060 POSTGRADUATE COURSES

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1 twitter.com/acognews #ACM13 SATURDAY ERNEST N. MORIAL CONVENTION CENTER MAY 4-8, 2013 SATURDAY, MAY 4 8:15 AM - 5:00 PM SA601 Prevention, Recognition, and Management of Complications from Gynecologic Surgery**See page 12 Howard T. Sharp, MD University of Utah Health Sciences Center, Salt Lake City, Utah Mark K. Dodson, MD University of Utah Health Sciences Center, Salt Lake City, Utah Malcolm G. Munro, MD David Geffen School of Medicine at UCLA, Los Angeles, California Outline strategies to minimize the risk of surgical complications Describe presenting symptoms associated with post operative complications Detail therapeutic options to optimally manage surgical complications Enumerate complications of gynecologic surgery SA602 Controversies in Perinatal Medicine: The Great Debates**See page 12 John T. Repke, MD Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania Jaimey M. Pauli, MD Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania Baha M. Sibai, MD University of Cincinnati College of Medicine, Cincinnati, Ohio Describe the controversies surrounding prematurity prevention and management, including cervical length measurement, cerclage, pessaries, 17 alpha-hydroxyprogesterone caproate, vaginal progesterone Describe the best practice approaches to prenatal genetic screening and diagnosis and the implication of the new microarray technologies Describe the resurgent controversies surrounding the increasing cesarean delivery rate and reduction in VBAC Describe the changing guidelines for the management of gestational diabetes and preeclampsia and the controversies surrounding these changes Describe the risks, benefits, and controversies of fetal surgery 14

2 facebook.com/acognational MAY 4-8, 2013 ERNEST N. MORIAL CONVENTION CENTER SATURDAY SA603 Best Practices in High-Risk Pregnancy Mary E. D Alton, MD Columbia University, New York Presbyterian Hospital, New York, New York Alessandro Ghidini, MD Inova Alexandria Hospital, Brock Family Perinatal Diagnostic Center, Alexandria, Virginia Catherine Y. Spong, MD Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland Describe controversial and timely obstetric topics, including new genetic screening and diagnostic tests Describe the management options for obstetric complications such as shortened cervical length, maternal morbidity and management of fetal heart rate patterns in labor Define the patient population who meet the criteria for progesterone administration to prevent preterm birth Identify women at risk for adverse obstetric outcomes due to poor placentation and implement appropriate prevention strategies Describe trials that have changed obstetric practice for prevention therapy, new treatments, or stopping a non-beneficial practice Identify those conditions that may benefit from delivery in the late preterm period 15

3 twitter.com/acognews #ACM13 SATURDAY ERNEST N. MORIAL CONVENTION CENTER MAY 4-8, 2013 SA604 Laparoscopic Hysterectomy: A Didactic Review of the Literature and a Detailed Illustrative Video Tutorial to Total Laparoscopic Hysterectomy (TLH) and Laparoscopic Supracervical Hysterectomy (LSH) Michael P. Traynor, MD Northwest Kaiser Permanente, Portland, Oregon Cameron Haugen, MD Kaiser Permanente-Salmon Creek, Vancouver, Washington Kevin S. Overbeck, MD Northwest Kaiser Permanente, Portland, Oregon Be familiar with the basics of laparoscopic hysterectomy, the most recent clinical evidence surrounding the procedure, the indications, contraindications, and ACOG recommendations Understand the essential superficial and laparoscopic pelvic anatomy encountered, as well as the primary and alternative site-entry techniques with optimal trocar placement Outline the options for equipment and electrosurgical instrumentation as well as the fundamental skills necessary to complete a laparoscopic hysterectomy, including laparoscopic dissection, hemostasis, colpotomy, morcellation, and suturing Review in detail both the basic and procedural technique involved in performing a laparoscopic hysterectomy as well as more advanced video instruction with tips and tricks for some of the more challenging patients (prior surgeries, obesity) and pathology (endometriosis, leiomyoma) that may be encountered Learn how to optimize peritoneal access, surgical exposure, and the visualization necessary to perform the common, as well as the significantly challenging laparoscopic hysterectomy Review the literature surrounding complications and their clinical presentation as well as how to employ an effective strategy to prevent, and if necessary, manage, some of the more common complications associated with laparoscopic hysterectomy SA605 Advancements in Vulvar and Vaginal Diseases David S. Miller, MD University of Texas Southwestern Medical Center, Dallas, Texas Libby Edwards, MD Carolinas Medical Center, Waxhaw, North Carolina Hope K. Haefner, MD University of Michigan Center for Vulvar Diseases/University of Michigan Hospitals, Ann Arbor, Michigan Perform a thorough vulvar and vaginal examination Evaluate vulvodynia Diagnose vulvovaginal disorders Apply contemporary therapeutic medical and surgical vulvovaginal interventions 16

