By the end of the rotation, students will be able to:
•    identify the components of a trans-friendly health care environment
•    take a trans-sensitive history and perform an appropriate physical examination of transgender patients: trans men, trans women, and gender queer
•    describe the special primary care needs of transgender patients
•    initiate and manage hormonal interventions for patients beginning and continuing cross gender hormonal therapy
•    recognize the unique mental health problems and provide appropriate resources for those requiring referrals
•    counsel on appropriate surgery options and referrals

During the rotation, participants will have the following opportunities:
•    To attend weekly didactic lectures
•    To shadow medical providers at Lyon-Martin
•    To provide direct care to transgender patients in a supervised setting

•    You are currently a 2nd year NP or PA student or 3rd or 4th year Medical student, resident, or fellow, in good standing
•    You are covered by your school's liability (malpractice) insurance
•    You have all of the vaccinations and immunities expected of a health care worker
•    You have been trained in universal precautions and HIPPA (privacy) requirements

The elective is based on either a 4 weeks (40 hours/week) continuous attendance, or a 10-12 week rotation with weekly hours (8-16 hours/week). However, other scheduling options can be arranged.

If you are interested in learning more, please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it .  If you meet the above requirements, please apply by printing, completing and mailing the following application today!

APPLICATION: Elective in Transgender Medicine Lyon-Martin Health Services

Personal Information:

Name (please print)

Current address

Permanent address

Home phone

Cell phone

Email

Title:
MS___________(year);
NP-S___________(year);
PA-S____________(year)
Resident___________(year) _______________________(specialty)
Fellow ____________(year) __________________________________ (specialty/subspecialty)
Other

Rotation dates requested:
1st choice

2nd choice

3rd choice

Medical education:

School:
Address:

Anticipated or graduation date:

Degree:

Residency/Fellowship:

Institution:

Specialty:

Address:

Program director:

Phone/email:

Start date:

Completion date:

(PGY/Position)

Institution:

Specialty:

Address:

Program director:

Phone/email:

Start date:

Completion date:

(PGY/Position)

Graduate education:

School:

Address:

Anticipated or graduation date:

Degree:

Please include the following documents with this application:

• A brief statement (less than 500 words) describing your personal or professional motivations and specific interest in transgender health care.
• If applicable, please also describe prior experience working within or being a member of the LGBTIQ communities.
• A copy of your current CV
• If applicable, current license and DEA certificates
• Letters of reference
• A letter from your Dean's or Residency/Fellowship director's office to send us confirmation of the following:
  • You are currently a 2nd year NP or PA student or 3rd or 4th year Medical student, resident/ fellow, in good standing
  • Whether your rotation with us will be approved for credit
  • You are covered by your school's liability (malpractice) insurance
  • You have all the vaccinations and immunities expected of a health care worker
  • You have been trained in universal precautions and in HIPPA (privacy) requirements

I certify that I am in good standing with my program and the information I have provided in this application is truthful and accurate to the best of my knowledge. I declare that by submitting this application, I authorize Lyon-Martin Health Services to contact persons associated with hospitals and institutions at which I have studied or trained and well as individuals whose names I have submitted in connection with this application. I hereby release from liability all representatives of Lyon-Martin Health Services for references performed in good faith in connection with evaluating my application and credentials and release from liability all individuals and organizations that in good faith provide information to Lyon-Martin Health Services regarding my suitability for a clinical rotation.

Applicant signature:

Date:

Send completed application to:

Kara Desiderio
Lyon-Martin Health Services
1748 Market St., Suite 201
San Francisco, CA 94102
415-901-7118
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