.

  View details for DOI 10.1016/j.acap.2024.08.003

  View details for PubMedID 39117029

• Concepts and Approaches in the Management of Transgender and Gender-Diverse Patients. Mayo Clinic proceedings Strand, N., Gomez, D. A., Kacel, E. L., Morrison, E. J., St Amand, C. M., Vencill, J. A., Pagan-Rosado, R., Lorenzo, A., Gonzalez, C., Mariano, E. R., Reece-Nguyen, T., Narouze, S., Mahdi, L., Chadwick, A. L., Kraus, M., Bechtle, A., Kling, J. M. 2024; 99 (7): 1114-1126

  Abstract

  The terms transgender and gender diverse (TGD) describe persons whose gender is different from the sex assigned to them at birth. While TGD persons have experienced a rise in cultural and social visibility in recent decades, they continue to experience significant health inequities, including adverse health outcomes and multiple barriers to accessing medical care. Transgender and gender-diverse persons are at a higher risk for pain conditions than their cisgender counterparts, but research on chronic pain management for TGD persons is lacking. Clinicians from all disciplines must be informed of best practices for managing chronic pain in the TGD population. This includes all aspects of care including history, physical examination, diagnosis, treatment, and perioperative management. Many TGD persons report delaying or avoiding care because of negative interactions with medical practitioners who do not have sufficient training in navigating the specific health care needs of TGD patients. Furthermore, TGD persons who do seek care are often forced to educate their practitioners on their specific health care needs. This paper provides an overview of existing knowledge and recommendations for physicians to provide culturally and medically appropriate care for TGD persons.

  View details for DOI 10.1016/j.mayocp.2023.12.027

  View details for PubMedID 38960496

• TRANSforming Gender Identity Data Collection and Representation for Gender Diverse Youth. Pediatrics Quint, M., Reece-Nguyen, T. L. 2024

  View details for DOI 10.1542/peds.2024-065932

  View details for PubMedID 38752290

• Anesthesia for gender-affirming surgery: a practical review. Current opinion in anaesthesiology Sanchez, K., Tollinche, L., Reece-Nguyen, T. 2024

  Abstract

  PURPOSE OF REVIEW: Gender-affirming surgery (GAS) is an effective, well studied, and often necessary component of gender-affirming care and mitigation of gender dysphoria for transgender and gender-diverse (TGD) individuals. GAS is categorized as chest surgeries, genitourinary surgeries, facial feminization/masculinization, and vocal phonosurgery. Despite increased incidence of GAS during recent years, there is a gap in knowledge and training on perioperative care for TGD patients.RECENT FINDINGS: Our review discusses the relevant anesthetic considerations for the most common GAS, which often involve highly specialized surgical techniques that have unique implications for the anesthesia professional.SUMMARY: Anesthesiology professionals must attend to the surgical and anesthetic nuances of various GAS procedures. However, as many considerations are based on common practice, research is warranted on anesthetic implications and outcomes of GAS.

  View details for DOI 10.1097/ACO.0000000000001366

  View details for PubMedID 38390936

• Underrepresented in Medicine Trainees’ Sense of Belonging and Professional Identity Formation after Participation in the Leadership Education in Advancing Diversity Program Academic Pediatrics Yemane, L. 2024

  View details for DOI 10.1016/j.acap.2024.08.003

• Marching Toward Utopia: Mentor-Mentee Relationship Devoid of Race or Gender Considerations. Anesthesia and analgesia Garcia-Marcinkiewicz, A., Reece-Nguyen, T., Nafiu, O. O. 2023; 137 (4): 744-746

  View details for DOI 10.1213/ANE.0000000000006621

  View details for PubMedID 37712464

• Perioperative Considerations for Gender-Affirming Surgery CURRENT ANESTHESIOLOGY REPORTS van Rooyen, C., Aquino, N. J., Tollinche, L. E., Reece-Nguyen, T. L. 2023

  View details for DOI 10.1007/s40140-023-00553-5

  View details for Web of Science ID 000967882300001

• Diversity, Equity, and Inclusion Within the Society for Pediatric Anesthesia: a Mixed Methods Assessment. Paediatric anaesthesia Reece-Nguyen, T. L., Lee, H. H., Garcia-Marcinkiewicz, A. G., Szolnoki, J., Fernandez, A. M., Mukkamala, S., Lalwani, K., Deutsch, N., Jimenez, N. 2023