4 facebook.com/acognational MAY 4-8, 2013 ERNEST N. MORIAL CONVENTION CENTER SATURDAY SA606 Coding and Documentation for the Obstetrician and Gynecologist J. Martin Tucker, MD Jackson Healthcare for Women, Jackson, Mississippi Philip N. Eskew Jr, MD Indiana University School of Medicine, Indianapolis, Indiana George A. Hill, MD Nashville Fertility Center, Nashville, Tennessee Identify the importance of the physician s role in accurate coding Define the global surgical and obstetrical packages Use the Medicare documentation guidelines appropriately Code for ancillary services outside the global package SA607 Information Technology: Improving Patient Outcomes and Optimizing Practice Management**See page 12 Mark S. Seigel, MD George Washington University Medical Faculty Associates, Washington, DC Caitlin M. Cusack, MD Insight Informatics, Manchester, New Hampshire Samuel N. Lederman, MD JFK Medical Center, Atlantis, Florida Describe the process of selecting software and hardware solutions for electronic health records Discuss IT project planning and achieving stakeholder consensus Implement an electronic system while optimizing workflow and achieving meaningful use Discuss effective staff and provider training to improve efficiency, decrease errors, and improve patient, employee, and physician satisfaction Expand your health information technology system to include interoperability with hospital, imaging center, laboratory, and patient portals Use hand-held devices and social networking Identify risk-reduction strategies for electronic records, improve communications, address confidentiality concerns, explain benefits to the physician-patient relationship Manage your practice online, including web and social media while protecting your online reputation 17

5 twitter.com/acognews #ACM13 SUNDAY ERNEST N. MORIAL CONVENTION CENTER MAY 4-8, 2013 SUNDAY, MAY 5 8:15 AM - 5:00 PM SU601 Breast Care in 2013: A Toolkit for the Practicing Ob-Gyn Mark D. Pearlman, MD University of Michigan Health Systems, Ann Arbor, Michigan Jennifer L. Griffin Miller, MD University of Nebraska Medical Center, Omaha, Nebraska Elizabeth R. Keeler, MD MD Anderson Hospital, University of Texas, Houston, Houston, Texas At the end of the course, the participant should be able to: Screen and identify women at high risk for breast cancer and develop a breast cancer screening plan for women at average or high risk for breast cancer Develop evidence-based management strategies for evaluation and diagnosing women who present with a variety of breast complaints, including breast masses, nipple discharge, breast pain, abnormal breast imaging, inflammatory disorders Provide comprehensive gynecologic care for women with breast cancer Counsel about future pregnancies Manage the gynecologic complication of hormonal adjuvant therapies (e.g., tamoxifen, aromatase inhibitors) Develop nonhormonal management plans for breast cancer survivors with menopausal symptoms Appropriately screen for women at risk for carrying BRCA gene mutations, appropriately refer these women for genetic testing, and incorporate appropriate screening and risk-reduction methods for both breast and ovarian cancer into practice SU602 Current Topics in Reproductive Endocrinology for the Clinician Michelle L. Matthews, MD Carolinas Medical Center, Charlotte, North Carolina Emre U. Seli, MD Yale Medical Group, New Haven, Connecticut Rebecca S. Usadi, MD Carolinas Medical Center, Charlotte, North Carolina Discuss the current and efficient management of the infertile couple in an ob-gyn practice with an emphasis on evidence-based diagnostic and therapeutic protocols Identify the modern medical and surgical options available for treatment of endometriosis Describe the recent advances in the conservative management of uterine fibroids, including methods of myomectomy, myoma ablation, and medical alternatives Identify types of ovulatory dysfunction and therapeutic options for ovulation induction Discuss clinical consequences of polycystic ovarian syndrome and understand current approaches to minimize cardiovascular and metabolic risk and optimize reproductive outcome Discuss the current definition, diagnostic testing, and treatment options for early recurrent pregnancy loss 18

6 facebook.com/acognational MAY 4-8, 2013 ERNEST N. MORIAL CONVENTION CENTER SUNDAY SU603 Practical Approaches to Common Obstetrical Dilemmas: Art and Evidence Jerome Yankowitz, MD University of South Florida, Tampa, Florida George R. Saade, MD University of Texas Medical Branch, Galveston, Texas Philip Samuels, MD The Ohio State University, Columbus, Ohio Discuss advanced concepts to manage common problems faced by pregnant women Discuss the most recent controversies and emerging issues in obstetric management Discuss management of various aspects of high-risk pregnancies Formulate practical plans for the management of common obstetrical problems using evidence-based approaches and College guidelines SU604 Menopause and Hormone Therapy: Reevaluating the Evidence and Looking Toward the Future**See page 12 Hugh S. Taylor, MD Yale University School of Medicine, New Haven, Connecticut Lubna Pal, MD Yale University School of Medicine, New Haven, Connecticut Joann V. Pinkerton, MD University of Virginia, Charlottesville, Virginia Identify options for preservation of bone in menopausal women Discuss metabolic effects of menopause Discuss hormones and the heart: the timing hypothesis Discuss estrogens and progestins and breast health: Is there a safe way to administer menopausal hormone therapy? Discuss sexuality in menopause Discuss SERMs and TSECs: the future of hormone therapy 19

