Transgender/Gender Non-Binary (Trans GNB) Health Care for Nurse Practitioners
Columbia University School of Nursing’s Certificate in Professional Achievement (CPA) in Transgender/Gender Non-Binary (Trans GNB) Health Care is designed for nurse practitioners to advance their knowledge and skills to provide quality care to trans GNB people. The program prepares advanced practice nurses to support the health of trans GNB 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 GNB people regardless of geographic location, the certificate program is offered completely online in a synchronous and asynchronous format. “We are committed to having only transgender faculty teaching the CPA program. Currently, the program has four faculty members who are seasoned nurse practitioners and identify as transgender,” says Laura Kelly, PhD, an associate professor at Columbia Nursing and director of the program.
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.
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.
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.
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.
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.