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Live CME Seminars
Primary Care CME - Women's Health CME |
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by Herbert L. Muncie, Jr., M.D. - Louisiana State University Health Sciences Center School of Medicine; Professor of Family Medicine and Director, Predoctoral Education, Department of Family Medicine, New Orleans, LA and Albert J. Peters, D.O., F.A.C.O.G. - Sher Institute for Reproductive Medicine (SIRM); Medical Director, New Jersey.
Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to recognize and describe the typical etiology of the Gynecologic disorders presented; apply improved diagnostic methods and ordering of tests in the Primary Care office and Emergency Medicine setting; choose the appropriate treatment and drugs for commonly seen GYN disorders as well as identify treatment failures vs. recurrence. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.
The emphasis will be on current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives, with a focus on diagnosis, treatment and when to refer. Since Women’s Health and Gynecology is a field of medicine that covers various aspects of different specialties and is highly requested, this course was designed to cover a wide range of topics essential to all practitioners at the level of a practicing physician.
| | Day 1 |
Amenorrhea. Hormonal Contraceptives: Good, Bad and Controversial. Abnormal Uterine Bleeding. Anemia – A Finding, Not Yet a Diagnosis |
| Day 2 |
Chronic Anovulation. Osteoporosis: Diagnosis and Treatment. Menopause: Myths and Realities. Migraine Headaches – Update on Diagnosis and Treatment. |
| Day 3 |
Hirsutism. Premenstrual Syndrome. Evaluation and Initial Management: Benign Breast Disease. Gynecologic Complementary Therapy. |
| Day 4 |
Treatment of Sexually Transmitted Infections. Ectopic Pregnancy. Venous Thromboembolism (VTE): Diagnosis and Treatment. Pelvic Pain. |
| Day 5 |
Adult Health Screening and Immunizations – EBM. Gynecologic Emergencies. Use and Interpretation of Thyroid Tests. Endometriosis. |
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Primary Care and Women’s Health: An Update and Review
November 2-6, 2009
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Amenorrhea - Upon completion of this session, the participant should be able to:
| 1. | Assess the various causes of primary and secondary amenorrhea and their associated health risks, as well as apply the appropriate evaluation for both.
| | 2. | Provide therapy to the patient with regard to hormone replacement therapy or infertility.
| | 3. | Categorize the various anatomic and functional levels of distinction with respect to amenorrhea.
| | Hormonal Contraceptives: Good, Bad and Controversial - Upon completion of this session, the participant should be able to:
| | 1. | Describe clinical differences in oral contraceptives.
| | 2. | Decide the appropriate agent for specific patients.
| | 3. | Give attention to relative and absolute contraindications to oral contraceptives.
| | Abnormal Uterine Bleeding - Upon completion of this session, the participant should be able to:
| | 1. | Define abnormal uterine bleeding.
| | 2. | Differentiate between functional and organic causes.
| | 3. | Manage most non-surgical etiologies of this problem.
| | Anemia – A Finding, Not Yet a Diagnosis - Upon completion of this session, using the Cochrane Abstract Database, the participant should be able to:
| | 1. | List the most common anemias and their usual etiology.
| | 2. | Compare the diagnostic evaluation needed to determine the etiology of the anemia.
| | 3. | Identify the therapeutic options for each of the identified anemias.
| | 4. | Describe the follow-up plans for assessing the efficacy of treatment for each anemia.
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| | Day 2 | Chronic Anovulation - Upon completion of this session, the participant should be able to:
| 1. | Discriminate between the hypothalamic, pituitary and ovarian causes of anovulation.
| | 2. | Investigate associated health risks.
| | 3. | Formulate an appropriate treatment regimen.
| | Osteoporosis: Diagnosis and Treatment - Upon completion of this session, the participant should be able to:
| | 1. | List the risk factors associated with osteoporosis.
| | 2. | Discuss the current methods for evaluating patients at risk for osteoporosis.
| | 3. | Describe the various therapeutic classes of medications and their appropriate use.
| | Menopause: Myths and Realities - Upon completion of this session, the participant should be able to:
| | 1. | Classify the various issues that face the menopausal woman.
| | 2. | Differentiate between true concerns and current anecdotal myths.
| | 3. | Discuss topics such as: osteoporosis, cardiovascular disease, breast cancer and endometrial cancer as well as their current therapies.
| | 4. | Critically evaluate Evidence-Based menopause literature.
| | Migraine Headaches – Update on Diagnosis and Treatment - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the process for evaluating a patient with possible migraine headaches.
| | 2. | Discuss the advantages of supportive therapy and lifestyle changes to treat migraine headaches.
| | 3. | Compare and contrast the pharmacologic options for treating an acute migraine headache.
| | 4. | Identify when prophylactic therapy is appropriate for patients with recurrent migraine headaches.
