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WHF CME Session Learning Objectives

Abnormal Uterine Bleeding (AUB), Myomas, and Polyps

Faculty Paul F. Brenner, MD Professor, Vice Chairman Department of Obstetrics and Gynecology Keck School of Medicine University of Southern California Los Angeles, CA Learning Objectives Outline the differential diagnosis for women who present with abnormal uterine bleeding (AUB) (competence) in order to determine the specific cause of bleeding (performance) Review the diagnostic advances in early detection of ectopic pregnancy and evaluate less invasive nonsurgical medical procedures (competence) to reduce complications in patients not in danger of tubal rupture and hemorrhage (performance) Distinguish uterine tumors from ovarian or other tumors in the diagnosis of leiomyoma of the uterus (competence) to improve health outcomes (performance) Cite factors pertaining to the management of women with leiomyoma of the uterus (competence) to individualize patient care (patient outcomes) Explain the risks and benefits of available medical and surgical treatments for dysfunctional uterine bleeding and uterine leiomyomas (competence) in order to involve patients in the decision-making process (performance)
BREAST CANCER: A PRIMARY CARE CONCERN
Faculty Lila E. Nachtigall, MD Professor of Obstetrics and Gynecology Director, Women's Wellness Co-Director, Bone Density Unit New York University School of Medicine New York, NY Learning Objectives Review updated guidelines for breast cancer screening (competence) and employ recommended screening techniques in average- and high-risk patients to make earlier referrals to specialists and provide accurate diagnoses for improved patient survival (performance) Describe the role of adjuvant aromatase inhibitors and other newer agents as effective alternative or supplemental therapy to tamoxifen (competence) to improve patient outcomes (patient outcomes) Examine current recommendations for follow-up of asymptomatic breast cancer survivors (competence), and instruct patients about the importance of diet and lifestyle behavior modifications to help them remain cancer-free (performance/patient outcomes) Define supportive care strategies for psychosocial issues, chemotherapy side effects, adverse effects of treatment, and rehabilitation (competence/performance) in order to improve patients' quality of life and sense of well-being during and after cancer recovery (patient outcomes)
CLINICAL MANAGEMENT OF CHRONIC CONSTIPATION AND IBS: APPLYING EVIDENCE-BASED MEDICINE TO PRACTICE
Faculty Lin Chang, MD Professor of Medicine Center for Neurovisceral Sciences and Women’s Health Division of Digestive Diseases David Geffen School of Medicine University of California, Los Angeles VA Greater Healthcare System of Los Angeles Los Angeles, CA Learning Objectives Review symptom differences in the presentation of chronic constipation (CC) and irritable bowel syndrome (IBS) in women (competence) for improved diagnosis and treatment of female patients who suffer from these conditions (performance) Examine the symptoms and psychosocial features of CC/IBS (competence) and utilize current treatment options to diminish quality of life burdens (performance) Evaluate patient response to CC management strategies (competence) and integrate gender-specific treatment approaches to attain optimal control of symptoms (performance) Assess evidence-based data on the safety and efficacy of therapeutic options for CC (competence) and implement appropriate management strategies for individuals with CC to resolve gastrointestinal symptoms (performance)
COMPLEMENTARY AND ALTERNATIVE MEDICINE IN WOMEN'S HEALTH: THE EVIDENCE AND WIDESPREAD USE
Faculty Tieraona Low Dog, MD Director of Education Program in Integrative Medicine Clinical Assistant Professor Department of Medicine University of Arizona School of Medicine Tucson, AZ Learning Objectives Recognize the widespread use of complementary and alternative medicine (CAM) by women residing in the US (competence) and incorporate respectful dialogues about CAM treatments into patient consultations (performance) Review the potential benefits and risks of alternative therapy in the prevention and/or treatment of heart disease (competence) to help patients make better healthcare choices (performance) and improve outcomes (patient outcomes) Assess the evidence for alternative therapeutic options for depression (competence) and identify patients in your practice who could potentially benefit from such therapies (performance) Cite the use of CAM modalities for the treatment of osteoarthritis (competence) and educate patients on the potential use of various CAM interventions for this disorder (performance)
CONTRACEPTION: OPTIMIZING PATIENT CHOICES
