Sexual Health in Clinical Practice | CME Series | Transcend Training Institute

Sexual health
competency for
physicians.

A structured CME series built around what physicians actually need: the language, the clinical framework, and the referral pathways to address sexual health in practice. Accredited. Evidence-based. Immediately applicable.

Eligible for RCPSC MOC Section 1 (Accredited CME)
Eligible for CFPC Mainpro+ Certified Learning
CanMEDS role-mapped across all modules

Three ways to learn

The series is structured in three tiers. Choose the one that fits your time, your specialty, and your learning goals -- or combine them.

A full-day intensive for comprehensive foundational competency. Specialty survey courses of 1.0–1.5 hours targeted by patient population. Short-form skill modules of 30–45 minutes on specific clinical tasks. All available online at your own pace.

Online clinical sexual health program dashboard and course materials
Abstract navy and grey divider

Most physicians never
received training in
this area.

"The gap between what patients need and what physicians feel equipped to offer is a training problem, not a values problem."

Research consistently documents that physicians avoid initiating sexual health conversations -- not because they do not care, but because they were never taught how. Patients consistently report wanting to be asked.

This series is built around the clinical encounter: what physicians need to ask, recognize, triage, and refer. It does not train physicians in sex therapy protocols. The primary outcome is a clinician who initiates sexual health conversations with confidence, identifies biomedical and psychosocial contributors to sexual dysfunction, conducts a brief trauma-informed screen, and refers appropriately to sexual medicine, sex therapy, and pelvic floor physiotherapy.

Developed in collaboration with Dr. Sanja Kostov, MD, CCFP, FCFP, Associate Professor of Family Medicine at the University of Alberta and Reproductive, Sexual and Women's Health Consultant Physician at MacEwan University Health Centre.

Interdisciplinary clinical care icon with medicine, assessment, research, and communication symbols

CanMEDS role coverage

Medical Expert
Pharmacology, biopsychosocial formulation, DSM-5-TR recognition, differential diagnosis of sexual dysfunction
Communicator
Sexual history-taking, patient-centred language, trauma-informed inquiry, disclosure framing, non-pathologizing communication
Collaborator
Referral pathways, interprofessional communication with sex therapists, pelvic floor physiotherapy, and sexual medicine
Health Advocate
Chronic illness and sexuality, equity-deserving populations, addressing systemic barriers to sexual health care
Professional
Ethics, scope of practice, documentation, informed consent obligations for sexual side effects of medications
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Sexual Health in
Clinical Practice.
6.5 CME hours.

Eight modules covering the full scope of sexual health in the medical encounter. Available as a full-day live workshop, asynchronous online program, or condensed half-day format (Modules 1–4, 3.0 credits). A grand rounds adaptation is available for institutional delivery.

Structured clinical training materials with video lesson, worksheets, and handouts
01
Why Physicians Don't Ask (And Why They Should)
Evidence on avoidance and its clinical costs; patient-reported unmet need; physician-initiated inquiry as standard of care; introduction to the PLISSIT model for brief sexual health encounters.
PLISSIT modelStandard of careClinical avoidance
45 min
02
Sexual Health Across the Lifespan and in the Context of Illness
Reproductive through aging populations; sexual health in the context of chronic illness; disability; oncology overview; what changes across the lifespan and what physicians routinely miss.
LifespanChronic illnessOncologyDisability
50 min
03
Pharmacology and Sexual Function
SSRIs, SNRIs, antipsychotics, antihypertensives, opioids, hormonal contraceptives, and 5-alpha reductase inhibitors -- mechanisms, prevalence, management strategies, and the informed consent obligations physicians carry before prescribing.
SSRIs/SNRIsMedication effectsInformed consentManagement
60 min
04
Biopsychosocial Formulation for Physicians
An adapted formulation framework for the medical encounter; triage: what belongs in this appointment, what requires referral, what warrants follow-up; applying the PLISSIT model to brief clinical encounters.
Biopsychosocial modelTriageReferral decisions
40 min
05
Taking a Sexual History
Clinical language and normalization; pacing and patient cues; trauma-informed screening integrated into routine history-taking; the 5 Ps framework; documentation standards; scripted clinical examples across common presentations.
Sexual history5 Ps frameworkTrauma-informedDocumentation
50 min
06
DSM-5-TR Sexual Dysfunctions: Recognition and Triage
Diagnostic overview calibrated for recognition and appropriate referral, not specialist-level assessment; physician-manageable presentations versus those requiring sex therapy, sexual medicine, or pelvic floor physiotherapy; differential diagnosis for common presentations.
DSM-5-TRDiagnosis recognitionDifferentialTriage
45 min
07
Sexual Health in Equity-Deserving Populations
2SLGBTQIA+ care; gender-affirming care essentials; sexual health in newcomer and refugee populations; disability and sexuality; culturally responsive practice; structural barriers to sexual health care and the physician's role in addressing them.
2SLGBTQIA+Gender-affirming careCultural humilityEquity
40 min
08
Referral Pathways and Interprofessional Collaboration
When and how to refer; what sex therapy, sexual medicine, pelvic floor physiotherapy, and pain psychology each offer; setting realistic patient expectations; documentation of referral decisions; interprofessional communication that produces useful consultations.
Referral pathwaysInterprofessionalSex therapyPelvic floor PT
30 min

