Obstetrics and Gynecology

Transcription

1 This course sold out the last two years. To be assured a spot in the 2018 program, early registration is strongly advised. Fifty-Fifth Annual Update Obstetrics and Gynecology March Boston, MA This program is among the highest-rated Harvard Medical School CME courses Results-driven education Under the direction of Jon I. Einarsson, MD, MPH Vatché A. Minassian, MD, MPH Michael G. Muto, MD Julian N. Robinson, MD Louise E. Wilkins-Haug, MD, PhD New approaches to day-to-day clinical challenges Updates for better treatment plans Guidance to navigate diagnostic options and new medical technologies Imaging advances and implications Skills workshops Drug and device updates New therapy protocols Best practices for high-risk patients Guidance for when to treat and when to refer CUSTOMIZE YOUR LEARNING EXPERIENCE Choose from among 50+ interactive case-based and problem-solving workshops to customize your learning experience for your specific practice needs 2018 Updates. Strategies. Best Practices Updates. Strategies. Obstetrics Best Practices. Urogynecology Gynecologic Oncology Adolescent Gynecology Reproductive Endocrinology Infertility Menopause Management Management of High-Risk Patients Minimally Invasive Gynecologic Surgery Register at OBGYN.HMSCME.com

2 Course Description Update in Obstetrics and Gynecology provides comprehensive reviews of the most important recent advances in obstetrics and gynecology and guidance to assimilate them into general practice. Education is practical and results-focused, designed to help providers of women s health optimize the management of the clinical situations that occur throughout the adult female lifecycle. Lectures, interactive discussions, and skillsadvancement workshops are taught by the most respected leaders in OB/GYN. Attendees can customize their learning experience to align with their practice needs and have ample time for discussions and posing questions to faculty. Course Directors Chairman, Department of Obstetrics and Gynecology, Kate Macy Ladd Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School Julian N. Robinson, MD Chief of Obstetrics, Louise E. Wilkins-Haug, MD, PhD Director, Center for Fetal Medicine, Division of Reproductive Genetics, Jon I. Einarsson, MD, MPH Director, Division of Minimally Invasive Gynecologic Surgery, Vatché A. Minassian, MD, MPH Director, Division of Urogynecology, Brigham and Women s Hospital Michael G. Muto, MD Co-Director, BWH/DFCI Combined Familial Ovarian Cancer Center Director, Division of Reproductive Endocrinology and Clinical Director, Center for Infertility and Reproductive Surgery, Who Should Attend Physicians specializing in obstetrics and gynecology, including: --Obstetricians --Gynecologists --Perinatologists --Urogynecologists -- Gynecologic Oncologists -- Reproductive Endocrinologists -- Infertility Specialists Family Physicians NPs and PAs Participants come from across the United States and Canada as well as from Europe, Africa, South and Central America, Oceania, and the Middle East. Dear Colleague, 2018 Program Highlights Much has changed in the field of obstetrics and gynecology in the past 12 months, with significant implications for clinicians. To ensure you are current with these recent updates and advances and with state-of-the-art patient care, I invite you to attend Obstetrics and Gynecology Unique to this program is the degree to which you can customize your learning experience for your specific practice. We offer problem-oriented lectures, case-based interactive discussions, and in-depth clinical skills workshops. These are led by the top clinical faculty at Harvard Medical School and experienced practitioners all at the forefront of their respective subspecialties. The 2018 program presents important practice updates for the following: Noninvasive Down syndrome screening Depression during and after pregnancy Genetic testing Prediction and prevention of stillbirth Obstetric emergencies Laparoscopic surgery complications Vaginal hysterectomy Fertility preservation in cancer patients Egg freezing to preserve fertility options Long-acting, reversible contraception Menopause management Treatment of fibroids Reproductive care of the LGBT individual Sentinel nodes in endometrial and cervical cancer Gynecological care of women with BRCA1, BRCA2 Zika Gestational diabetes New ultrasound practices Difficult deliveries Safe tissue extraction Morcellation alternatives Cystoscopy IVF Cost-effective infertility workups Contraceptive options Abnormal uterine bleeding Overactive bladder Detecting bladder conditions Reducing the risk of ovarian cancer Abnormal Pap smears We pair these updates with specific clinical guidance that you can put to use immediately in your day-to-day practice. I hope you will join us for this special program. Chairman, Department of Obstetrics and Gynecology, Kate Macy Ladd Professor of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School Register at OBGYN.HMSCME.com

