REGISTRATION SOLD OUT as of 4/18/13

June 13 & 14 2013 from 8:30am-5:30pm

at the Pennsylvania Convention Center in Center City Philadelphia

***This training is for licensed medical providers and students of medical professions.***

Summary of TCCM

For the second year the Philadelphia Trans Health Conference will offer a training for medical providers on transgender clinical care and management- a two day intensive this year. The course is designed for new as well as experienced medical providers (MD, DO, NP, Midwife, PA-C, APN, RN, ND, PharmD, DC) and students of medical professions interested in the primary care of adult and pediatric transgender patients. The course will offer attendees evidence- and experience-based education on the care of transgender patients. 

Cost

REGISTRATION SOLD OUT as of 4/18/13

Written cancellation must be received on or before June 1 2013 and the full amount will be refunded less a $5 administrative fee. No refunds will be made after June 1 2013.

REGISTRATION SOLD OUT as of 4/18/13

Training Schedule

Thursday June 13th 2013

8:30-10:00am: Practice Building and Cultural Competency (Jennifer Hastings, MD, Andrew Goodman, MD, Irina Pekareva-Kochergina)

Practice Building 

In this presentation, 3 different clinicians will speak about their experiences instituting trans-care-related-programs in 3 very different institutions.  The perspective of starting a trans care model in a women’s health setting will be offered; the perspective of setting up a program to serve gender non-conforming pre-pubertal kids, at an LGBT center will be offered; and the implementation of transgender services in a large University setting here in Philadelphia will be offered.  Each of these clinicians offers a unique perspective and insight into what it takes to build a transgender health care program in different settings. There will be time for questions of all the presenters at the end of the presentations.

Cultural Competency

As clients enter an office, navigate through paperwork, interact with front line staff, and discuss many intimate details with a provider it is exceptionally important that the client feel welcomed from the start.  This session will include information about forms and documents, ideas about how reception staff, medical assistants, nursing staff and doctors can use more welcoming language with clients, and review important information about cultural differences that will significantly affect working with patients and providing them with the best care possible.

10:00-11:30am: Insurance Navigation (André Wilson, Jamison Green)

This presentation will address many of the issues surrounding insurance navigation.  Many providers struggle with keeping up with the current changes to policy surrounding billing and reimbursement nationally especially when it comes to transgender care.   Topics covered in this presentation will range from current employers/providers providing progressive options to legislation around the country being promoted.  For billing providers and consumers of care, this is a presentation you will want to see.

12:30-2:00pm: Evidence Based Updates to Primary Care for Trans* Folks (Jeff Huyett, NP)

This session will review the most recent evidence based updates and recommendations for providing care to transgender patients in a number of topical areas.

2:00-3:30pm: Reproductive Endocrinology and Fertility Options for Trans* Patients (Jacqueline Gutmann, MD / RMA of Philadelphia)

This session will review the effects of hormone therapy and gender-confirming surgeries on reproduction and fertility.  Options for patients to bank sperm and/or eggs will be discussed as well as information about fertility options after people have been on hormones and/or had some gender confirming surgeries but want to produce biological children. 

3:30-5:00pm: Difficult Case Discussion (Dane Menkin, CRNP, Melanie Santiago PA-C)

A series of complex cases that sometimes require more extensive and creative management will be reviewed to provide attendees with some real-world ideas about day-to-day patient management. The session will be interactive and attendee participation is encouraged.

Friday June 14th 2013

8:30-10:00am: Developing Medical School Curricula for Trans Medicine (Robert Winn, MD)

Robert Winn, MD is the medical director at Mazzoni Center and Instructor  in Thomas Jefferson University’s Department of Family Medicine.   He has been providing clinical opportunities and speaking to medical students for over a decade about transgender health care. In this presentation, Dr. Winn will speak about the barriers he has encountered as he navigates the education of future medical providers as well as his experience precepting students in an LGBT health care setting.  

10:00am-12:00pm: Pediatric Care for Transgender Youth (Johanna Olsen, MD)

This session will review care for gender nonconforming children and adolescents, reviewing childhood gender development, "social transitioning" for young children exploring their gender, medical interventions for adolescents including options and evidence for temporary puberty suppression and on-going research and long-term medical outcomes.  We will review the WPATH standards of care for children and explore recent research on medical and psychological outcomes and discuss measures that the primary care provider can take to provider affirmative care.  We will also cover some of the ethical, legal and social issues facing gender nonconforming and transgender youth.  We will discuss navigating schools and communities. We will also touch on hot to approach youth in foster care or families where parents disagree on treatment. 

