Physician

Military MD/Residents/Other Healthcare Professionals

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 Evolving Well Woman Visit: What’s Necessary, What’s Not

Objectives: List the nationally-accepted recommendations regarding when Pap smear screening should start, when it should be stopped, and how often Pap smears should be performed. List 3 methods for breast cancer screening and specify the frequency recommendations by age-group for each method. • List 2 pros and 2 cons of ovarian cancer screening in low risk women. • List 8 barriers to clinician adoption of the new periodic health screening guidelines.

*Abnormal Vaginal Bleeding: Diagnosis and Management

Objectives: List 4 causes of ovulatory bleeding and 4 causes of anovulatory bleeding • List 4 indications for endometrial biopsy in each of post-menopausal and pre/peri-menopausal women • List 2 treatment alternatives for dysfunctional bleeding and the rules for using each.

*Polycystic Ovarian Syndrome: Recognizing and Treating a Common Condition

Objectives: List 5 symptoms and signs that are included in the diagnosis of PCOS • Describe the "metabolic syndrome" and 3 of its features • List two categories of diagnostic tests that should be used when PCOS is suspected • List 3 treatment regimens of reach of dysfunctional bleeding, hirsuitism, and anovulatory infertility.

*Back to the Future: Applying New Evidence in Menopause Management

Objectives: List four physiologic changes experienced by most women as they progress through menopause and the symptoms and signs of each. • Describe the differences that exist in “younger” and “older” women for cardiovascular disease outcomes, comparing women who use estrogen plus progestin, or estrogen alone, versus placebo. • List four different delivery systems for menopausal estrogen therapy, describe how each is used clinically, and the equivalent dose of each.

* New Guidelines for the Prevention of Osteoporotic Fractures

Objectives: List 5 major risk factors for bone fractures • List the three most widely available technologies for measuring bone mineral density, including the relative accuracy, limitations, and cost of each • List the four most important factors in determining whether an individual should be treated for osteoporosis.

*Geriatric Gynecology for the Primary Care Provider

Objectives: Explain 3 differences between lichen sclerosus and lichen simplex chronicus • Explain the difference between urge and stress incontinence and give 2 treatments for each • List the 3 possible conditions in the differential diagnosis of a tender cystic mass of the vulva.

*Contraception for Women With Chronic Medical Conditions

Objectives: • List 3 contraindications to the use of combined hormonal contraception in women with diabetes • List 3 contraindications to the use of combined hormonal contraception in women with migraine • Describe which tests should be ordered before prescribing combined hormonal contraception for a woman with a clotting disorder. • List the names of 3 enzyme inducing anti-epileptic drugs and explain their effect on women who also use hormonal contraceptives.

* STI Update: What’s New in the CDC Treatment Guidelines?

Objectives: List 3 screening tests that are available for each of gonorrhea, chlamydia, and HIV • List 4 tests that should be offered to an asymptomatic women who wants to be “checked for STIs” • Explain the difference between “routine screening” and “targeted screening” • List 2 oral treatments for each of gonorrhea, chlamydia, and PID

* Office Management of Abnormal Breast Findings

Objectives: List five major risk factors for the development of breast cancer • List 3 methods of screening for breast cancer and the advantages, disadvantages, and costs of each • List 3 findings in each of fibrocystic change, a breast cyst, and fibroadenoma • Explain the steps in evaluation of a dominant breast nodule.

*Female Sexual Dysfunction as A Couples Issue

Objectives: List four categories of sexual dysfunction in each of women and men • List 5 barriers to clinician comfort and confidence in discussing sexual topics with patients • List 3 interventions for each of desire disorder, arousal disorder, orgasmic disorder, and sexual pain disorders in women.

Case Presentations.

Conference 7:00 AM

Conference 7:00 AM

Conference 7:00 AM