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Herman & Wallace is excited to announce an upcoming course on pelvic rehab for the gender diverse patient, written and instructed by Dr. Laura Meihofer, DPT, ATC. As Dr. Meihofer indicated in a recent blog, "[t]he number of individuals who identify as transgender is growing each year. The Williams Institute estimated in 2016 that 0.6% of the U.S. population or roughly 1.4 million people identified as transgender (Flores, 2016)... With the rise of individuals who identify as transgender, gender non-binary and intersex, healthcare professionals have equally seen an influx of patients who require care throughout their discovery and transition."

The new course from Dr. Meihofer is called "Gender Diversity and Pelvic Health: Comprehensive Care for Transgender Men and Women", and it will be debuting on May 29-31, 2020 in Livingston, NJ.

Dr. Meihofer was kind enough to share some thoughts about the new course, her practice, and herself with The Pelvic Rehab Report. Thank you, Laura!

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The number of individuals who identify as transgender is growing each year. The Williams Institute estimated in 2016 that 0.6% of the U.S. population or roughly 1.4 million people identified as transgender (Flores, 2016). This was a 50% increase from a 2011 survey which estimated only 0.3% or 700,000 people identified as transgender (Gates, 2011). Though these numbers are growing each year, due to increased visibility and social acceptance, it is presumed that these numbers are underreported due to inadequate survey methods, stigma/fear associated with “coming out” and deficient definitions of the multitude of options for gender identity (Flores, 2016).

With the rise of individuals who identify as transgender, gender non-binary and intersex, healthcare professionals have equally seen an influx of patients who require care throughout their discovery and transition. Though medical intervention for these individuals is not new, the first documented surgery was in 1922 to Dora Richter, it has often been segmented and lacking in evidence-based treatment strategies (“Dora Richter,”2019). In 1979 The World Professional Association for Transgender Health (WPATH) was founded and published their first version of the Standards of Care (SOC) for the Health of Transsexual, Transgender, and Gender Nonconforming People (“WPATH,” 2019). Currently, WPATH is on their seventh version of the SOC which is opening doors for the treatment of this population.

Though organizations such as WPATH have attempted to standardized care, the patient experience and reception of quality care are significantly lacking. In 2015 the National Center for Transgender Equality performed a groundbreaking survey of 27,215 respondents with the aim to “understand the lives and experiences of transgender people in the United States and the disparities that many transgender people face” (“About,”n.d., para. 1). This survey revealed that 33% of individuals who saw a health care provider had at least one negative experience related to being transgender (National Center for Transgender Equality, 2015). Negative experiences included; being refused treatment, verbal harassment, physically or sexually assault, and teaching the provider about transgender people in order to get appropriate care (National Center for Transgender Equality, 2015). Alternatively, 23% of respondents did not see a doctor when they needed to because of fear of being mistreated as a transgender person (National Center for Transgender Equality, 2015). Though these statistics are staggering and affronting there is hope for a better future.

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Upcoming Continuing Education Courses

Pelvic Floor Level 2B - Marietta, GA Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 2B - Self-Hosted

Nov 6, 2021 - Nov 7, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - West Hills, CA Satellite Course (SOLD OUT)

Nov 6, 2021 - Nov 7, 2021
Location: Touch of Life PT

Osteoporosis Management - Remote Course

Nov 6, 2021 - Nov 7, 2021
Location: Replacement Remote Course

Male Pelvic Floor - Self-Hosted

Nov 6, 2021 - Nov 7, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Little Rock, AR Satellite Course (SOLD OUT)

Nov 6, 2021 - Nov 7, 2021
Location: Core Pelvic Physical Therapy

Sexual Medicine in Pelvic Rehab - Remote Course

Nov 6, 2021 - Nov 7, 2021
Location: Replacement Remote Course

Male Pelvic Floor - Kenosha, WI Satellite Location

Nov 6, 2021 - Nov 7, 2021
Location: Aurora Sports Health Pershing

Pelvic Floor Level 2B - Baltimore, MD Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: Sparks Physical Therapy

Pelvic Floor Level 2B - Wichita, KS Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: Novacare

Male Pelvic Floor - Irvine, CA Satellite Location (SOLD OUT)

Nov 6, 2021 - Nov 7, 2021
Location: Core Pelvic Floor therapy

Pelvic Floor Level 2B - Appleton, WI Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: Orthopedic & Spine Therapy

Pediatric Functional Gastrointestinal Disorders - Remote Course (CANCELLED)

Nov 6, 2021 - Nov 7, 2021
Location: Replacement Remote Course

Pelvic Floor Level 2B - Manchester, NH Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: Franklin Pierce University - New Hampshire

Male Pelvic Floor - New Orleans, LA Satellite Location

Nov 6, 2021 - Nov 7, 2021
Location: Ochsner Therapy and Wellness/Ochsner Health System

Pelvic Floor Level 2B - Tullahoma, TN Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: TOP Rehab

Male Pelvic Floor - Omaha, NE Satellite Location

Nov 6, 2021 - Nov 7, 2021
Location: Nebraska Medicine

Male Pelvic Floor - Virginia Beach, VA Satellite Location (CANCELED)

Nov 6, 2021 - Nov 7, 2021
Location: Southeastern Physical Therapy

Male Pelvic Floor - Nottingham, MD Satellite Course

Nov 6, 2021 - Nov 7, 2021
Location: Kaiser Permanente Nottingham Rehabilitation Center

Fertility Considerations for the Pelvic Therapist - Remote Course

Nov 7, 2021
Location: Short Form Remote Course

Rehabilitative Ultrasound Imaging: Orthopedic Topics - Self-Hosted

Nov 12, 2021 - Nov 13, 2021
Location: Self-Hosted Course

Rehabilitative Ultrasound Imaging: Women's Health and Orthopedic Topics - Self-Hosted

Nov 12, 2021 - Nov 14, 2021
Location: Self-Hosted Course

Rehabilitative Ultrasound Imaging: Orthopedic Topics - Torrance, CA Satellite Location

Nov 12, 2021 - Nov 13, 2021
Location: Women's Advantage Inc

Athletes & Pelvic Rehabilitation - Remote Course

Nov 13, 2021 - Nov 14, 2021
Location: Replacement Remote Course

Manual Therapy for the Abdominal Wall - Remote Course

Nov 13, 2021
Location: Short Form Remote Course

Bowel Pathology and Function - Remote Course

Nov 13, 2021 - Nov 14, 2021
Location: Replacement Remote Course