2014 ACOG Annual Clinical Meeting
Transcription
2014 ACOG Annual Clinical Meeting
The American College of Obstetricians and Gynecologists WOMEN’S HEALTH CARE PHYSICIANS 2014 ACOG Annual Clinical Meeting Chicago, Illinois | April 26-30 PROGRAM TABLE OF CONTENTS President’s Welcome ______________________ 2 CoChair’s Welcome ________________________ 2 What you Need to Know ____________________ 3 Meeting Planner __________________________ 4 Meeting Objectives ________________________ 5 Education ________________________________ 6 Collaboration _____________________________ 7 ABOG Basic Skills__________________________ 8 General Information _______________________ 9 Hotel Information ________________________ 10 Shuttle Bus Schedule _____________________ 10 Hotel Map _______________________________ 11 Saturday At-A-Glance ___________________ 13 • Postgraduate Courses 14 • Hands-On Courses 19 Sunday At-A-Glance _____________________ 23 • Postgraduate Courses 24 • Hands-On Courses 28 • Junior Fellow Sunday 29 • Medical Student Events 30 Monday At-A-Glance _____________________ 32 • Colloquia 34 • Clinical Seminars 38 • Lunch and Learn 41 • Lunch with the Experts 43 • Postgraduate Courses 48 • Film Festival 52 • Clinical Seminars 54 • Poster Session 59 Tuesday At-A-Glance ____________________ 74 • Colloquia 76 • Interactive Surgical Tutorials 79 • Lunch and Learn 80 • Lunch with the Experts 82 • Postgraduate Courses 86 • Cutting Edge topics 89 • Clinical Seminars 90 • Poster Session 95 Wednesday At-A-Glance ________________ 110 • Colloquia 111 Business Meetings_______________________ 113 Ancillary Meetings _______________________ 114 Alumni Reception _______________________ 114 Events _________________________________ 116 Camp ACOG ____________________________ 118 Spouse Guest Tours _____________________ 119 Abstract Reviewers ______________________ 120 Corporate Contributers __________________ 121 Hands on Contributors ___________________ 121 Individual Donors _______________________ 122 Disclosure ______________________________ 123 Convention Center Floorplans ____________ 127 Hotel Floorplans ________________________ 129 Future Meetings _________________________ 131 ACOG Staff______________________________ 131 2014 Annual Clinical Meeting COLLEAGUE CONNECTIONS Colleague Connections are seating areas placed throughout the convention center so that you can visit with friends, make new acquaintances, and share your perspectives and experiences. This new amenity has been funded by current and former “Green Coats.” THANK YOU: Raul Artal, MD Laurie McKenzie, MD Daniel Marc Breitkopf, MD Caela R. Miller, MD Sandra A. Carson, MD Eilean L. Myer, MD Alison B. Edelman, MD Sharon Theresa Phelan, MD David M. Haas, MD Maureen G. Phipps, MD, MPH Richard S. Hansell, MD Russell R. Snyder, MD Dr. and Mrs. Gerald F. Joseph Jr. Debra and Joel Sorosky, MD J. Joshua Kopelman, MD Willma Larsen, MD Hal C. Lawrence III, MD Dr. and Mrs. Paul G. Tomich J. Kell Williams, MD John Yeh, MD Download the 2014 ACOG Annual Clinical Meeting Mobile Event App at: http://acog2014.quickmoble.mobi OR Scan the QR Code to access course syllabi facebook.com/acognational 1 PRESIDENT’S WELCOME Welcome to Chicago for our 2014 Annual Clinical Meeting! It was only one year ago that I introduced my presidential year with the theme Every Woman, Every Time and featured Obstetrics and Gynecology as the specialty that addresses reproductive health choices and optimizes women’s health. I would also like to welcome the Royal Belgian Society of Obstetrics and Gynecology (RBSOG) who is celebrating its 125th anniversary. Experts in obstetrics and gynecology are in attendance from Belgium and will share their research with our American audience. This meeting highlights all that our specialty does best: My husband, Bruce, and I will host the President’s Party at the Shedd Aquarium on Tuesday evening. Please join us as we see beluga whales and penguins, and explore Caribbean reefs and the Amazon. We look forward to sharing a special evening with friends and families. • What is needed for the well-woman visit under the Affordable Care Act? • The latest on reproductive health and environmental exposures. • Late breaking news and an opportunity to debate the controversies in obstetrics and gynecology • Video conference using the latest surgical techniques that focus on minimally invasive surgery Please note that ACOG provides excellent childcare facilities during all meetings and social events. Enjoy the city of Chicago and an exceptional scientific program! Look forward to seeing you! Jeanne A. Conry, MD, PhD President, The American College of Obstetricians and Gynecologists COMMITTEE ON SCIENTIFIC PROGRAM WELCOME Co-Chairs: On behalf of the Committee on Scientific Program, we would like to welcome you to the 2014 Annual Clinical Meeting of the American College of Obstetricians and Gynecologists. The Scientific Program Committee has created an exciting and diverse program that highlights new technology, current clinical dilemmas, and “hot topics” facing our membership. Laurie J. McKenzie, MD Highlights of this year’s program include the following: • Evaluation and treatment of anovulation secondary to polycystic ovary syndrome. • Current pelvic mass risk assessment strategies . • Keeping our patients safe: Key actions for ObGyns for all stages and sites of patient care with an additional focus on the outpatient setting. John Yeh, MD 2 • Discussion of feminism and the moral imperative for contraception. twitter.com/acognews | #ACOG14 • Methods to facilitate vaginal surgery via surgical innovation and state-of-the-art techniques. • Current recommendations for cervical cancer screening. Chicago is an outstanding family-friendly venue for this meeting with numerous cultural opportunities, outstanding restaurants, and sporting events. Please do not forget to attend the Welcome Reception on Sunday, and please plan to attend the President’s Dinner Party on Tuesday which will be held at the Shedd aquarium. These events will be great opportunities to renew old friendships and make new ones. Enjoy the wonderful program the committee has put together! 2014 COMMITTEE ON SCIENTIFIC PROGRAM Scientific Program Co-Chairs LAURIE J. MCKENZIE, MD JOHN YEH, MD Members DANIEL M. BREITKOPF, MD ALISON B. EDELMAN, MD DAVID M. HAAS, MD RICHARD S. HANSELL, MD CAELA R. MILLER, MD EILEAN L. MYER, MD SHARON T. PHELAN, MD MAUREEN G. PHIPPS, MD J. KELL WILLIAMS, MD The American College of Obstetricians and Gynecologists WHAT YOU NEED TO KNOW EDUCATIONAL TRACKS The educational offerings in the program will be categorized into three educational tracks: Obstetrics, Gynecology, and Practice. Search for courses of particular interest to you. REGISTRATION HOURS Friday, April 25 3:00 PM – 6:00 PM Saturday, April 26 7:00 AM – 5:00 PM COLLOQUIA Colloquia are keynote lectures that are included in the meeting registration fee. CLINICAL SEMINARS Sunday, April 27 7:00 AM – 5:00 PM Monday, April 28 7:00 AM – 5:00 PM These 60 minute sessions are offered in the morning and afternoon and are organized by educational track: obstetrics, gynecology, and practice. Tuesday, April 29 LUNCH & LEARN 7:00 AM – 1:00 PM 7:00 AM – 5:00 PM Wednesday, April 30 New this year—enjoy a boxed lunch while listening to a seminar. LUNCH WITH THE EXPERTS These roundtable discussions are led by a content expert and organized by educational track. BADGE CATEGORIES Attendees will receive name badges of different colors based on the following: Fellow, Life Fellow, Fellow Senior Status, Junior Fellow in Practice, Junior Fellow in Training Green These sessions are offered on Saturday and Sunday and during the afternoon on Monday and Tuesday. Associate Member/ Educational Affiliate Purple POSTERS POSTGRADUATE COURSES Resident, Non-Member/Physician, Blue Non-Member, Practice Manager Other Healthcare Professional Orange Posters will be displayed all day Monday and Tuesday. Authors will be available for questions from 3:45 PM – 4:45 PM each day. Posters will also be printed in the abstract booklet found in your ACOG bag and available for download in the ACOG mobile meeting app. Medical Student Yellow Spouse/Guest Green Stripe Exhibitor Red Exhibitor Guest Pass Black ORAL PAPERS Staff and Vendors Clear An oral abstract presentation will be presented during the 10 minutes preceding all of the colloquia sessions, excluding the President’s Program. View the oral abstracts in the printed abstract booklet in your ACOG bag or download them in the ACOG mobile meeting app. FILM FESTIVAL The film festival will take place on Monday from 2:30 PM – 5:00 PM and will be re-shown on Wednesday from 10:45 AM – 1:15 PM. INTERACTIVE SURGICAL TUTORIALS Interactive Surgical Tutorials take place Tuesday morning from 8:00 AM – 12:00 PM. EXPO (EXHIBIT HALL) CARDS Your Expo Card will have a bar code. This bar code will make your interactions with the exhibitors more efficient. Each coded Expo Card contains the information that exhibitors need to register you with their company and to ensure that you are identified correctly in their records. CUTTING EDGE TOPICS Cutting edge topics in Ob-Gyn will be on Tuesday afternoon from 2:00 PM – 3:30 PM. 2014 Annual Clinical Meeting facebook.com/acognational 3 MEETING PLANNER AT-A-GLANCE APRIL 26–30, 2014 EXHIBITION OPEN HOURS Monday, April 28 ________ 10:30 AM – 5:00 PM Tuesday, April 29 ________ 10:00 AM – 5:00 PM Wednesday, April 30 _____ 10:30 AM – 3:00 PM 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 1:00 Friday April 25 COLLOQUIA CLINICAL SEMINARS Saturday April 26 Registration Open Sunday April 27 Registration Open Monday April 28 Registration Open Postgraduate and Hands-on Courses Pages 14–18 Postgraduate and Hands-on Courses Pages 24–27 Opening Ceremonies Page 34 Clinical Seminars (CMA) Pages 36–40 President’s Program Pages 34–35 The Samuel A. Cosgrove Lecture 8:45 AM The Anna Marie D’Amico Lecture 9:30 AM The Jim and Midge Breeden Lecture 10:00 AM LUNCH AND LEARN LUNCH WITH THE EXPERTS Tuesday April 29 Lunch And Learn Seminars (LLM) Pages 41–42 Lunch With The Experts (LM) Pages 43–47 Registration Open The Irvin M. Cushner Memorial Lecture Page 76 Gerald and Barbara Holzman Stump the Professors Page 76 The Edith Louise Potter Memorial Lecture Page 77 Lunch And Learn Seminars (LLT) Pages 80–81 Lunch With The Experts (LT) Pages 82–85 POSTGRADUATE COURSES Interactive Surgical Tutorial Page 79 POSTERS Wednesday April 30 Registration Open Inauguration and Convocation Film Festival Pages 52–53 The Benson and Pamela Harer Seminar on History Page 111 4 twitter.com/acognews | #ACOG14 The Hale Lecture Page 111 The ABOG Educational Foundation Lectureship on Patient Safety and Quality Improvement Page 111 The American College of Obstetricians and Gynecologists 1:30 2:00 2:30 3:00 3:30 4:00 4:30 5:00 ANNUAL CLINICAL MEETING EDUCATIONAL OBJECTIVES 5:30 Registration Open At the conclusion of the 2014 Annual Clinical Meeting, learners should be able to: • Describe the most current cervical cancer screening guidelines 5:30 PM – 7:00 PM Welcome Reception The John I. Brewer Memorial Lecture Page 35 The Donald F. Richardson Memorial Lecture Page 35 Poster Session Pages 59–73 • Establish an office infrastructure to support patient safety and develop a system to track critical laboratory results and patient encounters Postgraduate Courses (MN) Pages 48–51 Clinical Seminars (CMP) Pages 54–58 March of Dimes Annual Lecture Page 35 Film Festival Pages 52–53 The Howard Taylor International Lecture Page 77 The John and Marney Mathers Lecture Page 78 The Morton and Diane Stenchever Lecture Page 78 Postgraduate Courses (TU) Pages 86–88 6:00 PM – 9:00 PM President’s Party • Describe the diagnostic criteria for polycystic ovarian syndrome and outline the current management recommendations • Discuss the historical role of physician compliance with female atrocities, genocide and the holocaust • Discuss the moral imperative for contraception Cutting Edge Topics in Ob-Gyn Page 89 Clinical Seminars (CTP) Pages 90–94 • Identify actions and skills to enhance the safety of women in educational, inpatient and outpatient settings Poster Session Pages 95–108 • Describe the major difficulties associated with vaginal hysterectomy and summarize the various surgical devices and techniques to overcome technical challenges • Discuss the use of hematologic assays in the evaluation of pelvic masses • Discuss the use of compressive surgical techniques to control severe postpartum hemorrhage 2014 Annual Clinical Meeting 5 EDUCATION CONTINUING MEDICAL EDUCATION (CME) ACCME ACCREDITATION The American College of Obstetricians and Gynecologists is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AMA PRA CATEGORY 1 CREDIT(S)™ The American College of Obstetricians and Gynecologists designates this live activity for a maximum of 27 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. COLLEGE COGNATE CREDIT(S) The American College of Obstetricians and Gynecologists designates this live activity for a maximum of 27 College Cognate Credits toward the Program for Continuing Professional Development for the Annual Clinical Meeting. EDUCATIONAL OPPORTUNITIES: STATE LICENSURE AND CREDENTIALING These courses may be useful to comply with credentialing and licensure requirements. It is your responsibility to submit evidence of your attendance at these courses. ACOG does not guarantee that this evidence will be accepted by an agency or institution. This symbol is representative of an educational opportunity in one of the content areas listed below. The College has a reciprocity agreement with the AMA that allows AMA PRA Category 1 Credits™ to be equivalent to College Cognate Credits. Physicians may claim either AMA PRA Category 1 Credit(s)™ OR College Cognate Credit. Physicians may NOT claim both. If you are a physician member of the College, you may have your CME credits tracked through the College cognate system (our unique program for documenting continuing professional development). If you are not a physician member of the College, or if you do not want your credits tracked by the College, you will be responsible for reporting the CME credits that you earn at the Annual Clinical Meeting yourself. Saturday Sunday Monday Tuesday Wednesday Maximum 6 CME credits Maximum 6 CME credits Maximum 6 CME credits Maximum 6 CME credits Maximum 3 CME credits TOTAL = 27 CME credits DISCLOSURE OF FACULTY AND INDUSTRY RELATIONSHIPS In accordance with College policy, all faculty members and planning committee members have been asked to sign a statement in which they have disclosed any financial interests or other relationships with industry relative to topics they will discuss at this program. At the beginning of the program, faculty members are expected to disclose any such information to participants. Such disclosure allows you to better evaluate the objectivity of the information presented in lectures. Please report on your evaluation form any undisclosed conflict of interest you perceive. 6 twitter.com/acognews | #ACOG14 Clinical Competence or Focused Area of Interest Cultural Competence HO302 Page 28 MN309 Page 51 TU308 Page 88 CTP46 Page 94 Genetics/Genomics SA601 Page 14 MN301 Page 48 TU305 Page 87 iCTP38 Page 92 Geriatrics SU608 Page 18 MN306 Page 50 CMA06 Page 38 Infectious Diseases/Infection Control SU605 Page 16 MN305 Page 49 iCMP26 Page 56 The American College of Obstetricians and Gynecologists COLLABORATION Interpersonal & Communication Skills iCMA09 Page 38 CMA12 Page 39 CMA13 Page 40 CMP27 Page 56 CTP42 Page 93 CTP43 Page 93 CTP44 Page 93 LLT02 Page 80 Medical Ethics CMP30 Page 57 Pain Management CMP23 Page 55 CTP39 Page 92 LLT03 Page 80 Practice-Based Learning and Improvement HO602 Page 19 iCMP22 Page 55 Patient Safety Colloquia 13 Page 111 CMA08 Page 38 CTP33 Page 90 LLT07 Page 81 Collaboration within Obstetrics and Gynecology enhances the educational value ACOG offers at our annual meeting. Our professional partners are featured in the sessions highlighted by these icons. Royal Belgian Society of Obstetrics and Gynecology THE AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY ACP AMERICAN COLLEGE OF PHYSICIANS ROYAL BELGIAN SOCIETY OF OBSTETRICS AND GYNECOLOGY Celebrating its 125th Anniversary SGO SOCIETY OF GYNECOLOGIC ONCOLOGY SASGOG AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS THE SOCIETY FOR ACADEMIC SPECIALISTS IN GENERAL OBSTETRICS AND GYNECOLOGY AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE SOCIETY FOR MATERNAL-FETAL MEDICINE AMERICAN UROGYNECOLOGIC SOCIETY SOCIETY OF OB/GYN HOSPITALISTS Prescribing of Controlled Substances SA609 Page 18 Risk Management SA603 Page 15 HO602 Page 19 TU302 Page 86 CMA05 Page 37 iCMP18 Page 54 CMP30 Page 57 CTP35 Page 91 Systems-Based Practice MN310 Page 51 TU308 Page 88 TU309 Page 88 CMP17 Page 54 CTP46 Page 94 2014 Annual Clinical Meeting facebook.com/acognational 7 ABOG BLUEPRINT BLUEPRINT TO LEARNING As a study aid, sessions in the program that are marked with the ABOG logo have been matched to the topics below. These topics reflect categories of questions used to develop certification examinations. OFFICE PRACTICE CATEGORIES GYNECOLOGY CATEGORIES 1. 2. 3. 4. 5. 6. 7. 1. Abdominal hysterectomy, any type (e.g. total, subtotal, lapraroscopic, robotic) 2. Laparotomy 3. Vaginal hysterectomy (including laparoscopically assisted) 4. Diagnostic laparoscopy 5. Operative laparoscopy (other than tubal sterilization and hysterectomy) 6. Operative hysteroscopy 7. Uterine myomas 8. Defects in pelvic floor 9. Endometriosis 10. Tubal sterilization 11. Invasive carcinoma 12. Urinary and fecal incontinence (operative management) 13. Ectopic pregnancy 14. Operative management of pelvic pain 15. Congenital abnormalities of the reproductive tract 16. Pelvic inflammatory disease 17. Adnexal problems (excluding ectopic pregnancy and PID) 18. Abnormal uterine bleeding 19. Vulvar masses 20. Adenomyosis 21. Postoperative complications (e.g. wound, urinary tract, GI, Pain, thrombotic, embolic, neurologic) 22. Postoperative fever for greater than 48 hours 23. Rectovaginal or urinary tract fistula 24. Abnormal cervical cytology and colposcopy 25. Preoperative evaluation of coexisting conditions (respiratory, cardiac, metabolic diseases) 26. Gestational trophoblastic disease 27. Incomplete, septic, complete and other abortion 28. Intraoperative complications (e.g. blood loss, hemorrhage, bowel injury, urinary tract injury) 29. D&C 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 8 Preventive care and health maintenance Smoking cessation Sexual dysfunction Contraception Psychosomatic problems Genetic counseling Primary and secondary amenorrhea, and hirsutism Infertility evaluation and management Hyperprolactinemia Endometriosis Perimenopausal and menopausal care Office surgery (e.g. biopsy, hysteroscopy, sterilization, LEEP) Abnormal uterine bleeding Evaluation and management of pelvic pain Vaginal disease Vulvar disease Breast disease, benign and malignant Evaluation of urinary and rectal incontinence Urinary tract infections Sexually transmitted diseases Immunizations Pediatric gynecology 13 Sexual assault Spousal abuse Dysmenorrhea Premenstrual syndrome Benign pelvic masses Ultrasonography Endocrine diseases (e.g. diabetes mellitus, thyroid or adrenal disease) Diagnosis and management of hypercholesterolemia and dyslipidemias Substance abuse (e.g. alcohol, narcotics, etc.) Depression Geriatric care Management of obesity Pelvic floor defects Eating disorders (e.g. anoxexia, bulimia, obesity) Non-surgical office procedures (e.g. IUD insertion) Preconception counseling Prenatal care (e.g. exercise, nausea and vomiting, headaches, obesity) General medical diseases (e.g. respiratory, gastrointestinal, cardiovascular, hypertension, pack pain, headaches) Urinary incontinence (medical management) twitter.com/acognews | #ACOG14 OBSTETRICAL CATEGORIES 1. Breech and other fetal malpresentations 2. Intrapartum or intraamniotic infection (e.g. amnionitis, chorioamnionitis) 3. Puerperal infection (e.g. post cesarean endometritis) 4. Multifetal pregnancy 5. Cesarean hysterectomy 6. Premature rupture of fetal membranes at term 7. Preterm premature rupture of fetal membranes 8. Preterm delivery 9. Labor abnormalities 10. Hypertensive disorders of pregnancy (chronic hypertension, preeclampsia, eclampsia) 11. Second trimester spontaneous abortion 12. Third trimester fetal loss 13. Cardiovascular or pulmonary disease complicating pregnancy 14. Renal or neurological disease complicating pregnancy 15. Hematological or endocrine diseases complicating pregnancy 16. Autoimmune disorders of pregnancy 17. Infections complicating pregnancy 18. Postterm pregnancy 19. Abnormal fetal growth 20. Fetal heart rate abnormalities (e.g. variable or late deceleration, absent or poor variability, tachycardia, bradycardia) 21. Cord problems (e.g. prolapsed cord cord entanglement) 22. Vaginal birth after cesarean delivery 23. Maternal complication which delayed maternal hospital discharge by 48 or more hours 24. Neonatal complication which delayed neonatal hospital discharge by 48 or more hours 25. Pregnancies complicated by fetal anomalies 26. Pregnancies complicated by human immunodeficiency virus infection (HIV) 27. Operative vaginal delivery (e.g. vacuum, forceps) 28. Primary cesarean delivery 29. Repeat cesarean delivery 30. Complications of cesarean delivery (e.g. wound infection, disruption or hematoma, bleeding) 31. Complications of OB anesthesia (e.g. epidural hypotension, general anesthesia complications) 32. Induction and augmentation of labor 33. Placental abnormalities (e.g. low lying, previa, abruption) 34. Obstetrical hemorrhage (e.g. antepartum, intrapartum, postpartum) 35. Readmission for maternal complication up to 6 weeks postpartum 36. Obstetrical vaginal lacerations (e.g. 3rd and 4th degree lacerations cervical laceration) 37. Vaginal or perineal hematoma 38. Trauma in pregnancy (e. g. automobile accidents) 39. Pregnancy and coexisting malignancies 40. Preconception evaluation, prenatal and genetic diagnoses 41. Degenerating myomas in pregnancy 42. Misc. medical and surgical complications of pregnancy 43. Delivery complications of NOS The American College of Obstetricians and Gynecologists GENERAL INFORMATION The Annual Clinical Meeting’s Exhibits will be held in Exhibit Hall F, West Building of the McCormick Place™ Convention Center. EXHIBITION OPEN HOURS Monday, April 28 10:30 AM – 5:00 PM Tuesday, April 29 10:00 AM – 5:00 PM Wednesday, April 30 10:30 AM – 3:00 PM CHILDREN For the protection of your children and in order to maintain the scientific nature of the exhibition, no children under the age of 18 will be allowed in the exhibit hall during installation, dismantle, and show hours. Strollers are not permitted in the exhibit hall at any time. ROBING Robing for newly admitted Fellows will take place in Room 375D on Level 3 and VIP robing (Executive Board, past presidents, honorary Fellows, association presidents, marshals, escorts, and recipients of the ACOG Distinguished Service Award, the Outstanding District Service Award, the Luella Klein Lifetime Get the latest news and connect with your colleagues throughout the meeting via ACOG’s social media channels. FACEBOOK: Stay updated through ACOG’s national Facebook page at facebook.com/ acognational. We’ll highlight major meeting events each day and provide tips for the next day’s proceedings to help you get the most out of the conference. TWITTER: Follow us on Twitter @acognews. Use the hashtag #ACOG14. Tweet about your meeting experience, your favorite sessions, and your insights; you can even include photos. TWEETS OF THE DAY: Each day we’ll pick the three best “Tweets of the Day” and the lucky winners will each receive a sweet Starbucks treat. We will also feature the winning tweets in the next day’s ACM News. (Yes, we’ll notify winners through Twitter.) MEET-UP: Ob-gyns active in social media. Join ACOG’s Social Media Team on Monday 4/28 at 10:30 AM for a Social Media Meet-up. Location: 194A, next to the Press Office. Connect informally with other ob-gyns who are active on social media and enjoy some refreshments. All of ACOG’s social media pages are public: You don’t have to have an account to be able to visit and view the posts. Please check the ACM News newspaper every day for updates, too. You can read it in print at the conference and online at: http://acog-365.ascendeventmedia.com. 2014 Annual Clinical Meeting Achievement Award, and the Arnold P. Gold Foundation Humanism in Medicine Award) will take place in the Skyline Ballroom beginning at 7:00 AM on Wednesday, April 30, at the McCormick Place™ Convention Center West Building. THE DONOR LOUNGE ROOM 181A The Donor Lounge is available exclusively to President’s, Beacham, and Reis Society Members. Society Members are welcome Monday (7:30 AM to 5:00 PM), Tuesday (7:30 AM to 5:00 PM), and Wednesday (7:30 AM to 3:00 PM). The Donor Lounge is located in Room 181A of the McCormick Place™ Convention Center West Building. MOTHER’S LOUNGE ROOM 177 The Mother’s Lounge is located in Room 177 of the McCormick Place™ Convention Center West Building. The room will be open from 8:00 AM to 5:00 PM on Saturday, April 26 through Wednesday, April 30. Nursing mothers should request collection kits at Registration. The Mother’s Lounge, pumps and equipment are sponsored by Ameda, Inc. VISIT ACOG’S ADVOCACY CENTER The American Congress of Obstetricians and Gynecologists lobbies for you in the US Congress and the statehouses and works to elect physician friends through Ob-GynPAC, it’s political action committee. Stop by the Advocacy Center to learn about the top legislative priorities, discover what resources are available to you, and become a member of our advocacy team. SENIOR AND FOUNDING FELLOW LOUNGE LEVEL 3 LOBBY The Senior and Founding Fellow Lounge in the convention center will be open to all senior and founding fellows Monday through Wednesday. Light refreshments will be available. ACOG EXHIBIT BOOTH BOOTH #717 Don’t forget to stop by the ACOG Exhibit, the one place to obtain information on the many activities of the College and Congress. College and Congress publications and products will be on display and samples of many of the patient education pamphlets will be available. On Monday and Tuesday, April 28 and 29, at 11:00 AM and 2:00 PM, ACOG Fellows Edward Zabrek, MD, the medical editor of iPhone Life magazine and Brian A. Levine, MD, MS, Junior Fellow member of District II, health CAREER CONNECTION 3RD LEVEL LOBBY Visit the Career Connection job center and get connected with your future. Post a resume, search the online job database, or respond to job postings. technology contributor of Contemporary Ob-Gyn, will demonstrate how handheld computers, mobile devices, and wearable technologies may be used in the age of electronic health care. On Wednesday, April 30, at 12:30 PM, the ACOG Booth will be the venue for the 5th Annual Historical Film Festival. Again this year, staff will screen a film from Dr. Joseph B. DeLee on The Science and Art of Obstetrics: Birth Injuries (1931) from the College film archive. Staff from various committees and programs will be on hand to provide members with information and answer questions about services and development of guidelines. Sample written exam questions from MOC Part III will be available on computers at the ACOG booth. Staff will be available to answer any questions you may have regarding the ABOG Maintenance of Certification program. Editors and staff from Obstetrics & Gynecology will be present to discuss future plans and answer questions about submitting articles for publication. Demonstrations of the electronic manuscript submission system and the journal web site will be available upon request. PHOTOGRAPHY AND FILMING Professional photographs, audio, and video will be captured during the annual meeting. Attendees and their guests hereby grant ACOG and its representatives’ permission to be photographed and/or recorded by audio and/or video at the meeting. Attendees and their guests give ACOG permission to copyright, publish, and distribute these photographs, audio recordings and/or video recordings and use them in any and all media, including print and electronic for any lawful purpose. Attendees and their guests hereby release and discharge the College, its officers, directors, employees, agents, assigns, and designees from any and all claims and demands arising out of or in connection with the use of an ACM photograph, audio and/ or video, including but not limited to any claims for defamation or invasion of privacy. facebook.com/acognational 9 HOTEL & SHUTTLE BUS HOTEL SHUTTLE ROUTES ROUTE 1 Red 2 Yellow HOTEL HOTEL INFORMATION PICKUP LOCATION 1. 