First-year students at the Indiana University School of Medicine receive a "Sex and Gender Primer" with woke teachings, such as that "gender and sex are non-binary," according to documents obtained by Fox News.
A PowerPoint presentation teaches students that a person's sex is a "mostly" biological construct.
"Some societies established binarized sex as male/female even though not everyone fits into those categories," the presentation states.
"Gender AND sex are NON-binary. 'Male' and 'female' are the typical sex types assigned at birth. 'Man' and 'woman' are common gender types. These are oversimplifications and BOTH exist on a continuum."
The presentation also instructs students to use "Sex and Gender Inclusive Terminology."
"Language is foundational to transgender and non-binary inclusiveness," the presentation states. "Use appropriate pronouns (default to they/them). Use non-gendered, person-first and anatomy-specific language."
"Linguistic practices are open to change as LGBTQIA+ advocates refine their perspectives on language."
Medical students are also instructed to affirm the "gender identity" of others.
"Gender affirmation represents the social processes where individuals receive recognition and support for their gender identity," the presentation states.
"Inclusive language affirms and validates trans and non-binary identities. Affirmation is across psychological, medical, and social domains is a significant predictor of positive health outcomes and self-esteem."
Perhaps most shockingly, it sets the groundwork for "transitioning" children as young as 4 years old.
It also includes a timeline for how to treat a patient with "a difference of sex development," which begins at four years of age and reaches into adulthood.
That time line advises introducing four-year-olds to ideas about the difference between gender and sex.
By six-years-old, the lesson says kids should begin talking about puberty, and that doctors should consider having those discussions children in private.
Come early puberty doctors are advised to hold meetings with patients in private and to begin discussing transitions.
The battle over procedures that irrevocably alter children's bodies for the sake of gender ideology is currently coming to a head in Missouri, where the state attorney general is criminally investigating a children's gender clinic over accusations of rampant abuse and harm.