The Institute for Gender Affirming Care Mastery
Gender-Affirming Care Training
Trans-affirming care isn't a specialty.
It's a standard.
CE/CME for the whole care team
In support of improving patient care, this activity has been planned and implemented by Jess Romeo. Pinnacle Conference, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
- AMA PRA Category 1™Physicians
- ANCC contact hoursNurses & NPs
- ASWB ACESocial workers
- APA CEPsychologists
- AAPA Category 1Physician associates
- IPCE creditThe whole care team
Where to begin
I'm Jess Romeo, PMHNP-BC, MSW. I built My Gender IQ because the training I found when I went looking was either a 90-minute webinar on asking for pronouns or a 400-page textbook that made experienced clinicians feel like beginners.
These courses sit in the middle: clinical depth you can use, taught by people who do this work every day.
Start with something free you'll use this week, and get CE when you're ready.
Where are you starting from?
Pick one and I'll hand you three things, in order.
I built this so trans-affirming care becomes the standard everywhere, not a specialty a few clinicians carry.
If you're here, you're already part of that. Let me help you get good at it.
Queerest Regards, Jess Romeo, PMHNP-BC, MSW
Before you buy
Do the courses include CE?
Most do, and the hours are on each card. CE comes through Pinnacle Conference, LLC, which is jointly accredited by ACCME, ACPE and ANCC. Physicians get AMA PRA Category 1, nurses and NPs get ANCC contact hours, PAs get AAPA Category 1, social workers get ASWB ACE, psychologists get APA credit, and pharmacists, dietitians, dentists and athletic trainers get credit too. Counselors and everyone else get an AMA PRA Category 1 participation certificate, so check what your board accepts. A few lessons don't carry APA or ASWB credit, so psychologists and social workers may earn slightly fewer hours than the card shows. To claim it, you finish short pre- and post-assessments and a survey. Credit is available through August 14, 2028.
Can I pay over time?
Yes. Nearly every course has a monthly plan, and Transcend can be spread over 12 or 24 months. The monthly price is on each card, so there's no math at checkout.
How long do I keep access?
Most courses and toolkits are yours for life, and the toolkits include a year of updates. A few courses have a set access window, and it's listed on the checkout page.
Is this only about gender-affirming care?
Mostly. But trans clients don't arrive one diagnosis at a time, so there's chronic illness, neurodivergence, eating disorders and psych meds in here too. Psych Meds & the Therapist's Role is for any therapist who refers clients for medication.
Who teaches this?
I lead the curriculum, with 15 other faculty, including Rebecca Minor, Aery Maxwell, LCSW-C, and Tesiah Coleman. My OutPsych colleague Janine Michaelson, PMHNP-BC, leads Psych Meds & the Therapist's Role.
Our Friends & Partners
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Togather
Community for those who care. The first ever collective care platform built by and for healthcare providers. Built to address burnout, learn in community, and find joy in pursuit of a better, more just healthcare system.
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THE PMHNP SOURCE
Resources, digital products and mentorship support to empower new PMHNPs in their professional journey.
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Rooted PMHNP Mentorship
Private Practice Mentorship for Psychiatric-Mental Health Nurse Practitioners
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Peacock Mental Health
Arizona’s affirming mental health prescribers: offering LGBTQ+ affirming psychiatric care, and safety being your full self.
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Prism Therapy Collective
Where healing and inclusivity converge to illuminate the diverse spectrum of human experiences.
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OutPsych
Meticulous, Compassionate Care that Sees Beyond Symptoms.
Integrative psychiatric care that’s deeply attuned to the needs of LGBTQIA+ communities, and offers high-quality, specialized care for the whole person.
“This is incredible. What an accomplishment to put this curriculum together…I’ve never seen anything like this.”
Tesiah Coleman, NP
“This educational content was truly incredible. There many impactful learnings and re-learnings for me. I believe this would be such a great addition that will help educate and support the newest generation of PMHNPs (and me!)”
Kirby Williams, PMHNP-BC
You are such a solid teacher! I’m not just blowing smoke…. You are confident, measured, and very approachable, in addition to clearly knowing your stuff.
That’s a combination you don’t always find.
Andrew Penn, PMHNP-BC
“I think your videos are excellent. You have a very soothing voice and everything is so well thought-out it makes watching the videos a true pleasure.
Meg Higgins, LCSW-C
“We played your content recently while we were driving for a road trip and it was amazing!!! The POTS, EDS, and MCAS content that we listened to was excellent as I have embarked on researching and learning about these conditions myself and was unsure how to educate my providers. This is well suited for us.”
Dr. Az del Pino, PMHNP-BC, DNP
What people are saying:
“OMFG. Jess. YOUR PROGRAM IS SO F***ING GOOD!!!”
Stephanie Olarte, Ph.D
“I’m blown away by how comprehensive this is, and I’m only through the history portion!”
Ike Lughna, LCSW
"I highly recommend this training to any mental health provider who wants a better understanding of what our trans clients face. This training was comprehensive and thorough and provided a lot of really great resources for providers and patients alike. This training will help me advocate for my patients and reduce a barrier to care. "
Christine Possemato, PMHNP-BC