1:30-3:00pm: Primary Care for Trans and Gender Non-Conforming Community (Linda Wesp, FNP, Ronica Mukerjee, FNP, LAc)

In this session, we will cover evidence-based recommendations for providing primary care and hormones to transgender patients.  We will review the evidence for the most commonly prescribed feminizing and masculinizing hormones regimens, basic lab work for hormone monitoring, and associated normals and common abnormals.  Basic health maintenance of FTM and MTF patients, including non- and post-op pelvic care, will be discussed with case study review.

3:00-5:30pm: Surgical Procedures and Post-Surgical Follow-Up (Curtis Crane, MD, Marci Bowers, MD)

This workshop will include a review of procedures available for FTM patients and MTF patients seeking gender-confirming surgeries.  Pre-op care, post-op care, and possible surgical complications that primary care providers may need to consider will be discussed.  Plenty of time for questions will be provided.

Presenter Bios

André Wilson 

As Senior Associate with Jamison Green & Associates, André Wilson specializes in transgender-inclusive healthcare benefits and healthcare services.  An experienced policy consultant and cultural competency educator, André has provided expertise and trainings to a wide variety of employers, policymakers, health professionals, and educational institutions. As past Chair of the NASW-Michigan TBLG Special Interest Group, Wilson collaborated with other NASW members on revisions to the NASW Code of Ethics and several policy statements, including the policy on transgender issues. Recipient of the 2008 Michigan Pride Banquet Unity Award, Wilson is an active member of the World Professional Association for Transgender Health, where he has worked with the Policy and Liaison Committee to develop policy statements.  Wilson serves on the Ann Arbor Human Rights Commission, the Michigan Department of Education Sexual Minority Youth Working Group, and the Michigan Department of Community Health Family Planning Advisory Council.  Wilson holds a Master of Science in environment and behavior research and is currently completing an MSW in social policy.

Andrew Goodman, MD

Dr. Goodman is an attending physician and assistant medical director at the Mazzoni Center, where he has been practicing family medicine for three years.  As part of his practice, Dr. Goodman regularly provides care for the LGBT community, including hormone therapy for trans* individuals.  Among his many clinical interests, has been medical care for gender variant and trans* identified children.  He is currently leading a project to develop a comprehensive medical program for these youth.

Dr. Goodman completed his medical degree at Wayne State University in Detroit, MI and his family medicine residency at the Hospital of the University of Pennsylvania.   

Curtis Crane, MD

Dr. Curtis Crane is one of the only surgeons in the world to have finished two surgical residencies and fellowships. He completed a urology residency at Dartmouth Hitchcock in Lebanon New Hampshire and a plastic surgery residency in San Antonio, Texas. In between the two residency he completed a reconstructive urology fellowship in Detroit with a focus on urethral stricture disease and transgender surgery. Lastly, he completed a transgender surgery fellowship in Ghent, Belgium with Dr. Monstrey in the fall of 2012. He now resides in San Francisco where he has a very busy practice helping trans men and women reach there surgical goals.

Dane Menkin, CRNP

Dane Menkin has been a Family Nurse Practitioner at Mazzoni for 5 years. He has spoken at many conferences for different professional organizations and schools (medical and nursing) on transgender care. Over the years Dane has presented at the TransHealth Conference on safe injection techniques, FTM 101 information, as well as been on many panels around transgender parents/parenting and family building in the transgender community.

Irina Pekareva-Kochergina

This is Irina's second year as the Medical/Alternative Healthcare Working Group's liaison and convener. Irina has a BA in Philosophy and Medical Ethics from Smith College, a BS in Nursing from University of Pennsylvania and is a current graduate student working towards her Nurse Practitioner degree at the University of Pennsylvania. She currently works as a nurse at University of Pennsylvania Student Health Services where she helped start the Transgender Health Committee. For the past three years, she has been a co-chair of Nurses PUSH, a first LGBTQ-specific nursing group at University of Pennsylvania School of Nursing. She is a regular speaker at various courses at the UPenn school of nursing, where she trains students and faculty in topics on LGBTQ health history taking, violence against LGBTQ people, LGBTQ older adults, and trans* healthcare. This semester Irina has begun teaching Women's Health at Upenn Nursing School.

