Gender-Affirming Care

Cohort-based program | 12-1 p.m.

Registration Spring 2024 

This series will be seven 60-minute-long teleconference sessions in which providers will have the opportunity to review gender-affirming care with a multidisciplinary team of subject matter experts in the field of transgender medicine. Participants will bring patient cases from their practices for whom they have questions about providing gender-affirming care such as initiation and maintenance of hormone therapy, mental health support, preventive care, sexual health and post-operative care.

Series Schedule/Topics:

  • Session #1: Intro to Gender Identity, Terminology, Pronouns, Creating a Safe Space; Epidemiology and Health Challenges
  • Session #2: Feminizing Hormone Therapy: Estradiol, Anti-Androgens, Progestagens, Surgical Procedures
  • Session #3: Masculinizing Hormone Therapy; Testosterone; Surgical Procedures
  • Session #4: Sexual Health and STI Screening, PrEP, Rapid stART
  • Session #5: Organ Inventory and Routine Screening in Primary Care
  • Session #6: Transgender Adolescents: When Puberty Blockers May be Appropriate
  • Session #7: Post-Operative Care After Gender-Affirming Surgery

Gender Affirming Care - Case Review Form

Our Team

  • Rob Phoenix, MSN, APRN, FNP-C. Rob Phoenix is a family nurse practitioner in Las Vegas, NV where he owned and operated the largest LGBTQ+-focused medical clinic in Southern Nevada. Rob focused his practice on HIV prevention, HIV treatment, Transgender health care, and providing primary care. Rob was recently selected to represent Nevada as the Ambassador to the CDC Act Against AIDS campaign. Rob was recently selected as the Southern Nevada Health District 2018 Public Health Hero.
  • G. Allen Ratliff, PhD, MSW, LCSW. Dr. Ratliff is a critical, queer, place-based, person-centered, post-structuralist scholar, whose participatory research approaches with transgender young people and young people experiencing homelessness have centered young people as the experts of their own experiences. Their teaching emphasizes trauma-responsive, social-ecological, person-centered perspectives in social work practice, supporting social work students in learning to observe and understand the complexities of how the social environment impacts the everyday lives of the people they serve.
  • Ivy Spadone, DMSc, MS, PA-C, AAHIVS. Ivy Spadone is an Assistant Professor at the PA Studies Program, which is part of the Department of Family and Community Medicine. Ivy graduated from George Washington University PA Program in 1999 and has provided care to underserved individuals for the last 22 years.  She has a certification from the American Academy of HIV Medicine as an HIV specialist and has provided care for substance use, mental health and gender-diverse individuals using a harm reduction model of care.
  • Karen Thiele, M.D. Dr. Thiele is an Assistant Professor at the Department of Family and Community Medicine. She completed her residency in Family and Community Medicine from the University of Nevada, Reno, in 2019. She enjoys the broad scope of practice of a family doctor and has patients that encompass all ages and stages of life, including obstetrics. Her special interests include primary care of the LGBT+ community, providing cross-gender hormone therapy for gender-diverse patients, women's reproductive health, PrEP, and wilderness medicine.


To request copies of didactics and reference materials, please contact us at

Continuing Medical Education (CME) Accreditation

The University of Nevada, Reno School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Nevada, Reno School of Medicine designates this Live Activity for a maximum of 1.00 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Nevada, Reno School of Medicine approves this program for 1.0 hour of nursing continuing education credit. Nevada State Board of Nursing provider number 120894-1.

The State of Nevada Board of Examiners for Marriage and Family Therapists & Clinical Professional Counselors approves this program for 1.00 hours of MFT/CPC continuing education credit.

The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy.  This program is approved for 1 hour of continuing education credit for pharmacists.