3 Clinical Obstetrics Program Directors Julian N. Robinson, MD Chief of Obstetrics, Brigham and Women s Hospital Louise E. Wilkins-Haug, MD, PhD Director, Center for Fetal Medicine, Division of Reproductive Genetics, Harvard Medical School Faculty Daniela Carusi, MD, MSc Khady Diouf, MD Lisa Dunn-Albanese, MD Kathryn Gray, MD, PhD Yael Hoffman-Sage, MD Rosemary Reiss, MD Julian Robinson, MD Louise Wilkins-Haug, MD, PhD Chloe Zera, MD Guest Faculty Catherine M. Brown, DVM, MSc, MPH Deputy State Epidemiologist and State Public Health Veterinarian Massachusetts Department of Public Health Professor, Obstetrics & Gynecology Tufts University School of Medicine Chair, Department of Obstetrics & Gynecology Tufts Medical Center Professor of Obstetrics and Gynecology Chief, Division of Maternal-Fetal Medicine Chief, Obstetrics Columbia University Medical Center Disclaimer: CME activities sponsored by Harvard Medical School are offered solely for educational purposes and do not constitute any form of certification of competency. Practitioners should always consult additional sources of information and exercise their best professional judgment before making clinical decisions of any kind. Sunday, March 18 7:00 7:55 Registration and Continental Breakfast and Orientation Julian Robinson, MD Updates in Clinical Obstetrics Program Director: Dr. Robinson 8:00 8:40 Difficult Deliveries Julian Robinson, MD 8:40 9:20 New Developments in QA and Critical Care 10:00 10:40 Antiphospholipid Antibody Syndrome 10:40 11:20 An Update in Autoimmune PD and Hematological Disorders in Pregnancy 11:20 11:40 Panel Discussion 1:00 1:40 Twist, Tie, Transfuse or Take Out Daniela Carusi, MD, MSc 1:50 2:30 A Logical Approach to a History of Preterm Delivery or the Finding of a Short Cervix 2:55 3:55 CLINICAL WORKSHOPS I Hypertension: A New Take on an Old Topic 1A How to Interpret Cord Gases 1B Environmental Exposures in Pregnancy 1C Cervical Ripening 1D Integrating Mental Health into the Busy 1E Office Setting 4:00 5:00 CLINICAL WORKSHOPS II Hypertension: A New Take on an Old Topic 2A How to Interpret Cord Gases 2B Environmental Exposures in Pregnancy 2C Cervical Ripening 2D Integrating Mental Health into the Busy 2E Office Setting Monday, March 19 7:00 7:55 Breakfast Louise Wilkins-Haug, MD, PhD Updates in Maternal-Fetal Medicine Program Director: Dr. Wilkins-Haug 8:00 8:40 What We Now Know about Zika during Pregnancy Catherine Brown, DVM, MD, MSc 8:40 9:20 Aneuploidy Screening: What Test for Which Person? Louise Wilkins-Haug, MD, PhD 10:00 10:40 Fetal Growth Restriction: Advances in Detection, Management and Clinical Outcome Lisa Dunn-Albanese, MD 10:40 11:20 Prenatal Care for Women with Increased BMI Chloe Zera, MD 11:20 11:40 Panel Discussion 1:00 1:40 First Trimester Ultrasound: How Its Role Is Changing 1:40 2:20 Prediction and Prevention of Stillbirth: Updates on Risk Factors, Recurrence and Surveillance Yael Hoffman-Sage, MD 2:20 2:40 Panel Discussion 2:55 3:55 CLINICAL WORKSHOPS III Managing Patient and Family Expectations 3A for Expanded Genetic Carrier Screening Rosemary Reiss, MD Is There Still a Role for Soft Markers on 3B 2nd Trimester Ultrasound? Obstetric Concerns for Infectious Diseases 3C besides Zika: Listeria, Parvo, CMV and Others Khady Diouf, MD Obstetric Care for the Older Mother: 3D What to Consider beyond Aneuploidy? Common Ultrasound Anomalies and Best 3E Practices for Starting the Diagnostic Workup Kathryn Gray, MD, PhD 4:00 5:00 CLINICAL WORKSHOPS IV Managing Patient and Family Expectations 4A for Expanded Genetic Carrier Screening Rosemary Reiss, MD Is There Still a Role for Soft Markers on 4B 2nd Trimester Ultrasound? Obstetric Concerns for Infectious Diseases 4C besides Zika: Listeria, Parvo, CMV and Others Khady Diouf, MD Obstetric Care for the Older Mother: 4D What to Consider beyond Aneuploidy? Common Ultrasound Anomalies and Best 4E Practices for Starting the Diagnostic Workup Kathryn Gray, MD, PhD Program changes/substitutions may be made without notice. To view the most up-to-date version of the course program, please visit the course website.