8 Street Entrance *Chicago Hilton th *Palmer House Hilton Wabash Street Entrance *Hyatt Regency Lobby Entrance Swissotel @ Hyatt Regency Fairmont @ Hyatt Regency 3 Blue *Sheraton Chicago Conference Center Entrance *Intercontinental Illinois Street Entrance 4 Green *Chicago Marriott On Grant Street Across Rush *Westin River North Across Clark St. @ Drive *Omni Chicago Across Street From Lobby *Westin Michigan Ave. Across Street From Lobby 5 Orange *Denotes official shuttle pickup location. Also serves as pickup location for other hotels listed, as indicated. Day/Date Hours of Service Frequency 2:30 PM – 6:30 PM 30 min Friday, April 25 Non-Peak 2. Hilton Chicago 720 S Michigan Ave. Chicago, Illinois 60605 (312) 922-4400 4. Hyatt Regency Chicago 151 E Wacker Dr. Chicago, Illinois 60601 (312) 565-1234 5. Hyatt Regency McCormick™ Place 2233 S. Martin Luther King Dr. Chicago, Illinois 60616 (312) 567-1234 6. InterContinental Chicago Magnificent Mile 505 N Michigan Ave. Chicago, Illinois 60611 (312) 944-4100 Saturday, April 26 6:00 AM – 9:00 AM 15 min Mid-day 9:00 AM – 3:30 PM 30 min PM Peak 3:30 PM – 6:00 PM 15 min Last Bus Departs Hotels at 5:00 PM. Last Bus departs the Convention Center at 6:00 PM. Sunday, April 27 6:00 AM – 9:00 AM AM Peak 15 min Mid-day 9:00 AM – 3:30 PM 30 min PM Peak 3:30 PM – 6:00 PM 15 min To Sheraton Chicago 5:45 PM – 7:00 PM 15 min To Hotels 7:00 PM – 8:00 PM 15 min Welcome Reception Last Bus Departs Hotels at 7:00 PM. Last Bus departs Reception at 8:00 PM. No Service on Route 3 for Reception. Fairmont Chicago Hotel 200 N Columbus Dr. Chicago, Illinois 60601 (312) 565-8000 3. Last Bus Departs Hotels at 5:30 PM. Last Bus departs the Convention Center at 6:30 PM. AM Peak Chicago Marriott Downtown Magnificent Mile 540 N Michigan Ave. Chicago, Illinois 60611 (312) 836-0100 7. Omni Hotel Chicago 676 N Michigan Ave. Chicago, Illinois 60611 (312) 944-6664 8. Palmer House Hilton 17 E Monroe St. Chicago, Illinois 60603 (312) 726-7500 9. Sheraton Chicago Hotel and Towers Headquarter Hotel 301 E North Water St. Chicago, Illinois 60611 (312) 464-1000 10. Swissotel Chicago 323 E Wacker Dr. Chicago, Illinois 60601 (312) 565-0565 11. Westin Chicago River North 320 N Dearborn St. Chicago, Illinois 60654 (312) 744-1900 12. Westin Michigan Avenue 909 N Michigan Ave. Chicago, Illinois 60611 (312) 943-7200 Monday, April 28 AM Peak 6:00 AM – 9:00 AM Mid-day 9:00 AM – 3:30 PM 30 min PM Peak 3:30 PM – 6:00 PM 15 min 15 min Last Bus Departs Hotels at 5:00 PM. Last Bus departs the Convention Center at 6:00 PM. Tuesday, April 29 AM Peak 6:00 AM – 9:00 AM Mid-day 9:00 AM – 3:30 PM 30 min PM Peak 3:30 PM – 6:00 PM 15 min To Party 6:00 PM – 7:00 PM 15 min To Hotels 8:30 PM – 11:30 PM 15 min 15 min President’s Party Last Bus Departs Hotels at 7:00 PM. Last Bus departs Event at 11:30 PM. Wednesday, April 30 AM Peak 6:00 AM – 9:00 AM Mid-day 9:00 AM – 3:30 PM 30 min PM Peak 3:30 PM – 6:00 PM 15 min 15 min Last Bus Departs Hotels at 5:00 PM. Last Bus departs the Convention Center at 6:00 PM. 10 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists HOTEL MAP N State Pkwy ou Av e W Division St Clark/ Division E Elm St N State St N Clark St N Dearborn Pwky N LaSalle Dr N Franklin St Chicago N E Pearson St W Superior St W Huron St 7 W Erie St W Ontario St W Ohio St k au ilw ee e Av Merchandise Mart 1 Grand W Grand Ave W Illinois St W Hubbard St W Kinzie St Navy Pier 9 11 E Wacker Dr Washington Monroe S Wacker Dr GREEKTOWN W Van Buren St 8 Adams Jackson LaSalle Library Clinton The Art Institute of Chicago Congress Pkwy 3 John G. Shedd Aquarium Roosevelt Roosevelt S Canal St The Field Museum NORTHERLY ISLAND CermakChinatown Stevenson Expy E 26th St re D Luther King Dr CHINATOWN e Sho S Lak 2014 Annual Clinical Meeting 5 W Cermak Rd Expy Halsted Burnham Harbor S Prairie Ave S Indiana Ave S Michigan Ave S Wabash Ave S State St W 18th St Midway International Airport Adler Planetarium MUSEUM CAMPUS AY BUSW S Clinton St W Roosevelt Rd S Jefferson St Monroe Harbor Harrison S Clark St S Wells St S Financial Pl S La Salle St W Harrison St Dan Ryan Expy Millennium Park S Columbus Dr Eisenhower Expy S Halsted St Madison Quincy/ Quincy/ Wells Wells W Jackson Blvd Randolph S Lake Shor e Dr Willis Tower/ Skydeck Chicago Union Station UIC/Halsted Du Sable Harbor BUSWAY W Adams St Lake THE LOOP Wells W Madison St State/Lake S Michigan Ave Kennedy Expy Clark/Lake Ogilvie Transportation Center W Washington St Washington/ W Monroe St LITTLE ITALY 10 2 Clinton W Randolph St 12 6 4 W Lake St E Delaware Pl E Chestnut St Chicago M Grand John Hancock Observatory E Walton St E Delaware Pl E Chestnut St Dr O’Hare International Airport E Walton St E Oak Stt re Sho ake W Chicago Ave E Oak St NL N Orleans St N Halsted St GOLD COAST N Michigan Ave rn N Michigan Ave Cl yb N Wells St N N Clark St OLD TOWN Sedgwick CLYBOURN CORRIDOR N Dearborn Pkwy W North Ave North/Clybourn Map courtesy Choose Chicago. 11 12 12 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists AT-A-GLANCE SATURDAY SATURDAY APRIL 26 7:00 AM Registration Open (closes at 5:00 PM) 8:15 AM to 5:00 PM Postgraduate Courses OBSTETRICS Controversies in Perinatal Medicine: The Great Debates SA601, ROOM 187C GYNECOLOGY Prevention, Recognition, and Management of Complications from Gynecologic Surgery SA603, ROOM 185BC PRACTICE Coding and Documentation for the Obstetrician and Gynecologist SA605, ROOM 175 Current Topics in Reproductive Endocrinology for the Clinician SA606, ROOM 176AB Best Practices in High-Risk Pregnancy SA602, ROOM 181BC The Original Minimally Invasive Hysterectomy: “How To” Do a Vaginal Hysterectomy SA604, ROOM 185D COLLOQUIA Colposcopy Update 2014: New Guidelines for Screening, Terminology, and Management SA607, ROOM 185A Maintenance of Knowledge in Ob-Gyn Practice SA608, ROOM 179 CLINICAL SEMINARS Buphrenorphine, An Office-Based Treatment for Opioid Dependence SA609, ROOM 176C 8:15 AM to 5:00 PM Hands-On Courses OBSTETRICS Vaginal Hysterectomy/Cystoscopy: Live Demonstration and Hands-on Workshop HO301, HELD AT NORTHWESTERN UNIVERSITY ENDS AT 12:00 PM TRANSPORTATION WILL BE PROVIDED TO/FROM NORTHWESTERN UNIVERSITY GYNECOLOGY Basic Obstetric Ultrasound— A Hands-On Experience HO601, ROOM 474B (LECTURE) 474A (LAB) Obstetric Emergencies— A Hands-On Simulation Course LUNCH AND LEARN PRACTICE Advanced Cardiovascular Life Support/Basic Life Support Certification/Recertification HO603, ROOM 471B LUNCH WITH THE EXPERTS HO602, ROOM 471A (LECTURE) 470 (LAB) POSTGRADUATE COURSES HANDS-ON COURSES 2014 Annual Clinical Meeting facebook.com/acognational 13 SATURDAY 8:15 AM – 5:00 PM POSTGRADUATE COURSES OBSTETRICS See page 8 Obstetrical Category 40 SA601 Controversies in Perinatal Medicine: The Great Debates Room 187C John T. Repke, MD, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania Jaimey M. Pauli, MD, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania Baha M. Sibai, MD, University of Cincinnati College of Medicine, Cincinnati, Ohio This course will present controversies in perinatal medicine relevant to the general Ob-Gyn physician as well as to the Maternal-Fetal Medicine physician or Internist. The course will review issues relating to optimal screening methods for prenatal genetic diagnosis and the prediction, prevention, and management of patients at risk for preterm delivery. Specifically, data relating to the utility of cervical length measurement and the potential use of progesterone to reduce the risk of preterm birth will be discussed. Other topics include: optimal treatment of gestational diabetes, the role of VBAC in the 21st century, thrombophilia screening, management of obstetric emergencies, magnesium sulfate use in mild preeclampsia, and how practicing Ob-Gyns can best protect themselves from medico legal exposure. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the controversies surrounding prematurity prevention and management, including cervical length measurement, cerclage, pessaries, 17 alpha-hydroxyprogesterone caproate, vaginal progesterone » Describe the best practice approaches to prenatal genetic screening and diagnosis and the implication of the new microarray technologies » Describe the resurgent controversies surrounding the increasing Cesarean delivery rate, potential strategies for rate reduction and the reduction in VBAC » Describe the changing guidelines for the management of gestational diabetes, acute and chronic hypertension in pregnancy, and gestational hypertension and preeclampsia and the controversies surrounding these changes » Describe the risks, benefits, and controversies of fetal surgery POSTGRADUATE COURSES 14 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists SATURDAY SA602 Best Practices in High Risk Pregnancy Room 181BC Catherine Y. Spong, MD, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland Alessandro Ghidini, MD, Georgetown University Hospital, Washington, DC and INOVA Alexandria Perinatal Diagnostic Center, Alexandria, Virginia Lynn L. Simpson, MD, Columbia Presbyterian Medical Center, New York, New York Participants will hear leaders in the field discuss and debate controversial and timely obstetric topics including the pros and cons of adopting cell-free DNA testing in a low risk population, conditions that optimally deliver in the late preterm period, prevention and management of stillbirth and obstetric emergencies, the latest information on screening for congenital heart disease and neuroprotection using magnesium sulfate, management of twins, and obstetrical studies and trials that have changed practice recommendations. The course will include panel discussion and time for questions and answers to allow participants to ask specific management questions and discuss issues pertinent to their practices. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe controversial and timely obstetric topics including new genetic screening and diagnostic tests and tests for congenital heart disease » Describe the management options for obstetric emergencies including maternal hemorrhage » Identify obstetric, demographic, medical, and fetal conditions which constitute risk factors for stillbirth in a nulliparous woman » Describe trials that have changed obstetric practice for prevention therapy, new treatments, or stopping a non-beneficial practice » Identify those conditions that may benefit from delivery in the late preterm period » Formulate a protocol of administration of magnesium sulfate for neuroprotection GYNECOLOGY See page 8 Gynecology Category 21 SA603 Prevention, Recognition, and Management of Complications from Gynecologic Surgery Room 185BC Howard T. Sharp, MD, University of Utah Health Sciences Center, Salt Lake City, Utah POSTGRADUATE COURSES Mark K. Dodson, MD, University of Utah Health Sciences Center, Salt Lake City, Utah Malcolm G. Munro, MD, David Geffen School of Medicine at UCLA, Los Angeles, California This course will focus on common complications associated gynecologic surgery and new surgical technology: laparotomic, laparoscopic, hysteroscopic, and vaginal approaches. Prevention and management of postoperative thromboembolism, infection, and wound breakdown will be thoroughly reviewed. This is a clinically oriented course and will provide practical information and an evidence-based approach for working gynecologic surgeons. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » 2014 Annual Clinical Meeting Outline strategies to minimize the risk of surgical complications Describe presenting symptoms associated with post-operative complications Detail therapeutic options to optimally manage surgical complications Enumerate complications of gynecologic surgery facebook.com/acognational 15 SATURDAY 8:15 AM – 5:00 PM POSTGRADUATE COURSES SA604 The Original Minimally Invasive Hysterectomy: “How To” Do a Vaginal Hysterectomy Room 185D Emanuel C. Trabuco, MD, Mayo Clinic, Rochester, Minnesota John A. Occhino, MD, Mayo Clinic, Rochester, Minnesota Vaginal hysterectomy is the oldest and original minimally invasive approach to hysterectomy. This course provides a unique opportunity to refamiliarize the gynecologic surgeon with the utility, cost effectiveness, and detailed steps of vaginal hysterectomy. A step-by-step “how to” guide to perform a vaginal hysterectomy procedure using a combination of didactic and video presentations will be provided. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify the latest evidence regarding: • The risk of prolapse following hysterectomy • The risk and benefits to ovarian preservation among low-risk women having hysterectomy for benign indications • A greater awareness of the cost implications associated with the mode of hysterectomy » Discuss relevant anatomy » Address common complications with vaginal hysterectomy » List steps to safely perform a vaginal hysterectomy PRACTICE ICD-10 CODING SA605 Coding and Documentation for the Obstetrician and Gynecologist Room 175 J. Martin Tucker, MD, Jackson Healthcare for Women, Jackson, Mississippi Philip N. Eskew, Jr, MD, Indiana University School of Medicine, North Webster, Indiana George A. Hill, MD, Nashville Fertility Center, Nashville, Tennessee Updated for 2014, this course covers a broad range of practical coding issues in obstetrics and gynecology. Presentations include an overview of procedural and diagnostic coding, Medicare documentation guidelines, and coding for obstetrical and related ancillary services. Coding cases will be presented to serve as teaching aids. Other lectures include coding for the global surgical package, what to expect from ICD-10, and the proper use of the evaluation and management services codes. POSTGRADUATE COURSES COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » 16 Identify the importance of the physician’s role in accurate coding Define the global surgical and obstetrical packages Use the Medicare documentation guidelines appropriately Code for ancillary services outside the global package twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists SATURDAY SA606 Current Topics in Reproductive Endocrinology for the Clinician Room 176AB Michelle L. Matthews, MD, Carolinas Medical Center, Charlotte, North Carolina and Yale Medical Group, New Haven, Connecticut Emre U. Seli, MD, Yale Medical Group, New Haven, Connecticut Rebecca S. Usadi, MD, Carolinas Medical Center, Charlotte, North Carolina This course will provide an up-to-date review in special topics of reproductive endocrinology with an emphasis on the clinical practice of the ob-gyn physician. Topics that will be covered in detail include: evidence-based infertility management, therapeutic options for ovulation induction, and treatment for endometriosis, conservative management of uterine fibroids, controversies in managing early pregnancy recurrent loss, and the clinical consequences of polycystic ovary syndrome. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the current and efficient management of the infertile couple in an ob-gyn practice with an emphasis on evidence-based diagnostic and therapeutic protocols » Identify the modern medical and surgical options available for treatment of endometriosis » Describe the recent advances in the conservative management of uterine fibroids including methods of myomectomy, myoma ablation, and medical alternatives » Identify types of ovulatory dysfunction and therapeutic options for ovulation induction » Discuss clinical consequences of polycystic ovary syndrome and understand current approaches to minimize cardiovascular and metabolic risk and optimize reproductive outcome » Discuss the current definition, diagnostic testing, and treatment options for early recurrent pregnancy loss See page 8 Gynecology Category 24 SA607 Colposcopy Update 2014: New Guidelines for Screening, Terminology, and Management Room 185A Alan G. Waxman, MD, MPH, University of New Mexico School of Medicine, Albuquerque, New Mexico Teresa M. Darragh, MD, University of California San Francisco, San Francisco, California Lisa C. Flowers, MD, Emory University School of Medicine, Atlanta, Georgia POSTGRADUATE COURSES Cervical cancer screening has changed in recent years with the publication of the 2012 ACOG Practice Bulletin on cervical cancer screening that includes wider use of HPV DNA testing and ASCCP’s new guidelines for the management of women with abnormal Pap tests and cervical biopsies. This postgraduate course will combine lectures and case-based sessions to update participants on cytology screening, colposcopy, and the management of women with abnormal Paps and cervical biopsies. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss current ACOG cervical cancer screening guidelines and the rationale for adding HPV testing to cervical cancer screening » Explain the new ASCCP guidelines for managing women with abnormal Pap tests and biopsy results » Discuss changes in lower genital tract histopathology terminology recommended in the recent consensus conference sponsored by ASCCP (the American Society for Colposcopy and Cervical Pathology) and the College of American Pathologists (CAP) 2014 Annual Clinical Meeting facebook.com/acognational 17 SATURDAY 8:15 AM – 5:00 PM POSTGRADUATE COURSES STUDY FOR EXAMS SA608 Maintenance of Knowledge in Ob-Gyn Practice Room 179 Paul G. Tomich, MD, University of Nebraska Medical Center, Omaha, Nebraska Janice L. Bacon, MD, Women’s Health and Diagnostic Center, West Columbia, South Carolina Denise M. Elser, MD, Womens Health Institute of Illinois, Ltd, Oak Lawn, Illinois Mark D. Pearlman, MD, University of Michigan Health Systems, Ann Arbor, Michigan Steven W. Remmenga, MD, University of Nebraska Medical Center, Omaha, Nebraska Erin E. Tracy, MD, Massachusetts General Hospital, Boston, Massachusetts Neeta L. Vora, MD, University of North Carolina— Chapel Hill, Chapel Hill, North Carolina This course is designed to update clinicians in obstetrics and gynecology. It is ideal for those studying for maintenance of certification exams. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » CERTIFICATION: DATA2000 Discuss the most current evidence-based information on chosen topics Access the best references to be used in their clinical practices Describe the most effective management strategies for many common clinical conditions Identify patient safety and risk management issues that are important in clinical care SA609 Buphrenorphine, An OfficeBased Treatment for Opioid Dependence Room 176C Edwin A. Salsitz, MD, Beth Israel Medical Center, New York, New York Marjorie C. Meyer, MD, University of Vermont, Burlington, Vermont Tricia E. Wright, MD, University of Hawaii, Honolulu, Hawaii Opioid dependence (addiction) is at epidemic levels in the United States. While maintenance treatment with methadone can only be offered from a licensed Opioid Treatment Program, buprenorphine a partial opioid agonist is approved for the treatment of opioid addiction in office-based settings. Buprenorphine can only be prescribed for the treatment of opioid addiction by physicians who complete an approved, standardized 8-hour training course as outlined in the Drug Addiction Treatment Act (DATA) of 2000. The aim of this course is to offer a DATA 2000 approved training program geared to Ob-Gyn physicians. POSTGRADUATE COURSES COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » 18 Apply for a waiver to prescribe buprenorphine to their patients with opioid dependence (addiction) Identify and assess patients who are appropriate for treatment with buprenorphine Describe the use of buprenorphine to manage opioid addicted pregnant and postpartum women Discuss the psychiatric and medical co-morbidities associated with opioid addiction twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists SATURDAY 8:15 AM – 5:00 PM (LUNCH PROVIDED) HANDS-ON COURSES OBSTETRICS SIX HOUR COURSE » HO601 Basic Obstetric Ultrasound: A Hands-on Experience Lecture: Room 474B Lab: Room 474A Joan M. Mastrobattista, MD, Baylor College of Medicine, Houston, Texas Angela Glaser, University of Texas Health Science Center at Houston, Houston, Texas Henry L. Galan, MD, University of Colorado, Aurora, Colorado See page 8 Obstetrical Category 25 Kathi Keaton Minton, MA, RDMS/RDCS, FAIUM, American Institute of Ultrasound in Medicine, Laurel, Maryland Sifa Turan, MD, University of Maryland Medical Center, Baltimore, Maryland Michael Victor Zaretsky, MD, University of Colorado, Aurora, Colorado This postgraduate ultrasound course consists of didactic lectures in the morning followed by a hands-on ultrasound experience in the afternoon. Maternal-fetal medicine faculty will scan patients alongside course participants. Ultrasound phantoms will be available. Topics will include: biometry and pregnancy dating strategies, Doppler applications in pregnancy, amniotic fluid and placental abnormalities, basic fetal anatomy, basic fetal cardiac evaluation, the use of ultrasound on labor and delivery, and tricks to optimize image quality will be reviewed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe basic fetal biometry and strategies needed to assist with the gestational age dating » Define basic Doppler applications in pregnancy » Describe normal and abnormal amniotic fluid volumes and abnormal placentation with its relevant implications (e.g., placenta previa, placenta accreta) » Identify imaging parameters for the standard fetal examination and basic fetal cardiac evaluation » Utilize precise landmarks for appropriate cervical length evaluation » Optimize the quality of ultrasound images by employing appropriate machine adjustments SIX HOUR COURSE » HO602 Obstetric Emergencies: A Hands-on Simulation Course Lecture: Room 471A Lab: Room 470 Thomas J. Benedetti, MD, University of Washington School of Medicine, Seattle, Washington Shad H. Deering, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland Tamika C. Auguste, MD, Washington Hospital Center, Washington, DC Lisa M. Foglia, MD, Madigan Army Medical Center, Fort Lewis, Washington HANDS-ON COURSES Dena Goffman, MD, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York William T. Hurley, MD, Harborview Medical Center, Seattle, Washington This course will be a hands-on course that will address common and uncommon obstetric emergencies that a provider might encounter. We will review evidence based recommendations for management of these emergencies. Participants will have an opportunity to practice the appropriate maneuvers in a simulated setting. Providers will then have an opportunity to participate in simulated drills and practice teamwork skills during simulated emergencies in 6 stations. Simulation stations will be shoulder dystocia, breech delivery, operative vaginal delivery, maternal cardiac arrest, surgical control of uterine hemorrhage and a session on teamwork skills (Team STEPPS). At the end of the day, participants will have an opportunity to participate in a “megasimulation” to test what they have learned. 