Faculty Lee P. Shulman, MD Professor and Chief Division of Reproductive Genetics Department of Obstetrics and Gynecology Feinberg School of Medicine Northwestern University Chicago, IL Learning Objectives Describe the types of oral contraceptive pills (OCPs) and review their efficacy (competence) in order to increase patient satisfaction, promote improved compliance, and prevent unintended pregnancy (performance/patient outcomes) Discuss new methods of contraception (competence) and identify patients' best options in order to improve compliance and increase contraceptive success (performance) Review risks and complications associated with various OCPs (competence) pills to facilitate better patient choices improve safety, and reduce side effects (performance/patient outcomes) Evaluate and implement contraceptive counseling to create regimens that are individualized to patient lifestyles and preferences (competence/performance)
DIFFERENT STROKES FOR DIFFERENT FOLKS: PREVENTION ISSUES IN WOMEN
Faculty Jack D. Schim, MD The Neurology Center Encinitas, CA Co-Director, The Headache Center of Southern California Assistant Clinical Professor of Neurology Medical Director, Stroke Program, Tri-City Medical Center Chief, Neurology Division, Scripps Hospital Encinitas University of California, San Diego San Diego, CA Learning Objectives Cite the known modifiable and nonmodifiable risk factors for stroke in women (competence) to accurately assess overall risk and individualize treatment (performance) Discuss the value of antiplatelet therapy for both the management of acute ischemic stroke and for the prevention of stroke in your patients at risk (competence) Analyze female patients’ cardiovascular (CV) risk factors (competence) in order to reduce CV risks when making oral hormone therapy and oral contraceptive prescribing decisions (performance) Assess patients’ lipid profiles to determine stroke risk (competence) and utilize statin therapy when appropriate to reduce risks and prevent mortality (performance)
EARLY DIAGNOSIS, MANAGEMENT AND TREATMENT OF RHEUMATOID ARTHRITIS AND ANKYLOSING SPONDYLITIS
Faculty Bernard R. Rubin DO, MPH Director, Rheumatology Fellowship Director of Medical Education Plaza Medical Center Professor of Medicine University of North Texas Health Science Center Fort Worth, TX Learning Objectives Recognize the importance of diagnosing RA and AS at onset (competence) to ensure that the patient receives treatment before permanent joint damage has occurred (performance) Discuss available treatment modalities for RA such as biologic disease-modifying antirheumatic drugs (DMARDs) and tumor necrosis factor (TNF) inhibitors, which, when used effectively, can significantly improve overall patient outcomes (competence) Review common comorbid conditions in patients with rheumatic diseases and consider ways to manage these conditions to decrease patient morbidity and mortality (competence) Identify the complimentary roles of the primary care physician and the rheumatologist in treating patients with rheumatic diseases to maximize patient’s therapeutic options and quality of life (competence/performance)
ENDOMETRIOSIS AND CHRONIC PELVIC PAIN IN WOMEN
Faculty Lee P. Shulman, MD Professor and Chief Division of Reproductive Genetics Department of Obstetrics and Gynecology Feinberg School of Medicine Northwestern University Chicago, IL Learning Objectives Review the symptoms associated with chronic pelvic pain (CPP) and endometriosis, as well as the diagnostic tools for recognizing these conditions (competence), to better facilitate disease management in patients (performance) Delineate clinical methods for management of CPP and endometriosis (competence) so that the optimal therapeutic approach can be implemented for individual patients (performance) Compare the available surgical and drug therapy options for treating women who suffer from endometriosis (competence) Identify ways to handle endometriosis-associated pain and/or subfertility (competence) to improve patients’ comfort and/or achieve pregnancy (performance)
FIBROMYALGIA SYNDROME: WHAT'S NEW
Faculty Jack D. Schim, MD The Neurology Center Encinitas, CA Co-Director, The Headache Center of Southern California Assistant Clinical Professor of Neurology Medical Director, Stroke Program, Tri-City Medical Center Chief, Neurology Division, Scripps Hospital Encinitas University of California, San Diego San Diego, CA Learning Objectives Summarize diagnostic criteria for fibromyalgia (competence) in order to diagnose early and correctly manage patients with the syndrome (performance) Assess the comorbidities associated with fibromyalgia that cause physical and emotional dysfunction (competence) and tailor treatment to individual patients’ level and type of dysfunction (performance) Review current clinical recommendations for fibromyalgia (competence) and evaluate management strategies that have potential to decrease your patients’ experience of pain (performance) Cite data that appraise intervention effectiveness (competence) to improve patient understanding and overcome barriers to integrating effective treatment options into therapy (performance)
HEADACHE IN WOMEN: A PRIMER ON THE DIAGNOSIS AND MANAGEMENT OF MIGRAINE
