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Introduction: The lack of attention to transgender and gender diverse (TGD) people in undergraduate medical education (UME) is a point of concern, particularly among medical students. A project was undertaken to develop a UME curriculum framework for teaching the healthcare needs of TGD people. Methods: Using a modified Delphi methodology, four rounds of surveys were presented to an expert stakeholder group that included content experts, generalist physicians, UME teaching faculty, and medical students. Questions covered what content should be taught, who should teach the content, and how much time should be dedicated for this teaching. Once the Delphi process was complete, feedback on the provisional framework was sought from members of the TGD community to ensure it represented their needs and perspectives. Results: 71 panel members and 56 community members participated in the study. Core values included the scope of the framework, and topics such as inclusivity, and safety in practice and in teaching. The framework included terminology, epidemiology, medical and surgical treatment, mental health, sexual and reproductive health, and routine primary care. There was also guidance on who should teach, time to be allocated, and the learning environment. Discussion: There is a clear need to train tomorrow's doctors to provide competent and respectful healthcare services to and for TGD patients. Although local factors will likely shape the way in which this framework will be implemented in different contexts, this paper outlines a core UME-level curriculum framework for Canada and, potentially, for use in other parts of the world. [ABSTRACT FROM AUTHOR]

This paper examines the role of forests in national climate policies of two countries very rich in woods: Russia and Canada. Canada has made efforts to reduce direct CO2 emissions in the national economy, intensify forestry, and increase greenhouse gas sequestration by forests. Russia focuses on the verification and recalculation of the carbon sequestration capacity of its forests. Analysis of the Russian and Canadian stationary models used to assess the carbon sequestration capacity of forests (ROBUL and CBM-CFS, respectively) shows that both the Canadian model and the Russian one derived from it reflect the stationary dynamics of forest stands, which inevitably results in a downward CO2 absorption trend. Even if the forest inventory is updated on a regular basis, the predictive components of such models are unable to take into account the variability of forest ecosystems and their adaptation to climate change. Models that describe global carbon fluxes (e.g., ones using FLUXNET and remote sensing data) provide significantly higher net carbon sequestration values and indicate a nondecreasing net carbon accumulation trend in forests. It is concluded that stationary and remote sensing models should be used together to assess net carbon sequestration and formulate key principles of national climate policies in countries rich in forests. [ABSTRACT FROM AUTHOR]