2014 Annual Clinical Meeting facebook.com/acognational 19 SATURDAY 8:15 AM – 5:00 PM (LUNCH PROVIDED) HANDS-ON COURSES COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify risk factors for common obstetric emergencies » Discuss current evidence-based guidelines for management of the following obstetric emergencies: shoulder dystocia, postpartum hemorrhage and operative management of hemorrhage, breech vaginal delivery, operative vaginal delivery, and CPR in pregnancy » Decrease medical legal risk through improved counseling and documentation and improved communication and teamwork » Perform appropriate maneuvers/procedures for the covered obstetric emergencies and understand necessary teamwork factors that can affect patient care PRACTICE CERTIFICATION: ACLS/BLS » HO603 ACLS/BLS Certification Room 471B SIX HOUR COURSE » James Woith, EMT-P, Saving Chicago, CPR, Chicago, Illinois Nichole DeVincentis, RN, TNS, Saving Chicago, CPR, Chicago, Illinois Thomas Gahagan, EMT-P, Saving Chicago, CPR, Chicago, Illinois AMERICAN HEART ASSOCIATION Michael Korzen, NREMP-T, Saving Chicago, CPR, Chicago, Illinois The American Heart Association ACLS course is designed for medical providers such as physicians, nurses, mid-levels, paramedics, respiratory therapists, and other professionals whose daily occupation requires them to either direct or participate in the resuscitation of a patient, whether in or out of hospital. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify and initiate early management of peri-arrest conditions that may result in cardiac arrest or complicate resuscitation outcome » Demonstrate proficiency in providing BLS care, including prioritizing chest compressions and integrating AED use » Manage cardiac arrest until return of spontaneous circulation (ROSC), termination of resuscitation, or transfer of care » Identify and treat ischemic chest pain and expedite the care of patients with acute coronary syndromes » Identify other life-threatening clinical situations, such as stroke, and provide effective initial care and transfer to reduce disability and death » Demonstrate effective communication as a member or leader of a resuscitation team and recognize the impact of team dynamics on overall team performance » Identify VF and VT on the ECG » Manage VF/pulseless VT according to the ACLS Pulseless Arrest Algorithm » Recall indications, contraindications, doses, and routes of administration for drugs recommended for refractory VF/Pulseless VT » Perform defibrillation with minimal interruption of chest compressions » Coordinate team functions while ensuring continuous high-quality CPR, defibrillation, and rhythm assessment » Define and recognize PEA » Treat PEA according to the ACLS Pulseless Arrest Algorithm HANDS-ON COURSES 20 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists SATURDAY GYNECOLOGY (8:15 AM – 12:00 PM) THREE HOUR COURSE » HO301 Vaginal Hysterectomy/ Cystoscopy: Live Demonstration and Hands-on Workshop Held at Northwestern University Transportation will be arranged. Rosanne M. Kho, MD, Mayo Clinic Arizona, Phoenix, Arizona Magdy Milad, MD, Northwestern University Medical School, Prentice Women’s Hospital, Chicago, Illinois Regina Montero, RN, MSN, CNOR, Scottsdale Healthcare, Thompson Peak Hospital, Scottsdale, Arizona Kevin James-Edward Stepp, MD, Carolinas Healthcare, Charlotte, North Carolina Strong evidence supports the vaginal approach as the preferred route to benign hysterectomy. This course and workshop will provide participants with current available surgical innovations and techniques to facilitate efficiency and maximize safety during vaginal surgery. Cystoscopic set-up and technique will be emphasized. Participants will be able to learn in the simulation workshop after live cadaver/surgical video demonstration. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Demonstrate safe patient positioning to avoid nerve injury during vaginal surgery » Demonstrate use of new surgical devices and instruments to maximize exposure, achieve hemostasis and morcellate uterus during vaginal surgery » Perform cystoscopy intra-operatively » Articulate techniques to support the vaginal apex during benign hysterectomy HANDS-ON COURSES 2014 Annual Clinical Meeting facebook.com/acognational 21 22 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists AT-A-GLANCE SUNDAY SUNDAY APRIL 27 7:00 AM Registration Open (ends at 4:30 PM) 8:00 AM ACOG/CDC Maternal Mortality Meeting and National Partnership for Maternal Safety 8:15 AM Junior Fellow Sunday 8:30 AM Medical Student Events 8:15 AM to 5:00 PM Postgraduate Courses OBSTETRICS Common Obstetric Dilemmas: Practical Approaches Using Evidence and Experience SU601, ROOM 179 GYNECOLOGY PRACTICE Advanced Surgery for Pelvic Floor Dysfunction and Benign Gynecology SU603, ROOM 180 Breast Care in 2014: A Toolkit for the Practicing Ob-Gyn COLLOQUIA SU607, ROOM 178B Laparoscopic Hysterectomy: Illustrative Video Tutorial of Total Laparoscopic Hysterectomy (TLH) and Laparoscopic Supracervical Hysterectomy (LSH) SU604, ROOM 181BC First Trimester Ultrasound— Everything You Wanted or Needed to Know SU602, ROOM 178A Advancements in Vulvar and Vaginal Diseases SU605, ROOM 187AB CLINICAL SEMINARS LUNCH AND LEARN Menopause and Hormone Therapy: Reevaluating the Evidence and Looking Toward the Future SU608, ROOM 175 Surgical Approaches to Minimally Invasive Hysterectomies SU606, ROOM 176C 8:15 AM LUNCH WITH THE EXPERTS Hands-On Courses OBSTETRICS Advancing Your Skills in Operative and Office Hysteroscopy PRACTICE Medical Apps In Practice HO302, ROOM 476 ENDS AT 12:00 PM POSTGRADUATE COURSES HO604, ROOM 470A (LECTURE) 470B (LAB) ENDS AT 5:00 PM 5:30 PM Welcome Reception (ends at 7:00 PM) HANDS-ON COURSES 2014 Annual Clinical Meeting facebook.com/acognational 23 SUNDAY 8:15 AM – 5:00 PM POSTGRADUATE COURSES OBSTETRICS See page 8 Obstetrical Category 40–42 SU601 Common Obstetric Dilemmas: Practical Approaches Using Evidence and Experience Room 179 Philip Samuels, MD, Ohio State University Wexner Medical Center, Columbus, Ohio George R. Saade, MD, University of Texas Medical Branch, Galveston, Texas Jerome Yankowitz, MD, University of South Florida, Tampa, Florida Three university-based maternal fetal medicine physicians who practice advanced obstetrics on a daily basis present their thoughts on common, yet complex obstetric issues and varied ways to approach them. Questions and discussion on the presented topics and any other obstetric dilemmas are encouraged. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » See page 8 Obstetrical Category 4 Discuss advanced concepts to manage common problems faced by pregnant women Discuss the most recent controversies and emerging issues in obstetric management Discuss management of various aspects of high risk pregnancies Formulate practical plans for the management of common obstetrical problems using evidence-based approaches and ACOG guidelines SU602 First Trimester Ultrasound— Everything You Wanted or Needed to Know Room 178A Jacques S. Abramowicz, MD, Wayne State University, Detroit, Michigan James M. Shwayder, MD, University of Mississippi, Jackson, Mississippi Ilan E. Timor, MD, New York University, New York, New York When all major organs are formed, susceptibility to external teratogenic exposure is greatest in early gestation, specifically the first trimester. The goal of this course is to familiarize the clinician with the role of ultrasound in the first and early second trimester by addressing various topics. Twin gestations, uterine and ovarian tumors, and normal and abnormal anatomy in the early fetus will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: POSTGRADUATE COURSES » Incorporate ultrasound in the assessment of early pregnancy, including ectopic location » Describe the role of ultrasound in aneuploidy screening tests in the first trimester » Enumerate advantages of early anatomy scanning GYNECOLOGY SU603 Advanced Surgery for Pelvic Floor Dysfunction and Benign Gynecology Room 180 Cheryl B. Iglesia, MD, MedStar Washington Hospital Center/Georgetown University Hospital, Washington, DC Tommaso Falcone, MD, Cleveland Clinic Foundation, Cleveland, Ohio Rebecca G. Rogers, MD, University of New Mexico Health Sciences Center, Albuquerque, New Mexico This course will discuss our current evidence-based understanding of the pathophysiology, evaluation, and surgical management of pelvic floor dysfunction. Lectures and videos will be used to describe and demonstrate the surgical management of urinary incontinence, uterine and vaginal prolapse, and fecal incontinence. 24 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists SUNDAY COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify the anatomy of the pelvic floor and pelvic sidewalls as it relates to surgical planning » Discuss how to examine a patient with urinary incontinence and pelvic organ prolapse and the testing used for diagnosis and treatment of pelvic floor disorders » Outline surgical approaches for treatment of endometriosis, leiomyomata, and adnexal masses » Illustrate which surgical procedures are effective for the treatment of anterior, apical, and posterior compartment defects and the principles of common surgical approaches for correction of these defects » Minimize complications of these procedures » Demonstrate the process of integration of surgical innovations into routine practice » Perform the appropriate and best surgical procedure for the individual patient SU604 Laparoscopic Hysterectomy: Illustrative Video Tutorial of Total Laparoscopic Hysterectomy (TLH) and Laparoscopic Supra-cervical Hysterectomy (LSH) Michael P. Traynor, MD, Northwest Kaiser Permanente, Portland, Oregon Cameron Haugen, MD, Kaiser Permanente— Salmon Creek, Vancouver, Washington Kevin S. Overbeck, MD, Northwest Kaiser Permanente, Portland, Oregon Room 181BC The course will be an illustrative video course designed for the gynecologist looking to offer their patients TLH and LSH as a surgical option. The discussion will examine the accumulating field of clinical evidence surrounding these procedures as well as some of the controversies. Special emphasis will be given to reviewing the indications and contraindications, necessary equipment, entry technique, optimal trocar placement, and different electrosurgical modalities that may be employed. A detailed overview of the technique of performing a TLH and LSH will be discussed and multiple case videos shown. Extensive and detailed video illustration will be an integral part of the presentation and will also be employed to highlight laparoscopic suturing, specimen morcellation, as well as surgical pearls for challenging patients and pathology. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify the fundamentals of laparoscopic hysterectomy, the most recent clinical evidence (2013 & 2014) surrounding the procedure, the indications, contraindications, ACOG and AAGL recommendations » Discuss the essential superficial and laparoscopic pelvic anatomy encountered as well as the primary and alternative site entry techniques with optimal trocar placement » Outline the options for equipment and electrosurgical instrumentation as well as the fundamental skills necessary to complete a laparoscopic hysterectomy including laparoscopic dissection, hemostasis, colpotomy, morcellation, and suturing » Review in detail both the basic procedural technique involved in performing a laparoscopic hysterectomy as well as more advanced video instruction with “tips and tricks” for some of the more challenging patients (prior surgeries, obesity) and pathology (endometriosis, leiomyoma) that may be encountered » Efficiently optimize peritoneal access, surgical exposure, and the visualization necessary to perform the common as well as the significantly challenging laparoscopic hysterectomy » Review the literature surrounding complications and their clinical presentation as well as how to employ an effective strategy to prevent and, if necessary, manage some of the more common complications associated with laparoscopic hysterectomy 2014 Annual Clinical Meeting facebook.com/acognational POSTGRADUATE COURSES 25 SUNDAY 8:15 AM – 5:00 PM POSTGRADUATE COURSES See page 8 Office Practice Categories 15-16 SU605 Advancements in Vulvar and Vaginal Diseases Room 187AB Hope K. Haefner, MD, University of Michigan Center for Vulvar Diseases/University of Michigan Health System, Ann Arbor, Michigan Libby Edwards, MD, Carolinas Medical Center, Waxhaw, North Carolina David Scott Miller, MD, University of Texas Southwestern Medical Center, Dallas, Texas Vulvar and vaginal conditions are frequently encountered in the care of women. Diagnosis and management of vulvodynia, vaginitis, squamous intraepithelial lesions, and cancer will be discussed. Medical and surgical therapies for a variety of vulvovaginal diseases will be addressed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Evaluate vulvodynia » Diagnose vulvovaginal disorders » Apply contemporary therapeutic medical and surgical interventions to a variety of vulvovaginal conditions SU606 Surgical Approaches to Minimally Invasive Hysterectomies Room 176C Kathy Huang, MD, Flushing, New York Ted Lee, MD, Magee Womens Hospital, Pittsburgh, Pennsylvania Andrew I. Sokol, MD, Washington, DC Course introduction: Franklin D. Loffer, Medical Director, AAGL This course provides a unique opportunity to understand the essentials of minimally invasive hysterectomy, as well as provide current evidence and recommendations regarding laparoscopic, robotic and vaginal hysterectomy. The program will consist of a series of didactic lectures to establish the key steps in converting your open abdominal hysterectomies into minimally invasive hysterectomies. Each approach of hysterectomy will be broken down to simple and reproducible steps. We will also address proper patient selection, surgical approach and how to implement them safely and cost effectively. COURSE OBJECTIVES POSTGRADUATE COURSES At the end of this course, the participant should be able to: » » » » Assess the most appropriate approach to minimally invasive hysterectomy Describe the surgical techniques involved in minimizing the vaginal cuff dehiscence Discuss the evidence regarding prophylactic salpingectomy Discuss the evidence regarding cystoscopy after hysterectomy and diagnose inadvertent bladder and ureteral injury » Discuss the evidence regarding same day discharge » Describe the surgical approach for large uteri 26 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists SUNDAY PRACTICE SU607 Breast Care in 2014: A Toolkit for the Practicing Ob-Gyn Room 178B Mark D. Pearlman, MD, University of Michigan Health Systems, Ann Arbor, Michigan Jennifer Lynn Griffin Miller, MD, University of Nebraska Medical Center, Omaha, Nebraska Elizabeth Riley Keeler, MD, Anderson Hospital, University of Texas, Houston, Houston, Texas This course is designed for the practicing Ob-Gyn and covers all relevant aspects of care related to diseases of the breast, including ordering breast cancer screening in average and high-risk women; useful strategies and tools for identifying high risk women; breast disease during pregnancy; management of BRCA mutation carriers; gyn aspects of breast cancer management including both menopausal management and complications of adjuvant hormonal therapy. The course will also touch on evaluation of breast masses, nipple discharge, breast pain, and breast inflammation. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Screen and identify women at high risk for breast cancer and develop a breast cancer screening plan for women at average- or high-risk for breast cancer » Develop evidence-based management strategies for evaluation and diagnosing women who present with a variety of breast complaints, including: breast masses, nipple discharge, breast pain, abnormal breast imaging, inflammatory disorders » Provide comprehensive gynecologic care for women with breast cancer » Counsel about future pregnancies » Manage gynecologic complication of hormonal adjuvant therapies (e.g., tamoxifen, aromatase inhibitors) » Develop non-hormonal management plans for breast cancer survivors with menopausal symptoms » Appropriately screen women at risk for carrying BRCA gene mutations, appropriately refer these women for genetic testing, and incorporate appropriate screening and risk reduction methods for both breast and ovarian cancer into practice SU608 Menopause and Hormone Therapy: Reevaluating the Evidence and Looking Toward the Future Room 175 Hugh Smith Taylor, MD, Yale University School of Medicine, New Haven, Connecticut POSTGRADUATE COURSES Lubna Pal, MD, Yale University School of Medicine, New Haven, Connecticut Joann V. Pinkerton, MD, University of Virginia, Charlottesville, Virginia This course will take an innovative approach to learning about the common disorders that affect women at midlife and after menopause. By taking a “life cycle” approach, latent disease will be described, along with its genetic underpinnings and/or behavioral correlates. Mental health, cardiometabolic disease, bone health and cancer will be covered, as they are the most common problems encountered by menopausal women. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Identify options for preservation of bone in menopausal women Discuss metabolic effects of menopause Discuss hormones and the heart: the timing hypothesis Discuss estrogens and progestins and breast health: Is there a safe way to administer menopausal hormone therapy » Discuss sexuality in the menopause » Discuss SERMs and TSECs: The Future of Hormone Therapy 2014 Annual Clinical Meeting facebook.com/acognational 27 SUNDAY 8:15 AM – 5:00 PM (LUNCH PROVIDED) HANDS-ON COURSES GYNECOLOGY HO604 Advancing Your Skills in Operative and Office Hysteroscopy Lecture: Room 470A Lab: Room 470B Andrew Ian Brill, MD, Center for Advanced Surgical Options in Gynecology, California Pacific Medical Center, San Francisco, California Amy Lynn Garcia, MD, Albuquerque, New Mexico Malcolm Gordon Munro, MD, David Geffen School of Medicine at UCLA, Los Angeles, California Resad Pasic, MD, University of Louisville, Louisville, Kentucky This course provides practical guidance using didactics and hands-on instruction necessary to perform hysteroscopic procedures safely and efficiently. This course offers essential instruction, tools and information needed to begin or enhance a comprehensive hysteroscopy practice. Patient counseling, informed consent and documentation of procedures are discussed. Office use of local anesthesia and oral medication for hysteroscopic procedures is examined in detail. Videobased didactics address specific operative hystereroscopic procedures including tips, tricks and troubleshooting techniques and identification and management of complications. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Appropriately counsel patients regarding in-office hysteroscopic procedures, obtain informed consent and document procedures correctly » Acquire, set-up and maintain equipment and supplies needed for office hysteroscopic procedures » Use cervical anesthesia, oral and injectable medication effectively for patient comfort with office hysteroscopic procedures » Utilize operative hysteroscopy for biopsy, polypectomy, myomectomy, metroplasty, sterilization and IUD removal » Discern new technologies for hysteroscopic morcellation of polyps and myomas PRACTICE (8:15 AM – 12:00 PM) HO302 Medical Apps in Practice Room 476 Anthony L. Shanks, II, MD, Washington University, Saint Louis, Missouri Kenan R. Omurtag, MD, Saint Louis, Missouri This course will discuss the use of portable medical devices (iPads, iPhones) in the workplace. The speakers will describe the evolution of these devices as well as what devices are currently being utilized in the clinical and educational arena. There will also be a visual tutorial on the best and most commonly used apps in obstetrics and gynecology. HANDS-ON COURSES COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the evolution of medical apps in the workplace » Evaluate the utility of an app (should I download this or not?) » Use the most common apps 28 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists Attention Junior Fellows: SAVE THE DATE! Junior Fellow Sunday! SUNDAY NEW this year! Two programs designed especially for Junior Fellows will be offered on Junior Fellow Sunday, April 27th Seminar: American Board of Obstetrics and Gynecology (JF01) 8:15 am – 12:15 pm ABOG Information for taking the Exams Gilstrap,III, Kenneth Noller, and Larry C. Gilstrap, MD, MD, Kenneth Noller, MDMD and George Wendel, MD What to expect when taking the board exams Recommended study preparations Sample Questions The Dr. Scott and The Honorable Dr. Nan Hayworth (JF02) Junior Fellow Course: Life After Residency…Transitioning from Training to Practice 12:15 pm – 12:30 pm Welcome and Introduction to ACOG Meadow Good, DO Chair, Junior Fellow Congress Advisory Council 12:30 pm – 1:30 pm Roundtable Luncheon 1:30 pm - 3:00 pm Contracts and Business of Medicine Stephen H. Kaufman Offit│Kurman, Attorneys at Law 3:00 pm - 3:15 pm BREAK 3:15 pm – 4:15 pm Pelvic Anatomy Marlene Corton, MD 4:15 pm – 4:45 pm Oral Board Hygiene: Cleaning Up your Case List Luke Newton, MD Immediate Past Chair, Junior Fellow Congress Advisory Council HELD AT THE CONVENTION CENTER ROOM 184BCD Register today to reserve your spot! 2014 Annual Clinical Meeting For more information, contact ACOG’s Department of Junior Fellow Services at 202/863-2561 or visit www.acog.org facebook.com/acognational 29 SUNDAY 2014 Medical Student Events April 27 - 29, 2014 C h i c a g o, I l l i n o i s Fourth Year (ONLY) First, Second, and Third Year Medical Student Events: Medical Student Events: “Step Up to Residency” CREOG/APGO Program* MSC02 Sunday, April 27 The M. Gibbons, Jr., Student MedicalLecture: Student Lecture JohnJohn M. Gibbons Medical Ob-Gyn as a Career OB/Gyn as a Career 1:00 PM 1:oo PM––4:30 4:30PM PM ROOM 185ABCD *Attendees will receive a certificate of attendance that lists skills necessary to begin their first year of residency. Sunday, April MSC01 Sunday, April27 7 Step Up to Residency Course and Didactics 8:30 9:00 AM AM––5:00 4:30PM PM ROOM 186 MCCORMICK PLACE™ WEST BUILDING Monday, April 28 MSH01 Step Up to Residency Simulation Lab 11:00 AM - 1:00 PM SWISSHOTEL ZURICH BALLROOM SALON D MCCORMICK PLACE™ WEST BUILDING MSRT1 Monday, April 28 Workshop 1 Roundtable Discussion: Finding the Right Shoe and CV Personal Statement 11:00 AM – 1:00 PM SWISSHOTEL ZURICH BALLROOM SALON E Workshop 2 Hands-On Skills Lab MSH02 2:00 PM – 5:00 PM SWISSHOTEL ZURICH BALLROOM SALON D Medical Students Welcomed Events: AllALL Medical Students are Encouraged to Attend EV06 Monday, April 28 Medical Student Reception 5:30 PM – 7:00p PM MSRF1 Tuesday, April 29 Medical Student Residency Fair 1:00 PM – 4:00 PM BOTH HELD IN: RIVERWALK HALL A SHERATON CHICAGO HOTEL & TOWERS 30 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists 2014 Annual Clinical Meeting facebook.com/acognational 31 MONDAY MONDAY APRIL 28 AT-A-GLANCE 7:00 AM Registration Open (closes at 5:00 PM) 8:30 AM Opening Ceremonies 8:45 AM to 10:30 AM Presidents Program The Samuel A. Cosgrove Memorial Lecture “Human Rights and Women’s Health in the 21st Century” BALLROOM ABC The Anna Marie D’Amico Lecture “The Developmental Origins of Health and Disease (DOHaD) Challenge” BALLROOM ABC COLLOQUIA CLINICAL SEMINARS 10:30 AM Exhibit Hall Opens (closes at 5:00 PM) 10:45 AM to 11:45 AM Clinical Seminars (CMA) OBSTETRICS Coming Full Circle: Inherited Thrombophilias During Pregnancy GYNECOLOGY PRACTICE The Future of Treating Prolapse CMA04, ROOM 181BC Hot Topics in Immunization: Cancer Prevention and Neonatal Protection iCMA11, ROOM 475A Inherited Breast and Gynecologic Cancer: What is New for 2014? Digital and Social Media in Medical Practice CMA12, ROOM 474A CMA01, ROOM 184BC LUNCH AND LEARN CMA05, ROOM 176AB Impact of Smoking in Women and Role of Smoking Cessation Activities CMA02, ROOM 178B LUNCH WITH THE EXPERTS Sexuality in the Elder Woman Perfecting Your Presentations CMA06, ROOM 178A CMA13, ROOM 184D Managing Infertility Without IVF: The Old Fashioned Way Ob-Gyn Hospitalists and Evidence to Date CMA14, ROOM 187AB MIS and Robotics Programs: Setting up for Success Hereditary Cancer Syndromes and the Obstetrician-Gynecologist Contraception: What You Need to Know in 2014 iCMA09, ROOM 180 New Pap Test and Management