Available now online.
Live formats by request.

Asynchronous online
6.0–6.5 CME credits · Available now
Self-directed online program. All 8 modules with embedded activities, knowledge checks, and certificate of completion. Complete at your own pace.
Full-day live workshop
6.0–6.5 CME credits · By request
In-person or synchronous virtual. Available with sufficient participant demand. Contact us to register institutional or group interest.
Half-day condensed
3.0 CME credits · By request
Modules 1–4 only. Available with sufficient participant demand. Covers the foundational framework and pharmacology without the specialty-specific content.
Grand rounds adaptation
1.0 credit (non-certified) · By request
60-minute condensed format for institutional delivery. Available for hospital and academic medical centre presentations. Contact us to enquire.

Six specialty
survey courses.

Each special topics course can be completed independently or as part of the full series. Designed for physicians who want targeted CME in a specific area without completing the full intensive. Each course is 1.0 to 1.5 hours and eligible for individual Mainpro+ or MOC credit.

STI Screening and Sexual Health in Primary Care
1.0–1.5 hrs
Family physicians · General practitioners
Current Canadian STI epidemiology; evidence-based screening recommendations (PHAC, USPSTF, SOGC); conducting an anatomically inclusive sexual history in a brief encounter; first-line treatment for common STIs; partner notification obligations; PrEP eligibility; harm reduction counselling.
Sexual Side Effects of Common Medications
1.5 hrs
All prescribing physicians
Mechanism and prevalence of sexual side effects across SSRIs, antipsychotics, antihypertensives, opioids, hormonal contraceptives, and 5-ARIs; informed consent obligations; evidence-based management -- dose adjustment, switching, augmentation; presentations requiring referral to sexual medicine.
Sexual Health in Cancer Care
1.5 hrs
Oncologists · PCPs · General practitioners
Treatment-related sexual morbidity by modality: surgery, radiation, chemotherapy, hormonal therapy; GSM management in hormone-sensitive cancers; erectile rehabilitation post-prostatectomy; vaginal dilation protocols; integrating sexual health into survivorship care planning; practical scripts for follow-up encounters.
Sexual Health and Chronic Illness
1.0 hr
Internal medicine · Family physicians
Sexual dysfunction in cardiovascular disease, diabetes, multiple sclerosis, chronic pain, and spinal cord injury; Princeton Consensus risk stratification for cardiac patients; sexual activity resumption post-event; PDE5 inhibitor evidence; referral pathways by condition.
Transgender and Gender Diverse Patient Care
1.5 hrs
All physicians
Affirming terminology and inclusive intake documentation; sexual health implications of gender-affirming hormone therapy in AMAB and AFAB patients; post-surgical sexual health following vaginoplasty, phalloplasty, and chest surgery; anatomically inclusive STI screening; structural barriers to care and affirming clinical practice.
Sexual Pain: Recognition and Referral
1.0 hr
Family physicians · OB/GYN · Urology
Differential diagnosis across dermatological, hormonal, neurological, musculoskeletal, and psychosocial domains; the diagnostic dismissal pattern and its consequences; what a medical workup should include and what a negative workup does not mean; referral pathways: pelvic floor physiotherapy, sex therapy, vulvar disease clinics, pain psychology.