4 Minimally Invasive Gynecologic Surgery Urogynecology Gynecologic Oncology Program Directors Jon I. Einarsson, MD, MPH Director, Division of Minimally Invasive Gynecologic Surgery, Vatché A. Minassian, MD, MPH Director, Division of Urogynecology, Michael G. Muto, MD Co-Director, BWH/DFCI Combined Familial Ovarian Cancer Center Harvard Medical School Faculty Mobolaji Ajao, MD Ross Berkowitz, MD Sarah Cohen, MD Sarah Feldman, MD Colleen Feltmate, MD Neil Horowitz, MD Guest Faculty Tanaz R. Ferzandi, MD Associate Professor, Obstetrics and Gynecology Tufts University School of Medicine Director, Division of Urogynecology and Pelvic Reconstructive Surgery Tufts Medical Center Women & Infants Fertility Center, Division of Reproductive Endocrinology and Infertility Women & Infants Hospital Peter E. Schwartz, MD Professor, Obstetrics and Gynecology Director, Section of Gynecologic Oncology Yale University School of Medicine Tuesday, March 20 7:00 7:55 Registration and Continental Breakfast with the Faculty Minimally Invasive Gynecologic Surgery Program Director: Dr. Einarsson 8:00 8:40 The State of the Art in Office Procedures (including Hysteroscopy) 8:40 8:50 Questions and Discussion 8:50 9:30 Laparoscopic Surgery in Surgically Challenging Patients Mobolaji Ajao, MD 9:30 9:40 Questions and Discussion 10:00 10:40 Laparoscopic Complications: How to Avoid Them. How to Manage Them 10:40 10:50 Questions and Discussion Urogynecology Program Director: Dr. Minassian 10:50 11:30 Overactive Bladder: Comprehensive Treatment Updates Tanaz Ferzandi, MD 1:00 1:40 Updates for Vaginal Hysterectomy 1:50 2:30 Recurrent Urinary Tract Infections: How to Optimize Diagnosis, Management, Prevention 2:55 3:55 CLINICAL WORKSHOPS V Hysteroscopy: Tips and Tricks 5A Tissue Extraction: Methods and Alternatives 5B Sarah Cohen, MD Laparoscopic Hysterectomy: Tips and Tricks 5C Pessaries 5D Tanaz Ferzandi, MD Diagnosis and Management of 5E Urogynecologic Complications Repair of 3rd- and 4th-Degree Lacerations 5F 4:00 5:00 CLINICAL WORKSHOPS VI Hysteroscopy: Tips and Tricks 6A Tissue Extraction: Methods and Alternatives 6B Sarah Cohen, MD Laparoscopic Hysterectomy: Tips and Tricks 6C Pessaries 6D Tanaz Ferzandi, MD Diagnosis and Management of 6E Urogynecologic Complications Repair of 3rd- and 4th-Degree Lacerations 6F Wednesday, March 21 7:00 7:55 Breakfast with the Faculty Gynecologic Oncology in the General Practice of Obstetrics and Gynecology Program Director: Dr. Muto 8:00 9:20 A Common-Sense Approach to the Diagnosis and Treatment of Cervical Neoplasia Sarah Feldman, MD and Neil Horowitz, MD 10:00 10:40 From Conduit to Co-conspirator: The Fallopian Tube and Ovarian Cancer Kevin Elias, MD 10:40 10:50 Questions and Discussion 10:50 11:30 The Modern Surgical (and Medical) Management of Endometrial Cancer Michael Worley, MD 1:00 1:40 The Generalist and the Adnexal Mass: Observe, Operate or Opt Out 1:50 2:30 Ovarian Cancer: From Basics to Breakthroughs Peter Schwartz, MD 2:55 3:55 CLINICAL WORKSHOPS VII Vulvar and Vaginal Lesions 7A Colleen Feltmate, MD At the Cutting Edge of Gestational 7B Trophoblastic Disease Ross Berkowitz, MD Pap Smear Updates: Bring Your Tough Cases 7C Sarah Feldman, MD Gynecologic Oncology: Bring Your Cases 7D Neil Horowitz, MD My mother had ovarian cancer. Should I be 7E worried? Important Lessons 4:00 5:00 CLINICAL WORKSHOPS VIII Vulvar and Vaginal Lesions 8A Colleen Feltmate, MD At the Cutting Edge of Gestational 8B Trophoblastic Disease Ross Berkowitz, MD Pap Smear Updates: Bring Your Tough Cases 8C Sarah Feldman, MD Gynecologic Oncology: Bring Your Cases 8D Neil Horowitz, MD My mother had ovarian cancer. Should I be 8E worried? Important Lessons Register at OBGYN.HMSCME.com

5 Reproductive Endocrinology and Infertility INTERACTIVE CASE-BASED AND PROBLEM-SOLVING CLINICAL WORKSHOPS Thursday, March 22 7:00 7:55 Registration and Continental Breakfast Mark Hornstein, MD Infertility Program Director: Dr. Hornstein 8:00 8:40 Important Updates for the Basic Infertility Workup Rachel Ashby, MD 8:40 8:50 Questions and Discussion 8:50 9:30 Navigating Expanded Options for Ovulation Induction Elizabeth Ginsburg, MD 9:30 9:40 Questions and Discussion 10:00 10:40 The Role of IVF in Contemporary Practice Janis Fox, MD 10:40 10:50 Questions and Discussion 10:50 11:30 Recurrent Pregnancy Loss: Updates, Best Practices and Guidance Zev Williams, MD, PhD 1:00 1:40 Hyperandrogenism/Polycystic Ovary