Jacqueline Gutmann, MD

A graduate of Yale University School of Medicine, Dr. Gutmann completed her residency in obstetrics and gynecology as well as fellowship in reproductive endocrinology and infertility at Yale-New Haven Hospital. She is one of approximately 800 physicians in the country who is board certified in obstetrics and gynecology and in reproductive endocrinology.  Dr. Gutmann is Clinical Associate Professor of Obstetrics and Gynecology at Thomas Jefferson University and a physician at Reproductive Medicine Associates of Philadelphia.  She has published numerous articles and lectured on topics including  infertility, third party reproduction , family building in same-sex  couples, pathways to parenthood in the transgender community, assisted reproductive technologies, and complementary and alternative medicine in infertility.     Dr. Gutmann has held numerous leadership positions in local and national professional organizations and is on the medical advisory boards of several patient advocacy groups.  Dr. Gutmann is honored to have been invited to join you at the Trans-Health Conference.

Jamison Green, PhD

Jamison Green, PhD, is internationally known as a leader in transgender health, policy, law, and education. He is the author of the prize-winning book Becoming a Visible Man (Vanderbilt University Press, 2004), and led FTM International from March 1991 to August 1999. He has served on the boards of directors of such organizations as the International Foundation for Gender Education, TransYouth Family Allies, Gender Education & Advocacy, Inc., the Transgender Law & Policy Institute, and the World Professional Association for Transgender Health (WPATH). Jamison has appeared in over a dozen educational documentary films, including the award-winning You Don't Know Dick and Transexual Menace. His policy work on anti-discrimination legislation, healthcare access, and insurance reform has impacted governments, healthcare administration and delivery systems, and businesses throughout the world. He has been recognized with numerous awards, including the Association of Gay and Lesbian Psychiatrists' Distinguished Service Award for his contributions to LGBT mental health, the Transgender Advocacy Award from the National LGBT Bar Association, and the Vanguard Award from the Transgender Law Center. In 2009 he joined the staff at the Center of Excellence for Transgender Health at the University of California, San Francisco, where he managed the Primary Care Protocols project, and a project developing international trans health guidelines. In 2011 he was voted President-Elect by the membership of WPATH; he will serve as President of WPATH from 2014-2016.

Jeff Huyett, NP

Jeff Huyett has been a nurse for nearly 30 years and nurse practitioner for nearly twenty.
Throughout his career, Jeff has been focused on LGBTQ health care as well as educating
nursing and medical providers about HIV care, transgender health, queer youth, and anal
health. For the past decade he has been primarily focused on HPV manifestations in the
anus through clinical care, research, policy development, as well as provider education.
He has been involved with professional organizations and governmental tasks forces in
policy development and activism concerning HIV and LGBTQ health.

In teaching providers, Jeff uses the phrase, “Talk about the ass like you talk about the
elbow.” His provider education focuses on attitude assessment and adjustment as well as
skills building and policy change. He hopes to improve the state of the queer anus by
improving access to sensitive, skilled providers who understand and can talk about anal
health and screening.

Jennifer Hastings, MD

Jennifer Hastings, MD, Family Practice, Santa Cruz, CA; Director, Transgender Health Care Program, Planned Parenthood Mar Monte. Jen started the PPMM Transgender Health Care Program in 2005 and has been actively involved in Transgender Health Care Services for PPFA and Planned Parenthoods around the country. Jen is a member of the Medical Advisory Board of the UCSF Center of Excellence for Transgender Health, on the Steering Committee for the UCSF Child and Adolescent Gender Center, and Medical Director of Conference Programming for Gender Spectrum. As a passionate advocate for queer and gender creative youth and adults, Jen works to increase medical access and understanding about the trans journey.

Johanna Olsen, MD

Johanna Olson, MD is the Medical Director of the Center for Transyouth Health and Development at Children's Hospital Los Angeles. She has been working with gender non-conforming children and transgender adolescents for the past six years, providing puberty blockers and hormone therapy for those youth who wish to initiate a phenotypic transition in order to bring their bodies into alignment with their asserted gender identities. As the recipient of two funded research grants, Dr. Olson has spearheaded a rigorous research program to more fully understand the experience of gender non-conformity fro early childhood to early adulthood. Dr. Olson has spoken around the country to professionals, families, and media about the importance of providing thorough, competent and timely care for transgender youth.