Targeted skills.
Single sessions.

Focused 30–60 minute modules on specific clinical skills. Designed for physicians who want to develop a particular competency without committing to a full course. Available individually. Each qualifies for non-certified or certified learning credit depending on accreditation status.

Taking a Sexual History
~45 min
Scripted language, normalization techniques, pacing, and the 5 Ps framework. Practical tools for initiating the sexual health conversation in any encounter.
Trauma-Informed Sexual Health Care
~45 min
Recognizing trauma presentations in sexual health contexts; universal precautions; pacing clinical conversations; what to do when a patient becomes dysregulated during history-taking.
Collaborative Care and Referral
~30 min
What sex therapy, sexual medicine, and pelvic floor physiotherapy each offer; when to refer; how to frame referral so patients follow through; documentation standards for referral decisions.
Sexual Health Treatment Planning
~45 min
The biopsychosocial triage framework adapted for the medical encounter; what physicians can address, what requires co-management, and what requires specialist referral; practical formulation in brief appointments.
Medication-Induced Sexual Dysfunction
~30 min
The most frequently missed iatrogenic outcome in prescribing practice. One focused module on identifying, disclosing, and managing sexual side effects across common medication classes.
Communicating Without Pathologizing
~30 min
Clinical language that doesn't embed normative assumptions; how to raise sexual health concerns without inadvertent shame or dismissal; specific scripts for common clinical scenarios including desire change, pain, and dysfunction.

Credit that counts
toward your requirements.

The foundational intensive and special topics courses are designed for accreditation under the two primary Canadian physician continuing education frameworks. All modules are mapped to CanMEDS roles as required for accreditation submission.

RCPSC
Maintenance of Certification
Section 1 — Accredited CME
The foundational intensive qualifies for MOC Section 1 credit as accredited CME. Credit hours are determined by the accrediting body following submission. Accreditation sponsor confirmation is in progress.
CFPC
Mainpro+
Certified Learning
The foundational intensive and special topics courses are designed for Mainpro+ Certified Learning credit, applicable to family physicians' continuing professional development requirements. Accreditation pending sponsor confirmation.

Every physician
encounters these
presentations.

Sexual health concerns appear across every specialty. This series is calibrated to the physician's scope: not sex therapy protocols, but the clinical skills to recognize, communicate, and refer competently.

This series is for you if…
  • You are a family physician, general practitioner, or primary care provider encountering sexual health concerns routinely without adequate training
  • You are an internist, oncologist, urologist, OB/GYN, or psychiatrist whose patients experience sexual dysfunction related to their condition or treatment
  • You prescribe medications with documented sexual side effects and want to fulfil your informed consent obligations competently
  • You want accredited CME credit in an underserved clinical area that directly affects patient wellbeing and quality of life
  • You are seeking CME for institutional delivery via grand rounds or faculty development
What this series is not…
  • Sex therapy training -- this series does not train physicians in sex therapy protocols or specialist sexual health treatment
  • A replacement for specialist consultation -- the explicit goal is improving recognition, communication, and referral, not expanding physician scope into sex therapy
  • Designed for non-physicians -- the clinical framing, CanMEDS mapping, and accreditation pathway are specific to physician CME requirements

Bring sexual health into
routine clinical care.

A structured CME series for physicians who want the language, framework, and referral pathways to address sexual health confidently. Accredited. Asynchronous. Immediately applicable.

Accreditation is pending sponsor confirmation. Credit hours will be confirmed following accreditation review. The program is designed for RCPSC MOC Section 1 and CFPC Mainpro+ eligibility.

Big Ideas,
Real Impact.

Driven by curiosity and built on purpose, this is where bold thinking meets thoughtful execution. Let’s create something meaningful together.