Syndrome: Best Practices for Evaluation and Treatment Robert Barbieri, MD 1:50 2:30 How to Achieve Better Diagnosis, Treatment and Management of Congenital Anomalies of the Reproductive Tract Marc Laufer, MD 2:55 3:55 CLINICAL WORKSHOPS IX Management of Menopause 9A Sexual Dysfunction in Women 9B Cases in Polycystic Ovary Syndrome 9C Robert Barbieri, MD Cases in Adolescent Gynecology 9D Marc Laufer, MD Recurrent Pregnancy Loss 9E Zev Williams, MD, PhD 4:00 5:00 CLINICAL WORKSHOPS X Management of Menopause 10A Sexual Dysfunction in Women 10B Reproductive Care of the LGBT Patient 10C Elizabeth Ginsberg, MD Cases in Reproductive Endocrinology 10D Frances Hayes, MD Fibroids 10E Serene Srouji, MD Friday, March 23 7:00 7:55 Breakfast Mark Hornstein, MD Menopause / Reproductive Endocrinology Program Director: Dr. Hornstein 8:00 8:40 Recommendations for the Management of Menopausal Symptoms 8:40 9:20 Menopausal Hormone Therapy in 2018: What Are the Risks? 10:00 10:40 Contraception Update Alisa Goldberg, MD 10:40 10:50 Questions and Discussion 10:50 11:30 Treating Endometriosis and Associated Pelvic Pain Mark Hornstein, MD 11:40 12:20 Better Ways to Treat Abnormal Uterine Bleeding Antonio Gargiulo, MD 12:20 12:30 Questions and Discussion Program Director Director, Division of Reproductive Endocrinology and Clinical Director, Center for Infertility and Reproductive Surgery, Harvard Medical School Faculty Rachel Ashby, MD Janis Fox, MD Elizabeth S. Ginsburg, MD Antonio Gargiulo, MD Alisa Goldberg, MD Frances J. Hayes, MD Marc Laufer, MD Serene Srouji, MD Guest Faculty Zev Williams, MD, PhD Assistant Professor, Department of Obstetrics & Gynecology and Women s Health Assistant Professor, Department of Genetics Albert Einstein College of Medicine Montefiore Medical Center Year after year, participants report that the interactive faculty-led workshops offered throughout this program have advanced their understanding of how to approach the complex and challenging issues seen in their day-to-day practice. With a mix of case-based, problemsolving and discussion-based learning, these engaging workshops provide important clinical insights. Participants are encouraged to bring questions and cases to these highly interactive forums. ACCREDITATION Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Harvard Medical School designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Full Course: A maximum of AMA PRA Category 1 Credits Clinical Obstetrics (March 18 19): A maximum of 14 AMA PRA Category 1 Credits Minimally Invasive Gynecologic Surgery, Urogynecology and Gynecologic Oncology (March 20 21): A maximum of 14 AMA PRA Category 1 Credits Reproductive Endocrinology and Infertility (March 22 23): A maximum of AMA PRA Category 1 Credits RISK MANAGEMENT This activity meets the criteria of the Massachusetts Board of Registration in Medicine for 2.25 credits of Risk Management Study. Please check your individual state licensing board requirements before claiming these credits. CANADIAN ACCREDITATION The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities. EUROPEAN ACCREDITATION Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credit to an equivalent number of European CME Credits (ECMECs ). Information on the process of converting AMA PRA Category 1 Credits to ECMECs can be found at: *There are many convenient and varied lunch options within a short walking distance of the course. Results-Driven Education

6 Learning Objectives Clinical Obstetrics Objectives: Determine the rationale for prenatal diagnosis, current screening and diagnostic techniques, including ultrasound. Develop treatment plans for the management of antepartum complications, including infectious disease, multifetal gestations, obstetrical emergencies, cervical incompetence and preterm labor. Analyze the current management of maternal complications of pregnancy. Outline the role that obstetricians play in adverse neonatal outcomes. Minimally Invasive Gynecologic Surgery and Gynecologic Oncology Objectives: Enhance knowledge and skills of gynecologists as they manage patients with neoplastic disorders and non-malignant conditions. Develop new strategies to apply in practice for the management of neoplastic disorders and non-malignant conditions. Review the current surgical management of invasive female tumors. Evaluate the non-surgical management of malignant and nonmalignant gynecologic tumors. Adopt procedures to improve