Guidelines: Navigating 2012 and 2013 Practice Guidelines from the College and ASCCP iCMA16, ROOM 175 CMA07, ROOM 179 CMA08, ROOM 185A POSTGRADUATE COURSES LARC in 2014: Getting the Most from IUDs and Implants iCMA03, ROOM 470B The Jim and Midge Breeden Lecture “From Silent Spring to Slient Night: The Impact of the Environment on Reproductive Health” BALLROOM ABC CMA15, ROOM 471B The Pelvic Mass: Strategies for Providing Optimum Care and Avoiding Nasty Surprises iCMAI0, ROOM 186 POSTERS & FILM FESTIVAL 12:15 PM to 1:30 PM Lunch and Learn Seminars (LLM) OBSTETRICS The OB’s Guide to Bereavement and Aftercare for Stillbirth LLM01, ROOM 475A 32 GYNECOLOGY Laparoscopic Pearls LLM04, ROOM 470B Maintaining Midlife Mood, Mind, and Memory: Therapeutic Options LLM05, ROOM 470A Cesarean Epidemic: Etiologies, Outcomes, and Potential Solutions LLM02, ROOM 471B Contemporary Cervical Cancer Screening and Management of Abnormal Cytology and HPV Results LLM06, ROOM 474A To be a Fetus: Management of Twin Pregnancies LLM03, ROOM 471A Reproductive Health and the Environment LLM08, ROOM 475B twitter.com/acognews | #ACOG14 Hysteroscopy for Treating Female Subfertility LLM07, ROOM 474B The American College of Obstetricians and Gynecologists AT-A-GLANCE MONDAY MONDAY APRIL 28 12:15 PM Lunch with the Experts (LM) (see page 43) 1:45 PM The John I. Brewer Memorial Lecture “Cervical Cancer Screening” 2:00 PM to 5:00 PM Postgraduate Courses (MN) OBSTETRICS GYNECOLOGY PRACTICE Updates in Perinatal Screening and Prenatal Testing MN301, ROOM 470B Update in Gynecologic Oncology and the Impact for the Practicing Gynecologist MN304, ROOM 471A Primary Care Aspects for Women —Part 1 MN308, ROOM 184A Update in Critical Care Medicine Relevant for the Generalist’s Practice: Why and What You Need to Know! MN302, ROOM 470A Infectious Diseases for the Expert Ob-Gyn MN305, ROOM 185A The Biologic and Psychosocial Principles of Female Sexuality Obesity in Pregnancy Evidence-Based Update on Menopause and Hormone Therapy MN306, ROOM 176AB MN303, ROOM 471B COLLOQUIA MN309, ROOM 474A PRACTICE MANAGERS CLINICAL SEMINARS What Today’s Healthcare Landscape Means to your Practice Breast Cancer Survivorship: Gynecologic Issues and Answers MN310, ROOM 176C MN307, ROOM 476 2:30 PM Film Festival (see page 52) 2:30 PM to 3:30 PM Clinical Seminars (CMP) OBSTETRICS LUNCH AND LEARN GYNECOLOGY PRACTICE The Anomalous Fetus: Prenatal Care CMP17, ROOM 184D Pain Management of Office Based Gynecological Procedures CMP23, ROOM 181BC Are You Prepared? Use Business, Technology, and Social Media Tools to Sustain and Grow Your Practice! CMP27, ROOM 178A Neonatal Brachial Plexus Palsy (NBPP): ACOG Multidisciplinary Expert Consensus on Incidence, Pathophysiology and Management Considerations Quality Assessment in Endoscopic Surgery CMP24, ROOM 178B How to Become a Reviewer for the Green Journal CMP28, ROOM 475A Breastfeeding: Mainstays and Myths Medical Management of Spontaneous and Elective Abortion CMP25, ROOM 184BC YOUR FINANCIAL APGAR Vulvar Diseases: What Do You Know? CMP26, ROOM 179 Medical Errors CMP30, ROOM 185D LUNCH WITH THE EXPERTS POSTGRADUATE COURSES CMP18, ROOM 180 CMP19, ROOM 187AB Update on Management of Abnormal Placentation CMP29, ROOM 186 POSTERS & FILM FESTIVAL CMP20, ROOM 185BC Cervical Insufficiency and Treatment: An Evidence-Based Review CMP21, ROOM 175 reVITALize Obstetric Data Definitions CMP22, ROOM 475B Innovations in Surgery CMP32, ROOM 474B 2:50 PM The Donald F. Richardson Memorial Lecture “Facilitating Vaginal Surgery with Surgical Innovation and Techniques” 3:45 PM Poster Session (see page 59) 4:00 PM The March of Dimes Annual Lecture “Preventing Preterm Birth: Recent Progress and Future Directions” 2014 Annual Clinical Meeting facebook.com/acognational 33 MONDAY 8:30 AM – 10:30 AM COLLOQUIA OPENING CEREMONIES 8:30 AM – 8:45 AM Jeanne A. Conry, MD, PhD Presiding President Michael Lee Socol, MD, Local Host Welcome Remarks COLLOQUIA Frédéric Debieve, MD, PHD Royal Belgian Society of Obstetrics and Gynecology Laurie J. McKenzie, MD and John Yeh, MD, Co-Chairs Committee on Scientific Program Introduction of Officers PRESIDENT’S PROGRAM The Samuel A. Cosgrove Memorial Lecture “Human Rights and Women’s Health in the 21st Century” Lesley Regan, MD, Imperial College at St. Mary’s Hospital, London, United Kingdom Ballroom ABC 8:45 AM Introduced by: Jeanne A. Conry, MD, PhD, Presiding President COURSE OBJECTIVES At the end of this course, the participant should be able to: » Delineate the rights women have to healthcare, both preventive and therapeutic » Describe the challenges of different cultures in providing global programs on healthcare 34 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY 1:45 PM – 5:00 PM COLLOQUIA PRESIDENT’S PROGRAM The Anna Marie D’Amico Lecture “The Developmental Origins of Health and Disease (DOHaD) Challenge” Professor Mark Hanson, MD, University of Southhampton, Southhampton, United Kingdom Ballroom ABC 9:30 AM Introduced by: Jeanne A. Conry, MD, PhD, Presiding President COURSE OBJECTIVES At the end of this course, the participant should be able to: COLLOQUIA » Explain the relevance of the DOHaD concept to the global epidemic of non-communicable disease (NCD) » Provide insight into the mechanisms, especially those involving epigenetic processes, by which early life environment influences later NCD risk » Discuss the role played by the O&G community—it championing interventions pre-conception, in pregnancy and in infants and children to reduce the global burden of NCDs PRESIDENT’S PROGRAM The Jim and Midge Breeden Lecture “From Silent Spring to Silent Night: The Impact of the Environment on Reproductive Health” Tyrone Hayes, MD, Oakland, California Ballroom ABC 10:00 AM Introduced by: Jeanne A. Conry, MD, PhD, Presiding President COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe environmental changes over years » Explain the effects of environmental toxins on reproductive function First Place Prize Paper A Solution for Dyspareunia in Breast Cancer Survivors—A Randomized Controlled Study Martha F. Goetsch, MD, MPH, Oregon Health and Science University, Portland, Oregon Aaron B. Caughey, MD, PhD; Jeong Y. Lim, PhD 1:45 PM The John I. Brewer Memorial Lecture “Cervical Cancer Screening” Michael Maxwell Frumovitz, MD, The University of Texas MD Anderson Cancer Center, Houston, Texas ORAL PAPERS Ballroom ABC 1:55 PM Introduced by: Laurie J. McKenzie, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » 2014 Annual Clinical Meeting Discuss the appropriate preoperative evaluation of adnexal masses in pregnant and non-pregnant women Discuss the strengths and weaknesses of the multiple preoperative screening tests for ovarian cancer Determine which patients might best be triaged to a gynecologic oncologist Summarize limited staging procedures if a malignancy is unexpectedly encountered intraoperatively facebook.com/acognational 35 MONDAY 8:30 AM – 10:30 AM COLLOQUIA GYNECOLOGY Paper Does Prior Vaginal Prolapse Surgery Affect Synthetic Mesh Erosion Rates? 2:50 PM Nicholas Kongoasa, MBChB, Saint Peter’s University Hospital, New Brunswick, New Jersey Kirtanna Voralu, MS; Mark Mokrzycki, MD The Donald F. Richardson Memorial Lecture “Facilitating Vaginal Surgery with Surgical Innovation and Techniques Rosanne M. Kho, MD, Mayo Clinic Arizona, Phoenix, Arizona Ballroom ABC 3:00 PM COLLOQUIA Introduced by: Daniel M. Breitkopf, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Define a new patient selection criteria for the vaginal approach » Outline the major challenges to the vaginal approach » Articulate different surgical devices and techniques to overcome the challenges to the approach Paper The Association Between Second Trimester Weight Gain and Preterm Birth in Twin Pregnancies 4:00 PM The March of Dimes Annual Lecture “Preventing Preterm Birth: Recent Progress and Future Directions” Kate E. Pettit, MD, University of California, San Diego, San Diego, California David, Schrimmer, MD; Hedaya Alblewi; Thomas R. Moore, MD; Yvette Lacoursiere, MD, MPH; Gladys A. Ramos, MD George Andrew Macones, MD Washington University, Saint Louis, Missouri Ballroom ABC 4:10 PM Introduced by: J. Kell Williams, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the changing rate of preterm birth and its impact on healthcare » Describe treatment options for preterm birth and the studies available to assess outcome ORAL PAPERS 36 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY 10:45 AM – 11:45 AM CLINICAL SEMINARS “i” DENOTES AUDIENCE RESPONSE SYSTEM, AN INTERACTIVE CLINICAL SEMINAR. OBSTETRICS CMA01 Coming Full Circle: Inherited Thrombophilias During Pregnancy David E. Abel, MD, Prenatal Diagnosis Center of Northern California, Sacramento, Califo Room 184BC This course will discuss when thrombophilia testing is indicated and when anticoagulation is warranted. The recent ACOG guidelines will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Individualize management of the patient with an inherited thrombophilia » Discuss the association between thrombophilias and risk of thromboembolism during pregnancy » Discuss the lack of data supporting a relationship between adverse perinatal outcomes and inherited thrombophilias See page 8 Office Practice Category 2 CMA02 Impact of Smoking in Women and Role of Smoking Cessation Activities CLINICAL SEMINARS Byron C. Calhoun, MD, West Virginia University— Charleston, Charleston, West Virginia Room 178B The course will describe how to initiate a successful tobacco cessation in pregnancy using simple, inexpensive, and available resources. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss tobacco abuse in pregnancy » Identify the resources available for tobacco cessation/reduction » Initiate a program for tobacco cessation/reduction INTERACTIVE » iCMA03 LARC in 2014: Getting the Most from IUDs and Implants Rameet H. Singh, MD, University of New Mexico, Albuquerque, New Mexico Room 470B This course describes candidates for IUDs and implants, in addition to the timing of insertion that is most appropriate. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe candidates for IUDs and implants and appropriate timing of insertion » List strategies to optimize initiation and continuation » List barriers to contraceptive use GYNECOLOGY CMA04 The Future of Treating Prolapse Royal Belgian Society of Obstetrics and Gynecology Ann Pastijn, MD, Bruxelles, Belgium Room 181BC Perspectives on how to treat prolapse in the future will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify which place mesh surgery takes in treating prolapse » Determine if incontinence surgery can be performed concomitantly with prolapse surgery 2014 Annual Clinical Meeting facebook.com/acognational 37 MONDAY 10:45 AM – 11:45 AM CLINICAL SEMINARS See page 6-7 CMA05 Inherited Breast and Gynecologic Cancer: What is New for 2014? Noah D. Kauff, MD, Memorial Sloan-Kettering Cancer Center, New York, New York Room 176AB Using both a didactic and case-based format, current approaches for hereditary cancer risk assessment and management will be presented and discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Implement current ACOG and National Comprehensive Cancer Network guidelines to identify women who should be considered for hereditary cancer risk assessment » Choose among available options for the management of women with an inherited predisposition towards breast and/or gynecologic cancer CMA06 Sexuality in the Elder Woman Room 178A CLINICAL SEMINARS Michael L. Krychman, MD, Southern California Center for Sexual Health and Survivorship, Newport Beach, California We present a framework for understanding and approaching sexuality and sexual expression in the elder women, in terms of capacity, attitude, opportunity, health status, and expectations. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Formulate an action plan to address sexual activity in the elder women through the following steps: » Legitimize the elder patient’s sexuality, sexual desire, and changing sexual expressions » Debunk myths, stereotypes, and mitigating societal expectations of the elder woman’s sexuality, to include culture and ethnicity, life events and transitions, changing hierarchy of needs, and adult children’s expectations of their parents » Integrate the physiology and pathophysiology of aging, with underlying clinical, psychological, and emotional disorders, including the effect of associated treatments and medications » Incorporate the elder woman’s living, environmental and social factors that affect her sexual expressions and activities, e.g., with or without a partner, living at home, or under supervised care, etc. » Educate the patient, her partner, her children, and non-family caregivers about what/what not to expect See page 8 Office Practice Category 8 CMA07 Managing Infertility Without IVF: Jani R. Jensen, MD, Mayo Clinic, Rochester, Minnesota The Old Fashioned Way Room 179 In this course, you will learn how generalist Ob-Gyns and women’s health providers can efficiently complete an infertility evaluation and initiate treatment that will help many couples conceive. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify which couples need fertility evaluation and know how to complete the work-up » Initiate and monitor fertility treatments » Discuss success rates and risks associated with fertility therapies See page 8 Gynecology Category 1 CMA08 MIS and Robotics Programs: Setting up for Success Room 185A Charles R. Rardin, MD, Women & Infants Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island This course will review and discuss program infrastructure for a Minimally Invasive and Robotic Surgery program to enhance patient safety, surgical efficacy, and regulatory structures. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the particular complexities of credentialing a robotic surgical service » Identify a variety of programmatic construction to support surgeons, staff and patients, and maximize patient outcomes 38 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY INTERACTIVE » iCMA09 Contraception: What You Need to Know in 2014 Room 180 See page 8 Office Practice Category 4 Eve Espey, MD, MPH, University of New Mexico School of Medicine, Albuquerque, New Mexico Tony Ogburn, MD, University of New Mexico School of Medicine, Albuquerque, New Mexico This course will cover practice and reimbursement issues related to contraception and approaches to promote more effective contraceptive use. It will also discuss changes under the Affordable Care Act. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the factors that contribute to unintended pregnancy in the United States » Utilize the CDC U.S. Medical Eligibility Criteria for contraceptive use and Specific Practice Recommendations (SPR) » Identify optimal strategies for contraceptive counseling, Long Acting Reversible Contraceptives (LARCs), emergency contraception, and coding/billing for contraceptives, and changes under the ACA See page 8 Office Practice Category 27 INTERACTIVE » iCMA10 The Pelvic Mass: Strategies for Providing Optimum Care and Avoiding Nasty Surprises Room 186 Michael M. Frumovitz, MD, The University of Texas MD Anderson Cancer Center, Houston, Texas David M. Borata, MD, Massachusetts General Hospital, Boston, Massachusetts Encountering an unexpected ovarian cancer intraoperatively is a gynecologist’s nightmare. This course will discuss the preoperative evaluation of adnexal masses. CLINICAL SEMINARS COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Undertake appropriate preoperative evaluation of adnexal masses in pregnant and non-pregnant women List the strengths and weaknesses of the multiple preoperative screening tests for ovarian cancer Determine which patients might best be triaged to a gynecologic oncologist Safely perform limited staging procedures if a malignancy is unexpectedly encountered intraoperatively PRACTICE See page 6-7 See page 8 Office Practice Category 21 iCMA11 Hot Topics in Immunization: Cancer Prevention and Neonatal Protection Room 475A Kevin A. Ault, MD, Emory University School of Medicine, Atlanta, Georgia Anne Schuchat, MD, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia The current ACOG and CDC recommendations for this vaccine will be discussed, along with recent changes in recommendations for influenza and pertussis vaccination during pregnancy. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify current recommendations for the use of the HPV vaccine in adolescent and adult women » Discuss common barriers to HPV vaccinations » Identify the rationale for routine influenza and pertussis immunization of pregnant women See page 6-7 CMA12 Digital and Social Media in Medical Practice Room 474A Nathaniel G. DeNicola, MD, Perelman School of Medicine/University of Pennsylvania, Philadelphia, Pennsylvania This course details the precautions necessary for physicians to protect their online liability and exposure. Technologic competency for physicians to enhance the value of their practice will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: 2014 Annual Clinical Meeting » Define social media terminology such as a personal profile, professional profile, and a professional web page, as well as gain fluency in the professional use of social media outlets including Facebook, Twitter, and LinkedIn » Monitor an individual or organization’s online exposure: including identification of high-risk social media behavior, defining the components of a digital profile/footprint, and discuss liability from legal precedents related to digital content » Identify examples of digital and social medical in medical research and use professional social networks for scholarly pursuits and political advocacy facebook.com/acognational 39 MONDAY 10:45 AM – 11:45 AM CLINICAL SEMINARS CMA13 Perfecting Your Presentations See page 6-7 Room 184D Roger P. Smith, MD, Indiana University School of Medicine, Indianapolis, Indiana The best topic on the program can be ruined through poor planning and presentation skills. This course will help you hone these skills and be able to teach them to others. COURSE OBJECTIVES At the end of this course, the participant should be able to: » List strategies for producing an effective presentation » Outline manageable objectives for a typical presentation » Describe physical skills that will enhance presentation effectiveness CMA14 Ob-Gyn Hospitalists and Evidence to Date Room 187AB Jennifer A. Tessmer-Tuck, MD, North Memorial Medical Center Laborist Associates, Robbinsdale, Minnesota Brigid K. McCue, MD, Jordan Hospital, Hanover, Massachusetts The Ob-Gyn hospitalist is a relatively new addition to patient care during labor and delivery. You will learn about the evidence to date for Ob-Gyn hospitalist care. CLINICAL SEMINARS COURSE OBJECTIVES At the end of this course, the participant should be able to: » Cite published evidence to date regarding Ob-Gyn hospitalist quality and safety outcomes » Identify published evidence to date regarding patient satisfaction with hospitalist models of care » Explain published evidence to date regarding physician satisfaction with hospitalist models of care and potential roles of the Ob-Gyn hospitalist in addressing future staffing issues for our specialty INTERACTIVE » iCMA15 Hereditary Cancer Syndromes and the ObstetricianGynecologist Room 471B Myra J. Wick, MD, Mayo Clinic and Foundation; Rochester, Minnesota Andrew F. Wagner, MD, Oklahoma University Health Science Center, Oklahoma City, Oklahoma The Ob-Gyn plays a critical role in hereditary cancer screening, hereditary breast and ovarian cancer syndrome (HBOC, BRCA1/2 mutations) and Lynch Syndrome. We will review clinical features, genetics, testing and screening for these syndromes using a case-based, informal format. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Review history taking in the Ob-Gyn clinic » Discuss two hereditary cancer syndromes encountered by the Ob-Gyn: Hereditary Breast and Ovarian Cancer (BRCA1/2) and Lynch Syndrome » Discuss cancer panel testing INTERACTIVE » iCMA16 New Pap Test and Management Guidelines: Navigating 2012 and 2013 Practice Guidelines from the College and ASCCP Room 175 Alan G. Waxman, MD, MPH, University of New Mexico School of Medicine, Albuquerque, New Mexico Teresa M. Darragh, MD, University of California at San Francisco, San Francisco, California This interactive session will use patient cases to discuss evidence-based management and highlight the recommended changes to clinical practice based on 2 published practice bulletins. COURSE OBJECTIVES At the end of this course, the participant should be able to: 40 » Compare the 2012 ACOG guidelines for cervical cytology screening with recommendations from the U.S. Preventive Services Task Force and the American Cancer Society » Discuss new ASCCP management guidelines for women with abnormal Pap and biopsy results » Review the uses and misuses of HPV DNA testing in cervical cancer screening » Base clinical management on new histopathology terminology recommended by ASCCP and the College The American College of Obstetricians and Gynecologists of American Pathologists MONDAY 12:15 PM – 1:30 PM LUNCH AND LEARN SEMINARS Dining options are limited at the convention center. We strongly recommend participating in one of these luncheon sessions. OBSTETRICS LLM01 The OB’s Guide to Bereavement and Aftercare for Stillbirth Rana S. Berry, MD, Indiana University School of Medicine, Indianapolis, Indiana Room 475A We will discuss prevalence of stillbirth and aftercare for bereaved families. The five stages of grief and the eight concepts of companioning in perinatal loss will be presented. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify the prevalence and basic associations of stillbirth » Discuss the importance of companioning and memory-making in perinatal bereavement » Feel empowered to partner with patients to overcome the challenges of handling this tragedy See page 8 Obstetrical Category 28 LLM02 Cesarean Epidemic: Etiologies, Outcomes, and Potential Solutions Aaron B. Caughey, MD, Oregon Health & Science University, Portland, Oregon Room 471B We will discuss current rates of cesarean, indications for cesarean, recent ACOG publications on cesarean, and how various indications for cesarean might be impacted with practice change. LUNCH AND LEARN COURSE OBJECTIVES At the end of this course, the participant should be able to: » Assess the current state of the cesarean rate in the U.S. and related morbidity and mortality » Discuss etiologies for the rise in cesareans » Incorporate approaches to reduce the cesarean rate in their own practice and health system Royal Belgian Society of Obstetrics and Gynecology LLM03 To be a Fetus: Management of Twin Pregnancies Corinne Hubinont, MD, Cliniques Universitaires Saint Luc, Brussels, Belgium Room 471A This seminar will discuss the management of twin pregnancies. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss early and accurate ultrasound assessment » Discuss prediction and prevention of complications » Discuss active management during pregnancy and delivery GYNECOLOGY LLM04 Laparoscopic Pearls See page 8 Gynecology Categories 4-5 Room 470B James Fanning, DO, Penn State University, Milton S. Hershey Medical Center, Hershey, Pennsylvania An intereactive, participant-oriented discussion of surgical techniques to assist in your laparoscopic surgical practice. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » 2014 Annual Clinical Meeting Discuss entry technique, location, and port positioning Resection adnexal masses Perform laparoscopic hysterectomy for large fibroids Specify treatment for port site bleeding and control hemorrhage facebook.com/acognational 41 MONDAY 12:15 PM – 1:30 PM LUNCH AND LEARN SEMINARS See page 8 Office Practice Category 11 LLM05 Maintaining Midlife Mood, Mind, and Memory: Therapeutic Options Erika B. Johnston-MacAnanny, MD, Wake Forest Baptist Health, Winston-Salem, North Carolina Room 470A Type, dose, and route of administration of hormone thereapy to maximize neuroperformance and neuroprotection of postmenopausal women will be discussed, including, controversies, and knowledge gaps. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Outline important effects of sex steroids upon brain Delineate biological mechanisms mediating effects of hormones upon brain Consider how the aging process modifies the effects of hormones on brain Identify what is known and not known about the neuroprotective effects of estrogens, SERMs, and progestins LLM06 Contemporary Cervical Cancer Screening and Management of Abnormal Cytology and HPV Results Lisa B. Bazzett, MD, Oschner Medical Center, New Orleans, Louisiana Room 474A LUNCH AND LEARN This session will offer a comprehensive review of the management for abnormal pap tests and cervical biopsies. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Review important changes in cervical cancer screening recommendations from the 2012 and 2013 ACS/ ASCCP/ASCP Cervical Cancer Screening Guidelines » Review important changes and updates in the management of women with abnormal cytology and HPV test results » Review briefly the future of cervical cancer screening in the U.S. Royal Belgian Society of Obstetrics and Gynecology LLM07 Hysteroscopy for Treating Female Subfertility Michelle Nisolle, MD, Bruxelles, Belgium Room 474B This seminar will detail the use of hysteroscopy for treatment of female subfertility. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the uterine causes of female subfertility » Discuss when it is necessary to perform a hysteroscopy in cases of infertility? » Discuss the management of uterine anomalies causing female subfertility? LLM08 Reproductive Health and the Environment Hugh S. Taylor, MD, Yale University School of Medicine, New Haven, Connecticut Room 475B Environmental agents are known to impact reproductive potential. They also impact the fertility of subsequent generations when exposure occurs in utero. In particular we will discuss endocrine disruptors that have a significant impact on fertility and fetal development. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss changes in the environment and how they may impact fertility » Identify endocrine disrupters and their effect on developmental programming » Review ways to mediate the risk 42 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists NEW MONDAY THIS YEAR 12:15 PM – 1:30 PM LUNCH WITH THE EXPERTS EXHIBIT HALL Small roundtable discussions Dining options are limited at the convention center. We strongly recommend participating in one of these luncheon sessions. NEW! CURBSIDE CONSULTS Bring your cases and meet with experts in subspecialties to answer your questions and “talk shop.” LM100 Consult with Maternal Fetal Medicine Experts Vincenzo Berghella, MD, President, Society of Maternal Fetal Medicine, (SMFM) LM101 Curbside Consult REI Jared C. Robins, MD, Representative, American Society of Reproductive Medicine, (ASRM) LM102 Consult with Minimally Invasive Surgery Experts Thomas G. Lang, MD, MSC, Representative, American Association of Gynecologic Laparoscopists (AAGL) LM103 Consult with Oncology Experts Eva Chalas, MD, Representative , Society of Gynecologic Oncology (SGO) LM104 Consult with Urogynecology Experts Amy E. Rosenman, MD, President Elect, American Urogynecologic Society (AUGS) SGO CONTRACEPTION/FAMILY PLANNING LM01 Controversies in Contraception Anitra D. Beasley, MD, Baylor College of Medicine, Houston, Texas LM02 Contraceptive Technology Update Pouru P. Bhiwandiwalla, MD, Gyn Center for Women, Raleigh, North Carolina LM03 Comorbidities and Contraception Frances E. Casey, MD, Virginia Commonwealth University, Richmond, Virginia LM04 Making the Connection: Reproductive Health and Partner Violence Eve Espey, MD MPH, University of New Mexico School of Medicine, Albuquerque, New Mexico LM05 Contraception in the Postpartum Period Jessica Kiley, MD, Northwestern University, Feinberg School of Medicine, Chicago, Illinois LUNCH WITH THE EXPERTS EDUCATION LM06 Outbreak Investigations and Other Exciting Opportunities for Ob-Gyn’s at the CDC Denise J. Jamieson, MD, MPH, Centers for Disease Control and Prevention, Atlanta, Georgia LM07 Global Issues and Opportunities in Women’s Health Timothy R. B. Johnson, MD, University of Michigan, Ann Arbor, Michigan 2014 Annual Clinical Meeting facebook.com/acognational 43 MONDAY 12:15 PM – 1:30 PM LUNCH WITH THE EXPERTS EDUCATION LM08 Evidence-Based Medicine on the Fly Lee A. Learman, MD, PhD, Indiana University School of Medicine, Indianapolis, Indiana LM09 History of Medicine Peter S. Marcus, MD, Bridgeport Hospital, Bridgeport, Connecticut LM10 Workforce Issues Affecting ACOG William F. Rayburn, MD, MBA, University of New Mexico, Albuquerque, New Mexico Fellows—Today and Tomorrow LM11 Creation of an Academic Hospitalist Group Laurie S. Swaim, MD, Baylor College of Medicine, Houston, Texas GYNECOLOGY LUNCH WITH THE EXPERTS LM12 Cervical Ripening and Induction Incorporating Misoprostol (Cytotec): Current Protocols and Practices LM13 Midurethral Slings and Synthetic Peter C. C. Mann, MD, Emory University School of Medicine, Atlanta, Georgia Meshes: Surgical Tips LM14 The Difficult Vaginal Hysterectomy Joseph M. Novi, DO, Riverside Methodist Hospital— OhioHealth, Columbus, Ohio LM15 Advanced Operative Laparoscopy—PEARLS Sanford S. Osher, MD, Bethesda North Hospital, Cincinnati, Ohio LM16 Alternatives to Hysterectomy John J. Sciarra, MD, Northwestern University, Chicago, Illinois LM17 Immediate Postpartum IUD Insertion Rameet H. Singh, MD, University of New Mexico School of Medicine, Albuquerque, New Mexico LM18 Screening for Breast Disease Carol S. Cox, MD, University of South Florida, Tampa, Florida E. Steve Lichtenberg, MD, Northwestern University Feinberg School of Medicine, Chicago, Illinois INFECTIOUS DISEASES LM19 44 Complicated Vulvo-Vaginitis Syndromes: How to Diagnose and Treat twitter.com/acognews | #ACOG14 Mark G. Martens, MD, Jersey Shore University Medical Center, Neptune, New Jersey The American College of Obstetricians and Gynecologists MONDAY OBSTETRICS LM20 Anticoagulation During Pregnancy David E. Abel, MD, Prenatal Diagnosis of Northern California, Sacramento, California LM21 Shoulder Dystocia: Prevention and Management Wayne R. Cohen, MD, University of Arizona College of Medicine, Tucson, Arizona LM22 Screening for Gestational Diabetes: Newer Recommendations Luis B. Curet, MD, University of New Mexico Health Sciences Center, Albuquerque, New Mexico LM23 Management of Pregnancies Complicated by a History of Preterm Birth Christina M. Davidson, MD, Baylor College of Medicine, Houston, Texas LM24 Placenta Previa with Placenta Accreta / Increta / Percreta: Preparation for Delivery Isaac Delke, MD, University of Florida College of Medicine-Jacksonville, Jacksonville, Florida LM25 First Trimester Evaluation: NIPT, Mark I. Evans, MD, Comprehensive Genetics, New York, New York CGH: Sorting the Hype From Reality LM26 Maternal Obesity and Perinatal Outcomes: Beyond the BMI Federico G. Mariona, MD, Michigan Perinatal Associates, Oakwood Health System, Dearborn, Michigan LM27 VBAC: Feasibility, Value, and the Growing Trend You Don’t Want to Miss James M. Palmer, MD, University of South Florida, Tampa, Florida LM28 Shoulder Dystocia: Protecting Your Patients and Yourself Joel I. Polin, MD, Abington Memorial Hospital, Abington, Pennsylvania LM29 Patient Safety: Focus on Obstetric Hemorrhage Howard T. Strassner, Jr, MD, Rush Medical College, Rush University Medical Center, Chicago, Illinois LM30 Perinatal Outcomes in Nutritionally Monitored Obese Pregnant Women Yvonne S. Thornton, MD, Westchester Medical Center, Valhalla, New York LM31 Emergency Cesarean: Multidisciplinary Communication and Improving Response Times Mary C. Tolcher, MD, Mayo Clinic, Rochester, Minnesota LM32 Management of Prescription Opiate Abuse During Pregnancy Tricia E. Wright, MD, University of Hawaii, Honolulu, Hawaii 2014 Annual Clinical Meeting facebook.com/acognational LUNCH WITH THE EXPERTS 45 MONDAY 12:15 PM – 1:30 PM LUNCH WITH THE EXPERTS OFFICE PRACTICE Royal Belgian Society of Obstetrics and Gynecology Royal Belgian Society of Obstetrics and Gynecology Royal Belgian Society of Obstetrics and Gynecology LUNCH WITH THE EXPERTS Royal Belgian Society of Obstetrics and Gynecology 46 LM33 The Future of the Pap Smear Kevin A. Ault, MD, Emory University School of Medicine, Atlanta, Georgia LM34 European Accreditation in Endoscopy Sophie Alexander, MD, Bruxelles, Belgium LM35 PPD Screening Camille A. Clare, MD, MPH, New York Medical College, Valhalla, New York; Metropolitan Hospital, New York, New York LM36 Improving Outcome with ART Anne Delbaere, MD, Bruxelles, Belgium LM37 Single Embryo Transfer Policy in Belgium: A Success Story Yvon Englert, MD, Cliniques Univeritaires Saint Luc, Bruxelles, Belgium LM38 Vulvar and Vaginal Atrophy: New Treatments Michael L. Krychman, MD, Southern California Center for Sexual Health and Survivorship Medicine and University of California Irvine, Irvine, California LM39 How Organized Medicine and the G. Sealy Massingill, MD, University of North Texas Health Sciences Center, Texas College of Organized Medical Staff Needs Osteopathic Medicine, Fort Worth, Texas the Ob-Gyn LM40 Medical Management of Dysplasia Giuseppe Del Priore, MD, MPH, Cancer Treatment Centers of America, Newnan, Georgia LM41 Improving the Workplace and Team Building: The Role of Conflict Styles and Influence Inventory Dotun A. Ogunyemi, MD, Cedars-Sinai Medical Center, Los Angeles, California LM42 Oral Health for Women Throughout the Lifespan Renee Samelson, MD, Westerlo, New York LM43 Recurrent and/or Difficult to Treat Vaginitis Chemen M. Tate, MD, Indiana University, Indianapolis, Indiana LM44 Screening for and Managing Substance Use in Practice (SBIRT) TBD LM45 Advances in Vaginal Microflora, Immunity, and Bacterial Vaginosis Gary Ventolini, MD, Texas Tech University Health Sciences, Odessa, Texas LM46 Treatment of Ovarian Cancer Frederic Kridelka, MD, Bruxelles, Belgium twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY ONCOLOGY LM47 Is Screening For Ovarian Cancer Really Possible? Laurel W. Rice, MD, University of Wisconsin Medical School, Madison, Wisconsin LM48 Hereditary Gynecologic Cancers Paul B. Heller, MD, Morristown Memorial Hospital, Morristown, New Jersey LM49 Management of Abnormal Cervical Cytology in 2014 Joel Sorosky, MD, Hartford Hospital, Hartford, Connecticut LM50 Bringing Back the Breast Ashley R. Stuckey, MD, Warren Alpert Medical School of Brown University, Providence, Rhode Island PRIMARY CARE LM51 Morbidly Obese Patients in an Ob-Gyn Practice: Clinical Pearls to Make Your Life Easier Robert K. Silverman, MD, SUNY-Upstate Medical University, Syracuse, New York LM52 Lipids in Women’s Health Robert A. Wild, MD, PhD, MPH, Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma LUNCH WITH THE EXPERTS REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY LM53 Epigenetics and Fetal Programming, You Are What Your Grandmother Ate Men-Jean Lee, MD, Indiana University School of Medicine, Indianapolis, Indiana LM54 Infertility Management for the Generalist: What You Need to Know Sophia Ouhilal, MD, Montreal Fertility Centre, Montreal, Quebec, Canada LM55 How to Manage Infertility in Patients with Endometriosis Ricardo J. Loret de Mola, MD, Southern Illinois University School of Medicine, Springfield, Illinois LM56 Reducing International Maternal Mortality: Lessons from Saving Mothers, Giving Life Emily E. Petersen, MD, Centers for Disease Control and Prevention, Chamblee, Georgia 2014 Annual Clinical Meeting facebook.com/acognational 47 MONDAY 2:00 PM – 5:00 PM POSTGRADUATE COURSES OBSTETRICS See page 6-7 MN301 Updates in Perinatal Screening and Prenatal Testing Room 470B Myra Jean Wick, MD, Mayo Clinic and Foundation, Rochester, Minnesota Deborah Krakow, MD, David Geffen School of Medicine at UCLA, Los Angeles, California Dawn M. Pekarek, MD, OhioHealth Maternal Fetal Medicine Physcians, Columbus, Ohio Devereux N. Saller, Jr, MD, Magee Womens Hospital/University of Pittsburgh, Pittsburgh, Pennsylvania Jerome Yankowitz, MD, University of South Florida, Tampa, Florida This course will review genetic terms/definitions, current status of non-invasive prenatal testing (NIPT) for the detection of fetal aneuploidy, chromosome microarray (CMA) and detection of copy number variants (CNV). Perinatal screening, expanded carrier screening, and newborn screening (NBS) will also be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss current status of non-invasive prenatal testing (NIPT) » Review chromosome microarray (CMA) and copy number variants (CMV) in the prenatal setting » Discuss perinatal screening, including expanded carrier screening and newborn screening MN302 Update in Critical Care Medicine Relevant for the Generalist’s Practice: Why and What You Need to Know! Carolyn M. Zelop, MD, The Valley Hospital, Ridgewood, New Jersey Luis D. Pacheco, MD, University of Texas Medical Branch, Galveston, Texas Room 470A Evolving changes in transfusion medicine learned from recent combat experience translate into a modification of the approach to massive hemorrhage. The ob-gyn’s role in the resuscitation multidisciplinary team required during cardiopulmonary arrest during pregnancy will be delineated. POSTGRADUATE COURSES COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Discuss the recent changes in principles guiding the management of hemorrhage Implement a transfusion protocol with the appropriate proportions of products List the physiologic changes of pregnancy that impact cardiopulmonary arrest during pregnancy Discuss the role of cesarean delivery as a component of resuscitation during CPR during pregnancy MN303 Obesity in Pregnancy See page 8 Office Practice Category 34 Room 471B G. Marc Jackson, MD, Intermountain Healthcare and University of Utah, Salt Lake City, Utah Jeanette R. Chin, MD, University of Utah, Salt Lake City, Utah Torri D. Metz, MD, Denver Health, Denver, Colorado This course will cover obesity trends in the United States with an emphasis on the public health impact on women and women’s health, antepartum, intrapartum, and postpartum management of the obese gravida, delivery management, especially cesarean delivery, its obesity-related complications, and measures that can minimize patient risk, and the special considerations that are needed for the gravida who has had bariatric surgery. 48 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY COURSE OBJECTIVES At the end of this course, the participant should be able to: » Demonstrate a comprehension of the public health trends associated with obesity in the United States and the impact of obesity on women and women’s health » Develop and execute an evidence-based antepartum management plan for the obese gravida » Identify the physiologic basis for abnormal labor in the obese pregnant woman, and have a strategy for appropriate labor management » List the specific risks that accompany delivery in the obese gravida, and be able to implement an evidence-based action plan for management to reduce complications » Describe the anatomic changes that are brought about by the common bariatric surgeries, define their impact on pregnancy, and understand the modifications in pregnancy management that are needed » Produce best-practice guidelines for antepartum, intrapartum, delivery, and postpartum management of the obese gravida at the attendee’s home institution GYNECOLOGY MN304 Update in Gynecologic Oncology Molly A. Brewer, MD, University of Connecticut and the Impact for the Practicing Health Center, Farmington, Connecticut Mark H. Einstein, MD, Albert Einstein College Gynecologist Room 471A of Medicine, Montefiore Medical Center, Bronx, New York Cervical and ovarian cancer screening, HPV vaccination guidelines, HPV immunology, management of patients at high risk for ovarian cancer, and treatment of ovarian cancer will be updated. The gynecologic effects of the breast cancer chemoprevention trials will be presented. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » » See page 6-7 Implement changes in screening guidelines in cervical cancer Review guidelines for identification and management of women at risk for breast and ovarian cancer Review the randomized clinical trials in screening for ovarian cancer Discuss the controversies of HPV vaccination Discuss the update on breast cancer prevention and the gynecologic effects of these chemopreventive drugs MN305 Infectious Diseases for the Expert Ob-Gyn Room 185A POSTGRADUATE COURSES David E. Soper, MD, Medical University of South Carolina, Charleston, South Carolina Kevin A. Ault, MD, Kansas University Medical Center, Kansas City, Kansas This course is designed to educate busy practitioners who are already expert diagnosticians of infectious diseases in the female genital tract. The nuances associated with the prevention, recognition and treatment of reproductive infections will be delineated. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify the nuances associated with the recognition and treatment of reproductive infections » Generate a systematic plan to prevent surgical site infection » Describe the impact of microbial colonization and infection on pregnancy 2014 Annual Clinical Meeting facebook.com/acognational 49 MONDAY 2:00 PM – 5:00 PM POSTGRADUATE COURSES MN306 Evidence-Based Update on Menopause and Hormone Therapy Room 176AB Lila E. Nachtigall, MD, New York University School of Medicine, New York, New York Wulf H. Utian, MD, Cleveland Clinic/Reproductive Biology Case Western Reserve, Cleveland, Ohio The hormone therapy debate with major emphasis being on the risks of breast cancer and cardiovascular disease will be discussed with a distinction made between “truth” and “fallacy.” COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the full impact of menopause » Determine the true risks of breast cancer in postmenopausal women, in those receiving and not receiving hormonal therapy » Determine the risks of cardiovascular disease in various groups of postmenopausal women and the effects of using hormonal therapy » Interpret the risks and benefits reported in recent studies » Identify the current appropriate role of hormonal therapy after menopause MN307 Breast Cancer Survivorship : Gynecologic Issues and Answers Room 476 Michael L. Krychman, MD, Southern California Center for Sexual Health and Survivorship Medicine and University of California Irvine, Irvine, California James Alan Simon, MD, George Washington University, Washington, DC This course will address the gynecological issues, bone health considerations, sexuality and vulvar vaginal changes affecting breast cancer patients. Treatment paradigms will be presented. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify major gynecological issues that affect breast cancer patients » Identify and address bone health considerations for the breast cancer patient » Identify and address sexuality and vulvar vaginal atrophic changes that affect the breast cancer patient PRACTICE POSTGRADUATE COURSES AMERICAN COLLEGE OF PHYSICIANS MN308 Primary Care Aspects for Women—Part 1 Room 184A James J. Woodruff, MD, The American College of Physicians and the University of Chicago Medicine Amber Pincavage, MD, The University of Chicago, Chicago, Illinois Sachin Shah, MD, The University of Chicago, Chicago, Illinois This course will prepare participants to address common health prevention issues and to perform initial evaluation, triage and management of a number of common internal medicine complaints: colon cancer screening, cholesterol screening and management, asthma, coronary artery disease, hypertension, thyroid disease, anemia, gastro esophageal reflux disease, irritable bowel syndrome and depression. The course format will include didactics as well as the use of educational resources from the American College of Physicians. It is the first part in a two part series. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify opportunities to impact the primary care of women in the setting of an obstetrics and gynecology outpatient practice » Identify and effectively triage common internal medicine complaints in the setting of an obstetrics and gynecology outpatient practice 50 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY See page 8 Office Practice Category 3 MN309 The Biologic and Psychosocial Principles of Female Sexuality Room 474A Murray A. Freedman, MD, Medical College of Georgia, Georgia Regents’ University, Augusta, Georgia Leah S. Millheiser, MD, Stanford University School of Medicine, Stanford, California This course will provide the practitioner with a practical clinical approach to addressing sexual dysfunction and offering enhancement to relationship issues. Evidence-based information will be provided in practical algorithms that the busy clinician can use in routine patient care. An interactive session will allow the participant and their spouses/guests to examine their own definitions of beauty, relationship, and ideal sexual health. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » COURSE FOR PRACTICE MANAGERS » Identify normal sexual function and identify/classify sexual dysfunction Proficiently provide meaningful sex therapy in a busy clinical practice Offer diagnosis-specific treatment of sexual dysfunction Identify and enhance their own sexuality MN310 What Today’s Healthcare Landscape Means to your Practice Room 176C Robert W. Yelverton, MD, Womens Care Florida, Tampa, Florida Dorimar Siverio-Minardi, MPH, MBA, Women’s Care Florida, Tampa, Florida This course is designed specifically for practice managers and will discuss current challenges for ob-gyn medical practices related to clinical systems, IT, and reimbursement. Current practice and reimbursement models will be reviewed in addition to new trends and insurance exchanges that will impact your business model. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Acknowledge the current status of healthcare reform » Acknowledge current challenges for ob/gyn medical practices • Clinical systems • IT • Reimbursement » Identify current practice and reimbursement models » Identify new trends and how they will impact the business model » Discuss the impact of insurance exchanges » Provide information on anticipated changes in office-based care to promote, enhance, and verify patient safety and quality 2014 Annual Clinical Meeting facebook.com/acognational POSTGRADUATE COURSES 51 MONDAY 2:30 PM – 5:00 PM FILM FESTIVAL The Committee on Scientific Program presents the Film Festival awards to recipients at the Annual Business Meeting on Monday, April 28. LOCATED IN: Ballroom E MODERATOR: Ted L. Anderson, MD, PhD, Vanderbilt University Medical Center, Nashville, Tennessee THIRD PRIZE 2:30 PM Vaginal Hysterectomy: A Comparison of the Doderlein-Kronig and Heaney Hysterectomy Daniel E. Stone, MD, Banner Good Samaritan Medical Center, Phoenix, Arizona Felipe Videla, MD and Shazia Malik, MD This film illustrates differences between the traditional Heaney vaginal hysterectomy and a Doderlein-Kronig hysterectomy. The Doderlein-Kronig involves delivering the uterine fundus through the colpotomy prior to performing the hysterectomy. Possible benefits of this approach include decreased blood loss and improved visualization. Limitations may include difficulties in cases with enlarged uteri. 2:51 PM The Pre-Op Huddle: An Essential Component to Safe Cesarean Deliveries Nadav Schwartz, MD, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Ryan Olivere, MD and Lynn Morrow, MD Poor communication can lead to unnecessary delays and safety risks when proceeding with cesarean delivery on a busy labor floor. We present C-section communication guidelines that work to standardize cesarean language, clarify role assignments and facilitate effective communication in an effort to improve patient care. 3:15 PM Understanding the Spectrum of Multiport and Single-Site Robotics for Hysterectomy Mireille D. Truong, MD, Center for Specialized Gynecology Celebration Health Florida Hospital, Celebration, Florida Arnold Advincula, MD The objective of this video is to demonstrate a hysterectomy performed using the robotic single-site approach in juxtaposition with a robotic multiport hysterectomy. The benefits, disadvantages and challenges of robotic single-site hysterectomy will also be reviewed. 3:28 PM FILM FESTIVAL Novel Use of Bakri Balloon as Mold for the Placement of a Vaginal Graft Aubrey Rauktys, MD, Tufts University School of Medicine – Baystate Medical Center, Springfield, Massachusetts Pranay Parikh, MD and Oz Harmanli, MD Various materials and devices have been used as molds for graft placement during a modified McIndoe procedure. However, no mold is considered standard. We demonstrate the use of a Bakri Balloon as a vaginal graft mold. The advantages include adjustability in size, availability in size, availability in gynecologic settings and ease of use. SECOND PRIZE Fetal Pig Simulation Model for Paula J. Melone, DO, Loyola University Medical Center, Maywood, Illinois Uterine Evacuation 3:43 PM Sarah A. Wagner, MD and Nicole T. Thomas, MD We have developed an effective, low cost model for use in teaching uterine evacuation, specifically for second trimester intrauterine demise. This realistic model can be used with various forceps and curettes, and allows for training in continuous ultrasound guidance techniques as well as direct instructor guidance, observation and feedback. 52 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY 3:58 PM Fundamentals of Laparoscopic Myomectomy Thomas G. Lang, MD, MSc, University of Louisville, Louisville, Kentucky Linda-Dalal Shiber, MD and Resad Pasic, MD This film addresses the fundamental steps in performing a laparoscopic myomectomy. Objectives include pre-operative evaluation and determination of appropriate surgical approach, familiarizing oneself with techniques for preventing excessive blood loss, techniques for manipulation of the uterus and the myoma and approach to laparoscopic layered closure of the uterine defect. 4:18 PM Laparoscopic Removal of Essure Jessica MB Ritch, MD, Vanderbilt University Medical Center, Nashville, Tennessee Amanda C. Yunker, MD FILM FESTIVAL Hysteroscopic sterilization with Essure is safe and effective with few complications. However, some women experience long-term pain after Essure placement. Removal of Essure in these patients may alleviate pain. In this video, we demonstrate a safe and effective laparoscopic approach for the removal of Essure devices. FIRST PRIZE 4:33 PM Surgical Scar Endometriosis: Recognition and Resection Linnea R. Goodman, MD, Cleveland Clinic, Cleveland, Ohio Mallory Kremer, MD and Tommaso Falcone, MD Cesarean scar endometriosis occurs from iatrogenic seeding of endometrial tissue. This rare condition often presents as a palpable, painful mass, and is frequently misdiagnosed or referred to general surgery. We propose these lesions can be recognized and treated by the gynecologic surgeon, via straightforward surgical resection with adequate margins. 