Linda Wesp, FNP

Linda Wesp, FNP is a board certified family nurse practitioner, and has worked with the HIV and LGBTQ community for the past 11 years with a focus on transgender and adolescent populations. Linda is currently the primary care coordinator for the Adolescent AIDS Program of Children’s Hospital at Montefiore Medical Center, the academic medical center and University Hospital for Albert Einstein College of Medicine in the Bronx, NY. She is faculty for the NY/NJ AIDS Education Training Center, where she provides trainings and consultation on transgender health and LGBTQ youth.

Before relocating to NYC in 2012, Linda was the Director of Adolescent Health at Howard Brown Health Center in Chicago, the Midwest’s largest LGBT health center, where she provided care to hundreds of transgender patients, wrote clinical guidelines for medical management of hormones and transgender primary care, and spearheaded the revision of an informed consent model for hormone access called THInC. (Trans Hormone Informed Consent).

Linda has presented on the topic of transgender health at numerous medical, nursing and health professions schools, various conferences, as well as clinics and hospitals through the Midwest and Northeast. She enjoys providing consultation for clinics and practitioners expanding their care and protocols to include transgender patients, especially in underserved and marginalized communities. She has coordinated and taught trans primary care curriculum at the Philadelphia Trans Health Conference for the past 3 years, and sits on the clinical track planning committee for this year’s UCSF/WPATH Transgender Health Summit. 

Marci Bowers, MD

Dr. Marci Bowers, M.D., of San Mateo, Calif., is viewed as a pioneer in the field of gender reassignment surgery and is the first transgender woman to perform the surgery. After practicing in Trinidad, Colo., where she was the subject of a WE tv series entitled ‘Sex Change Hospital,’ she relocated to San Mateo, California in 2010.  Since establishing her practice in legendary Trinidad, Colorado she has performed over 1000 primary Genital Reassignment Surgeries.

She is a frequent media commentator on transgender issues, having appeared on The Oprah Winfrey Show, The Tyra Banks Show and as the subject of a Discovery Health documentary entitled ‘Transgender M.D.’. She has also served as an occasional consultant for ‘CSI: Crime Scene Investigation’ and had a small cameo appearance for the show’s 100^th episode which featured a transgender victim. She was voted as one of America's Best Doctors for 2002-2003 and was recently elected to the European Academy of Sciences.   In 2012 Dr Bowers was named to the Guardian’s “ 100 Most Influential LGBT People Of The Year” and was included in Huffington Post’s “ 50 Transgender Icons” list.

Melanie Santiago PA-C

Melanie (Mo) Santiago PA-C has provided care to members of the trans community since 2002. She works in a private practice in Philadelphia providing primary care to trans and non trans individuals of all ages.

Robert Winn, MD

Dr. Robert Winn is medical director at the Community Health Center at Mazzoni Center, Philadelphia’s ONLY health center focused on the needs of the region’s lesbian, gay, bisexual, transgender communities. He is currently a Soros Foundation Physician Advocacy Fellow, and is working on a project entitled “Eliminating Health Disparities for LGBT Youth in Philadelphia.” He is also a member of the faculty at Jefferson Medical College, in the Department of Family and Community Medicine. His special interest in the health disparities of LGBT communities is manifest in his lectures and seminars to the medical and lay communities, his research endeavors at Jefferson and his development of clinical programming at Mazzoni Center.

Ronica Mukerjee, FNP, LAc

Ronica Mukerjee MSN, MsA is a Family Nurse Practitioner and Licensed Acupuncturist. She has been working with trans patients providing Eastern and Western medicine since 2003. She is currently the Director of Transgender Health Services for Community Healthcare Network where she oversees trans medical care network-wide for 12 community health centers, primarily located in the outer boroughs of New York. Her work involves providing primary care for undocumented and HIV+ people as well as educating medical providers in multiple countries throughout the world about trans care. She also maintains a tele-medicine project in Delhi, India working primarily with trans (hijra) women who are sex workers. She treats patients in English, Spanish, Bengali, American Sign Language, and Hindi (primarily in Brooklyn, Queens and Manhattan) and is currently adjunct faculty at Yale and UPENN Schools of Nursing.

For questions about TCCM please contact Jacsen at jacsen@trans-health.org or by calling 215-563-0652 x264.

For registration cancellation email Jacsen at jacsen@trans-health.org or call 215-563-0652 x264 by June 1 2013.