early detection of female genital and breast cancers. Utilize current gynecologic surgical techniques, including laparoscopy and hysterectomy, and assess indications for use and how to manage complications. Analyze the latest trends in Minimally Invasive Gynecologic Surgery and how they may impact the care of your patients. Apply practical surgical tips in Minimally Invasive Gynecologic Surgery. Urogynecology Objectives: Enhance knowledge and skills of gynecologists in lower urinary tract physiology, pelvic anatomy and vaginal hysterectomy. Appropriately manage patients with urinary incontinence and pelvic organ prolapse. Review the most up-to-date evidence in the use of slings for the management of stress urinary incontinence, and pessaries for prolapse. Apply practical surgical tips in the management of urogynecologic complications. Reproductive Endocrinology and Infertility Objectives: Incorporate new management strategies for patients with endocrine and fertility disorders. Analyze advances in the field as they apply to the management of patients with endocrine and fertility disorders. Develop techniques to evaluate pelvic pain and bleeding, and strategies for managing them. Institute a therapeutic management plan for patients with nonmenopause-related endocrine imbalance, as well as those who are menopausal and post-menopausal. Register online at OBGYN.HMSCME.com Obstetrics and Gynecology 2018 (Course # ) Obstetrics and Gynecology 2018 is a six-day course comprising three programs: Clinical Obstetrics (March 18-19) Minimally Invasive Gynecologic Surgery, Urogynecology, Gynecologic Oncology (March 20-21) Reproductive Endocrinology and Infertility (March 22-23) Registrants may choose to attend the entire course, or one or two 2-day programs. Course Choice Course Tuition Full Course (All three programs) $1,800 (SAVE $900) Full Course for Residents or Fellows $1,000 Two of the three programs (No discount for $1,500 (SAVE $300) residents and fellows) One of the three programs (No discount for $900 residents and fellows) Your tuition includes all sessions and workshops, breakfasts, and coffee breaks. All attendees receive a flash drive that includes all of the course materials. You can also purchase (at a fee of $50) printed materials for all of the programs for which you have registered. REGISTRATION, PAYMENT, CONFIRMATION, and REFUND POLICY Registrations for Harvard Medical School CME programs are made via our secure online registration system. To register for this course, please visit the course website at OBGYN.HMSCME.com. At the end of the registration process, a $5 non-refundable processing fee will be added to your registration, and you will have the choice of paying by check or credit card (Visa, MasterCard, or American Express). If you are paying by check (draft on a US bank), the online registration system will provide you with instructions and a printable form for remitting your course fees by check. Postal, telephone, fax, and cash-payment registrations are not accepted. Fees shown in USD. Upon receipt of your paid registration, an confirmation from the HMS GCE office will be sent to you. Be sure to include an address that you check frequently. Your address is used for critical information, including registration confirmation, evaluation, and certificate. Refunds, less an administrative fee of $75, will be issued for all cancellations received two weeks prior to the start of the course. Refund requests must be received by postal mail, , or fax. No refund will be issued should cancellation occur less than two weeks prior. No shows are subject to the full course fee and no refunds will be issued once the conference has started. VENUE and ACCOMMODATIONS Four Seasons Hotel Boston 200 Boylston Street Boston, MA (617) A limited number of discounted rooms* have been reserved at the Four Seasons Hotel until February 14, You can call the hotel reservation line at Please indicate that you are enrolled in this activity in order to request the discounted room rate. You can also make your reservation online by going to the course website by February 14 and clicking on the dedicated reservation link on the Venue page. *Please note that the discounted rooms may sell out before the deadline. Please do not make non-refundable travel arrangements until you receive an from our office confirming your paid registration. INQUIRIES Call Mon-Fri 9am 5pm (ET) or CEPrograms@hms.harvard.edu