2014 Annual Clinical Meeting facebook.com/acognational 53 MONDAY 2:30 PM – 3:30 PM CLINICAL SEMINARS “i” DENOTES AUDIENCE RESPONSE SYSTEM, AN INTERACTIVE CLINICAL SEMINAR. OBSTETRICS CMP17 The Anomalous Fetus: Prenatal Care Room 184D Richard T. Ivey, MD, Baylor College of Medicine and Texas Childrens Hospital Pavilion for Women, Houston, Texas Patients pregnant with anomalous fetuses are often referred for prenatal care and delivery at tertiary care centers. Examples of care and outcomes for common fetal anomalies will be reviewed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the special needs of parents and families expecting an anomalous fetus, and challenges patients overcome to deliver at a tertiary care center » Review a multidisciplinary approach to care and antepartum education » Discuss outcomes of common fetal anomalies iCMP18 Neonatal Brachial Plexus Palsy CLINICAL SEMINARS See page 8 Obstetrical Category 24 INTERACTIVE » Room 180 (NBPP): ACOG Multidisciplinary Expert Consensus on Incidence, Pathophysiology and Management Considerations Robert B. Gherman, MD, Franklin Square Medical Center, Rossville, Maryland Bernard Gonik, MD, Wayne State University School of Medicine, Detroit, Michigan This course will review recent expert working group efforts by ACOG to examine the currently available data pertaining to NBPP, possible etiologic factors, and management approaches. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the current understanding of the incidence, risk factors and potential etiologies for NBPP » Critically examine data pertaining to epidemiologic, cadaveric, animal, laboratory and computer modeling of events that can lead to NBPP » Develop a rational approach to the management of conditions that may contribute to this adverse event » Formulate an evidence based strategy for the care of the parturient and her newborn CMP19 Breastfeeding: Mainstays and Myths Pamela D. Berens, MD, University of Texas, Houston, Texas Room 187AB This course focuses on the important proactive prenatal and intrapartum counseling to encourage success and facilitate breastfeeding. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Provide breastfeeding supportive prenatal, intrapartum and postpartum care that minimizes common obstacles » Suggest strategies for finding evidenced based information to counteract common breastfeeding myths » Suggest strategies to incorporate breastfeeding support into busy clinical practice and optimize resources See page 8 Obstetrical Category 33 CMP20 Update on Management of Abnormal Placentation Tania F. Esakoff, MD, Cedars Sinai Medical Center, Los Angeles, California Room 185BC This course focuses on the increasing epidemic of abnormal placentation, its associated morbidity and the latest management strategies for this condition. 54 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the increasing morbidity associated with abnormal placentation » Evaluate diagnostic and management options for abnormal placentation » Identify management strategies for both timing of delivery and surgical interventions INTERACTIVE » iCMP21 Cervical Insufficiency and Treatment: An Evidence-Based Review Vincenzo Berghella, MD, Thomas Jefferson University, Philadelphia, Pennsylvania Room 175 Evidence-based literature on the efficacy of cerclage will be reviewed. Guidelines regarding the indications for cerclage, either based on history alone, ultrasound changes, or cervical changes detected on physical exam will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: CLINICAL SEMINARS » List the technical aspects of cerclage proven to be efficacious » Evaluate the effectiveness of history-indicated, ultrasound-indicated, and physical examindicated cerclage » Review complications of cervical cerclage INTERACTIVE » iCMP22 reVITALize Obstetric Data Definitions Room 475B Elliott K. Main, MD, California Maternal Quality Care Collaborative; Stanford University School of Medicine, Palo Alto, California M. Kathryn Menard, MD, MPH, University of North Carolina Medical School, Chapel Hill, North Carolina We will review the process of creating a national consensus for problematic obstetrical terms that effect clinical practice. National standard definitions of common terms used in all ACOG materials and for administrative purposes for quality measures will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Use the new definitions for common obstetrical terms such as labor induction and augmentation » Introduce these ACOG terms into common practice at your facility » Discuss the need to standardize terminology in this age of electronic records GYNECOLOGY See page 6-7 CMP23 Pain Management of Office Based Gynecological Procedures Rameet H.Singh, MD, University of New Mexico, Albuquerque, New Mexico Room 181BC Pain management of office-based gynecological procedures will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Review evidence-based oral pain management options for office based gynecological procedures » Review evidence-based intramuscular/intravenous options for office based gynecological procedures 2014 Annual Clinical Meeting facebook.com/acognational 55 MONDAY 2:30 PM – 3:30 PM CLINICAL SEMINARS See page 6-7 Royal Belgian Society of Obstetrics and Gynecology CMP24 Quality Assessment in Endoscopic Surgery Jean Squifflet, MD, Bruxelles, Belgium Room 178B The utility of endoscopic surgery will be discussed in relation to quality assessment. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Delineate the requirements and process of quality assessment » Outline the issues involved in quality assessment of endoscopic procedures See page 8 Obstetrical Category 11 CMP25 Medical Management of Spontaneous and Elective Abortion Sarah W. Prager, MD, University of Washington, Seattle, Washington Room 184BC This course will provide the most up-do-date evidence regarding medical management of spontaneous and elective abortion. The course faculty will review etiology, risk factors, treatment protocols and complications. CLINICAL SEMINARS COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the evidence-based regimen used for medical management of spontaneous and elective abortion » Identify who is a good candidate for medical management of spontaneous and elective abortion » Discuss the evidence around antibiotic use with medical management of spontaneous and elective abortion See page 8 Office Practice Category 16 iCMP26 Vulvar Diseases: What Do You Know? Room 179 Hope K. Haefner, MD, University of Michigan Center for Vulvar Diseases/University of Michigan Health System, Ann Arbor, Michigan Lynette J. Margesson, MD, (Dermatology) at Dartmouth-Hitchcock Medical Center, Lebannon, New Hampshire INTERACTIVE » Vulvovaginitis, non-neoplastic epithelial disorders, precancerous conditions, tumors, and unusual conditions of the vulva will be presented. An audience response system will allow attendees to test their knowledge of the diagnosis and treatment of these conditions. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » 56 Identify the clinical features of various vulvovaginal conditions Identify the gross features of non-neoplastic epithelial disorders of the vulva Identify the various ulcerative conditions of the vulva and their treatments Cite a variety of treatments for skin diseases twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists MONDAY PRACTICE CMP27 Are You Prepared? Use Business, Technology, and Social Media Tools to Sustain and Grow Your Practice! David S. Kim, MD, MS, MBA, Cedars-Sinai Medical Center, Los Angeles, California Room 178A Online tools to assess patient comments and physician review sites, customer relationship software, track marketing campaigns, referral trends, and patient encounters, and the application of financial tools will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Identify tools for assessing threats to a sustainable practice Use web-based and financial tools as warning systems Apply cost analysis, break-even point, and profit planning to medical practice Identify strategies for using social media to increase outreach to patients CMP28 How to Become a Reviewer for the Green Journal CLINICAL SEMINARS Nancy C. Chescheir, MD, Editor-in-Chief, Obstetrics & Gynecology, Chapel Hill, North Carolina Room 475A The flow of a paper from submission to publication, peer review, submission and acceptance rates, and how an individual can become a peer reviewer for the journal. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Report the process from submission to publication of original research in the Journal » Identify the role and expectations of the peer reviewer See page 6-7 CMP29 YOUR FINANCIAL APGAR (2:30 PM – 4:30 PM) James T. Breeden, MD, Carson Medical Group, Carson City, Nevada Room 186 This seminar is an enjoyable, understandable presentation of financial planning information necessary for financial security, peace of mind, and an improved quality of life. This program will encourage and stimulate you, your spouse, and adult children with practical methods to reach your goals. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » » » » 2014 Annual Clinical Meeting Identify financial planning concepts Utilize appropriate risk management Minimize taxes Maximize retirement and estate planning Discuss education funding options Identify investment principles Utilize investments and asset allocation in relation to goals and financial life cycle facebook.com/acognational 57 MONDAY 2:30 PM – 3:30 PM CLINICAL SEMINARS CMP30 Medical Errors Room 185D Patrice M. Weiss, MD, Carilion Clinic/Virginia Tech Carilion School of Medicine Victoria L. Green, MD, JD, MBA, Emory University School of Medicine, Atlanta, Georgia This interactive session will address unanticipated outcomes with and without medical errors. Participants will engage in disclosure conversations and critique a wrong side surgery disclosure. COURSE OBJECTIVES At the end of this course, the participant should be able to: » List the causes of unanticipated outcomes » Identify and recognize legal and risk management concerns with unanticipated outcomes » Describe differences between unanticipated outcomes due to medical error and without medical error CMP32 Innovations in Surgery Room 474B CLINICAL SEMINARS Alan H. DeCherney, MD, Reproductive Biology Medicine, NICHD, National Institutes of Health, Bethesda, Maryland Modeled after the way medical students learn today: The Flip Classroom COURSE OBJECTIVES At the end of this course, the participant should be able to: » Introduce the techniques by which medical students are instructed » Define innovation in surgery and how to recognize it and apply it » Detect the appearance of new surgical techniques POSTERS Royal Belgian Society of Obstetrics and Gynecology Posters will be available for viewing all day. Authors of the posters will be available for questions and answers between 3:45 PM and 4:45 PM in the Exhibit Hall. The number listed indicates the poster location. LOCATED IN: EXHIBIT HALL Breast Metastasis of Melanoma Mimicking Mastitis, A Case Report and Review of the Literature Auriane DeNeef, F. Buxant Hopitaux IRIS SUD, Department of Gynaecology, Brussels, Belgium Predictive Factors of Sperm Recovery After Testicular Biopsy Among Non-Obstructive Azoospermic Patients David Pening, Fabienne Devreker, Anne Delbaere Erasme Hospital, Fertility Clinic, Department of Obstetrics and Gynecology, Brussels, Belgium 58 twitter.com/acognews | #ACOG14 Fallopian Tubal Torsion: A Rare Cause of Acute Abdominal Pain in Adolescence Gersende LeCocq, MD, C. Dabiri, MD, J.L. Dutrieux, MD, W. Bou Sleiman, MD, N. Renard, MD, M. Wayembergh, MD Centre Hospitalier de Wallonie picarde, Department of Obstetrics and Gynaecology, Radiology and Anatomopathology Departments, Tournai, Belgique Reversible Posterior Leucoencephalopathy Syndrome with Blindness Caused by Preeclampsia Gautier Vandenbossche, Patrick Emonts, Michelle Nisolle University of Liege, Hospital of the Citadele, Department of Obstetrics and Gynecology, Liege, Belgium The American College of Obstetricians and Gynecologists MONDAY POSTER SESSION Blue ribbon abstracts are those that received the highest rankings. Posters will be available for viewing all day. Authors of posters will be available for questions and answers between 3:45 PM and 4:45 PM in the Exhibit Hall. The number listed indicates the poster location. LOCATED IN: EXHIBIT HALL CONTRACEPTION/FAMILY PLANNING 1 Emergency Contraception Provision Barriers among Emergency Medicine Residents Melissa Joy Chen Northwestern University Feinberg School of Medicine, Chicago, Illinois Lori Marie Gawron; Sloane Leslie York 2 Influencing Medical Students’ Attitudes Towards Intrauterine Contraception in the Third Year Obstetrics and Gynecology Clerkship Christopher Michael Estes, MD, MPH University of Miami Miller School of Medicine, Miami, Florida Brigitte Anne Frett, MSW; Dalal Eldick 3 A Systematic Review of Smartphone Oral Contraceptive Reminder Applications Noga Gal Ohio State University Wexner Medical Center, Columbus, Ohio Lorraine S. Wallace, PhD; Nikki Beth Zite, MD, MPH 7 Evaluating the Effect of the Parental Notification Law on Minors’ Seeking Abortions in New Hampshire Lauren Kelly MacAfee, MD Fletcher Allen Health Care, University of Vermont, Burlington, Vermont Jen Castle, NP; Jennifer Johnson, CNM; Regan Nell Theiler, MD, PhD 8 Effects of Routine Screening for Gonorrhea and Chlamydia Prior to Intrauterine Device Insertion Margaret Ryan Markham, MD Baylor College of Medicine, Houston, Texas Haleh Sangi-Haghpeykar, PhD; Lindsay Maggio, MD; Susan Patricia Raine, JD, MD, LLM; Utsavi R. Shah, MD 9 Association of Age and Levonorgestrel Intrauterine System Removal for Side Effects in US Women Jill Ann Moes, MD, MPH Mayo Clinic, Rochester, Minnesota Petra Marcela Casey, MD 4 Contraceptive Choice: Association with Health Insurance Copay ElizaBeth J. Grubb, PhD Teva Pharmaceuticals, Overland Park, Kansas Brandon K. Howard, PhD; Herman Weiss, MD; Maureen Lage, PhD 10 90-Day Bleeding Patterns After Intrauterine Device Insertion: A Prospective Parallel Cohort Study Siripanth Nippita, MD, MS Beth Israel Deaconess Medical Center, Boston, Massachusetts Anne Rachel Davis, MD, MPH; Carolyn L. Westhoff, MD, MSc.; Johana D. Oviedo, MPH; Margarita G. Velasco, MA; Paula M. Castaño, MD, MPH 5 Contraceptive Use and Counseling Preferences Among Human Immunodeficiency Virus (HIV) Positive Women Antoinette A. Innis, MD University of North Carolina School of Medicine, Chapel Hill, North Carolina Gretchen Sauer Stuart, MD, MPHTM; Laura O. Houenou, MPH; Lisa Rahangdale, MD, MPH 11 Text Messages Versus Monthly Paper Diaries: Collecting Bleeding Data Following IUD Insertion Siripanth Nippita, MD, MS Beth Israel Deaconess Medical Center, Boston, Massachusetts Anne Rachel Davis, MD, MPH; Carolyn L. Westhoff, MD, MSc; Johana D. Oviedo, MPH; Margarita G. Velasco, MA; Paula M. Castaño, MD, MPH Comparison of IUD Expulsion Rates: PostAspiration Abortion Versus Interval Insertion Nidhi Susanna Jacob, MD Palo Alto Foundation Medical Group, Los Gatos, California Debbie A. Postlethwaite, RNP, MPH; Julie Beth Livingston, MD; Maqdooda Merchant, MSc, MA; Nichole Mahnert, MD 12 Contraceptive Needs of HIV-Positive Adolescent Women Compared to an HIV-Negative Cohort Jennifer Acton Robinson, MD, MPH Johns Hopkins Bayview Medical Center, Baltimore, Maryland Anne E. Burke, MD, MPH; Jean R. Anderson, MD; Maria Trent, MD, MPH; Michelle Candice Fox, MD, MPH; Roxanne Marie Jamshidi, MD, MPH 6 2014 Annual Clinical Meeting facebook.com/acognational POSTERS 59 MONDAY 3:45 PM – 4:45 PM POSTERS 13 Contraceptive Needs of HIV-Infected Adolescent Women: A Qualitative Analysis Jennifer Acton Robinson, MD, MPH Johns Hopkins Bayview Medical Center, Baltimore, Maryland Anne E. Burke, MD, MPH; Jean R. Anderson, MD; Maria Trent, MD, MPH; Michelle Candice Fox, MD, MPH; Roxanne Marie Jamshidi, MD, MPH 14 Interval Surgical Sterilization and Obesity Rachel Shepherd, MD Warren Alpert Medical School at Brown University, Women and Infants Hospital, Providence, Rhode Island Christina A. Raker, ScD; Gina M. Savella; Kristen A. Matteson, MD, MPH; Nan R. Du, BS; Rebecca Hathaway Allen, MD, MPH 15 Differences in Contraceptive Use Between Family Planning Providers and the General Population Lisa Stern, MSN, APRN Planned Parenthood Federation of America, New York, New York Ashlesha A. Patel, MD, MPH; Elie Debevec, BA, CHC; Johanna Morfesis, MSN, WHNP-BC, MT (ASCP); Sangita Devaskar, BA 16 Breastfeeding and Postpartum Insertion of the Levonorgestrel Intrauterine System (LNG-IUS). A Randomized Trial. Gretchen Sauer Stuart, MD, MPHTM University of North Carolina School of Medicine, Chapel HIll, North Carolina Alison M. Stuebe, MD, MSc; Amy G. Bryant, MD, MSCR; Catherine Leska, MPH 17 Same-day Placement of Intrauterine Contraception for High Risk Women Nan Amanda Wang, BS University of Pittsburgh, Pittsburgh, Pennsylvania Eleanor Bimla Schwarz, MD, MS; Erin Baldauf, MEd; Melissa Papic, BS; Rachel Becker Rapkin, MD, MPH; Sara M. Parisi, MS, MPH POSTERS DOMESTIC VIOLENCE 18 Domestic Violence In An African Obstetric Population Stephen Nwankwo Onwere, MBChB, Mmed Abia State University Teaching Hospital, Aba, Nigeria Adaugo C. Onwere, MBBS, MPH; Anthony Okpani, MBBS, FWACS; Bright Chigbu, MBBS, FWACS; Chuks Israel Kamanu, MBBCh, FWACS; Patricia Eke Ndukwe, MBBCh, FWACS 60 twitter.com/acognews | #ACOG14 EDUCATION 19 Expertise in a Resident-Centered Colposcopy Clinic —Are You Smarter Than a Third Year? Tommy Richard Buchanan, Jr, MD Drexel University College of Medicine, Philadelphia, Pennsylvania Justin Neal Rasner, MD; Michael Lee Podolsky, MD; Scott Daniel Richard, MD 20 A Survey of Contraception Knowledge Among Incoming Interns and Medical Students David Daniel SUNY Downstate College of Medicine, Brooklyn, New York Nagaraj Gabbur, MD 21 Do Physicians Have Time to Have Children? If So, When? Irene Dimitriadis, MD Tufts Medical Center, Boston, Massachusetts Beth Jennifer Plante, MD; Kelly Pagidas, MD 22 Attitudes and Knowledge About Breastfeeding Among Ob/Gyn Residents Angela Perez Gonzalez, MD University of South Florida, Tampa, Florida Caroline Young, MSN, ARNP; James Marshall Palmer, MD; Katheryne Downes 23 Feasability and Reception of a Post Match Boot Camp for 4th Year Students Based on Milestone 1 Kollier J. Hinkle, MD University of North Texas Health Science Center, Fort Worth, Texas 24 Evaluation & Feedback Workshop Increases the Inter-Rater Reliability of Medical Student Evaluations Sabrina Anne Holmquist, MD, MPH University of Chicago, Chicago, Illinois Adrianne Vidalia Dade, MD; Brandon Hill, PhD; Sandra Rasa Valaitis, MD 25 Implementing New Clinical Practice Guidelines: An Ideal Use of Simulation David Allan Marzano, MD University of Michigan, Ann Arbor, Michigan Diana S. Curran, MD; Jacob Seagull, PhD; Jill Mhyre, MD; Maya M. Hammoud, MD; Roger Douglas Smith, MD The American College of Obstetricians and Gynecologists MONDAY 26 Development of a Targeting Task Trainer for Ultrasound Guided Needle Procedures Joshua Franklin Nitsche, MD, PhD Wake Forest School of Medicine, Winston-Salem, North Carolina Brian Charles Brost, MD; Bronwyn C. Russell, BS; Mari Charisse Banez Trinidad, MD 27 Clay Modeling for Pelvic Anatomy Review for 3rd Year Medical and Physician Assistant Students Jasmine Patel, BS, BA SUNY Downstate Medical Center, Brooklyn, New York Juliana Rosentsveyg, BS; Nagaraj Gabbur, MD; Samuel Marquez, PhD 28 Clay Modeling as a Haptic Model to Teach a Hysterectomy Procedure and Pelvic Anatomy to Obstetrics and Gynecology Residents Jasmine Patel, BS, BA SUNY Downstate Medical Center, Brooklyn, New York Juliana Rosentsveyg, BS; Nagaraj Gabbur, MD; Samuel Marquez, PhD 33 Chinese Ob-Gyn Journal Clubs (COGJOCS): A Randomized Trial to Improve Medical English Comprehension Ilene K. Tsui Pennsylvania State University College of Medicine, Hershey, Pennsylvania Allen R. Kunselman, MA; Hongying Kuang, MD, PhD; Richard S. Legro, MD; William C. Dodson, MD; Xiaoke Wu, MD, PhD 34 Implementing a Practical and Effective Gynecologic Laparoscopic Curriculum for OB/GYN Residents Astrid Ruth Von-Walter Gonzalez, MD The George Washington University, Washington, District of Columbia Adam Close, BS; James Kane Robinson, III, MD; Jill Finkelstein, MD ETHICS/PROFESSIONAL LIABILITY/RISK MANAGEMENT 29 A Survey of Physician Knowledge and Attitudes on Hospital Billing Costs Marjorie L. Pilkinton, MD St. Lukes-Roosevelt Hospital, New York, New York Lois Eileen Brustman, MD 35 A Knowledge Enhancement Patient Safety Program J. Patrick Lavery, MD Bronson Hospital, Kalamazoo, Michigan, Kalamazoo, Michigan James E. Brown, MD; Mary Ellen Filbey, BSN, JD 30 Diversity of Faculty in Academic Obstetrics and Gynecology William F. Rayburn, MD, MBA University of New Mexico School of Medicine, Albuquerque, New Mexico Christine Q. Liu, PhD; Rebecca Glenn Rogers, MD 36 Changing Culture for Patient Safety J. Patrick Lavery, MD Bronson Hospital, Kalamazoo, Michigan, Kalamazoo, Michigan James E. Brown, MD; Mary Ellen Filbey, BSN, JD 31 A Post-Match Workshop for 4th Year Students to Improve Confidence and Skills Before Ob-Gyn Residency Katherine Jane Rodewald, MD The Ohio State University Wexner Medical Center, Columbus, Ohio Wanjiku Musindi, MD 32 Factors Associated to HPV Vaccine Awareness in a Population-Based Sample of Women in Puerto Rico Josefina Romaguera, MD, MPH University of Puerto Rico, San Juan, Puerto Rico Ana P. Ortiz, PhD; Cynthia Perez, PhD; Daniela Caballero-Varona, MS; Edmir Marrero, MPH; Joel B. Palefsky, MD 2014 Annual Clinical Meeting 37 Ages of Obstetrician-Gynecologists at Retirement From Clinical Practice William F. Rayburn, MD, MBA University of New Mexico School of Medicine, Albuquerque, New Mexico Newton Cheng, MS; Stephen M. Petterson, PhD POSTERS 38 Comprehensiveness of Delivery Notes for Shoulder Dystocia Hindi E. Stohl, MD UCLA David Geffen School of Medicine, Torrance, California Anna Granat, BA; David Arthur Miller, MD; Jenny Mariella Jaque, MD; Joseph G. Ouzounian, MD facebook.com/acognational 61 MONDAY 3:45 PM – 4:45 PM POSTERS GYNECOLOGY 39 Diagnosis and Treatment of Pelvic Inflammatory Disease: A Quality Assessment Study Kristen N. Crittle Washington University at St. Louis/Meharry Medical College, Nashville, Tennessee Jeffrey F. Peipert, MD, MPH, MHA 40 Bremelanotide for Female Sexual Dysfunctions: Responder Analyses From a Phase 2B Dose-ranging Study Leonard R. DeRogatis Maryland Center for Sexual Health, Lutherville, Maryland David J. Portman; Jeffrey Edelson; Robert Jordan; Sally Greenberg 41 Gastrointestinal Complications in Laparoscopy Versus Laparotomy in Primary Gynecologic Surgery Kavita N. Desai, MD St Luke’s Roosevelt Hospital, Columbia University College of Physicians and Surgeons, New York, New York Farr R. Nezhat, MD, FACOG, FAS 42 Clinical Phenotype Strongly Validates Class Membership in Staging Chronic Pelvic Pain Bradford William Fenton, MD, PhD Summa Health System, Akron, Ohio Michele L. McCarroll, PhD; Scott Grey, PhD; Vivian Elise Von Gruenigen, MD 43 Disparities in Access to Minimally Invasive Surgery for Women Undergoing Hysterectomy in California Gareth Karl Forde, MD, PhD University of California-Irvine, Orange, California Fong W. Liu, MD, MPH; Jenny Chang, MPH; Kristine Renee Penner, MD, MPH; Lauren Smith Krill, MD; Robert Edward Bristow, MD, MBA POSTERS 44 HIV and STI Screening at LEEP Procedure: A Missed Opportunity? Nicholas O. Jeffrey, BS, MPH Florida State University College of Medicine, Tallahassee, Florida Ira Steven Karmin, MD; Jonell Efantis Potter, PhD; Jorge J. Garcia, MD; Karla Maguire, MD, MPH 62 twitter.com/acognews | #ACOG14 45 Impact of Patient Navigation on Adherence to Follow-up After Treatment of High-Grade Dysplasia Patricia Paule Jeudin, MD Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts Marcela Guadalupe del Carmen, MD; Rebecca Bernstein Perkins, MD, MSc; Sharon Bak, MPH; Tracy A. Battaglia, MD, MPH 46 Encephalitis: A Gynecologic Issue? Priyanka N. Kamath University of Texas Southwestern—Austin, Austin, Texas 47 Distress Reduction in Female Sexual Dysfunctions: A Dose-ranging Study of Subcutaneous Bremelanotide Sheryl Kingsberg, MD University Hospitals Case Medical Center, Cleveland, Ohio Jeffrey Edelson; Leonard R. DeRogatis, PhD; Michael L. Krychman, MD; Robert Jordan 48 Abnormal Uterine Bleeding as the Presenting Symptom of Hematopoietic Cancer Denise R. Nebgen, MD, PhD University of Texas MD Anderson Cancer Center, Houston, Texas Cynthia Lynn Hartman, DO; Helen E. Rhodes, MD; Karen Hsieh Lu, MD; Mark Munsell, MS; Terri Lynn Woodard, MD 49 Adolescent HPV Vaccination and Contraception Use in Medically Rural versus Urban Environments Savannah J. Peters, MA University of South Dakota, Vermillion, South Dakota Keith A. Hansen, MD; Randal P. Quevillon, PhD 50 Bremelanotide for Hypoactive Sexual Desire Disorder: Analyses From a Phase 2B Dose-ranging Study David J. Portman Columbus Center for Women’s Health Research, Columbus, Ohio Anita