Transgender Non-Binary (Trans NB) Health Care for Advance Practice Nurses and PAs

Columbia University School of Nursing’s Certificate in Professional Achievement (CPA) in Transgender Non-Binary (Trans NB) Health Care for Advance Practice Nurses and PAs is designed for advanced practice nurses and physician assistants to advance their knowledge and skills to provide quality care to trans NB people. The program prepares advanced practice nurses and physician assistants to support the health of trans NB people along the continuum of care and formulate a care plan that addresses follow-up, ongoing care, and preventative screening. The program also prepares clinicians to integrate mental health in the care of trans-people and their families.

To reach the widest audience and to assist in preparing a workforce of clinicians accessible to trans NB people regardless of geographic location, the certificate program is offered completely online in a synchronous and asynchronous format. 


  • Dallas Ducar, MS, RN, PMHNP-BC, CNL

    Dallas Ducar is the chief executive officer of Transhealth Northampton and serves as the Co-Chair of the Primary Care Alliance, is on the LGBTQI Federal Policy Roundtable, and advocates for gender-affirming care nationally. She serves on the Board of Directors for GLBTQ Legal Advocates and Defenders (GLAD), Healing Our Community Collaborative (HOCC), and the University of Virginia Inclusion, Diversity, Equity, Access (IDEA) Fund. As a public servant, she also serves on the Northampton Board of Health. She has advised international research groups on best practices and has carried out community-based participatory action research programs. Dallas seeks to revolutionize healthcare, building novel systems to provide holistic, empowering, gender-affirming care.

  • Chance Krempasky, WHNP-BC, FNP-BC, AAHIVS

    Chance Krempasky is a board-certified Family Nurse Practitioner, Women's Health Practitioner, and credentialed HIV Specialist. He graduated from Columbia University School of Nursing in 2010. He is the associate director of Medicine--Education at Callen-Lorde Community Health Center, where he has been practicing since 2016. Prior to that, Chance provided abortion and reproductive health services at Dr. Emily Women's Health Center, and sexual health and prenatal care at Community Healthcare Network. He has worked for multiple harm reduction agencies throughout NYC including Washington Heights CORNER Project, VOCAL-NY, and the Positive Health Project. His clinical interests are reproductive health and family building for transgender and nonbinary people, drug user health (including buprenorphine provision), and anal health.


Course ID
Course Name
Health Assessment of Transgender Non-Binary (Trans NB) Individuals

This course will provide instructions (and simulated practice) of health assessment procedures for transgender patients relevant to the anatomy that is present, regardless of gender presentation, and without assumptions as to anatomy or identity. Instruction in sensitive history taking will be reviewed to understand the myriad and individualized changes and characteristics in the context of hormone administration and surgical intervention.

Mental Health Needs of Transgender Non-Binary (Trans NB) People

This course includes in-depth readings, discussions and treatment interventions for clinicians to gain knowledge in the three general areas of mental health that transgender clients often seek treatment. These three areas include: exploration of gender identity and may include preparation and assessment for various gender affirming treatments and procedures, coming out and social transitions, and general mental health issues, possibly unrelated to gender identity. Learners will analyze and discuss ethical dilemmas often faced by providers and transgender patients in the access and provision of health care.

Clinical Practicum in Transgender Non- Binary (Trans NB) Health

Learners will work with practitioners who treat transgender patients. Learners will be required to complete 120 hours of supervised clinical practice working with transgender patients. The clinical placements will be identified in accordance to with nurse practitioner specialty focus. Assistance will be given in identifying appropriate clinical placement sites.

Seminar in Transgender Non- Binary (Trans NB) Health

This course is a special topics course intended to run simultaneously with the clinical practicum. Guest speakers who are experts in specific health concerns and issues of transgender patients will offer current best practices. Discussions regarding the treatment of transgender patients in the learners’ practice locations will also be discussed. Legal, ethical and moral issues will be incorporated in the discussions.

Treatment Interventions for Transgender Non-Binary (Trans NB) Individuals

This course includes an overview of pubertal suppression, hormone therapy, gender affirming surgical care, sexual health and fertility, as well as writing letters of support, and care planning for surgery. Learners will analyze and discuss ethical dilemmas often faced by providers and transgender patients in the access and provision of health care.