Mount Sinai Transgender Medicine Fellowship

The Transgender Medicine Fellowship at the Icahn School of Medicine at Mount Sinai is a 12-month fellowship and is one of the few fellowship programs in the country focused on the care of transgender and gender diverse (TGD) patients. We take a holistic approach that encompasses medical, non-medical, and surgical training. The program is housed within the Mount Sinai Center for Transgender Medicine and Surgery and has several clinic sites in Manhattan. We accept up to two fellows each year.

The mission of the Transgender Medicine Fellowship is to train physicians to be able to oversee gender-affirming health care in community practice or academic settings. Part of our goal is to train transgender medicine/health experts who transcend the subspecialty silos that often cause clinical care gaps and patient frustration. We strive to train our fellows to actively seek ways to understand and meet the specific needs of transgender and gender diverse people. Training a new generation of health care providers who can help break down barriers to care is one of the most powerful weapons we have against the health inequities facing TGD people. Transgender medicine trained fellows will make health care more accessible, sensitive, and effective.

Fellowship Director

  • Joshua Safer, MD

Supervising Faculty

  • Primary care for transgender and gender diverse adult patients – Dani Loeb, MD
  • Primary care for LGBTQ adult individuals including – Antonio Urbina, MD
  • Gender-affirming hormone therapy for transgender and gender diverse adult patients – Joshua Safer, MD, and Tamar Reisman, MD
  • Mental health support for transgender and gender diverse adult patients – Max Lichtenstein, MD
  • Primary care for transgender and gender diverse youth – John Steever, MD
  • Gender-affirming hormone therapy for transgender and gender diverse youth – Mabel Yau, MD
  • Mental health support for transgender and gender diverse youth – Matthew Oransky, MD
  • Gender-affirming gynecology for transgender and gender diverse patients – Zoe Rodriguez, MD
  • Management of sexually transmitted infections – Michael Gaisa, MD
  • Gender-affirming urology for transgender and gender diverse patients – Raj Purohit, MD and Miro Djordjevic, MD
  • Gender-affirming plastic surgery for transgender and gender diverse patients – Jess Ting, MD
  • Gender-affirming ear, nose, and throat care (ENT), including voice therapy for transgender and gender diverse patients – Mark Courey, MD

The Mount Sinai Transgender Medicine Fellowship is a one-year non-Accreditation Council for Graduate Medical Education (ACGME) fellowship program, which will be heavily clinic-based, covering all aspects of gender-affirming care in an academic medical center setting.  

This training centers around precepted clinics, including a medical continuity clinic, along with rotations in gender-affirming clinics providing care to TGD patients in adult endocrinology, adult primary care, adolescent health, pediatric endocrinology, gynecology, urology, plastic surgery, ENT, and voice therapy. There are observation experiences for gender-affirming surgeries, including genital reconstruction surgeries, chest reconstruction surgeries, facial feminization surgeries, and voice surgeries. Fellows also participate in the inpatient experience for patients having gender-affirming surgeries and participate in a research project.

Sample rotation schedule (can be modified for specific fellow goals).

1

2

3

4

5

6

7

8

9

10

11

12

PC1

PC1

Endo1

Endo1

PC3

PC2

Endo2

Uro/Gyn

GAS

MH1/MH2

Endo1/PC1

Elective

275

Union Sq

275

275

275

AHC

MSH4

MSBI/MSW

NYEE

275

275

 

80

80

80

80

80

80

80

80

80

80

80

 

20

20

20

20

20

20

20

20

20

20

20

100

Rotations:

  • PC1: Primary care for transgender and gender diverse adults
  • PC2: Primary care for transgender and gender diverse youth
  • PC3: Primary care for LGBTQ adults and youth, including STI prevention
  • Endo1: Gender-affirming hormone therapy for transgender and gender diverse adult patients
  • Endo2: Gender-affirming hormone therapy for transgender and gender diverse youth
  • STI: Management of sexually transmitted infections, including, HIV, hepatitis B and hepatitis C
  • MH1 - Mental health for transgender and gender diverse adults
  • MH2 - Mental health for transgender and gender diverse youth
  • Uro – Gender-affirming urology
  • Gyn – Gender-affirming gynecology
  • GAS - Gender-affirming plastic surgery

Locations:

  • Union Sq – Mount Sinai-Union Square
  • AHC – Adolescent Health Center
  • MSH – The Mount Sinai Hospital
  • MSBI – Mount Sinai Beth Israel
  • MSW – Mount Sinai West
  • NYEE – New York Eye and Ear Infirmary of Mount Sinai

  • 12 months
  • Start Date: July 1
  • End Date: June 31

Applications should include:

  • a full cover letter
  • evidence of participation in (current PGY-3, Chief Year, or Fellowship) or completion of an ACGME-approved program in Internal Medicine or Family Medicine (or equivalent Med-Peds)
  • personal statement
  • three letters of recommendation, including one from either the program director or an associate program director
  • United States Medical Licensing Examination Board score reports

Applicants will need to have completed their ACGME-approved training prior to commencing the fellowship.

Interviews will be scheduled for early fall.

Send application materials to Joshua Safer, MD, (joshua.safer@mssm.edu) program director. Do not hesitate to reach out for more information.