H. Clayton, MD; Jeffrey Edelson; Michael L. Krychman; Robert Jordan 51 Endometrial Biopsy Results in Women with Abnormal Uterine Bleeding: A County Hospital Experience Emily Nicole Prendergast, MD Northwestern University Feinberg School of Medicine, Chicago, Illinois Alicia Roston, MPH; Ashlesha A. Patel, MD, MPH; Emily Misch; Yun-An Chou The American College of Obstetricians and Gynecologists MONDAY 52 Implementation of Evidence-Based Innovative Bundle Checklist for Reduction of Surgical Site Infection Tania Ednie Revolus Nassau University Medical Center, East Meadow, New York Maggie Tetrokalashvilli, MD 53 Expression of Protease HtrA1 is Increased at the Site of Ectopic Pregnancy Todd Joseph Stanhope, MD Mayo Clinic, Rochester, Minnesota Brian Charles Brost, MD; Jeremy R. Chien, PhD; N. Sertac Kip, MD, PhD 54 Incidental Gynecological Findings on CT Scans Done in the Emergency Department Teemu Tha, MD St. Luke’s University Hospital, Bethlehem, Pennsylvania James N. Anasti, MD; Mari Charisse Banez Trinidad, MD HIV/AIDS PROGRAM 55 Pregnancies among Reproductive-age HIV-infected Women in Care—United States (U.S.) Madeline Yvette Sutton, MD, MPH Centers for Disease Control and Prevention, Atlanta, Georgia Emma Frazier, PhD, MS; Jacek Skarbinski, MD; William Short, MD, MPH INFECTIOUS DISEASES 56 Factors Affecting Parental Recall of HPV Vaccination Gauri Apte, MD Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts Jessica Vercryusse, MPH; Justen Julien Sumner, MPH; Myrdell Belizaire; Natalie Pierre-Joseph, MD, MPH; Rebecca Bernstein Perkins, MD, MSc 57 Local Prevalence of Extended Spectrum Beta Lactamase Producing Bacteria in Urine Cultures Laura Sook Kim, MD NSLIJ—Staten Island University Hospital, Staten Island, New York Gloria Yeefen Wang, MD; Myriam Kline, PhD 58 Contemporary Trends in Necrotizing Fasciitis in Obstetric Patients: A Population-based Study Lavi Oud, MD Texas Tech University HSC, Odessa, Texas Phillip Watkins, MS; R. Moss Hampton, MD 2014 Annual Clinical Meeting 59 Next Generation Sequencing of Maternal Serum to Detect Viruses in Women with Labor or PROM Ankit Ashok Shah, MD NorthShore University HealthSystem—Evanston Hospital, Evanston, Illinois David Wang, PhD; Emmet Hirsch, MD MENOPAUSE 60 New Strategy for HRT Using Estrogen Combined with SERM Fujiko Tsuchiya, MD, PhD Hamada Hospital, Tokyo, Japan Haruko Hiraike, MD, PhD; Kohzo Aisaka, MD, PhD; Osamu Hiraike, MD, PhD; Seiichiro Obata, MD, PhD; Yumiko Ikezuki, MD, PhD OBSTETRICS 61 Does Pink All Over Accurately Describe an Apgar Color Score of 2 in Newborns of Color? Brandi Necoy Adams, MD New York Presbyterian Hospital-Weill Cornell Medical College, New York, New York Amos Grunebaum, MD 62 Influence of Proteinuria and Blood Pressure on APGAR Scores and Fetal Birth Weight in Preeclampsia Polina Advolodkina , BA, BS SUNY Downstate Medical Center, Brooklyn, New York Matthew Thrun-Nowicki, MS, MPH; Nagaraj Gabbur, MD 63 A Short Form Sleep Measure During Pregnancy and Associations with Adverse Pregnancy Outcomes Alpna Agrawal, PhD University of Texas Health Science Center at Houston, Houston, Texas Kathleen M. Antony, MD; Kjersti M. Aagaard, MD, PhD; Melanie Arndt, BS POSTERS 64 Maternal Hemodynamic Responses During Two Types of Moderate-Intensity Physical Exercise in Pregnancy Melania Maria Ramos Amorim, MD, PhD Instituto Paraibano de Pesquisa , Campina Grande, Paraíba Adriana S. Melo, MD, PhD; Antonio Henriques Franca Neto, MD; Jousilene de Sales Tavares, PhD; Nicole V. Leal; Suzana F. Leite facebook.com/acognational 63 MONDAY 3:45 PM – 4:45 PM POSTERS 65 Is it Possible to Never Perform Episiotomy During Vaginal Delivery? Melania Maria Ramos Amorim, MD, PhD Instituto Paraibano de Pesquisa , Campina Grande, Paraíba Antonio Henriques Franca Neto, MD; Fabiana O. Melo, MD; Janio N. Alves, PT; Nicole V. Leal; Sabina B. Maia, MD, MSc 72 Invasive Prenatal Diagnosis Following Positive Cell-Free Fetal DNA vs Sequential Prenatal Screening Alexis Braverman, BA Feinberg School of Medicine, Northwestern University, Chicago, Illinois Jeffrey Scott Dungan, MD; Lee P. Shulman, MD; Norman Arthur Ginsberg, MD 66 Does First Trimester Hemoblobin A1C (HgbA1c) Predict Gestational Diabetes and Fetal Outcome? Otito Nnebundo Anaka, MD Saint Peter’s University Hospital, New Brunswick, New Jersey Angela C. Ranzini, MD; Christopher M. Houlihan, MD; Robert B. Beim, MD 73 Can Fetal Abdominal Circumference at term Predict Shoulder Dystocia? Tovah Ann Buikema, DO MSU/COM St. Joseph Mercy Oakland, Pontiac, Michigan George Massoud Kazzi, MD; June C. Murphy, DO; Melisa Lynn Lott, DO 67 Does the Addition of a Specialized Postpartum Clinic Improve the Care of Women with Preeclampsia? Carolina Bibbo, MD Brigham and Women’s Hospital, Boston, Massachusetts Ann Celi, MD, MPH; Ann Muir Thomas, SM, PhD; Louise Wilkins-Haug, MD, PhD; Tiffany Lynn Blake-Lamb, MD 74 Evidence-Based Approach to Reduce Surgical Site Infections after Cesarean Delivery Rebecca Caban, MD Nassau University Medical Center, East Meadow, New York Chaur-Dong Hsu, MD, MPH, FACOG; Inna Cohn, DO 68 A Novel Double Cerclage Technique for Emergency Cerclage in Women At High Risk For Preterm Birth Robyn T. Bilinski, MD, MPH Rutgers New Jersey Medical School, Newark, New Jersey Jesus Rafael Alvarez-Perez, MD; Joseph J. Apuzzio, MD 69 Birthweights of Fetuses with Cardiac Anomalies Nathan Richard Blue, MD Keck School of Medicine, University of Southern California, Los Angeles, California David Arthur Miller, MD; Lisa Marie Korst, MD, PhD; Shivani R. Patel, MD 70 Is There an Association Between Placenta Previa and Serum Analytes? Tharwat Stewart Fouad Boulis, MD Hofstra North Shore-LIJ School Of Medicine, Manhasset, New York Adiel Fleischer, MD; Cristina Sison, PhD; David Krantz, MS; Natalie Beth Meirowitz, MD; POSTERS 71 Is 40 the New 30? Pregnancy Outcomes by Degree of Weight Gain Among Obesity Subclasses Annelee C. Boyle, MD MedStar Washington Hospital Center, Washington, District of Columbia Julia Timofeev, MD; Patrick Shannon Ramsey, MD, MSPH; Rita Wesley Driggers, MD; Sameer Desale, MS; Torre Leigh Halscott, MD 64 twitter.com/acognews | #ACOG14 75 Intracervical Balloon Placement and the Risk of Chorioamnionitis in Term Rupture of Membranes Irena B. Cabrera, MD Lehigh Valley Health Network, Allentown, Pennsylvania Danielle Elise Durie, MD MPH; Jacob Rust; Joanne Natividad Quinones, MD MSCE; John Carter Smulian, MD, MPH; William E. Scorza, MD 76 Concordance Between Hospital Records and Maternal Recall 5-10 Years After Childbirth Crystal Chen, BA Johns Hopkins School of Medicine, Baltimore, Maryland Christopher B. Pierce, MS; Joan Lewis Blomquist, MD; LaPortia J. McElrath-Smith, MD, MPH; Victoria L. Handa, MD, MHS 77 Are Planned Home Births Really Low Risk? Stephanie Chu Weill Cornell Medical College, New York City, New York Amos Grunebaum, MD; Frank A. Chervenak, MD 78 Catheter Ablation of SVT without Fluoroscopy During Pregnancy John M. Clark, MD Akron Children’s Hospital, Akron, Ohio Amee M. Bigelow, MD; Fadi Raymond Khoury, MD; Stephen S. Crane, MD The American College of Obstetricians and Gynecologists MONDAY 79 Lean Management System Application in Creation of a PPH Prevention Bundle on Postpartum Units Susan Diana Crowe, MD Stanford University School of Medicine, Palo Alto, California Bethan Faulkner, DNP, CCNS 80 Indocin Use in Pregnancy: Neonatal Outcomes Mayra Alejandra Cruz Ithier, MD, MS Bayfront Health, St. Petersburg, Florida Jasmine Steele; Jose Antonio Prieto, MD 81 Are Adverse NEO Outcomes in GDM Twin Gestations Decreased Compared to Non-diabetic Twins? Meredith Ordonez Cruz, MD Medical College of Wisconsin, Milwaukee, Wisconsin Aniko Szabo, PhD; Megan Elizabeth Foeller, MD; Shi Zhao 82 Marijuana Use and Pregnancy: Prevalence, Associated Behaviors, and Birth Outcomes Andrea Nina Desai, MD University of Maryland School of Medicine, Baltimore, Maryland Katrina Schafer Mark, MD; Mishka Terplan, MD, MPH 83 Does Timely Antibiotic Administration Decrease Hospital Length of Stay in Chorioamnionitis? Pooja Deb Doehrman, MD, MPH Banner Good Samaritan Medical Center, Phoenix, Arizona Judith Anne Adams, MD; Laurie Paullette Erickson, MD; Melissa Molyneux 84 Does Antenatal Testing for Morbid Obesity Impact Induction Rate or Timing of Delivery? Paula Kaitlyn Edelson, MD Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Jamie Ann Bastek, MD, MSCE; Lisa D. Levine, MD, MSCE 85 Glyburide versus Metformin for Treating of Gestational Diabetes—A Cost Effectiveness Analysis Ahizechukwu Chigoziem Eke, MD, MPH, FWACS Sparrow Hospital, Michigan State University, Lansing, Michigan Justin Ecchouffo Tcheugui, MD, PhD 2014 Annual Clinical Meeting 86 Does Influenza Vaccination in Pregnancy Reduce the Risk of Preeclampsia? Dina El-Kady, MD Good Samaritan Hospital, West Islip, New York David Yens, PhD; Emmie Strassberg, DO; Mona Khan, DO 87 Factors Associated with Pregnant Women’s Perception of Aneuploidy Risk Merlin Bardett Fausett, MD Wilford Hall Medical Center, Lackland, Texas Andrea Denise Shields, MD; Barton C. Staat, MD; Nicholas Robert Teneyuque, MD 88 Can a Composite Prognostic Index Predict Spontaneous Labor Onset in PPROM? Yelena Feldman, DO Trihealth, Cincinnati, Ohio Michaela Eschenbacher, MPH; William J. Polzin, MD 89 Demographic and Medical Disparities in Assisted Reproductive Technology (ART) vs Non-ART Pregnancies Alex Fong, MD University of California, Irvine, Orange, California Aaron Lansing Turner, MD; Deyu Pan, MSc; Dotun Adeboye Ogunyemi, MD; Robert C. Johnston, MD; Steve Rad, MD 90 Effects of Benzo(a)pyrene During Pregnancy Teri-Lee Foster, MD Meharry Medical College, Nashville, Tennessee Archana Laknaur; Ayman Al-Hendy, MD; Chandrasekhar Thota, PhD; Darryl Hood 91 Correlation Between Visceral Adipose Tissue and Biochemical Rates Related to Obesity in Newborns Antonio Henriques Franca Neto, MD Universidade Federal de Campina Grande, Campina Grande, Paraíba Jousilene de Sales Tavares, MD; Melania Maria Ramos Amorim, MD, PhD; Nicole V. Leal; Vivianne de Oliveira Barros, MD POSTERS 92 Is Newborn Abdominal Adiposity Associated with Maternal Factors? Antonio Henriques Franca Neto, MD Universidade Federal de Campina Grande, Campina Grande, PB Jousilene de Sales Tavares, MD; Melania Maria Ramos Amorim, MD, PhD; Nicole V. Leal; Vivianne de Oliveira Barros, MD facebook.com/acognational 65 MONDAY 3:45 PM – 4:45 PM POSTERS 93 Do Pregnant Patients with a “Certain” Last Menstrual Period Require an Ultrasound for Dating? Stephanie Barbadora-Froelich, DO Crozer-Chester Medical Center, Upland, Pennsylvania Robert Philip Berkowitz, MD 100 Evaluation of the Effect of Areca Nut Use During Pregnancy in the CNMI Jeanolivia Dean Grant, MD, MPH Commonwealth Healthcare Corporation, Saipan, Northern Mariana Islands Kathryn Cardarelli, PhD, MPH 94 First Trimester A1C as a Tool to Predict the Development of Gestational Diabetes in High Risk Women Lee Ann Garner Carolinas Medical Center, Charlotte, North Carolina Edith Miller, MD; Jodie Katon, PhD, MS 101 How Accurate is the Dating of Scheduled 39 Week Deliveries? Stephanie Guseh, MD Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts Chloe Amelia Zera, MD; Julian Norman Robinson, MD; Sarah Little, MD 95 Comparative Efficacy of Postpartum Warfarin Anticoagulation Lisa Anne Gill, MD Mayo Clinic, Rochester, Minnesota Carl Hans Rose, MD; Robert D. McBane, MD; Waldemar E. Wysokinski, MD, PhD 96 Association Between a Positive Screen on The STOP-BANG Obstructive Sleep Apnea Tool and Preeclampsia Ilona Telefus Goldfarb, MD, MPH Massachusetts General Hospital, Boston, Massachusetts Anjali Kaimal, MD; Teresa N. Sparks, MD; Vilma E. Ortiz, MD 97 Factors Influencing Delivery Mode in Candidates for Operative Vaginal Delivery in Modern Practice Christina Mariane Gonzalez, MD University of Colorado, Aurora, Colorado Amanda A. Allshouse, MS; Erick Henry, MPH; M. Sean Esplin, MD; Torri Derback Metz, MD, MS 98 A Search for Novel Risk Factors for Obstetric Trauma Angel Rafael Gonzalez Rios, MD St. Luke’s University Hospital, Bethlehem, Pennsylvania James N. Anasti, MD; Joseph C.L. Merola, MD; Kathy Nunemacher, RN, MSN POSTERS 99 Barriers to Exercise for Urban Parturients Shravya Govindappagari, MD Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York Dena Goffman, MD; Ellen J. Landsberger, MD; Peter Samuel Bernstein, MD; Rolanda LaMora Lister, MD 66 twitter.com/acognews | #ACOG14 102 Assessing the Clinical Utility of a Novel Mobile Fetal Monitoring Device Kelly Taylor Harkey, MD, MPH Scripps Clinic, La Jolla, California Alexandros A. Pantelopoulos, PhD; Mark A. Zurcher, PhD; Michael B. Casale, PhD 103 Maternal Arrhythmia and Perinatal Outcomes: A Pregnancy and Cardiac Disease Treatment (PACT) Program Dana Elizabeth Henry, MD University of California, San Francisco, San Francisco, California Ian Harris, MD; Katherine Bianco, MD; Mari-Paule Thiet, MD; Molly M. Killion, RN; Valerie Bosco, NP, EdD 104 Induction of Labor for Fetal Growth Restriction: Risk Factors for Primary Cesarean Delivery Kari M. Horowitz, MD University of Connecticut Health Center, Farmington, Connecticut Deborah MacMillan Feldman, MD 105 Is Chorioamnionitis a Risk Factor for the Development of Necrotizing Enterocolitis? Meiling Hua, MD Thomas Jefferson University, Philadelphia, Pennsylvania Janet D. Larson, MD; Julia F. Switzer, MD; Vincenzo Berghella, MD 106 Effect of Calcium Channel Blockers plus Low Dosage Aspirin on Hypertensive Pregnancy Outcomes Na Jiang The First People’s Hospital of Kunshan, Jiangsu University, Suzhou, Kunshan, Jiangsu Li Liu; Qin Liu; Wei-Wen Yang The American College of Obstetricians and Gynecologists MONDAY 107 Evaluating Outcomes Labor Inductions Beyond 39 Weeks Amy Marie Johnson, MD University of Connecticut, Hartford Hospital, Hartford, Connecticut Elizabeth Ann Deckers, MD; Lauren Bellerose; Peter James Beller, MD; Rachel Allyse Billstrom, MD 108 Deficiencies in Physician Knowledge of the Risks of Imaging in Pregnancy Amy Marie Johnson, MD University of Connecticut, Hartford Hospital, Hartford, Connecticut Cassidy M. Dahn, MD; Lauren A.Cadiz, MA 114 Clinical Outcomes and Efficacy of Antenatal Diagnosis of Placenta Accreta Using Utrasound and MRI Esther Koai, MD Albert Einstein School of Medicine/Montefiore Medical Center, Bronx, New York Anita Hadpawat, MD; Dena Goffman, MD; Juliana S. Gebb, MD; Mara Rosner, MD; Peer Dar, MD 115 Health Care Utilization Patterns of Opioid Dependent Pregnant Women Elizabeth Ellen Krans, MD, MSc University of Pittsburgh, Pittsburgh, Pennsylvania Shannon L. Dunn, BS 109 Incidence of Sinusoidal Fetal Heart Rate Following Butorphanol Administration Kristy Ann Kapfhamer, MD Froedtert and Medical College of Wisconsin, Milwaukee, Wisconsin Aniko Szabo, PhD; Kirsten Fox, BS; Michael Robert Lund, MD; Robyn Baken, BSN; Timothy Egon Klatt, MD 116 Association Between Programmed Learning Simulation and Estimation of Blood Loss Nisha Amarlal Lakhi, MD New York Medical College-Richmond Program, Staten Island, New York Aadya Sharma, MD; Jane Marie Ponterio, MD; Michael L. Moretti, MD 110 Hair Cortisol as a Biomarker for Chronic Stress and its Association with Preterm Birth (PTB) Scarlett Diana Karakash, MD Maimonides Medical Center, Brooklyn, New York Howard L. Minkoff, MD; Jeremy Weedon, PhD; Nickoloz Tchankoshvili, MD; Rebecca M. Schwartz; Sharon Kim 117 Belimumab (Benlysta) Pregnancy Registry: Prospective Cohort Study of Pregnancy Outcomes Helain J. Landy, MD Georgetown University Hospital, Washington, District of Columbia Amanda Eudy, MSPH; Deanna Hill, PhD, MPH; Marcy Stephens Powell, MD; Michelle Petri, MD, MPH 111 A RCT Evaluating Safety and Efficacy of Sodium Hyaluronate/Carboxymethylcellulose at Cesarean Delivery Daniel George Kiefer, MD Lehigh Valley Health Network, Allentown, Pennsylvania Anthony M. Vintzileos, MD; Cande V. Ananth, PhD, MPH; John Carter Smulian, MD, MPH; Jolene C. Muscat, MD; Martin Ramses Chavez, MD 112 Clinical Correlates of Maternal Suicidal Ideation Detected By Perinatal Depression Screening J. Jo Kim, PhD NorthShore Univeristy HealthSystem and University of Chicago Pritzker School of Medicine, Evanston, Illinois Laura M. LaPorte, MA, LCSW; Marci G. Adams, MPH; Richard Karl Silver, MD; Samantha B. Allweiss, BA; Ying Zhou, PhD 113 Clinical Outcomes of Anterior Versus Posterior Placenta Accreta Esther Koai, MD Albert Einstein School of Medicine/Montefiore Medical Center, Bronx, New York Anita Hadpawat, MD; Dena Goffman, MD; Juliana S. Gebb, MD; Mara Rosner, MD; Peer Dar, MD 2014 Annual Clinical Meeting 118 Changes in Prenatal Testing Trends Following Introduction of Non-invasive Prenatal Testing Sebastian Larion, MD Eastern Virginia Medical School, Norfolk, Virginia Alfred Z. Abuhamad, MD; Letty Romary, MD; Malgorzata Mlynarczyk, MD, PhD; Steven L. Warsof, MD 119 Differential Effects of First Trimester Screening Programs on Chorionic Villus Sampling Sebastian Larion Eastern Virginia Medical School, Norfolk, Virginia Alfred Z. Abuhamad, MD; Letty Romary, MD; Malgorzata Mlynarczyk, MD, PhD; Steven L. Warsof, MD POSTERS 120 Factors Associated with Perineal Lacerations Requiring Suture in Vaginal Births Without Episiotomy Nicole V. Leal Instituto de Pesquisa , Campina Grande, Paraíba Antonio Henriques Franca Neto, MD; Debora F. Leite, MD; Fabiana O. Melo, MD; Janio N. Alves, PT; Melania Maria Ramos Amorim, MD, PhD facebook.com/acognational 67 MONDAY 3:45 PM – 4:45 PM POSTERS 121 12-Hour vs 24-Hour Postpartum Magnesium Sulfate Therapy in Preeclampsia: A Randomized Clinical Trial Nicole V. Leal Instituto Paraibano de Pesquisa , Campina Grande, Paraíba Antonio Henriques Franca Neto, MD; Carlos NoronhaNeto, MD, PhD; Leila Katz, MD, PhD; Melania Maria Ramos Amorim, MD, PhD; Sabina B. Maia, MD, MSc 122 Dinoprostone and Trial of Labor after Cesarean (TOLAC) Heidi Kay Leftwich, DO University of Illinois at Chicago, Chicago, Illinois Jessica Peterson, BA; Judith Usher Hibbard, MD 123 Difference in Birth Weight Among Patients With Gestational Diabetes Established by The International Association of the Diabetes and Pregnancy Study Groups Anna Shuk Fun Leung, MD San Gabriel Valley Perinatal Medical Group, Pomona Valley Hosp Medical Center, Pomona, California Garrett K. Yu; Laura A. Smith, RN; Serena Z. Zheng 124 Experience With Patients With Gestational Diabetes Established by The International Association of the Diabetes and Pregnancy Study Groups Anna Shuk Fun Leung, MD San Gabriel Valley Perinatal Medical Group, Pomona Valley Hospital Medical Center, Pomona, California Garrett K. Yu; Laura A. Smith, RN; Serena Z. Zheng 125 Labor and Pregnancy Outcomes Following Adoption of a More Conservative Oxytocin Labor Protocol Lauren Simel Lewis, MD Duke University, Durham, North Carolina Chad Aaron Grotegut, MD; Haywood L. Brown, MD; Ho-Yu Pan, RN; Leo Richard Brancazio, MD; R. Phillips Heine, MD POSTERS 126 Effect of Commercial Cell Free Fetal DNA Tests for Aneuploidy Screening on Rates of Invasive Testing Adetola F. Louis-Jacques, MD Lehigh Valley Health Network, Allentown, Pennsylvania Courtney R. Burans; Elizabeth Schofield; John Carter Smulian; Meredith Rochon; Sarah Robinson 68 twitter.com/acognews | #ACOG14 127 Gelatin–Thrombin Matrix Hemostatic for Management of Severe Obstetric Hemorrhage Victoria Marínez-Gaytan, MD Hospital de Ginecologia y Obstetricia, Instituto Mexicano del Seguro Social, Monterrey, Nuevo Leon Luis L. Felix-Zamudio, MD; Luis D. Alvarez-Chavez, MD; Maria L. Barrientos-Navarro, MD; Miguel E. TorcidaGonzalez, MD; Ricardo A. Isaac-Chaib, MD 128 Likelihood of Continued Childbearing after Cesarean Delivery Lisa Marie Masinter, MD, MPH Northwestern Feinberg School of Medicine, Chicago, Illinois Joe Feinglass, PhD; Melissa Andrea Simon, MD, MPH; William Adam Grobman, MD, MBA 129 Fetal Heart Rate (FHR) Categories in the Anomalous Fetus Dimitrios S. Mastrogiannis, MD, PhD, MBA Temple University School of Medicine, Philadelphia, Pennsylvannia Arleen Ayala-Crespo, MD; Carmen Patricia Rojas Mendez, MD 130 Developing Interventions to Target Modifiable Risk Factors in Pregnancy Losses in Philadelphia Dimitrios S. Mastrogiannis, MD, PhD, MBA Temple University School of Medicine, Philadelphia, Pennsylvania Jessica Nicole Barker, MD 131 How Long Should I Wait to Conceive? Subsequent Pregnancy Outcomes after Dilation and Evacuation Amelia Suzanne McLennan, MD Abington Memorial Hospital, Abington, Pennsylvania Sara Jean Grimes, MD; Victoria S. Myers, MD 132 Maternal Source of False Positive Fetal Sex Chromosome Aneuploidy in Non-Invasive Prenatal Testing Christopher J. McNamara, MD Saint Barnabas Medical Center, Livingston, New Jersey Laura A. Limone, MS, CGC; Richard Charles Miller, MD; Thomas Westover, MD 133 Implementing an Obstetrical Triage Acuity Tool in a High Volume Obstetrical Unit Natalie Beth Meirowitz, MD Hofstra North Shore-LIJ School of Medicine, New Hyde Park, New York Cristina Sison, PhD; Joel Owhe; Renee Wisniski, NP; Tharwat Stewart Fouad Boulis, MD The American College of Obstetricians and Gynecologists MONDAY 134 Bedrest and Gestational Diabetes: More Reasons to Get Out of Bed in the Morning Audrey Anne Merriam, MD Christiana Care Health System, Newark, Delaware Matthew K. Hoffman, MD, MPH; Melanie Chichester, BSN; Nima Ramesh Patel, MD 135 Choice of Cesarean in Operative Vaginal Delivery Candidates Based on Physician Instrument Preference Torri Derback Metz, MD, MS Denver Health Medical Center, Denver, Colorado Amanda A. Allshouse, MS; Erick Henry, MPH; M. Sean Esplin, MD; Sasha Elizabeth Andrews, MD; Thomas Joseph Garite, MD 136 Buprenorphine Use in Pregnancy: A Survey of the Knowledge and Opinions of Obstetricians Lauren Anne Miller, MD, MPH Exempla Saint Joseph’s Hospital & Tufts University School of Public Health, Denver, Colorado 137 Elective Induction of Nulliparous Labor at 39 Weeks: A Randomized Clinical Trial Nathaniel Robert Miller, MD Darnall Army Medical Center, Fort Hood, Texas Jason A. Pates, MD; Lisa M. Foglia, MD; Peter Edward Nielsen, MD; Rebecca L. Cypher, MSN 138 Can Carcino-Embryonic Antigen Serve as an Indicator for Meconium-Stained Amniotic Fluid? Amir Mor, MD, PhD Maimonides Medical Center, Brooklyn, New York Birgitta Wajntraub, MD; Jacob Mamet, MD; Joseph Glick, PhD; Sandra McCalla, MD 139 Maternal Age and Successful Induction of Labor in the United States: 2006–2010 Amanda Jane Mularz, MD University of California, Los Angeles, Los Angeles, California Rachel Mara Gutkin, MD, MPH 140 Identification of a Simple Screening Method for Neonatal Metabolic Acidosis Through Fetal Ultrasound Anna Natenzon, MD Einstein College of Medicine, Jacobi Medical Center, Bronx, New York Diana Janet Garretto, MD; Jose Carlos P.B. Ferreira, MD, PhD 2014 Annual Clinical Meeting 141 Clinical Significance of Growth Restriction in Pregnancies with Gastroschisis David Bryan Nelson, MD University of Texas Southwestern Medical Center at Dallas, Dallas, Texas Diane M. Twickler, MD; Donald D. McIntire, PhD; Jodi S. Dashe, MD; Patricia Cristina Santiago-Munoz, MD; Robert Benjamin Martin, MD 142 Impact of Obesity on Breastfeeding Teresa Ann Orth, MD, PhD University of Missouri Kansas City, Kansas City, Missouri Felix Okah, MD; Jarron Saint Onge, PhD; Shilpa Babbar, MD; Tami Gurley-Calvez, PhD 143 Active Participation by Patient in Her Own Labor and Delivery Using a Birthing Belt in a Special Positioning Bahman Payman, MD Lee County Community Hospital, Bishop, California 144 Geographical Distribution of Chorion as a Selection Factor for CVS Approach Boris M. Petrikovsky, MD New York University Downtown Hospital, New York, New York Aleksandr M. Fuks, MD; Evgeny Zharov, MD 145 Assessment of Adhesions at Time of Repeat Cesarean Delivery With or Without Prior Seprafilm® Use Brianne Nicole Plante, DO Riverside Methodist Hospital, Columbus, Ohio John Elliott, PhD, MPH; Sara Ann Sukalich, MD 146 Delivery Timing and Outcomes in Fetuses with Gastroschisis Amin Ahmed Ramzan, MD Keck School of Medicine, University of Southern California, Los Angeles, California David Arthur Miller, MD; Lisa Marie Korst, MD, PhD; Richard Hwan Lee, MD; Shivani R. Patel, MD POSTERS 147 Comparison of Timed Urine Collection to ProteinCreatinine Ratio for the Diagnosis of Pre-Eclampsia Christopher Zenon Rodrigue, Jr, MD Ochsner Clinic Foundation, New Orleans, Louisiana Adriana Dornelles, PhD, MPH; Katherine L Weyer, MBBS; Sherri Anne Longo, MD 148 Efficiency of Postpartum Warfarin Anticoagulation Carl Hans Rose, MD Mayo Clinic, Rochester, Minnesota Todd Joseph Stanhope, MD facebook.com/acognational 69 MONDAY 3:45 PM – 4:45 PM POSTERS 149 Effect of Obesity on Outcomes in Nulliparous Women Undergoing Balloon Ripening for Labor Induction Maliha A. Saylawala, MD University of Chicago, Chicago, Illinois Amanda Lauren Horton, MD 156 Laboratory Evaluation in the Work-Up of Preeclampsia Jane So, MD Stony Brook University Hospital, Stony Brook, New York Joseph A. Chappelle, MD 150 Does Antidepressant Exposure in Pregnancy Affect Maternal Serum Markers for Aneuploidy? Christina Eve Schroeder, MD Kaiser, San Francisco, San Francisco, California Danny W. Wu, MD; De-Kun Li, MD, PhD, MPH; Jeannette Ferber, MPH; Maqdooda Merchant, MS, MA; Robert Currier, PhD 157 Increasing Body Mass Index Exacerbates Inflammation in Obese Gravidas Ryan Alton Stone, MD Joan C. Edwards School of Medicine, Huntington, West Virginia Anne Silvis, PhD; David C. Jude, MD; David G. Chaffin, MD 151 Decreased Human Chorionic Gonadotropin