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Module 01 Menopause: by Midwives Now Enrolling

Implementing
Menopause Care
into Practice

The most undertreated transition in women’s health doesn’t require a specialty referral — it requires a clinician who is prepared. This 12-hour module delivers a complete, stage-by-stage clinical framework, built by practicing midwives for the realities of your patient panel.

12 CE Hours 5 Units 14-Week Cohort Community
  • Confidently diagnose and stage perimenopause in the primary care setting
  • Prescribe and adjust hormone therapy using a current, evidence-based framework
  • Address the full symptom spectrum — not just vasomotor complaints
  • Use scripted, shared decision-making language patients will actually understand
  • Earn 12 CE credit hours applicable to CNM, NP, and PA recertification
Implementing Menopause Care into Practice — Module 01 cover
$XXX per clinician · lifetime access
  • 12 CE credit hours (approval pending)
  • 5 self-paced video + PowerPoint units
  • Live & recorded CBL sessions
  • Practice toolkits & EMR templates
  • After-visit summary templates
  • Billing & coding reference guides
  • Certificate of completion
  • Lifetime community forum access

Next cohort opens — May 31, 2026

Questions before enrolling? Contact us.

12
CE Credit Hours
5
Clinical Units
75+
Instructor Years in Practice
Forum Access, No Expiry
— Learning Outcomes —

Nine clinical competencies.
One cohort to build them.

Each unit maps to a specific, measurable clinical competency. By completion you will be able to demonstrate each of the following in your practice — not just describe them on a quiz.

  • Apply a systematic approach to recognizing and staging perimenopause across diverse patient presentations
  • Select appropriate hormone therapy formulations and routes based on patient risk stratification
  • Distinguish vasomotor symptoms from the broader menopause symptom complex and address each systematically
  • Counsel patients on genitourinary syndrome of menopause (GSM) using evidence-based, accessible language
  • Develop long-term cardiovascular and bone health strategies for postmenopausal patients
  • Navigate conflicting evidence in the menopause literature with a structured critical appraisal approach
  • Facilitate shared decision-making conversations about hormone therapy within a standard appointment window
  • Apply current NAMS and ACOG clinical guidelines to your day-to-day practice environment
  • Document menopause care encounters accurately using the provided EMR templates and billing guides
— Full Curriculum —

Five units.
No skipped chapters.

The curriculum follows the clinical arc of the patient journey from earliest transition signals through the long-tail postmenopausal years — the phase most clinicians feel least equipped to manage.

Perimenopause begins years before the final menstrual period, but clinicians are trained to recognize only its endpoint. This unit builds a pattern-recognition framework for the years when interventions have the greatest impact and patients most need a prepared clinician.

  • Hormonal physiology of the menopausal transition
  • Recognizing early signal patterns across diverse presentations
  • Distinguishing perimenopause from look-alike conditions (thyroid, depression, ADHD)
  • Staging the transition using STRAW+10 criteria in clinical practice
  • Initiating the conversation five years before it becomes urgent
  • Documentation standards and coding for the perimenopausal visit

The evidence for hormone therapy is stronger than most clinicians were taught, and guidance has evolved significantly since the WHI. This unit provides a direct, current prescribing framework and teaches you to read the literature critically — and to counsel patients without hedging every sentence.

  • Understanding the current evidence base: beyond the WHI
  • Indications, contraindications, and absolute vs. relative risk
  • Routes of administration: transdermal, oral, vaginal, and compounded
  • Formulation selection based on patient phenotype and risk profile
  • Non-hormonal pharmacotherapy options and when to use them
  • Monitoring, dose adjustment, and discontinuation planning

Hot flashes are the symptom patients report first — but sleep disruption, cognitive change, mood instability, joint pain, and genitourinary atrophy are the symptoms they live with longest. This unit covers the full symptom complex with the clinical detail needed to actually address it.

  • Sleep architecture changes in the menopausal transition
  • Cognitive symptoms: “brain fog,” memory, and emerging dementia risk
  • Mood and mental health: distinguishing menopause from depression and anxiety
  • Musculoskeletal changes: joint pain, fibromyalgia overlap, and mobility
  • Genitourinary syndrome of menopause (GSM): diagnosis, staging, and treatment
  • Sexual health: desire, arousal, and dyspareunia in clinical context

The decades after the final menstrual period carry the greatest long-term health risk but receive the least clinical attention. This unit prepares you to counsel patients on cardiovascular, skeletal, and metabolic health during the years they will spend most of their lives navigating.

  • Cardiovascular risk after menopause: the estrogen timing hypothesis
  • Bone health: screening intervals, DEXA interpretation, and fracture prevention
  • Osteoporosis pharmacotherapy: bisphosphonates, denosumab, and when to refer
  • Metabolic changes: weight, insulin resistance, and lipid management
  • Preventive care schedules and screening updates for postmenopausal patients
  • Managing hormone therapy duration in the long-term context

The science only helps patients when clinicians can communicate it. This unit provides language, frameworks, and real scripts for the menopause conversation — written for the 12-minute visit, tested in actual practice, and grounded in shared decision-making principles.

  • Shared decision-making models adapted for menopause conversations
  • Plain-language scripts for the hormone therapy discussion
  • Navigating patient fear, media misinformation, and prior bad advice
  • After-visit summary templates and patient education materials
  • Closing a menopause visit with a clear, documented care plan
  • Building a follow-up schedule: what to assess and when
5 Units 12 CE Hours Total Self-paced · Voice-over PowerPoint Cohort: 14 Weeks

Built for clinicians who see
these patients every week.