Faculty M. Susan Burke, MD, FACP Clinical Assistant Professor Thomas Jefferson University Philadelphia, PA Director, Internal Medicine Clinical Care Center Lankenau Hospital Wynnewood, PA Learning Objectives Cite the benefits of early migraine treatment (competence) to reduce the pain and discomfort resulting from delayed treatment (performance) Recognize the prevalence of and disabilities associated with medication overuse headache (competence) and employ treatment strategies (performance) to promote long-term patient benefits and safety (patient outcomes) Assess the evidence for traditional and alternative therapies (competence) and identify patients in your practice who could benefit from such therapies (performance)
HUMAN IMMUNODEFICIENCY VIRUS/ACQUIRED IMMUNODEFICIENCY SYNDROME (HIV/AIDS)
Faculty Kathleen E. Squires, MD Professor of Medicine Jefferson Medical College of Thomas Jefferson University Director, Division of Infectious Diseases Thomas Jefferson University Hospital Philadelphia, PA Learning Objectives Cite the current treatment guidelines and management strategies (competence) to provide optimum therapy for female patients and promote awareness of the increasing prevalence of HIV infections (performance) Identify high-risk groups, distinguish warning signal symptoms of HIV infection, and recommend HIV testing with counseling to women (competence/performance) so that early diagnosis will allow full access to antiretroviral therapies (ARTs) and preventive therapies for opportunistic infections (performance) Describe gender-specific differences in response to therapy and incidence of adverse events related to the use of highly active ART (competence) to treat HIV/AIDS to improve overall outcomes for female patients (patient outcomes) Discuss data on the impact of contraception use and pregnancy on antiretroviral pharmacokinetics and choice of ART (competence) to prevent transmission of HIV from infected mothers to newborns (performance) and ensure optimum patient outcome and child safety (patient outcomes)
MANAGEMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) IN WOMEN
Faculty Sandra G. Adams, MD, MS Associate Professor Medicine Pulmonary/Critical Care Division The University of Texas Health Sciences Center San Antonio, TX Learning Objectives Review the process of pulmonary obstruction in COPD (competence) to better improve the overall management of COPD (performance) Evaluate management issues in patients with COPD (competence), to best determine which patients will respond to which therapy (performance) Describe effective treatment plans for acute exacerbations and long-term management of COPD (competence) to maximize patient outcomes (patient outcomes) Recognize the importance of recommending smoking cessation as the single most effective and cost-effective intervention to reduce the risk of developing COPD or to stop its progression (competence/performance)
MANAGEMENT STRATEGIES FOR WOMEN WITH TYPE 2 DIABETES MELLITUS (T2DM)
Faculty George Dailey, MD Senior Consultant Division of Diabetes and Endocrinology Head, Diabetes Research Scripps Clinic Clinical Professor of Medicine University of California, San Diego La Jolla, CA Learning Objectives Describe current clinical guidelines for diabetes management and examine evidence for achieving tight targets for glycemic control to limit complications and improve outcomes in patients (competence/patient outcomes) Discuss established and new approaches to managing patients with type 2 diabetes mellitus (T2DM) (competence) to institute early and aggressive treatment (performance) Review the recent cardiovascular data on the approved thiazolidinediones (TZDs) and describe how this therapy may be used most effectively in appropriate patients (competence) to improve their short- and long-term outcomes in the continuum of care (patient outcomes)
MANAGING INSOMNIA AND SLEEP DISORDERS IN WOMEN: WHAT CAN PATIENTS EXPECT?
Faculty Alon Avidan, MD, MPH Associate Professor Director, UCLA Neurology Clinic Associate Director, UCLA Sleep Disorders Center Department of Neurology University of California, Los Angeles Los Angeles, CA Learning Objectives Summarize current clinical guidelines for insomnia management (competence) and examine evidence for improving assessment and early diagnosis in female patients (performance) Cite health risks and lifestyle factors related to female-specific insomnia (competence) to identify high risk female patients and make early diagnoses (performance) Describe the pathophysiology of insomnia, specifically chronic insomnia, and compare the efficacy and safety of available pharmacologic and nonpharmacologic therapies (competence) to manage insomnia more effectively and improve treatment expectations in women (performance) Recognize the prevalence of insomnia in female patients and its negative impact on patients’ quality of life (competence) to implement effective interventions (performance) and improve outcomes (patient outcomes)
MENOPAUSE, HORMONES, AND THE FUTURE: WHERE DO WE GO IN 2008 AND BEYOND?