  Abstract

  Leadership of the Society for Pediatric Anesthesia created the Diversity, Equity, and Inclusion committee in 2018 to prioritize diversity work. The Society for Pediatric Anesthesia-Diversity, Equity, and Inclusion committee implemented a baseline survey of the Society for Pediatric Anesthesia membership in 2020 to assess demographics, equity in leadership, inclusivity, and attitudes toward diversity work. The Society for Pediatric Anesthesia plays a significant role in shaping the future of pediatric anesthesiology and in supporting our diverse pediatric patients.This study is an IRB-exempt, cross-sectional survey of the Society for Pediatric Anesthesia membership. Quantitative analysis provided descriptive statistics of demographics, practice characteristics, and involvement within the Society for Pediatric Anesthesia. Qualitative thematic analysis provided an in-depth assessment of perceptions of diversity, challenges faced, and prioritization of Diversity, Equity, and Inclusion efforts within the Society for Pediatric Anesthesia.Out of 3,242 Society for Pediatric Anesthesia members, 1,232 completed the survey representing 38% of overall membership. Respondents were 89.2% United States members, 52.7% female, 55.7% non-Hispanic White, 88.6% heterosexual, 95.7% non-military, 59.2% religious, and 2.1% have an Americans with Disabilities Act recognized disability. All major United States geographical areas were represented equally with 71% practicing in urban areas and 67% in academic settings. Ethnic/racial minorities were more likely to be international medical graduates (p<0.001). Among United States members, 41.5% report being fluent in a language other than English, and 23.5% of those fluent in another language are certified to interpret. Compared to men, women are less likely to be in leadership roles (p<0.003), but we found no difference in participation and leadership when stratified by race/ethnicity, geography, international medical graduate status, or sexuality. Racial/ethnic minorities (p<0.028), women (p<0.001), and lesbian, gay, bisexual, transgender, and queer members (p<0.044) more frequently hold lower academic rank positions when compared to white, heterosexual, and male members. Half of respondents were unsure whether diversity, equity, and inclusion challenges existed within the Society for Pediatric Anesthesia while the other half demonstrated opposing views. Among those who reported diversity, equity, and inclusion challenges, the themes centered around persistent marginalization, the need for more inclusive policies and increased psychological safety, and lack of leadership diversity.Compared to the diversity of the pediatric population we serve, there are still significant gaps in demographic representation within the Society for Pediatric Anesthesia. As well, there is no consensus among Society for Pediatric Anesthesia membership regarding perceptions of diversity, equity, and inclusion in pediatric anesthesia in the United States. Among those who reported diversity challenges, opportunities for the Society for Pediatric Anesthesia and Anesthesiology Departments to better support minoritized members included bolstering workforce diversity efforts and awareness via more inclusive policies, improved psychological safety, and increasing diversity in leadership. If pediatric anesthesiology is like other specialties, gaining consensus and improving diversity in the workforce might advance pediatric anesthesia innovation, quality, and safety for children of all backgrounds in the United States.

  View details for DOI 10.1111/pan.14642

  View details for PubMedID 36715575

• Current challenges faced by transgender and gender-diverse patients and providers in anesthesiology. International anesthesiology clinics Reece-Nguyen, T. L., Tollinche, L., Van Rooyen, C., Roque, R. A. 2023; 61 (1): 26-33

  View details for DOI 10.1097/AIA.0000000000000384

  View details for PubMedID 36480647

• Burnout, Mental Health, and Workplace Discrimination in Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex, and Asexual Anesthesiologists. Anesthesiology clinics Reece-Nguyen, T., Afonso, A. M., Vinson, A. E. 2022; 40 (2): 245-255

  Abstract

  Increasing attention is being paid to both anesthesiologist well-being and commitments to diversity, equity, and inclusion. Sexual minorities (ie, members of the lesbian, gay, bisexual, transgender, queer/questioning, intersex, and asexual [LGBTQIA] communities) face many challenges in society and the workplace, including mental health conditions, discrimination, and increased risk for burnout. In this review, we outline the current state of mental health conditions and burnout in sexual minority individuals, discrimination and harassment faced both in society and the workplace, and steps that workplaces can take to become more inclusive and welcoming.

  View details for DOI 10.1016/j.anclin.2022.01.002

  View details for PubMedID 35659398

• Integrated diversity, equity, and inclusion curriculum into pediatric anesthesia fellowship training: Another step forward. Paediatric anaesthesia Murray, A., Reece-Nguyen, T., Caruso, T. J. 1800

  View details for DOI 10.1111/pan.14385

  View details for PubMedID 34971019

• In reply: Regional anesthesia catheter tunnelling: a simpler approach. Canadian journal of anaesthesia = Journal canadien d'anesthesie Reece-Nguyen, T., Lin, C., Tsui, B. C. 2019

  View details for DOI 10.1007/s12630-019-01555-w

  View details for PubMedID 31848982

• A retrograde tunnelling technique for regional anesthesia catheters: how to avoid the skin bridge. Canadian journal of anaesthesia = Journal canadien d'anesthesie Lin, C. n., Reece-Nguyen, T. n., Tsui, B. C. 2019

  View details for DOI 10.1007/s12630-019-01505-6

  View details for PubMedID 31617068