This training focuses on the issues and concerns surrounding disparities in the healthcare setting.  The 13 topics range from discrimination and social identity to implicit bias and microaggressions.  The goal of the training is to allow participants to reflect on how their social identity impacts the ways they move through their world as they interact with others. This directly impacts how the healthcare system functions in providing care to everyone.  

These are difficult topics to discuss and examine, this course does not shy away from the tough conversations. For some participants, there will be moments when topics cover difficult scenarios and situations.  

All content on this course is the intellectual property of the Larson Institute and Jay F. Cafferata. All material is copyrighted and may not be reproduced, copied or used without written permission of the Larson Institute.

Course Options

This training is available in two formats.

  • Synchronous

    A live webinar version of this course is available. The course is three 1/2 day sessions all online. Check the course schedule below for available dates.

  • Asynchronous

    A self-paced version of this course is available. Upon registration, participant will have 30 days to complete the online training.

Please check the online course page for current available courses

Detailed instructions and any required zoom links are available after registration on the MakingHealthHappen website. The synchronous course is taught during a 3-day AM Session (9 am to 12 pm), a 3-day PM Session (2 pm to 5 pm) or a 3/6 Session of 3 hours on the first day and 6 hours on the second day. Site-specific trainings just for your facility are available. Please contact Jay Cafferata for additional information on how to schedule. 

Regulation Requirements

This training meets the requirements of Nevada's NRS 449 for Cultural Competency in Healthcare Facilities.  It covers the topics and levels of content required by NRS 449. See NRS 449 for additional details. 

Training also meets the requirements of Nevada's Legislature: AB327 (81st Session). 

CEUs Provided

The University of Nevada, Reno School of Medicine designates the following CEUs:

Physicians: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the University of Nevada, Reno School of Medicine and the Nevada Public Health Training Center. The University of Nevada, Reno School of Medicine is accredited by the ACCME to provide continuing medical education to physicians. The University of Nevada, Reno School of Medicine designates this  activity for a maximum of 9.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: The University of Nevada, Reno School of Medicine approves this program for 9.00 hours of nursing continuing education credit.

This program meets the Nevada State Board of Medical Examiners' requirement for 2 hours of training related to ethics, pain management, or addiction care during each licensure period.

Course Pricing

Individual Synchronous Training: $100

Individual Asynchronous Training: $100

Group/Site Specific Training: 

  • Under 50 participants - $2,500
  • 51 or more participants  - $5,000

Please contact Jay Cafferata at to discuss site specific trainings. 

Course Schedule

Click below to view current available trainings.

Course Instructor

Jay Cafferata, MA(c), CDE

Jay Cafferata, has been providing adult education classes for over 30 years. A graduate of UNR and WNC, a lifelong Nevadan, Jay has been working with marginalized populations for over 20 years. He has a background in LGBTQIA+ communities, early intervention and Early Childhood education, working with ASL Interpreters and school districts, and as an advocate and parent. His experience allows for great conversations and open frank discussions about these challenging topics. He can be reached at

Frequently Asked Questions

  • Will I receive a certificate at the end of the training?

    Yes, at the end of the training, after completing the post evaluation, a certificate is available for download and/or printing. Make sure to submit the certificate to your employer and keep a copy for yourself. The certificate is good for 1 year from the date of completion.

  • Can I attend different days of different trainings?

    The synchronous training must be completed during the single course session the participant is registered for. The asynchronous training can be taken at your own pace, but must be completed within 30 days. Both versions follow a specific curriculum and there is no mixing and matching of days or training modalities.

  • This course is required annually, is there a refresher course?

    At this time, the refresher course is being developed. As soon as it is approved, it will be available on

  • Does everyone in a group have to register for the course or can we share a computer?

    Each person has to be registered individually to receive a certificate. Multiple people can view the training in a group setting as long as everyone can use a separate device to participate in polling and evaluations.

  • How do I register for the course?

    Go to and select the course/dates you would like to register for. Once at, you will need to create a profile to register for the course. For the synchronous trainings, please make sure you login before the course date to ensure access to the zoom sessions.

  • Are captions or other languages available?

    All trainings meet ADA accessibility guidelines. Videos used in the training can be captioned. Live transcript options are available through zoom. Please contact Jay Cafferata ( PRIOR to the training to set up any needed accommodations. Currently, the trainings are only available in English.

  • Is the course material/slides available?

    After registering for a course, participants will have access to a resource page that has the slides in PDF format and other resources as mentioned during the training.

  • What are the course expectations?

    Earnest questions and comments are welcome and encouraged. Please note, inappropriate remarks, posting and comments are not. At the discretion of the trainer, participants may be removed for inappropriate comments at anytime during the training. Once removed from a training, no refund will be given and participants will not be allowed to register for any live training in the future.


“Completely in touch with today's issues and barriers and how to overcome them.”



“This was an eye opening course, which informed me of the suffering and lack of medical coverage persons of transgender, etc. experience”



“Great content, relevant information, and interactive to keep participants engaged. Kudos!!!!”