Faculty Lila E. Nachtigall, MD Professor of Obstetrics and Gynecology Director, Women’s Wellness Co-Director, Bone Density Unit New York University School of Medicine New York, NY Learning Objectives Examine the newest clinical data to recognize the impact of vasomotor symptoms on the quality of life in perimenopausal women (competence) and apply this knowledge in clinical practice to improve patient outcomes (performance/patient outcomes) Assess the results of the WHI study (competence) and integrate them into your clinical decisions to optimize individual patient outcomes (performance/patient outcomes) Review HT risks and benefits (competence) to better educate and counsel patients to make informed treatment decisions that result in safe and effective symptom relief (performance) Utilize the full range of therapeutic options to manage vasomotor symptoms (performance) to improve quality of life in perimenopausal women (patient outcomes)
MIDLIFE AND BEYOND DEPRESSION IN WOMEN: DIAGNOSIS AND MANAGEMENT
Faculty Vivien K. Burt, MD, PhD Professor of Psychiatry David Geffen School of Medicine at UCLA Director, The Women's Life Center at the Resnick Neuropsychiatric Hospital Los Angeles, CA Learning Objectives Review current clinical guidelines for the diagnosis and treatment of depression in women (competence) to make earlier and more accurate diagnoses (performance) for improved patient care (patient outcomes) List current guideline-based recommendations for the treatment of depression in women (competence) to optimize outcomes for patients (patient outcomes) Discuss menopausal, as well as peri- and post-menopausal, risk factors for depression and cite the pharmacotherapy and psychotherapy that can be implemented (competence) to treat patients’ symptoms at midlife and beyond (performance) Analyze the risks to patients of inadequately treating depression and discuss the safety of available medications, especially SSRIs (competence), to determine an appropriate risk-benefit approach to treatment (performance)
OSTEOPOROSIS: NEW INSIGHTS INTO AN OLD PROBLEM
Faculty M. Susan Burke, MD, FACP Clinical Assistant Professor Thomas Jefferson University Philadelphia, PA Director, Internal Medicine Clinical Care Center Lankenau Hospital Wynnewood, PA Learning Objectives Review the physical and psychological consequences of osteoporosis (competence) and utilize this information to tailor treatment options (performance) for decreased patient morbidity and improved quality of life (patient outcomes) Discuss current osteoporosis guidelines to recognize those patients at high risk (competence) and incorporate earlier and more aggressive treatment interventions (performance) for improved physical and emotional outcomes (patient outcomes) Interpret bone mineral density measurement reports and T-score assessments in the diagnosis of osteoporosis (competence) and utilize this information to make more consistent and efficient diagnoses for improved patient treatment (performance) Differentiate between various antiresorptive and anabolic agents for treating and preventing osteoporosis (competence) and integrate new therapies for improved bone mineral density levels (performance) Cite other nonpharmacologic and pharmacologic treatment options (competence) and incorporate therapies into current patient regimen (performance) to improve quality of life and prevent future deterioration and events (patient outcomes)
REDUCING THE BURDEN OF CERVICAL CANCER AND HPV-RELATED GENITAL WARTS
Faculty Andrew John Li, MD Faculty Physician Division of Gynecologic Oncology Cedars-Sinai Medical Center Assistant Professor-in-Residence Department of Obstetrics and Gynecology David Geffen School of Medicine University of California, Los Angeles Los Angeles, CA Learning Objectives Describe the causal relationship of human papillomavirus (HPV) to genital warts and HPV to cervical cancer (CCA) and other lower genital tract cancers (competence) to better educate patients (performance) Review the current clinical guidelines for CCA screening (competence) and apply this knowledge to clinical practice (performance) to improve patient outcomes (patient outcomes) Recognize the current screening strategies and their limitations due to socioeconomic, educational, cultural, and religious barriers (competence) to ensure early and optimum diagnoses of CCA in patients (performance) Discuss the role of HPV prophylactic vaccines in reducing the incidence of genital warts and precancerous lesions, as well as CCA, (competence) and identify patients in your practice who may benefit from these vaccines (performance)
Role of ACE Inhibitors in CVD Risk Reduction: Benefits Beyond Blood Pressure Control
