Purpose <p>Increasing recognition of Sex and Gender Medicine has led to multifaceted initiatives improving patient care through physician education. Limited data exist evaluating the impact of these initiatives on physician trainees. We re-evaluated the representation of Sex and Gender Medicine in post-graduate physician clinical training at Cedars-Sinai Medical Center in a 10-year follow up study.</p> Methods <p>Post-graduate physician trainees from medical and surgical subspecialities (<i>n</i> = 490) were surveyed online in 2024. Sixty-two trainees (19%) responded to questions regarding sex and gender-based medicine. The results were compared to the results of a similarly conducted survey of the same medical center in 2014.</p> Results <p>Most post-graduate physician trainees feel that gender medicine concepts are important (90% now vs. 88% previously, <i>p</i> = 0.60) and that a formal curriculum discussing gender medicine topics should be implemented in their training program (53% vs. 60% previously, <i>p</i> = 0.70). Trainees report that the frequency of sex/gender discussion in didactic and clinical teaching has remained low (31% reporting “often” or “very often” vs. 25% previously, <i>p</i> = 0.50). Most trainees (82%) endorse that increasing education on the topic limits bias and improves patient care. Most trainees continue to report incorporating sex in their clinical practice despite limited formal education (95% vs. 92% previously, <i>p</i> = 0.52).</p> Conclusions <p>Increased training in sex and gender-based medicine concepts remain desired by post-graduate physician trainees, yet minimal changes have occurred over the last decade. These findings continue to support greater efforts to implement sex and gender-based medicine concepts into clinical training programs for postgraduate physician trainees.</p>