Intersex medical interventions these are rare in North America and Europe. Masculinizing surgery for completely virilized individuals with XX sex chromosomes and CAH is even rarer. Orchiopexy for repair of undescended testes (cryptorchidism) is the second most common surgery performed on infant male genitalia (after circumcision). The surgeon moves one or both testes, with blood vessels, from an abdominal or inguinal position to the scrotum. If the inguinal canal is open it must be closed to prevent hernia. Potential surgical problems include maintaining the blood supply. If vessels cannot be stretched into the scrotum, or are separated and cannot be reconnected, a testis
AMDA – The Society for Post-Acute and Long-Term Care Medicine a long-term care facility, and have completed a post-graduate training program accredited by the U.S. Accreditation Council for Graduate Medical Education or American Osteopathic Association, or a Canadian Royal College of Physicians and Surgeons or College of Family Physicians accredited post-graduate training program. Certification is earned with competence in clinical medicine and medical management in long-term care, after completing educational requirements. Continuing medical education in both clinical and leadership areas is a requirement to retain certification, as well as to recertify in the future. CMDs must recertify after six years. Certified Medical Director is a certification offered by the American