CME-Directory

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Because it is one of the fastest growing surgical practices in the United States, bariatric surgery is one of the fastest growing areas of liability claims for surgeons and facilities that provide such surgery. The growth in bariatric surgery and the relative newness of the most common procedures-laparoscopic adjustable gastric banding has only been available in the United States since 2001-has made it difficult for experienced providers to keep up with the demand for surgery. As a result, more and more procedures are being performed by providers who do not meet the best practice recommendations for credentialing bariatric surgeons, or in facilities that cannot meet the special needs of bariatric patients. This course addresses common questions and issues surrounding bariatric surgery from both a clinical and a risk reduction perspective.

A three-day live conference for physicians and sonographers that covers the most current and relevant topics in OB-GYN ultrasound. View full conference details and register online at http://www.worldclasscme.com.

A three-day live conference for physicians and sonographers that covers the most current and relevant topics in OB-GYN ultrasound. View full conference details and register online at http://www.worldclasscme.com.

These Clinical Spotlight interviews, with accompanying eNewsflash and downloadable slides, discuss the topic of targeting angiogenesis in the treatment of ovarian cancer with a focus on the following data release: #LBA1: Phase III trial of bevacizumab (BEV) in the primary treatment of advanced epithelial ovarian cancer (EOC), primary peritoneal cancer (PPC), or fallopian tube cancer (FTC): A Gynecologic Oncology Group study The first interview is an expert analysis with Gini Fleming, MD, from the University of Chicago, Illinois in the United States, and Bradley Monk, MD, from the University of California Irvine, Orange, California, United States The second interview is a supplemental perspective and discussion with Bradley Monk, MD, from the University of California Irvine, Orange, California, United States, and Michael Birrer, MD, PhD, from the Massachusetts General Hospital, Boston, Massachusetts in the United States.

Start Date: 02/16/2009
End Date: 02/15/2012

Description: Controversies in Women`s Health Audio Video is available in DVD, MP4, CD, or MP3 and Good for up to 10.5 Ob/Gyn CME credits. Cost is approximately $495 to $795.

View full course details and register online at http://www.worldclasscme.com. Attend the Nuchal Translucency Course on Sunday, September 20 and the Advanced OB-GYN Ultrasound Seminar September 20-22, 2009. AMA PRA Category 1 and ASRT approved for: Nuchal Translucency Course - 4.5 credits Adv OB-GYN Ultrasound - 14.75 credits Entire Course - 19.25 credits Course Objectives Upon completion of this conference, the participant will be able to: * Describe state-of-the-art practice in prenatal genetic screening * Know how to perform nuchal translucency measurements * Understand the expanding role of 3D ultrasound in obstetrical and gynecological diagnosis * Diagnose fetal heart abnormalities * Improve his/her skills in diagnosis of fetal anomalies

Up to 50% of inguinal hernia patients present with pain or neuralgia at 1 year post operation. As many as 10% of these patients report their pain as moderate to severe. Pain experienced after an inguinal hernia repair may be appropriate, given the nature of the operation. Too often, however, chronic pain suffered by hernia patients is caused by technical errors such as nerve damage at surgery or nerve entrapment in scar tissue. It can also be difficult to analyze the chronic pain after an inguinal hernia if the patients presenting pain has not been sufficiently evaluated. Using detailed medical illustrations and an interactive learning design, this toolkit provides practical tips for both surgeons and their supporting clinical teams to reduce the errors commonly associated with malpractice claims after inguinal hernia repairs. It examines patient factors as well as injuries to the groin nerves, bladder/bowel, vessels, and vas deferens/testicles that can occur during an inguinal hernia repair. The toolkit also provides team communication tips and information on how surgical support teams, including nurses, can appropriately assess patient risk. It also outlines tips to help nurses draw on their powers of influence and persuasion to help a surgeon understand risk concerns around a procedure.

Fetal assessment is an integral part of antepartum care and the labor and birthprocess. This program, developed with AWHONN, serves as an introduction tophysiologic and patient care concepts in fetal heart monitoring, providingperinatal clinicians with an overview of information necessary to perform fetalassessment. Completing this program will provide perinatal clinicians withimportant tools needed to interpret fetal heart monitoring data, implementinterventions, and evaluate the effect of these interventions on maternal andfetal well being.