Faculty Sandra J. Lewis, MD, FAAC Clinical Associate Professor of Medicine Oregon Health and Science University Director of Cardiac Rehabilitation Legacy Good Samaritan Hospital Portland, OR Learning Objectives Identify the clinical data supporting the aggressive management of hypertension (HTN) in women (competence) and demonstrate ways to prevent and treat HTN to reduce complications in female patients (performance/patient outcomes) Review current approaches to HTN management (competence) in order to improve patient outcomes (patient outcomes) Compare the specific cardioprotective and renoprotective benefits of HTN therapies (competence) in order to make appropriate treatment decisions for individual patients (performance) Compare and contrast the advantages and disadvantages of ACEIs versus ARBs, and evaluate the role of combining the two agents (competence) in order to prescribe the best possible therapy for individual patient response (performance)
THE ROLE OF DIETARY SUPPLEMENTS AND LIFESTYLE MODIFICATIONS IN PATIENT CARE
Faculty Tieraona Low Dog, MD Director of Education Program in Integrative Medicine Clinical Assistant Professor Department of Medicine University of Arizona School of Medicine Tucson, AZ Learning Objectives Recognize the prevalence of dietary supplement use among women and review treatment recommendations for effectiveness and potential risks (competence) Identify which dietary supplements have strong evidence of benefit (competence) to support the informed decisions of patients with regard to their use (performance) Discuss prevention strategies including lifestyle modifications and dietary interventions that can reduce the risk of heart disease (competence) Cite the benefits of dietary supplements in the prevention of multiple diseases and highlight the need to incorporate relevant counseling for female patients (competence)
SEXUAL FUNCTION IN WOMEN
Faculty Jo Ann Woodward, RNC, BSN, NP Planned Parenthood of Arizona Phoenix, AZ Learning Objectives Recognize the prevalence of female sexual dysfunction (FSD) (competence) and routinely screen patients to identify those with FSD (performance) to improve quality of life (patient outcomes) Discuss data on female patients’ desire to have clinicians initiate dialogue about FSD (competence) and implement procedures for improving physician/patient communication to better educate patients (performance) Review the etiologies of FSD and determine which pharmacologic and nonpharmacologic treatments are effective in improving patient outcomes (competence/patient outcomes) Evaluate the clinical data on various pharmacologic options (competence) and identify the patients in your practice who would benefit from individualized treatment (performance)
TREATMENT OF ALZHEIMER’S DISEASE
Faculty Jack D. Schim, MD The Neurology Center Encinitas, CA Co-Director, The Headache Center of Southern California Assistant Clinical Professor of Neurology Medical Director, Stroke Program, Tri-City Medical Center Chief, Neurology Division, Scripps Hospital Encinitas University of California, San Diego San Diego, CA Learning Objectives Identify the demographics and prevalence of Alzheimer’s disease (competence) to screen appropriately and increase potential for early detection (performance) Review risk factors for Alzheimer’s disease (competence) to recommend preventive strategies to patients that may mitigate the onset and advance of dementia or cognitive decline (performance) Assess current evidence-based nonpharmacological and pharmacological treatment options for Alzheimer’s disease and dementia (competence) to implement appropriate management strategies (performance) and improve patient quality of life (patient outcomes)
UPDATES IN THE DIAGNOSIS AND MANAGEMENT OF OVARIAN CANCER
Faculty Andrew John Li, MD Faculty Physician Division of Gynecologic Oncology Cedars-Sinai Medical Center Assistant Professor-in-Residence Department of Obstetrics and Gynecology David Geffen School of Medicine University of California, Los Angeles Los Angeles, CA Learning Objectives Recognize clinical risk factors of ovarian cancer (competence) to identify patients in your practice who are at risk (performance) Describe the early signs and symptoms of ovarian cancer (competence) and evaluate high-risk patients to determine the need for early treatment (performance) Cite the benefits of oral contraceptive therapy in preventing ovarian cancer (competence) and identify at-risk patients for whom this treatment would be appropriate (performance)

UTERINE CANCER: NEW CONCEPTS IN EARLY DETECTION, SCREENING, AND MANAGEMENT
Faculty Andrew John Li, MD Faculty Physician Division of Gynecologic Oncology Cedars-Sinai Medical Center Assistant Professor-in-Residence Department of Obstetrics and Gynecology David Geffen School of Medicine University of California, Los Angeles Los Angeles, CA Learning Objectives Recognize the symptoms of uterine cancer (competence) to detect malignancy early and decrease patient morbidity and mortality (performance/patient outcomes) Review prevention recommendations and treatment modalities (competence) for uterine cancer to improve patient outcomes (patient outcomes) Examine the association of tamoxifen treatment for breast cancer with the development of endometrial or uterine pathologies (competence)