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| | Day 3 | Hirsutism - Upon completion of this session, the participant should be able to:
| 1. | Understand the pathophysiology of abnormal body hair growth in women.
| | 2. | Differentiate the source of androgen excess.
| | 3. | Employ current treatment options.
| | Premenstrual Syndrome - Upon completion of this session, the participant should be able to:
| | 1. | Identify patients with this disorder.
| | 2. | Provide education for the patient as to the myths and realities of the premenstrual syndrome.
| | 3. | Utilize current effective therapies.
| | 4. | Formulate on appropriate differential diagnosis for PMS.
| | Evaluation and Initial Management: Benign Breast Disease - Upon completion of this session, using the American Cancer Society guidelines as well as the Cochrane Abstract Database, the participant should be able to:
| | 1. | Describe benign breast disease.
| | 2. | Evaluate for various conditions such as breast pain, breast lumps, and nipple discharge.
| | 3. | Describe findings associated with breast cancer.
| | Gynecologic Complementary Therapy - Upon completion of this session, the participant should be able to:
| | 1. | Define various forms of complementary medicine such as acupressure, acupuncture, herbal therapy, massage therapy, etc.
| | 2. | Answer general questions from patients regarding various complementary therapies.
| | 3. | Describe the basic mechanism of action with various complementary therapies.
| | 4. | Apply complementary therapies to various gynecologic problems such as PMS, infertility and ovulatory disorders using Evidence-Based literature.
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| | Day 4 | Treatment of Sexually Transmitted Infections - Upon completion of this session, the participant should be able to:
| 1. | List the treatable forms of STIs.
| | 2. | Compare and contrast the diagnosis of STIs.
| | 3. | Identify the treatment options for STIs.
| | Ectopic Pregnancy - Upon completion of this session, the participant should be able to:
| | 1. | Recognize an early extrauterine gestation and intervene or facilitate intervention before an emergent situation exists.
| | 2. | Discuss non-surgical management of Ectopic pregnancy.
| | 3. | Recognize the limitations and capabilities of ultrasound in the diagnosis of ectopic pregnancy.
| | Venous Thromboembolism (VTE): Diagnosis and Treatment - Upon completion of the session, the participant should be able to:
| | 1. | Describe the sensitivity and specificity of the diagnostic tests available for the identification of DVT.
| | 2. | Explain the algorithm for diagnosing a PE in various clinical settings.
| | 3. | Describe the proper monitoring and adjustment of warfarin therapy for DVT/PE.
| | Pelvic Pain - Upon completion of this session, the participant should be able to:
| | 1. | Assess the patient with acute or chronic pain.
| | 2. | Identify the differential diagnosis and choose appropriate management options for the patient.
| | 3. | Identify true surgical emergencies.
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| | Day 5 | Adult Health Screening and Immunizations – EBM - Upon completion of this session, using the USPSTF and Cochrane Abstract Database, the participant should be able to:
| 1. | Describe the evidence based recommendations for preventive screening tests for adults.
| | 2. | List the routine immunizations recommended for adults.
| | 3. | Describe the common side effects of adult immunizations.
| | 4. | List the contraindications for each adult immunization.
| | 5. | Discuss when screening tests can be discontinued in adults.
| | Gynecologic Emergencies - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the more common and significant gynecologic emergencies.
| | 2. | Formulate a rapid and concise treatment plan for various emergencies, such as:
| a. | Ectopic pregnancies,
| | b. | Uterine hemorrhage,
| | c. | Gynecologic infections.
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| | 3. | Provide follow-up care to the post-gynecologic emergency patient.
| | Use and Interpretation of Thyroid Tests - Upon completion of this session, the participant should be able to:
| | 1. | Compare the utility of the various serum tests for thyroid function.
| | 2. | Distinguish the combination of test results that occur in clinical conditions.
| | 3. | Describe the appropriate follow-up of abnormal thyroid tests.
| | Endometriosis - Upon completion of this session, the participant should be able to:
| | 1. | Have a high degree of accuracy in the suspicion of endometriosis based on symptoms and physical examination.
| | 2. | Review current management options with particular attention toward agents that can be effectively used by the primary care provider.
| | 3. | Guide patients with regard to long term management for pain and/or fertility considerations.
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