Naming and framing complex problems, such as the technical errors associated with laparoscopic cholecystectomy, are important steps in addressing them. In addition, the adoption of a systems view of patient safety can help strengthen defenses against errors such as misidentification of the cystic duct. Using detailed medical illustrations and an interactive learning design, this toolkit focuses on the perceptual and technical errors that result in injuries to the common bile duct and other structures, and also outlines approaches, such as the critical view, for avoiding these errors. The toolkit also provides team communication tips and information on how surgical support teams, including nurses, can assess patient risk and prepare the OR appropriately for possible secondary procedures. It also outlines tips to help nurses draw on their powers of influence and persuasion to help a surgeon understand concerns during a procedure.

The rate of complications with laparoscopic colectomies is similar to that for open procedures. Problematic areas include anastomotic complications, organ injuries, ureteral injury, and vascular injury. Using detailed medical illustrations and an interactive learning design, this toolkit provides practical tips for both surgeons and their supporting clinical teams to reduce the errors commonly associated with malpractice claims after a colectomy procedure and provides background on patient conditions and abdominal anatomy. It reviews the core concepts of a systems view of patient safety and explores preoperative considerations to ensure successful surgical outcomes. The toolkit also provides team communication tips and information on how surgical support teams including nurses, can appropriately assess patient risk. It also outlines tips to help nurses draw on their powers of influence and persuasion to help a surgeon understand risk concerns around a procedure.

Regardless of the surgical procedure, laparoscopy adds risks that are associated with the endoscopic technique and instrumentation. These risks are reflected in the vascular and organ injuries attributed to needle and trocar entry. Experts expected that the rate of these injuries would reduce as surgeons and hospitals built expertise through volume of operations performed. However, no such trend has yet been recognized. Why not? The quandary is clear: on one hand, laparoscopy provides many benefits to patients, including shorter recovery times but on the other hand, surgeons must assess the risks, based on their levels of expertise. Patient factors should weigh heavily in the decision: for a riskier patient, performing a riskier procedure may be inadvisable. Using detailed medical illustrations and an interactive learning design, this toolkit uses a systems view to frame the common technical errors associated with laparoscopy. It also provides practical tips for both surgeons and their supporting clinical teams to reduce the errors commonly associated with malpractice claims after laparoscopy. The toolkit also provides team communication tips and information on how surgical support teams, including nurses, can appropriately assess patient risk. It also outlines tips to help nurses draw on their powers of influence and persuasion to help a surgeon understand risk concerns around a procedure.

Managing Shoulder Dystocia highlights various aspects of shoulder dystocia and its management, providing illustrations and explanations of the maneuvers used to resolve shoulder dystocia. The interactive program introduces a team-based approach to shoulder dystocia management, based on principles developed over the years in other high-risk environments, such as the airline industry, where teamwork and procedure have been found to be critical to a good outcome.

Join us in sunny San Antonio - where Southern charm meets the hospitable sirit of Texas - for the first ultrasound course of the year. With average January temperatures of 62 degrees, leave the winter weather behind and take advantage of the history, culture and Texas-sized fun that San Antonio has to offer. In a relaxed setting, some of the nation's top physicians will offer the "best in class" thinking on leading issues in OB/GYN ultrasound. Attend the half-day "Nuchal Translucency Course" and/or the three-day "Advances in OB-GYN Ultrasound" course, offered back-to-back. View full course details and register online at http://www.worldclasscme.com

Start Date: 02/11/2011
End Date: 02/11/2014

Description: Medical Risk Management, Inc. (MedRisk) offers 1 online specialty-specific Ob/Gyn CME course. Available online or hardcopy. Programs include - Risk Management Rounds-Ob/Gyn - good for up to 5 Ob/Gyn CME credits. Cost is approximately $75.