  • Certified Nurse-Midwives (CNMs)
  • Women’s Health Nurse Practitioners
  • Family & Internal Medicine NPs
  • Physician Associates in primary care
  • OB/GYNs expanding menopause scope
  • Family Medicine Physicians
  • Clinical pharmacists in collaborative practice
  • Naturopathic physicians
  • RNs in primary care and women’s health
  • Physical & pelvic floor therapists
— How It Works —

Three formats.
One integrated experience.

Learning that sticks requires more than video. Each format in this module addresses a different part of how skilled clinicians actually build lasting confidence.

Knowledge, On Your Schedule

Five voice-over PowerPoint units delivered through a clean learning portal. Work through them in sequence or jump to what your practice needs this week. Each unit is bookmarked, searchable, and yours for life.

  • Self-paced — no live attendance required
  • Mobile-friendly and offline-compatible
  • Downloadable slides and reference documents
  • Assessments and CE documentation built in

Case-Based Learning Sessions

Live facilitated case reviews with your cohort, led by the module instructors. Real clinical scenarios, integrated polls, and structured discussion that rewards participation over perfect answers. All sessions are recorded for async review.

  • Bi-weekly live sessions during the cohort window
  • Full recordings available within 24 hours
  • Diverse clinician cohort across multiple disciplines
  • Direct instructor access during each session

Community of Practice

The learning doesn’t stop at week 14. Enrollees join a moderated clinical forum where members share implementation wins, troubleshoot patient scenarios, and continue building the practice they came to create.

  • Moderated by Excellence in Gyn instructors
  • Topic threads organized by clinical area
  • Share wins and failures from your own implementation
  • Lifetime access — no renewal required
— Your Instructors —

Built by clinicians
still in the room.

This module was designed and taught by three certified nurse-midwives who spend their clinical weeks doing exactly what they are teaching you to do. The curriculum is current because they are current.

Lori Swain, DNP, CNM, MSCP, FACNM

Lori Swain

DNP, CNM, MSCP, FACNM

Lori leads Units 01 and 02, drawing on full-time clinical practice with a specific focus on midlife and gynecologic care. As a Menopause Society Certified Practitioner, she brings both current evidence and real patient language to the pharmacotherapy unit.

Jennifer Ham, DNP, CNM, MSCP, FACNM

Jennifer Ham

DNP, CNM, MSCP, FACNM

Jennifer designed Unit 05 and facilitates the CBL sessions. Her expertise in systems quality improvement and her published work on mentorship directly informs how this module translates clinical knowledge into practice-level change.

Heather Carrion, CNM, MSCP, RNFA

Heather Carrion

CNM, MSCP, RNFA

Heather leads Units 03 and 04 covering the full symptom complex and postmenopausal care. Having transitioned to GYN-only practice in 2024, her curriculum reflects what clinicians encounter when they commit to menopause care as a specialty.

— From Past Participants —

What clinicians say
after completing the module.

“Lorem ipsum dolor sit amet. I finally had the language for the hormone therapy conversation I had been avoiding for two years. My patients noticed the difference within a month.”

Sarah M. NP · Family Medicine, Pacific Northwest

“Lorem ipsum — the CBL sessions alone were worth enrolling. Hearing how other clinicians handle these conversations in their practices gave me more confidence than anything I had read in a journal.”

Dana K. CNM · Private Practice, Oregon

“Lorem ipsum — I have done a lot of CE. This one actually changed how I practice. The postmenopause unit made me realize I had been under-serving this population for years.”

Marcus T. PA-C · Internal Medicine, Washington
— Common Questions —

Before you enroll.

Lorem ipsum — this module is designed for licensed healthcare providers who see perimenopausal or postmenopausal patients in a clinical setting and want a structured, current framework for that care. It is best suited for CNMs, NPs, and PAs, though family medicine and internal medicine physicians expanding their menopause scope will find it equally applicable.

Lorem ipsum — the self-paced content averages roughly one hour per week over the 14-week cohort. CBL sessions are 60–90 minutes each and meet bi-weekly. Total investment is approximately 12–15 hours over the cohort window, not including optional community participation.

Lorem ipsum — CE approval is currently pending through [certifying body placeholder]. Credits are expected to apply toward recertification for CNMs (AMCB), NPs (ANCC), and PAs (NCCPA). This page will be updated when approvals are confirmed, and enrolled participants will be notified directly.

Lorem ipsum — CBL sessions are live, facilitated discussions built around anonymized clinical cases. Integrated polls keep participation low-stakes — you respond in real time without being required to speak. The goal is better thinking, not right answers. All sessions are recorded and available within 24 hours.

Lorem ipsum — yes. Video content, downloadable materials, CBL recordings, and the community forum are all accessible indefinitely after enrollment. The only time-limited element is live CBL attendance, which is specific to your cohort window.

Lorem ipsum — yes, group pricing is available for practices enrolling three or more clinicians, and institutional licensing is available for health systems. Contact contact@excellenceingyn.com with your practice name and expected enrollment size for a custom quote.

— Cohort Opens May 31, 2026 —

The patients are already
in your schedule.

Enrollment in the next cohort is limited. Join the waitlist to secure your place, receive the full program guide, and get early notification when registration opens — along with a monthly clinical letter from the founding team.