Ongoing mentorship + clinical sharpening for graduates of the Monarch Health Clinician Mentorship
Master the Nuance of Midlife Medicine
Midlife Mastery is where you continue evolving into the clinician your patients trust — the one who stays current, asks better questions, and knows how to navigate the layered reality of midlife clinical care.
If you want to stay confident, connected, and continually improving your craft, you belong here.
Kickoff 2/4/26
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Kickoff 2/4/26
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What is Midlife Mastery?
Midlife Mastery is an ongoing, alumni-only clinical mentorship for graduates of the Monarch Health Clinician Mentorship.
This is where we continue the conversation, deepen clinical skills, and stay grounded in a fast-changing field. Inside Midlife Mastery, clinicians participate in a 1-hour live clinical teaching session every 4 weeks, engage in real-world case discussions and clinical reasoning walk-throughs, receive applied hormone therapy updates, and get guidance for the messy, layered midlife cases they’re actually seeing. Members also receive access to all Clinician Capsules released during the year. Because mastery isn’t a milestone, it’s a practice.
High Impact Teaching on the Realities of Midlife Medicine
Every session is designed to give you something you can use immediately.
Sessions vary by month but are always built around actual clinical questions from your practices.
Examples include:
Managing unpredictable perimenopause trajectories
Working through complex HT cases with confidence
Libido, desire, and sexual pain — clinical applications
PMDD, anxiety, mood shifts, and midlife mental health
Weight loss medications + metabolic complexities
Thyroid and adrenal overlap in midlife
Real clinician case walkthroughs
Nuanced hormone therapy decision-making
Updates in midlife research, meds, and protocols
An ongoing, alumni-only clinical mentorship for clinicians who want continued support as midlife cases get more complex.
A simple, steady rhythm that supports your growth
Live Sessions Every 4 Weeks
Each session is one hour, focused on a single high-value topic.
Two Ways to Join
Pay Per Session → Attend live only
Yearly Membership → Live + Replay access + Clinician Capsules included
Replay Library (Members Only)
Annual members can revisit every session, anytime.
Integrated With Clinician Capsules
Your yearly membership includes all quarterly Clinician Capsules at no additional cost.
2026 Kickoff Session: February 4, 2026
Midlife Mastery is designed exclusively for graduates of the Monarch Health Clinician Mentorship who are actively practicing midlife medicine and want ongoing clinical support and want to:
Continue strengthening their clinical judgment in midlife hormone care
Confidently navigate complex or confusing perimenopause cases
Stay updated on what’s changing in midlife & menopause medicine
Maintain clinical alignment and avoid isolation
Bring cases, ask questions, and get clarity from Jackie
Keep momentum long after the mentorship ends
If you’re committed to being the clinician who does this work well, this is the room for you.
Because midlife medicine demands more than a one-time training.
You’re seeing more complex cases.
Patients are coming in with more questions.
Research is evolving faster than ever.
Midlife Mastery gives you:
A place to talk through uncertainty
A framework for staying aligned and grounded
Clinical backup from someone you trust
Nuanced approaches to tricky, layered presentations
Support that keeps burnout at bay
Clarity when cases feel chaotic
This isn’t continuing education.
It’s continuing excellence.
Choose What Option Fits Best For You
Two Ways to Join
Pay Per Session → Attend live only
Yearly Membership → Live + Replay access + Clinician Capsules included
2026 Session Schedule
2026 Live Session Dates
Mastery Session 1: February 4, 2026
Mastery Session 2: March 4, 2026
Mastery Session 3: April 1, 2026
Mastery Session 4: May 6, 2026
Mastery Session 5: June 3, 2026
Mastery Session 6: July 1, 2026
Mastery Session 7: August 5, 2026
Mastery Session 8: September 2, 2026
Mastery Session 9: October 7, 2026
Mastery Session 10: November 4, 2026
Mastery Session 11: December 2, 2026
Live sessions are currently scheduled for the first Wednesday of each month.
Dates are subject to change based on scheduling or unforeseen circumstances.
Meet Your Mentor
Jackie Piasta, DNP, WHNP-BC, is the founder of Monarch Health Clinician Academy and a specialist in midlife hormone therapy, sexual medicine, metabolic health, and complex perimenopause care. She created Midlife Mastery to offer clinicians ongoing guidance, deeper casework, and a space to continually refine their clinical judgment beyond the foundational mentorship.
JOIN TODAY