7 twitter.com/acognews #ACM13 SUNDAY ERNEST N. MORIAL CONVENTION CENTER MAY 4-8, 2013 SU605 Pearls and Pitfalls for Minimally Invasive Hysterectomy Andrew I. Brill, MD California Pacific Medical Center, San Francisco, California Kristinell Keil, MD Keil Urogynecology, Denver, Colorado Resad Pasic, MD University of Louisville, Louisville, Kentucky Michael C. Pitter, MD Irvington, New Jersey Apply strategies for difficult vaginal hysterectomy and apical suspension Identify key anatomy for laparoscopic supracervical and total hysterectomy Elucidate the utility of conventional and advanced electrosurgical devices Integrate a systemic approach to robotic-assisted laparoscopic hysterectomy Employ methods to optimize outcome during laparoscopic hysterectomy SU606 Colposcopy Update 2013: New Guidelines for Screening, Terminology, and Management Alan G. Waxman, MD, MPH University of New Mexico School of Medicine, Albuquerque, New Mexico Lori A. Boardman, MD University of Central Florida College of Medicine, Orlando, Florida Teresa M. Darragh, MD University of California San Francisco, San Francisco, California Discuss new College cervical cancer screening guidelines and compare them with the new recommendations from the U.S. Preventive Services Task Force and the American Cancer Society Discuss changes in lower genital tract histopathology terminology recommended in the recent consensus conference sponsored by ASCCP (the American Society for Colposcopy and Cervical Pathology) and the College of American Pathologists (CAP) Review role of HPV test results in the new 2013 ASCCP Guidelines for managing women with abnormal screening and cervical biopsy results Discuss the role and limitations of colposcopy in the 21st century 20

8 facebook.com/acognational MAY 4-8, 2013 ERNEST N. MORIAL CONVENTION CENTER SUNDAY SU607 Advanced Surgery for Pelvic Floor Dysfunction and Benign Gynecology Cheryl B. Iglesia, MD MedStar Washington Hospital Center/Georgetown University Hospital, Washington, DC Tommaso Falcone, MD Cleveland Clinic Foundation, Cleveland, Ohio Rebecca G. Rogers, MD University of New Mexico Health Sciences Center, Albuquerque, New Mexico Identify the anatomy of the pelvic floor and pelvic sidewalls as it relates to surgical planning Discuss how to examine a patient with urinary incontinence and/or pelvic organ prolapse and the testing used for diagnosis and treatment of pelvic floor disorders Outline surgical approaches for treatment of endometriosis, leiomyomata, and adnexal masses Illustrate which surgical procedures are effective for the treatment of anterior, apical, and posterior compartment defects and the principles of common surgical approaches for correction of these defects Minimize complications of these procedures Demonstrate the process of integration of surgical innovations into routine practice Perform the appropriate and best surgical procedure for the individual patient SU608 Maintenance of Knowledge in Ob-Gyn Practice This update in general obstetrics and gynecology reviews current guidelines and recommendations. It is geared toward those who desire a review to update their knowledge and maintain their certification. It will be especially helpful to the subspecialist desiring to review areas of our specialty in which they have not had recent hands-on experience. Topics include: Office Practice: Evaluation of the infertile couple and diagnosis directed treatment; contraception and sterilization; current recommendations regarding Pap smears, HPV, and management of cervical disease; well-woman evaluation, vaccination, and preconceptual counseling Obstetrics: Routine prenatal care; active management of labor and fetal monitoring; complications of pregnancy Gynecology: Basic urogynecology for the specialist in ob-gyn; abnormal uterine bleeding; pelvic inflammatory disease and other infections; ovarian masses and screening for cancer; breast disease SU609 Mastering the Tools of Evidence for Practice Robert A. Wild, MD, PhD, MPH University of Oklahoma College of Medicine, Oklahoma City, Oklahoma Kurt T. Barnhart, MD University of Pennsylvania, Philadelphia, Pennsylvania Lee A. Learman, MD, PhD Indiana University School of Medicine, Indianapolis, Indiana Formulate a well-built clinical question Identify sources of evidence and complete a search pertinent to one of the four domains Appraise articles critically Summarize findings Apply findings to clinical questions Assess implications for practice 21