Transgender Medicine, Surgery, and Mental Health Care Clinician Training Institute;
Pre-Conference to the 2019 Transgender Health Summit

Online Registration is now CLOSED
Onsite registration will be available starting on Friday, April 12, 2019

Preconference sessions will be offered as an add-on to the 2019 National Transgender Health Summit (MFC19005) at a reduced rate


Overview Objectives Accreditation Course Outline
Chairs Faculty Travel & Lodging Cancellation Policy

Course Number: MFC19005A
Activity Start Date: April 12, 2019
Activity End Date: April 12, 2019
Location: Oakland Marriott City Center
Oakland CA
S-3 GYNP $275 Gynecology Preconference Friday 4/12         8AM-5PM 
S-4 VSP $150 Voice Symposium Preconference Friday 4/12         8AM-11AM 
S-5 MENP $275 Mental Health Preconference Friday 4/12         8AM-5PM 
S-6 SURP $275 Surgeon Preconference
*Closed Door Surgeon Only Session*
Friday 4/12         8AM-5PM 
CAMP $275 Medical Providers Preconference Friday 4/12         8AM-5PM


This day-long pre-conference to the National Transgender Health Summit consists of structured training curricula in clinical transgender medicine, mental health, obstetrics/gynecology, vocal health, and a surgeon's institute. Intended audience includes medical and mental health providers, nurses, allied health professionals, and researchers, and administrators, ranging from new to the field to seasoned experts.

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The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

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Course Outline:

Medical Providers Preconference
7:30am Registration and Continental Breakfast
8:00 Welcome and Introductions   Madeline Deutsch
Adult Medical Basics Preconference
8:05 Basics of Hormone Therapy, Conducting an Appropriate Physical Examination, Hair Removal, Tucking, Binding, Packing   Linda Wesp, FNP
8:50 Cancer Screening, Cardiovascular Considerations, Fertility, Common Postoperative Complications   Maddie Deutsch, MD, MPH
9:35 Coffee Break
9:50 Preparing for Surgery, Care of Underserved Transgender Populations   Barry Zevin, MD
10:35 Bone Health, Managing HIV in Transgender Populations, Silicone, Informed Consent Approaches   Asa Radix, MD, MPH
11:20 Trauma Informed Approaches and Behavioral Health  Considerations    Zil Goldstein, FNP
12:05 PM Lunch on your own
SELECT ONE TRACK FOR THE AFTERNOON: A. Adult Medical Advanced Afternoon Track or B. Children & Adolescents Medical
A. Adult Medical Advanced Afternoon Track
1:15pm Hormone Therapy – an Endocrinologist's Perspective    Josh Safer, MD
2:00 Overview of Surgical Techniques and Post Op Complication    Toby Meltzer, MD
3:30 Coffee Break
4:00 Expert Panel/Complex Cases/Q and A
5:00 Track A Adjourns
B. Children & Adolescents Medical
1:15pm Assessing for Readiness/Appropriate of Blockers, Hormones, and Surgery; Family Considerations   Diane Ehrensaft, PhD
2:00 Hormone and Puberty Blocker Initiation   Steve Rosenthal, MD
2:45 Longitudinal Management of Transgender Adolescents, Coexisting Medical and Behavioral Health Conditions   Jennifer Hastings, MD
3:15 Coffee Break
3:30 HIV Prevention and at Risk Transgender Youth   Linda Wesp, FNP
4:00 Expert Panel/Complex Cases   Course faculty
5:00pm Track B Adjourns
Surgeons Preconference
8:00 Welcome and Introductions   Esther Kim
Speakers and panelists will discuss difficult cases and address specific techniques and pearls and address specific topics listed.
8:05 Masculinizing Chest Surgery Panel Case Board
Moderator: Esther Kim
How to Achieve Consistent Symmetry in Scar Placement and Nipple Position   Cori Agarwal
Which Patients Are Selected for Peri-Areolar Mastectomy vs Double Incision Mastectomy   Scott Mosser
Management of Subcutaneous Fat Below the Incision, Preaxillary Fat Pad and Lateral Chest Rolls   Toby Meltzer
Techniques to Avoid Nipple Hypopigmentation and to Maintain Nipple Sensation (Dermal Pedicle/Button Hole)   Winnie Tong
9:35 Feminizing Augmentation Mammoplasty Panel
Moderator: Esther Kim
Treatment Pseudo-Symmastia and Bottoming Out   Ellie Zara Ley
Placement of Incisions and New IMF Position   Michael Terry
How to Deal with Inferior Pole Constriction and Bulbous NAC   Scott Mosser
Advantages to Shaped Implants to Achieve 45:55 Ratio in Breast Aesthetics   Dhivya Srnivasa
11:05 Coffee Break
11:20 Vaginoplasty Panel
Moderators: Ali Salim and  William Kuzon
Single vs 2-Stage Vaginoplasty: Advantages and Disadvantages in Aesthetics and Functional Results   Toby Meltzer, Ali Salim
Safe Techniques for Pre-Rectal Space Dissection During Penile Inversion Vaginoplasty   William Kuzon & Daniel Dugi
Design and Fixation of Perineal Skin Flap   Daniel Dugi
Creating a Sensate Neoclitoris and Aesthetic Clitoral Hood   Heidi Wittenberg
Creating Labia Minora as a Staged Procedure    Ellie Zara Ley
Revisions and Management of Complications and Repair of Rectovaginal Fistula Post Vaginoplasty with Preservation of Neovaginal Depth   Melissa Poh
Peritoneal Pull Through Option for Vaginoplasty   Heidi Wittenberg
12:50pm  Lunch on own 
2:00 Metoidioplasty/Phalloplasty Panel
Moderator: Ali Salim
Staging of Perineal Masculinization: Phallo First or Urethral Lengthening?   Daniel Dugi
Difference Between Metoidioplasty vs Stage 1 Phalloplasty and Optimization for Surgical Goals   Mang Chen
Radial Forearm Flap vs ALT: Advantages and Disadvantages   Andrew Watt
Radial Forearm Donor Vessel Options and Donor Site Management of Radial Forearm Free Flap   Charles Lee
Urethral Reconstruction in Thick ALT Flaps & Secondary Reconstruction of Urethra in Prior Non-Urethra Neophallus   Ellie Zara Ley
Glansplasty Timing and Techniques   Daniel Dugi
Achieving Erogenous Sensation After Phalloplasty   Mang Chen
3:30 Coffee Break
3:45 Feminizing Facial Surgery Panel
Moderator: Toby Meltzer
Approach to Forehead    William Hoffman
Approach to Midface / Cheek Including Implants or Fat Graft   Ellie Zara Ley
Approach to Jaw Reduction   Charles Shih
Approach to Tracheal Shave, Avoiding Voice Complications   William Hoffman
Aesthetic vs Functional Facial Surgery in Transgender Patients   Andrew Kleinberger
5:15pm Adjourn
Gynecology Preconference
8:00am Welcome and Introductions
8:05 Diagnostic Approach to and Management of Abnormal Uterine Bleeding in Transgender Men and Non-Binary Transmasculine People   Tami Rowen, MD
9:05 Role of Gynecologists in Genital Surgery and Postoperative Management of Complications and Complaints   Heidi Wittenberg, MD
10:05 Coffee Break
10:35 Fertility and Preconception Counseling for Transgender and Non-Binary People, Including Transgender Youth   Amanda Adeleye, MD and Evelyn Mok-Lin, MD
11:35 Pelvic Floor Dysfunction, Pain, Urinary Symptoms, and Defecatory Function for Transgender People   Kavita Mishra, MD
12:35pm  Lunch on own
1:35 Approach to General Gynecologic Care for Transgender Men/Transmasculine People (i.e. Sensitive Exams, Office Atmosphere, Special Considerations to Take for Any Specific Conditions in the Setting of Testosterone Use)   Erica Weiss, MD
2:35 Break
3:00 Obstetric Care of Pregnant Transgender Men and Non-Binary People   Gaetan Pettigrew, MD
4:00 PM Adjourn
Mental Health Pre-Conference
8:00 Welcome and Introductions
8:15 SOC and SOC8, WPATH Role, Updates from WPATH 2018   Dan Karasic, Diane Ehrensaft; 
9:00 Life Now: The Impact of Socially Sanctioned Stigma and    Julie Graham, MFT; Sand Chang, PhD.
10:00 Coffee Break
10:15 Cultural Foundations   Lotus Dao, MSW
11:15 Making Sense Sense of Desistence, ROGD and Detransition   Diane Ehrensaft, PhD, Julie Graham, MFT
12:00pm LUNCH- On Your Own
Select One Track: A. Adult Mental Health or B. Youth Mental Health
A. Adult Mental Health Track
1:00 Eating Disorders   Sand Chang, PhD
1:45 Thinking about trauma treatment for transgender and GNB clients   Finn Gratton, MFT, LPCC
2:15 Working with transgender people with SMI   Dan Karasic. MD
B. Youth Mental Health
1:00 Children: Foundations   CAGC and Stephanie Luz Hernandez, MFT
1:45 Adolescents: Foundations   CAGC and Stephanie Luz Hernandez, MFT
2:15 Youth Small Groups   CAGC and Stephanie Luz Hernandez, MFT
3:15 Coffee Break
3:30 The Reality of Surgery and Recovery: What MHPs Need    Sand Chang, PhD; Dan Karasic, MD; 
to Know
Select One Track: A. Adult Mental Health or B. Youth Mental Health
A. Adult Mental Health
4:15 Assessment and Letter Writing from an Integrated Perspective   Conrad Wenzel, LCSW,  Lotus Dao, MSW 
B. Youth Mental Health
4:15 Assessment and Letter Writing from an Integrated Perspective   Steve Rosenthal, Diane Ehrensaft, Jesse Cohen, Erica Anderson, Meredith Russell
5:00pm Adjourn
Transgender Voice and Communication: An Interprofessional Approach
8:00am Welcome and Introductions
8:05 Interdisciplinary Assessment of Trans and Non-Binary Voice and Communication    VyVy Young
8:35 Voice and Communication Therapy: What does it really mean?     Erik Steele
9:20 Coffee Break
9:30 Medical Surgical Intervention: Candidacy and Considerations   Clark Rosen
10:00 Case Presentation
10:45 Therapy demonstration
11:15am Adjourn

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Clinician Training Institute Chair: Madeline Deutsch, MD, MPH

Surgery Track Chair - Esther Kim, MD
Mental Health Track Chairs -
Sand Chang, PhD
Diane Ehrensaft, PhD
Julie Graham, LMFT
Dan Karasic, MD

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Travel & Lodging:

Oakland Marriott City Center
1001 Broadway
Oakland CA 94607-4019
Hotel Phone: (510) 451-4000

Rates: $167/night
Cutoff Date: March 22, 2019 or once room block is filled



Hertz is pleased to offer discounts for our course attendees. Please click on the link below to make a reservation:
Hertz Convention Code Discount Link

CV Code: 03BW0138
You can also reserve by calling Hertz at 800-654-3131 and referencing Convention Code: 03BW0138


UCSF has negotiated special fares with United Airlines for our course attendees.
Download Online Booking Instructions (.pdf)

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Cancellation Policy:

Cancellations received in writing before April 8, 2019 will be refunded, less a $25 administrative fee. No refunds will be made on cancellations received after that date.

Please email your requests to

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