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WHF CME Session Learning Objectives

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)
CARDIOVASCULAR DISEASE IN WOMEN
Faculty (TBC) 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)
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 alternate 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)

CLINICAL MANAGEMENT OF CHRONIC CONSTIPATION AND IBS: APPLYING EVIDENCE-BASED MEDICINE TO PRACTICE
Faculty Brian E. Lacy, PhD, MD Associate Professor of Medicine Dartmouth Medical School Director, GI Motility Laboratory Dartmouth-Hitchcock Medical Center Lebanon, NH 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)
CONTRACEPTION: OPTIMIZING PATIENT CHOICES
Faculty Jeffrey Dungan, MD, FACOG, FACMG Associate Professor Department of Obstetrics and Gynecology Feinberg School of Medicine Northwestern University Feinberg School of Medicine 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)
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)
FIBROMYALGIA SYNDROME: WHAT'S NEW
Faculty James Dillard, MD Medical Director, Rosenthal Center Columbia University Medical Center The New York Presbyterian Hospitals New York, NY 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)
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 (TBA) 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)
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 J. Thomas Cox, MD Director, Women's Clinic University of California, Santa Barbara Santa Barbara, CA President-Elect, American Society for Colposcopy and Cervical Cancer (ASCCP) 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)
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)