The use of operative vaginal delivery techniques - episiotomy, forceps-assisted delivery, and vacuum-assisted delivery has declined in recent years. However, despite controversy about their use, there are clinical situations where each of these procedures is the best method to effect safe and healthy delivery. Therefore, each of these techniques has a place in the obstetric providers toolkit. This course discusses best practices in operative vaginal delivery. The fundamental mechanics of labor and delivery are discussed, along with indications for operative vaginal delivery and the performance and repair of episiotomy. Separate discussions of forceps and vacuum delivery emphasize the relationship between the normal forces of labor and the forces applied using the forceps or vacuum.

Postpartum Hemorrhage provides tools, guidelines, and approaches for managing postpartum hemorrhage. This includes how to recognize abnormal bleeding and quantify blood loss, identifying common risk factors for postpartum hemorrhage, and outlining what early interventions clinicians should attempt in response to postpartum hemorrhage, including pharmaceutical interventions, surgical repair, and blood component therapy.

As an increasing number of procedures requiring sedation are done in the outpatient setting, Sedation Consulting has developed this course to help physicians and nurses involved in sedation administration to minimize the risks associated with the anesthesia or analgesia being provided for procedural sedation. This course is designed to introduce non-anesthesiologist providers to techniques to safely incorporate the use of hypnotic agents for procedural sedation for ambulatory surgery and office based practices. Increase patient satisfaction and margin of safety by decreasing the amount of sedatives required and by virtually eliminating post operative nausea and vomiting. Patients are at less risk when recovery time is significately decreased from hours to minutes. *With the use of P/K anesthesia technique PONV (post operative nausea and vomiting) is decreased to less than 1% or 0.6% without the use of anti-emetics, 30% less anesthetic is required, outliers are eliminated, patient safety and satisfaction are dramatically improved. Course Objectives At completion of this course participants should be able to: Dispel the myths and misinformation surrounding propofol administration by non-anesthesiologists Oversee and delegate the sedation administration Describe the standards and regulations as related to office based anesthesia and analgesia Describe and utilize the necessary monitoring and emergency equipment required Demonstrate airway management using multiple devices Describe related pharmacology of sedatives, reversal agents and emergency medications Describe appropriate monitoring and documentation Develop acceptable recovery & discharge protocols Faculty Dr. Barry Friedberg, a board certified anesthesiologist, recognized as a medical expert in anesthesia by the California Medical Board in addition to the legal profession. His expertise has been lent to a number of peer-reviewed medical journals for review. Dr. Friedberg is also a contributor to the letters to the editor section in several anesthesia and surgery journals. Dr. Friedberg is considered a pioneer in propofol/ketamine or PK anesthesia techniques What Participants Are Saying: "The practice of medicine requires a lifetime commitment to learning and flexibilty to provide the best care for our patients. Unfortunately, the practice of plastic surgery tends to be inflexible and focused on the use of general anesthesia which in my opinion is more for the surgeon’s convenience rather than the patient’s in many cases. As it has been my focus to perform natural aesthetic procedures which are safe, under local anesthesia with light sedation and with a quicker recovery, Dr. Friedberg’s contribution to my practice through his experience is truly appreciated." Amiya Prasad MD, Cosmetic Surgeon New York, NY "Barry Friedberg, MD (Anesthesiologist) has masterfully developed the PK Anestheisa concept and he has honed this technique to perfection. Take his course!" Robert A. Shumway, MD, FACS San Diego, CA

Surgical error is responsible for an estimated one out of every four recorded medical errors, taking thousands of lives and costing patients and insurers approximately $1.5 billion annually. Clinicians at every point in their careers are vulnerable to committing surgical errors, with most occurring in routine operations with experienced surgeons and nurses. In technically demanding surgeries in particular, studies show an estimated three major safety-compromising events occur in each case. Most of these errors that cause patient harm occur as a result of multiple individual events, spanning multiple phases of care, and involve multiple clinicians. Fortunately, an estimated 54-74% of surgically-related adverse events are preventable. The aim of this course is to help clinicians reduce surgical error by building awareness of the most common types of errors and the conditions under which they occur. The course also helps clinicians identify flawed systems that create error-prone environments and provides practical guidelines for eliminating common errors, such as preoperative checklists and postsurgical material inventories. Clinicians who complete this course will be able to do the following: Identify the primary issues with technical error in surgery and how they lead to adverse events. Learn the 15 common procedures that account for the majority of adverse events, and understand the errors that trigger them. Identify the factors that contribute to complexity and/or systems failures. Comprehend and explain the benefits of applying systems theory in the context of surgery. Discuss possible interventions to combat technical error.

