Refine Rx: The Medical Provider’s Crucible

Take Your Practice to the Next Level

You’re beyond the basics. You know the importance of building trust, being attuned, and showing up authentically for your patients.

But then, advanced scenarios start arriving—each one more layered, urgent, and complex than the last:

  • A patient asks about starting hormone therapy, but their psychiatric meds complicate the picture, and you don’t know whether or how to adjust their regimen safely.

  • A parent comes to you for help understanding their teen’s desire for gender-affirming medical care, but their fears are tangled up in misinformation—and you don’t know what to say.

  • A gender-affirming surgery candidate asks you to write a letter—but you don’t have a template, have no spare admin time, and haven’t memorized the WPATH guidelines.

  • Patients with not-quite PTSD trauma symptoms, autism, ADHD, and chronic illness present scenarios that you didn’t learn about in school, and can’t find in any of your desk references.

    • FYI - Stahl, Carlat, and Maudsley won’t help you with trans affirming care….I know because I’ve tried to find it there!

You’ve seen enough to know there’s more to this than what you were taught—

—or what you have time to learn in your spare time

Also, what’s spare time? Asking for a friend….

It’s not that you don’t know, don’t care, or that you don’t get it.

In fact, you’ve become the kind of provider others turn to when they need someone who “gets it.”

It’s just that complexity continues to unfold, and it won’t be placated by good intentions.

The basics will always fail you here.

Not because they’re unimportant, but because they were never designed to hold the weight of advanced care. Good ol’ Trans 101 leaves you stranded when the conversation turns to nuance—when the questions are layered, require concrete answers and interventions, the stakes are high, and the gaps between knowledge and action are too wide to ignore.

You’ve patched the gaps with what you have: an archive of articles, the occasional workshop, the borrowed wisdom of colleagues and the clients or patients you’re honored to serve. It’s worked—for a time. But it’s not seamless. It’s not intuitive.

It’s not enough—and you know it.

But hey…

That’s why you’re here, right?

To refine.

To elevate.

To stop searching for the right answer and instead become the person who has it.

If you’re committed to lifelong learning, you know this growth edge is inevitable.

You just don’t need ANOTHER Trans 101 course that wastes what little time you have for continuing ed.

You need a crucible.

A crucible is a space designed to withstand intense heat, pressure, and strong forces in service of transforming what’s inside into something stronger, purer, or entirely new.

Refine Rx: The Medical Provider’s Crucible is your space for that transformation.

You bring in the raw materials—your identities, experiences, expertise, and soul—and Refine transforms this into something more resilient, intentional, and masterful.

Because the work you’re doing, and the position you hold is too important to stay stuck in hesitation or uncertainty. A quarter of trans folks in the US avoid medical care because they don’t feel safe enough. So you KNOW that the stakes are too high for you to opt out.

Good news: You don’t have to be trans to be transformed.

In fact, transformation is exactly what you need.

And Refine RX is your space to do just that.

It’s where your clinical practice evolves from "good enough" to masterful. This course doesn’t just fill the gaps in your training—it reshapes the way you approach complexity in your practice.

In Refine RX, you skip the basics and go right to the advanced stuff:

  • Hormone Therapy Essentials ($400 value): Everything you didn’t learn in school but need to know now to guide patients with precision and confidence.

  • The Art of Letter-Writing for Surgery ($500 value): Learn to speak the language of body liberation alongside clinical diagnosis - because the patient needs the former, and the insurance company needs the latter.

  • Neurodiversity-Affirming Care ($200 value): Practical tools for integrating an understanding of neurodivergence into your approach, because many queer and trans folks are neurodivergent as f*** and we weren’t trained on how to do this in school.

  • Gender-Affirming Care for Minors ($400 value): Navigate misinformation to support young people and their families with clarity, compassion, and evidence-based paradigms.

  • Chronic Illness and Gender Diversity ($300 value): Break free from conventional frameworks to truly see and treat patients whose identities intersect with disability and chronic conditions.

That’s over $1,800 in value, along with 30+ CMEs to ensure your growth is as tangible as it is transformative.

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Worried about the time commitment?

No need - I’ve given you plenty of time to work through it—all the way up until you have to renew your boards.

Not to mention plug-and-play templates, as well as an app you can download so you don’t have to be chained to your computer for the courses. (How is your posture training going, by the way?)

Refine Rx isn’t about checking boxes or memorizing scripts. It’s about becoming the kind of provider who queer and trans clients trust with our stories, our vulnerabilities, and our futures. The kind of provider who doesn’t just do affirming care but embodies it.

You’re here because you’re ready. Ready to refine. Ready to step into mastery. Ready to be transformed.

Let’s build the future of care together.

“How wonderful it is that nobody need wait a single moment before starting to improve the world.”

— Anne Frank