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Expanding Trans Care Medical Services on the University of Michigan Campus: A Framework and Strategy with Lessons Learned

Recorded On: 09/01/2020

  • Registration Closed

Expanding Trans Care Medical Services on the University of Michigan Campus: A Framework and Strategy with Lessons Learned

Since fall 2016, the University of Michigan has actively improved medical services and delivery through the health service for transgender patients, a process that required strategy, knowledge expansion, and logistical execution. This session will outline the framework we used from both the institutional and clinician perspective, including the pitfalls encountered, in order to assist others in meeting goals of improved care on their campuses. We will share strategy documents, clinician curriculum, marketing, electronic health record documentation, protocols, and patient education used during this process.

This webinar is partially sponsored by the American College Health Foundation Ayers/Battle/Thomas Diversity Fund.

Session Information

Format: Live webinar
Date: September 1, 2020
Time: 2:00 pm-3:00 pm EDT

Release Date: September 1, 2020
Expiration Date: May 19, 2022
After the expiration date, this webinar will no longer be accessible for viewing or downloading.
CE Credit must be requested by the expiration date.

$25 for ACHA individual members
$50 for nonmembers

Fees are nonrefundable.


Rachelle Wilcox, MD, MPH
University of Michigan

Diana Parrish, LMSW
University of Michigan

Monique Steel, MSN, WHNP-BC, RN 
University of Michigan

Intended Audience

  • Administrator
  • Advanced Practice Clinicians
  • Mental Health Professional
  • Nurse
  • Physician

Learning Objectives

After this session, participants should be able to:

  1. Define the current opportunities for trans health care on their campus.
  2. Identify a strategy for expansion of services.
  3. Define clinician curriculum for expansion of knowledge.
  4. Identify potential pitfalls and opportunities for growth.

Program Planning Committee

Resolution of Potential Conflicts of Interest — Program Planning Committee
Committee members have completed conflict of interest statements regarding relationships with commercial entities.

  • Melanie Trost, MD, has disclosed that her spouse owns general stock in Gilead Sciences.
  • Ryan Patel has disclosed that he owns stock in Pfizer, GSK, Celgene, and Abbvie.

All other Program Planning Committee members have reported no relevant conflicts of interest.

Rachelle Wilcox

University of Michigan

Rachelle Wilcox (she/her) has been a Staff Physician at the University of Michigan’s University Health Service since 2013 and Chief of Specialty Services there since 2018. She is board-certified in Family Medicine and approaches all of her clinical work through the framework of patient-centered care.

Diana Parrish

University of Michigan

Diana Parrish(she/her) is a Licensed Clinical Social Worker and Mental Health Care Manager at University of Michigan’s University Health Service. In addition to her role providing team-based mental health care for UM students, she serves as the Social Worker on the UHS Trans Care Team. She has been providing clinical and advocacy services for queer and trans clients for over 10 years.

Monique Steel

University of Michigan

Monique Steel (she/her) started her career as an Athletic Trainer with a focus on female and industrial athletes. After 5 years, she returned to school for her nursing degree and worked as a labor and delivery nurse for 12 years, prior to becoming a women's health nurse practitioner. As a nurse practitioner, she has worked for Planned Parenthood and the University of Michigan’s University Health Services (UHS). In addition to direct patient care in the Gynecology and Sexual Health Ms. Steel is also on the transgender team, PreP team and the infection prevention liaison at UHS. Her goal is to help her patients recognize and access quality health care for themselves and their families.

Credit and Disclosures

Types of Credit Available

Refer to the Continuing Education Key.

  • CME: 1.0
  • CNE: 1.0/.10**
  • AAFP: 1.0***
  • CHES: 1.0/1.0*
  • MCHES: 1.0/1.0*
  • CPEU: 1.0

*Continuing Competency credits, when available, are listed after the total CHES/MCHES contact hours (e.g. CHES: 1.0/1.0) 
**Pharmacology credits, when available, are listed after the total number of nursing contact hours (e.g. CNE: 1.5/.75)
*** AAFP credits are only available to attendees of the live webinar.

Instructions for Obtaining Credit (or certificate of attendance)

Select the "Contents" tab above (registered users only) for access to the following components. It is estimated that it will require one hour to view the webinar and complete the post-test. Credit must be requested by the program expiration date (see "Overview" tab above).

Step 1:  View the webinar video in its entirety.
Step 2:  Complete the mandatory Post-test for CE Credit.
Step 3:  Select the certificate for the type of credit you are requesting. Select "Certificate of Attendance" if no credit is being requested. 


Statements and Disclosures

Continuing Education


The American College Health Association (ACHA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

ACHA designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim credit commensurate with the extent of their participation in the activity.

This continuing nursing education activity was approved by the Pennsylvania State Nurses Association Approver Unit, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. 

This Live series activity, ACHA 2020 Webinar Series, from 06/09/2020 - 09/29/2020, has been reviewed and is acceptable for credit by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This webinar is approved for 1.0  AAFP Prescribed credits.


Sponsored by ACHA, a designated provider of continuing education content hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designed for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 1.0 total Category 1 continuing education contact hours. Maximum advanced-level contact hours available are 1.0. There are 1.0 Continuing Competency credits available.

This activity has been approved by the Commission on Dietetic Registration for 1.0 CPEUs.


Successful Completion/Post Test
It is the policy of the American College Health Association that when a post-test is required upon completion of a continuing education activity, participants must receive a passing grade of 80%. If participants receive a grade lower than 80%, they will be given the opportunity to re-take the post-test one time. If they receive 80% or higher the second time, they will be awarded continuing education credits/contact hours for the activity. We encourage participants to complete the post-test immediately after viewing the download.

Conflicts of Interest
A conflict of interest occurs when an individual has an opportunity to affect educational content about health-care products or services of a commercial company with which she/he has a financial relationship.

All planners and presenters of this activity have disclosed no relevant financial relationships with any commercial companies pertaining to this activity.

Off-Label Product Use
This educational activity does not include any unannounced information about off-label use of a product for a purpose other than that for which it was approved by the Food and Drug Administration (FDA).


Expanding Trans Care Medical Services on the University of Michigan Campus: A Framework and Strategy with Lessons Learned
09/01/2020 at 2:00 PM (EDT)   |  60 minutes
09/01/2020 at 2:00 PM (EDT)   |  60 minutes This is the recording for the live webinar held on September 1, 2020
Evaluation Survey
13 Questions
13 Questions (Mandatory for those requesting AAFP credit). ACHA's accrediting bodies require us to evaluate the effectiveness of our CE programming. After you watch the presentation, your feedback is greatly appreciated.
Attestation of Attendance
This attestation is required prior to being granted a certificate.
This attestation is required prior to being granted a certificate. All participants that are requesting CE credit must attest to their full participation in the session.
Post-Test for CE Credit
7 Questions  |  2 attempts  |  6/7 points to pass
7 Questions  |  2 attempts  |  6/7 points to pass Successful completion of this post-test (an 80% passing score) is mandatory to receive continuing education credit.
CE Certificate
Up to 1.00 credits available  |  Certificate available
Up to 1.00 credits available  |  Certificate available If you are requesting CE credit or a Certificate of Attendance, please claim your certificate here. Please note: ACHA does not issue a certificate for AAFP credit. Please refer to the "credit instructions" component for instructions on how credit is reported.
AAFP Credit Instructions
Open to download resource.
Open to download resource. ACHA does not issue a certificate for AAFP credit. Please see this document for instructions on how to report your credit, pending successful completion of the Post-Test.