This CME course is designed to provide practical guidelines for the evaluation and management of a range of common medical illnesses faced by most women, including current prevention of osteoporosis, management of anxiety and depression, treatment of fibromyalgia and strategies for menopause. An additional segment will focus on important causes of mortality in women such as stroke, lung cancer and diabetes. A final segment will be devoted to the benefits of natural supplements, sleep disorders and sexual and pelvic floor dysfunction. Through lectures, case management discussions and open question and answer discussions, expert faculty will provide practical information that attendees can use in their daily practice.

Not yet ready to be a cosmetic doctor but still want to make a decent and honest living as a gynecologist? This practical course stresses how to enhance your day-to-day office GYN practice with relevant, important procedures adn therapies that are easy to master, comfortable to incorporate and solidly reimbursable. Upgrade your skills adn clinical approach to meet the needs of your gynecologic patients for the 21st century. Feel good about offering comprehensive, up-to-date information and services that will expand your gynecologic practice while making it more enjoyable and rewarding for you. Whether in a solo or a group practice, this course will change the way you practice medicine. View full conference details and register online at http://www.worldclasscme.com. Course Objectives Upon completion of this conference, the participant will be able to: • Incorporate transvaginal ultrasound into his or her routine (including early pregnancy with bleeding and abnormal uterine bleeding) • Perform, interpret, and coordinate saline infusion sonohysterography into their practice • Read and interpret DXA scans • Determine who and how to treat for osteoporotic fracture reduction • Assess breast cancer risk and detail how to reduce it • Analyze the complex but still important role for HT in the menopausal transition • Detail new advances in hormonal contraception • Quantify various delivery systems and doses of HT and their risks and benefits • Set up an in-office program of urodynamic, and biofeedback testing • Describe how to utilize and implement pelvic floor rehabilitation in a GYN office setting • Decide if office endometrial ablation and transcornual sterilization are feasible • Treat overactive bladder and pelvic floor dysfunction • Evaluate the role of cervical cytology: past, present, and future • Detail HPV testing and vaccines • Understand the use of ovarian reserve testing and when to refer patients for assisted reproductive technologies (ART) Course Objectives (subject to revision) Upon completion of this conference, the participant will be able to: • Incorporate transvaginal ultrasound into his or her routine (including early pregnancy with bleeding and abnormal uterine bleeding) • Perform, interpret, and coordinate saline infusion sonohysterography into their practice • Read and interpret DXA scans • Determine who and how to treat for osteoporotic fracture reduction • Assess breast cancer risk and detail how to reduce it • Analyze the complex but still important role for HT in the menopausal transition • Detail new advances in hormonal contraception • Quantify various delivery systems and doses of HT and their risks and benefits • Set up an in-office program of urodynamic, and biofeedback testing • Describe how to utilize and implement pelvic floor rehabilitation in a GYN office setting • Decide if office endometrial ablation and transcornual sterilization are feasible • Treat overactive bladder and pelvic floor dysfunction • Evaluate the role of cervical cytology: past, present, and future • Detail HPV testing and vaccines • Understand the use of ovarian reserve testing and when to refer patients for assisted reproductive technologies (ART)

Not yet ready to be a cosmetic doctor but still want to make a decent and honest livign as a gynecologist? This practical course stresses how to enhance your day-to-day office GYN practice with relevant, important procedures and therapies tha tare easy to master, comfortable to incorporate and solidly reimbursable. Upgrade yoru skills and clinical approach to meet the needs of your gynecologic patients for the 21st century. Feel good about offering comprehensive, up-to-date information and services tha twill expand your gynecologic practice while making it more enjoyable and rewarding for you. Whether in a solo or a group practice, this course will change the way you practice medicine. View full course details and register online at http://www.worldclasscme.com.

This CME course synthesizes the scope of breast cancer research and shows how to apply the rapid transition of new knowledge into improved care for breast cancer patients. Through lectures, case management discussions and open question and answers, expert faculty provide practical information that attendees can use in their daily practice.