Disorders (or differences) of Sex Development are congenital conditions in which development of chromosomal, gonadal, or anatomic sex is atypical. Clinical management of DSD is in a state of flux with disagreements within and between professional, advocacy, and patient communities about what is “optimal” care; i.e., the “best” ways to achieve the “best” outcomes. Specific topics triggering contentious debate include decision-making over gender of rearing, genital surgery and its timing, gonad removal, and disclosing diagnostic details to patients.
Dr. Freed has over 25 years of experience in children's health services research and has been the principal investigator of numerous federal, state and foundation-funded grants, and the first NIH-funded pediatric health services research fellowship program. He has published over 200 peer-reviewed articles on child health policy and health economics, immunizations, physician behavior, the medical workforce and interspecialty variation in the provision of preventive services to children.
Research from the National Poll on Children's Health