Contact Hours: 17.0
This 17-hour hybrid course is appropriate for any physical rehabilitation professional,regardless of their specialty area,who has interest in better serving the people who are gender diverse.There is specific content aimed at teaching pelvic health therapist how to expand their skills for working with people of all gender identities. There will be particular education regarding gender affirming genital surgeries as well as discussion of other gender affirming surgeries and medical interventions that people transitioning might choose.
Often times therapist think of genital surgeries and sexual function when contemplating work with transgender people.Therapist have far more to offer transgender patients. For providing optimal care, knowledge of the intricacies of gender transition is essential.We provide that overviewin this course.Topics covered include:
Societal influence on gender transition including interactions with health care providers;
Recognizing difference between sex,sexuality, and gender;
Understand the complexities of the legal system for the person transitioning gender;
Tips and tools for a trauma informed intake and examination;
Health effects of hormones for gender transition as related to differential diagnosis in rehabilitation;
Supporting healing after gender affirming surgery;
Operative procedures for face and chest;
Operative procedures for masculinizing and feminizing genital surgery;
Pre-operative evaluation, treatment and education issues,
Post-operative evaluation, treatment, education and follow up for genital surgeries;
Outcome measures with rehab focus for people undergoing gender affirming surgeries;
Fertility and pregnancy in gender diverse people.
Recorded video lectures to be viewed in-full prior to the course (Total video lecture time: 9 hours)
Live Course Schedule (Pacific Time):
At the end of the course, participants will be able to:
1. Define sex, gender, and sexuality
2. Understand societal and legal aspects of gender transition
3. Describe hormone related issues for people during transition
4. Select outcome measures with rehab focus for people undergoing gender affirming surgeries.
5. Describe the surgical procedures fororchiectomy, vaginoplasty, vulvoplasty, phalloplasty, metoidioplasty, reduction mammoplasty, and breast augmentation
6. Describe common musculoskeletal and pelvic floor issues to address before and after female-to-male gender affirming genital surgery. Metoidioplasty Phalloplasty, scrotoplasty.
7. Describe common musculoskeletal and pelvic floor issues to address prior to and after male-to-female gender affirming genital surgery. Orchiectomy, Vulvoplasty, Vaginoplasty.
8. Demonstrate knowledge of the varied vaginoplasty dilation protocols across the USA.
Sandra Gallagher, PT, DPT, WCS
Sandi is a pelvic health physical therapist in Portland OR. Her practice includes providing evaluation and treatment of pelvic health conditions in adults and children of all gender identities. Dr. Gallagher received her primary physical therapy training in 1986 with a BS in Physical therapy from the University of Lowell in Massachusetts. She has pursued varied continuing education from manual therapy, Feldenkrais, biophysical agents, pelvic health, pregnancy. She completed her Doctorate of Physical Therapy in June 2020.
Sandi has served on varied committees and boards at the state and national level, most recently has the chair of the CAPP-OBC committee for the Academy of Pelvic Health of the APTA. She has presented on the role of PT in gender affirming vaginoplasty at UCSF Transgender Health Summit, APTA Combined Sections Meeting, and at the 2018 international meeting of the World Professional Association for Transgender Health (WPATH). She is the recipient of the 2020 Elizabeth Noble Award from the Academy of Pelvic Health.
Caitlin Smigelski, PT, DPT
Caitlin is a pelvic floor physical therapist in Portland, OR. She focuses in the treatment of bowel and bladder dysfunction and complex pelvic pain and specializes in transgender health and treatment of patients who are pregnant or postpartum. Caitlin values active treatment approaches and teaching individuals ways to manage and improve their symptoms. She is active with the Academy of Pelvic Health Physical Therapy and serves on the CAPP-OB committee and is also a member of the World Professional Association for Transgender Health (WPATH).
Caitlin and Sandi traveled to Argentina to present at the 2018 WPATH Symposium on Physical Therapy in People Undergoing Vaginoplasty. In Caitlin’s spare time, she enjoys climbing, mountaineering, and gardening.