and Preterm Delivery in Dichorionic Twin Gestations JoLyn Mary Seitz, MD St. Joseph Mercy Hospital, Ann Arbor, Michigan Catherine Bamrick, RN; Jennifer Anne Williams, MD; Jonathan W. T. Ayers, MD 158 Does Morbid Obesity in Preeclampsia Affect Maternal and Neonatal Outcomes? Maria Teresa Tam, MD Saint Joseph Hospital, Chicago, Illinois Diana Cecilia Calero, MD 152 Intrahepatic Cholestasis of Pregnancy: The Effect of Bile Acids on Fetal Heart Rate Tracings Lili Sheibani, MD University of California, Irvine, Orange, California Abby Uhrinak, BS; Alex Fong, MD; Bhuvan Pathak, MD; Richard Hwan Lee, MD 153 Average-Risk Pregnant Patient Perspectives on Non-Invasive Prenatal Testing Andrea Denise Shields, MD Wright Patterson Air Force Base, Wright Patterson AFB, Ohio Jacqueline Danielle Vidosh, MD 154 Inadequate Uterine Contractions Increase Risk for Uterine Atony at Cesarean Delivery Rabia Iram Siddik-Ahmad, MD Santa Clara Valley Medical Center, San Jose, California Andrea T. Jelks, MD; Matthew James Garabedian, MD, MPH POSTERS 155 Association Between Obesity During Pregnancy and the Utilization of Prenatal Services Paula Ellena Zozzaro-Smith, DO University of Rochester Medical Center, Rochester, New York J. Christopher Glantz, MD, MPH; Jennifer Park; Loralei Lacina Thornburg, MD; Melanie Spall; Stephen J. Bacak, DO, MPH 70 twitter.com/acognews | #ACOG14 159 Effect of Maternal Third-Trimester BMI on Maternal and Neonatal Outcomes Stephanie J. Warsheski, MD Queens Hospital Center, Queens, New York Aleksandr M. Fuks, MD; Carolyn Salafia, MD; Kolawole Felix Akinnawonu, MD; Tod Jay Rothschild, MD 160 Early Post-Partum Diabetes Screening for Women with Gestational Diabetes Mellitus Erika F. Werner, MD, MS Alpert Medical School, Brown University, Providence, Rhode Island Andrew J. Satin, MD; Christina Shih-Chi Han, MD; Gofran Tarabulsi, MBBS 161 Effects of Perinatal Depression and Anxiety on Labor and Delivery Outcomes Gianna Lusiye Wilkie, BS University of Massachusetts Medical School, Worcester, Massachusetts Kristina M. Deligiannidis, MD 162 Delivery Planning Following a Third or Fourth Degree Perineal Laceration Teresa R. Worstell Oregon Health and Science University, Portland, Oregon Aaron Brandon Caughey, MD, PhD; Rahel Nardos, MD; William Thomas Gregory, MD The American College of Obstetricians and Gynecologists MONDAY 163 Length of the Second Stage of Labor: What is the Effect of Epidural? Teresa R. Worstell, BS Oregon Health and Science University, Portland, Oregon Aaron Brandon Caughey, MD, PhD; Alison Gale Cahill, MD, MSCE; Arzou D. Ahsan, MD, MA 170 Non-invasive Prenatal Testing (NIPT) Decreased Diagnostic Testing but Not First Trimester Screening Sebastian Larion Eastern Virginia Medical School, Norfolk, Virginia Alfred Z. Abuhamad, MD; Letty Romary, MD; Malgorzata Mlynarczyk, MD, PhD; Steven L. Warsof, MD 164 Cost-Effectiveness of a Trial of Labor After Cesarean for Successive Deliveries Kevin Wymer University of Chicago, Pritzker School of Medicine, Chicago, Illinois Beth A. Plunkett, MD, MPH; Ya-Chen Tina Shih, PhD 171 Preferences of Sites for Office-Based Care by Reproductive Age Women William F. Rayburn, MD, MBA University of New Mexico School of Medicine, Albuquerque, New Mexico Andrew Bazemore, MD, MPH; Stephen M. Petterson, PhD 165 Effect of Glycemic Control on Maternal Serum Pregnancy Associated Plasma Protein A Amanda Yeaton-Massey Stanford University School of Medicine, Stanford, California Hao Tang; Mary Elizabeth Norton, MD; Robert Currier, PhD; Sarah Scheiderich Osmundson, MD 166 Intracervical Ripening Bulb for Induction of Labor in Trial of Labor After Cesarean Mary Nasry Zaki, MD University of Illinois at Chicago, Chicago, Illinois Heidi Kay Leftwich, DO; Judith Usher Hibbard, MD; Paige Penrod 167 Maternal Outcomes in Pregnancies Affected by Varicella-Zoster Virus Infections Hui Jue Zhang, MD Jewish General Hospital, McGill University, Montreal, Quebec Haim Arie Abenhaim, MD, MPH; Valerie Patenaude, MSc OFFICE PRACTICE 168 The Importance of HPV 16/18 Genotype Risk Stratification in ASCUS in an Inner City Urban Hospital Praise Augustus, BA SUNY Downstate Medical Center, Brooklyn, New York Nagaraj Gabbur, MD 169 Text Message Appointment Reminders as a Tool to Improve PPV Show Rates in an Urban Resident Clinic Leah Anne Kaye, BA, MD University of Connecticut, Farmington, Connecticut Amy Marie Johnson, MD; David O’Sullivan, PhD; Shannon Leigh DeGroff, MD 2014 Annual Clinical Meeting 172 Preconception Detection of Undiagnosed/Poorly Controlled Diabetes via the Electronic Medical Record Heather L. Straub, MD NorthShore University HealthSystem, Evanston, Illinois Andrea Rae Loberg, MD; Marci Adams, MPH; Richard Karl Silver, MD ONCOLOGY 173 Gene Expression and Prediction of Complete Cytoreduction in Ovarian Cancer Reem Abdallah, MD H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida Hye Sook Chon, MD; Jesus Gonzalez Bosquet, MD, PhD 174 Combination IP Carboplatin and IV/IP Paclitaxel in the Management of Advanced Stage Ovarian Cancer Mirelys Barrios, BS University of Miami, Miller School of Medicine, Miami, Florida Eric Douglas Schroeder, MD; John Paul Diaz, MD; Kristina Angel, RN, BSN; Ricardo E. Estape, BS POSTERS 175 Association Between Endometrial Cancer Risk Classification and Gene Expression in TCGA Database Hye Sook Chon, MD H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida Jesus Gonzalez Bosquet, MD, PhD; Reem Abdallah, MD facebook.com/acognational 71 MONDAY 3:45 PM – 4:45 PM POSTERS 176 High Rates of CIN 2 and CIN 3 in High-Risk Young Women with Low-Grade Cervical Cytology Screening Laura Becca Daily, MD University of Alabama at Birmingham, Birmingham, Alabama Britt Kristina Erickson, MD; Charles Alexander Leath, MD; Haller Jackson Smith, MD; John Michael Straughn Jr., MD; Warner King Huh, MD 177 Characterization of Family History Profiles in a Large Series of Lynch Syndrome Carriers Elizabeth I.O. Garner, MD, MPH Myriad Genetic Laboratories, Inc., Salt Lake City, Utah Barry S. Tong, MS, MPH, CGC; Frederica S. Lofquist, MD; Kelsey Moyes, MStat; Sara Wiyrick, MS 178 A Prospective Feasibility Study of Postpartum Distal Salpingectomy Gillian Lee Hsieh, MD Baylor College of Medicine, Houston, Texas Kathleen M. Antony, MD; Matthew L. Anderson, MD, PhD; Ramya Masand, MD 179 CDK4/6 Specific Activities as a Biomarker for Prognosis and Chemo-Sensitivity in Endometrial Cancer Yujio Ikeda The University of Tokyo, Tokyo, Tokyo Daisuke Aoki; Katsutoshi Oda; Kei Kawana; Tomoyuki Fujii; Yutaka Osuga 180 Hereditary Cancer Family History Risk Assessment Outcomes in an Ob/Gyn Population Frederica S. Lofquist, MD Pacific Women’s Obstetrics and Gynecology Medical Group, San Francisco, California Christine Lee; Elizabeth I.O. Garner, MD, MPH; Jonathan Nelson, BS, CCRP; Kelsey Moyes, MStat; Stephanie A. Hamilton, BA, MBA POSTERS PRIMARY CARE 181 No Adverse Signals Observed After Exposure to Human Papillomavirus Type 6/11/16/18 Vaccine During Pregnancy: Six-Year Pregnancy Registry Data Mary Ann Goss Merck, North Wales, Pennsylvania Adrian Dana; Fabio Lievano; Margaret M. Seminack 182 Obesity is Underdiagnosed and Under-Treated Among Reproductive Age Women Abbe L. Kordik, MD NorthShore University HealthSystem, Evanston, Illinois Beth A. Plunkett, MD; Marci Adams, MPH 72 twitter.com/acognews | #ACOG14 183 Knowledge of Cervical Cancer Screening Guidelines Among Residents at the OSU Wexner Medical Center Yan Zhao, MD Ohio State University, Wexner Medical Center, Columbus, Ohio Melissa Marie Goist, MD REPRODUCTIVE ENDOCRINOLOGY/ INFERTILITY 184 Elevated Insulin in Obese Women Relates to Low Endogenous LH Zain Al-Safi, MD University of Colorado, Denver, Aurora, Colorado Alex Joel Polotsky, MD, MSc; Andy Bradford, PhD; Justin Chosich, BA; Lauren W. Roth, MD; Nanette F. Santoro, MD 185 Comparison of Management and Ovulation Induction Protocols and Infertility Outcomes in Endometriosis Ercan Bastu Istanbul University, Istanbul Medical School, Istanbul Berk Bulut, MD; Cenk Yasa, MD; Faruk Buyru, MD; Ozlem Dural, MD 186 Case Report: Monochorionic-triamnionic Triplet Pregnancy After In Vitro Fertilization Gretchen Garbe Loyola University Medical Center, Maywood, Illinois Reena Jabamoni, MD 187 Endometrial Safety of Ospemifene and the Ability of TVUS to Detect Small Changes in Endometrial Thickness Steven Robert Goldstein, MD New York University Medical Center, New York, New York David F. Archer, MD; Ginger Constantine, MD; James Alan Simon, MD 188 Preconception CF Screening in Infertile Couples Using an Expanded Carrier Screening Test Alexandra S. Higgins Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota Jason D. Flanagan, MS; Keith A. Hansen, MD; Tiffany Ann Von Wald, MD 189 Comparison of Low-dose Dienogest with Low-dose Danazol for Long-term Treatment of Adenomyosis Hidenori Sasa, MD National Defense Medical College, Tokorozawa, Saitama Ayako Suzuki, CT; Kanoko Imai, MD; Kenichi Furuya, MD; Kiguna Sei, MD; Noriko Makimura, PhD The American College of Obstetricians and Gynecologists MONDAY 190 A Case of Cervical Agenesis in a Patient who Desires Fertility Elsa Jane Whitmore, DO Peoria, Illinois Chiravudh Sawetawan, MD; Jacek Wojciech Graczykowski, MD ULTRASOUND 191 Prenatal Diagnosis of Circumvallate Placenta and Pregnancy Outcomes Adanna Linda Anyikam, MD University of California, San Diego, San Diego, California Andrew Dean Hull, MD; Daphne Yvette LaCoursiere, MD; Dolores H. Pretorius, MD; Neha Anil Trivedi, MD; Sarah Benke 192 Fetal Growth Restriction may be Underestimated in Obese Patients Megha Gupta, MD Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, Pennsylvania Allen Kunselman; Jaimey M. Pauli, MD; John Thomas Repke, MD; Julianne Rae Lauring, MD 193 The Effect of Abdominal Wall Depth on Transabdominal Versus Transvaginal Cervical Length Measurement Katherine Marie Jacobs, DO University of Minnesota, Minneapolis, Minnesota Heather Gray, MPH; Jessica Pike Swartout, MD; Kirk D. Ramin, MD; Lisa Lynette Saul, MD; Yasuko Yamamura, MD 194 Impact of an Authorization Program on Obstetric Ultrasound Utilization and Cost Brad Lucas, MD, MBA Buckeye Community Health Plan (Centene), Columbus, Ohio, Akron, Ohio Andrew Wayne Helfgott, MD; Marie McNeely 195 NIPT Compared to Invasive Diagnostic Testing in the Setting of an Abnormal State Aneuploidy Screen Steve Rad, MD Cedars-Sinai Medical Center, Los Angeles, California Aaron Lansing Turner, MD; John Williams, III, MD; Paola Aghajanian, MD; Sarah Beauchamp, RDMS; Tania Fay Esakoff, MD 2014 Annual Clinical Meeting 196 Predictors for Choosing Array-CGH for Prenatal Diagnosis Steve Rad, MD Cedars-Sinai Medical Center, Los Angeles, California Aaron Lansing Turner, MD; Dalar Ratousi, MS; John Williams, MD; Paola Aghajanian, MD; Tania Fay Esakoff, MD 197 Transabdominal Ultrasonography to Detect Ureteral Patency in the Operative Suite Christopher Tarney, MD Womack Army Medical Center, Spring Lake, North Carolina Cristobal S. Berry-Caban; Paul Wayne Whitecar 198 Fetal Ultrasound Parameters Predict the Neonatal Body Mass Index Luciana A. Vieira, MD New York Presbyterian, Weill Cornell Medical Center, New York, New York Alexandra Satty; Amos Grunebaum, MD; Kate Sapra UROGYNECOLOGY 199 Comparison of Sacrospinous Hysteropexy and Uterosacral Suspension for Treatment of Uterine Prolapse Ghadeer Khalid Al Shaikh, MBBS, FRCSC King Saud University, Riyadh, Riyadh 200 Correlation Between Electromyography and Perineometry in Nulligravidas Melania Maria Ramos Amorim, MD, PhD Instituto Paraibano de Pesquisa , Campina Grande, Paraíba Andrea L. Oliveira, PT, PhD; Antonio Henriques Franca Neto, MD; Leila Katz, MD, PhD; Lorena C. Macedo, PT, MSc; Nicole V. Leal 201 Colpocleisis for Pelvic Organ Prolapse: A Patient Survey on Reasons for Surgery Selection Michelle Miki Takase-Sanchez, MD Indiana University Health, Methodist Hospital, Indianapolis, Indiana Douglass S. Hale, MD; Hannah Michelle Brooks, BA; Michael H. Heit, MD, PhD; Patrick John Woodman, DO facebook.com/acognational POSTERS 73 TUESDAY TUESDAY APRIL 29 AT-A-GLANCE 7:00 AM Registration Open (closes at 5:00 PM) 8:00 AM The Irvin M. Cushner Memorial Lecture “Feminism and the Moral Imperative for Contraception” 8:00 AM Interactive Surgical Tutorials (see page 79) MRI-Based Pelvic Anatomy IST01, BALLROOM E COLLOQUIA CLINICAL SEMINARS Techniques in Abnormal Wound Closure Including the Obese Patient IST02, BALLROOM E Robotics/Laparoscopic Surgery IST03, BALLROOM E 9:05 AM Gerald and Barbara Holzman Stump the Professors 10:00 AM Exhibit Hall Opens (closes at 5:00 PM) 11:15 AM The Edith Louise Potter Memorial Lecture “Maternal Morbidity and Mortality in the US: Time to Wake Up and Take the Lead” 12:15 PM to 1:30 PM Lunch and Learn Seminars LUNCH AND LEARN OBSTETRICS GYNECOLOGY PRACTICE Group Prenatal Care: Evidence and Practicalities LLT01, ROOM 471B Complimentary Alternative Medicine and Pelvic Pain Exercise in Pregnancy: The New Guidelines LLT06, ROOM 470B TeamSTEPPS® LLT02, ROOM 474A Fertility Preservation LLT04, ROOM 474B SCOPE Certification: A How to Apply Guide LLT07, ROOM 475A LLT03, ROOM 471A Endometrial Hyperplasia in 2014 LLT05, ROOM 470A LUNCH WITH THE EXPERTS 12:15 PM Lunch with the Experts (see page 82) 1:45 PM The Howard Taylor International Lecture “Advanced Surgery in Asia” 2:00 PM to 5:00 PM Postgraduate Courses POSTGRADUATE COURSES OBSTETRICS Medical Disorders During Pregnancy: Update 2014 TU301, ROOM 181BC GYNECOLOGY PRACTICE Gynecologic Ultrasound—Simple, Complex, and at Times Confusing! TU303, ROOM 470B What Every Ob-Gyn Needs to Know About Pediatric and Adolescent Gynecology TU306, ROOM 184D Intrapartum Fetal Monitoring —Reducing Risk through Standardization TU302, ROOM 180 POSTERS HANDS-ON COURSES Contraception Controversies and Conundrums TU304, ROOM 475B Primary Care Aspects for Women —Part 2 TU307, ROOM 186 Tried and True and New: Management Strategies for Recurrent First Trimester Pregnancy Loss TU305, ROOM 176AB Sexual Health 101: From Dilators to Dildos TU308, ROOM 471B PRACTICE MANAGERS Women’s Health Practice of the Future TU309, ROOM 176C 2:00 PM 74 Cutting Edge Topics in Ob-Gyn (see page 89) twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists AT-A-GLANCE TUESDAY TUESDAY APRIL 29 2:30 PM to 3:30 PM Clinical Seminars (CTP) OBSTETRICS Update in Fetal Surgery: What’s Available and What’s Appropriate GYNECOLOGY PRACTICE Endometriosis Update aDAPT Your Patient Communication (2:30 PM – 4:00 PM) CTP43, ROOM 474B Robotic Sacrocolpopexy Complications–Diagnosis and Management CTP40, ROOM 470A Using Social Media to Improve Your Ob-Gyn Practice CTP39, ROOM 179 CTP32, ROOM 475A The Connie and Harry Jonas, MD Clinical Seminar: Induction of Labor CTP33, ROOM 184BC Anomalies That Should Not Be Missed By Ultrasound CTP34, ROOM 185BC COLLOQUIA CTP44, ROOM 187AB Bariatric Surgery and Women’s Reproductive Health—An Ob-Gyn’s Map to the Clinical Minefield CTP35, ROOM 185A CLINICAL SEMINARS 5-Minute MFM Consult Male Fertility Preservation in a Pediatric Population CTP41, ROOM 471A Preterm Birth: Cerclage, 17-OH-P, Vaginal Progesterone, Tocolyze, or Cross Your Fingers? CTP37, ROOM 175 Effects of Military Service on Women’s Reproductive Health: How Ob-Gyn’s Can Optimize Reproductive Health for Women Veteran CTP42, ROOM 178B CTP36, ROOM 178A How to Incorporate Prenatal Genetics into Your Practice CTP38, ROOM 474A The Menace of Multitasking CTP45, ROOM 185D LUNCH AND LEARN The Business of Ob-Gyn Hospitalists CTP46, ROOM 476 2:50 PM The John and Marney Mathers Lecture “Pelvic Mass Risk Assessment: Could it be Cancer” 3:45 PM Poster Session (see page 95) 4:00 PM The Morton and Diane Stenchever Lecture “Keeping our Patients Safe: Key Actions for Ob-Gyns for all Stages and Sites of Patient Care” 6:00 PM President’s Party (Shedd Aquarium) LUNCH WITH THE EXPERTS POSTGRADUATE COURSES POSTERS POSTERS 2014 Annual Clinical Meeting facebook.com/acognational 75 TUESDAY 8:00 AM – 11:00 AM COLLOQUIA GYNECOLOGY Second Place Prize Paper Intrauterine Devices and the Risk of Uterine Perforations: Final Results from the EURASIUD Study 8:00 AM The Irvin M. Cushner Memorial Lecture “Feminism and the Moral Imperative for Contraception” Klaas Heinemann, MD, PhD, MSC, MBA, ZEG-Berlin, Berlin, Berlin Carolyn L. Westhoff, MD, MSc; David A. Grimes, MD; Sabine Moehner, PhD Eve Espey, MD MPH, University of New Mexico HSC, Albuquerque, New Mexico Ballroom ABC 8:10 AM COLLOQUIA Introduced by: Sharon T. Phelan, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Explain the political, social, and moral issues associated with contraceptive choices » Explain the options of contraceptive choice in our new affordable healthcare environment Donald F. Richardson Memorial Prize Paper Placental alpha-microglobulin-1 and Combined Traditional Diagnostic Test: A Cost-Benefit Analysis Nelson C. Echebiri, MD, MBA – District VII, University at Buffalo, Ob-Gyn Department, Buffalo, New York Analysis of the Efficacy of Sodium Hyaluronate-Carboxycellulose Barrier in Repeat Cesarean Sections Maria Gaspar-Oishi, MD – District VIII, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii 9:05 AM Donald F. Richardson Memorial Prize Paper M. Maya McDoom, MPH, Meaghan Aalto, MD, Jessica Pullen, MD, Nora M. Doyle, MD, MPH Tod Aeby, MD, 9:15 AM Gerald and Barbara Holzman Stump the Professors Ballroom ABC 9:30 AM MODERATOR: John Yeh, MD, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts PROFESSORS: Robert L. Barbieri, MD, Brigham and Womens Hospital, Boston, Massachusetts Nancy C. Chescheir, MD, Editor-in-Chief, Obstetrics & Gynecology, Chapel Hill, North Carolina Peter Edward Schwartz, MD, Yale University School of Medicine, New Haven, Connecticut ORAL PAPERS Patrice M. Weiss, MD, Virginia Tech Carilion School of Medicine, Roanoke, Virginia PRESENTERS: Jerlinda G. C. Ross, MD, District V, “Bloody Cervix— Don’t let a lab test fool you!” Pavan Parikh, MD, District VI, “Another Zebra in Ze Adnexal Zoo” Johanna Von Hofe, MD, District VII, Title: “Hysterectomy: ‘Not so fast, my friend!’” Laura Howell, MD, District VIII, “PPROM, Weakness, and RLQ Pain” 76 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY 11:15 AM – 2:45 PM COLLOQUIA Paper Computational Model for Determination of Optimal Timing of Delivery in an Obese Population 11:15 AM The Edith Louise Potter Memorial Lecture “Maternal Morbidity and Mortality in the US: Time To Wake Up and Take the Lead” Lisa Gill, MD, Mayo Clinic, Rochester, Rochester, Minnesota Michael R. Holbert, MD Mary Elizabeth D’Alton, MD, Columbia University, New York Presbyterian Hospital, New York, New York Sarah J. Kilpatrick, MD, PhD, Cedars-Sinai Medical Center, Los Angeles, California Ballroom ABC 11:25 AM COLLOQUIA Introduced by: Eilean L. Myer, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Define severe maternal morbidity » Describe maternal bundles » Identify partners in improved maternal care and health OBSTETRICS Paper Patient Satisfaction and Cosmetic Outcome in a Randomized Study of Cesarean Skin Closure 1:45 PM The Howard Taylor International Lecture “Advanced Surgery in Asia” Ballroom ABC 1:55 PM A. Dhanya Mackeen, MD, MPH, Geisinger Health System, Danville, Pennsylvania Jonah Fleisher; Adeeb Khalifeh ; Christian M. Pettker; Vincenzo Berghella Tao Duan, MD, Shanghai 1st Maternity and Infant hospital, Tongji University School of Medicine, Shanghai China Ikuo Konishi, MD PhD, Japan Society of Obstetrics and Gynecology, Tokyo, Japan MODERATOR: Eli Y. Adashi, MD, Brown University, Providence, Rhode Island Introduced by: John Yeh, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss the high Cesarean delivery rate in China and the reasons behind the figure » Discuss the use of B-Lynch suture and other compression suture techniques in controlling severe PPH in China » Discuss the changing trend of obstetric hysterectomy in China 2014 Annual Clinical Meeting facebook.com/acognational ORAL PAPERS 77 TUESDAY 2:50 PM – 5:00 PM COLLOQUIA GYNECOLOGY Paper Subcutaneous Venous Access Device Removal: A Cost Analysis 2:50 PM Brandon K. Woodard, MD, Memorial Health University Medical Center, Savannah, Georgia James Burke, MD The John and Marney Mathers Lecture “Pelvic Mass Risk Assessment: Could it be Cancer?” David Scott Miller, MD, University of Texas Southwestern Medical CenterDallas, TX Richard George Moore, MD, Cranston, Rhode Island Ballroom ABC 3:00 PM COLLOQUIA Introduced by: Caela R. Miller, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Utilize the ACOG-SGO guidelines for the evaluation and triage of adnexal masses Identify the indications, risks, and benefits of Ova1 Identify the indications, risks, and benefits of ROMA Identify women at high risk for ovarian cancer PRACTICE Paper Mifepristone and Misoprostol vs. Osmotic Dilator Insertion Prior to Surgical Abortion at 15-18 weeks 4:00 PM The Morton and Diane Stenchever Lecture “Keeping our Patients Safe: Key Actions for Ob/Gyn for all Stages and Sites of Patient Care” Amy E. Paris, MD, Boston University Medical Center, Boston, Massachusetts Sarita Sonalkar, MD, MPH; David Kattan, MD, MPH ; Jessica McClusky, BA; Olivera Vragovic, MBA; Lynn Borgatta, MD, MPH Joanna Mary Cain, MD, University of Massachusetts School of Medicine, Worcester, Massachusetts Ballroom ABC 4:10 PM Introduced by: Lauren D. Demosthenes, MD, Committee on Scientific Program COURSE OBJECTIVES ORAL PAPERS At the end of this course, the participant should be able to: » Identify actions and skills they can use to enhance the safety of the women we serve in educational, inpatient, and outpatient settings 78 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY 8:00 AM – 12:00 PM INTERACTIVE SURGICAL TUTORIALS Fees for the Interactive Surgical Tutorials are included in registration. IST01 MRI-Based Pelvic Anatomy Lennox P. John Hoyte, MD, University of South Florida, Tampa, Florida This interactive demonstration will detail the utilization of MRI in relation to pelvic anatomy. IST02 Techniques in Abnormal Wound Closure Including the Obese Patient Joel Sorosky, MD, University of Connecticut and Hartford Hospital, Hartford, Connecticut Using videos and powerpoint slides, an interactive session of opening and closing the abdomen will be presented. Participants are encouraged to present cases from their practice and ask questions. IST03 Robotics/Laparoscopic Surgery Arnold P. Advincula, MD, New York, New York Formulating safe approaches to advanced endoscopic procedures, identifying differences among electrosurgical devices, and laparoscopic suturing and dissection techniques will be presented. Optimization of hysterectomy with vaginal cuff management, tips and tricks to minimze the risk of complications, and how to perform safe and functional peritoneal access and port placement will also be discussed. INTERACTIVE SURGICAL TUTORIALS 2014 Annual Clinical Meeting facebook.com/acognational 79 TUESDAY 12:15 PM – 1:30 PM LUNCH AND LEARN SEMINARS Dining options are limited at the convention center. We strongly recommend participating in one of these luncheon sessions. OBSTETRICS LLT01 See page 8 Office Practice Category 39 Group Prenatal Care: Evidence and Practicalities Holly P. Kennedy, CNM, PhD, Yale University, West Haven, Connecticut Room 471B This session will present an overview of group prenatal care, including its history in the United States, current research findings, and practical application in the office setting. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify essential characteristics of group prenatal care » Review the evidence on the effect of group prenatal care with patient populations » Identify key practical tips to implementing group prenatal care in an office/clinic setting LLT02 See page 6-7 TeamSTEPPS® Room 474A Veronica T. Mallett, MD, Texas Tech University Health Sciences Center, El Paso, Texas This course will provide an overview of the TeamSTEPPS® approach to communication in labor and delivery designed to prevent error. A practical approach to implementation, lessons learned from utilization tips, and tricks for overcoming resistance will be presented. LUNCH AND LEARN COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Identify impact and causes of medical errors Describe and model team structure and function in labor and delivery Describe culture change process and skills for overcoming resistance in multiple settings Outline your approach for the academic private or mixed setting GYNECOLOGY LLT03 See page 6-7 Complimentary Alternative Medicine and Pelvic Pain Room 471A Sarah D. Fox, MD, Alpert School of Medicine at Brown University/Women and Infants Hosptial, Providence, Rhode Island Chronic pelvic pain is a common, complex and challenging diagnosis. This course will cover a range of CAM treatment options for patients who prefer a holistic approach. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the mind body link in pain » Summarize the body of literature for CAM • for chronic pain in general • for chronic pelvic pain specifically » Construct a program of CAM options for patients with pelvic pain LLT04 Fertility Preservation Room 474B Erica T. Wang, MD, Cedars-Sinai Medical Center; University of California Los Angeles David Geffen School of Medicine, Los Angeles, California This course will highlight the recent advances in fertility preservation, including oocyte cryopreservation for medical or elective reasons. 80 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify appropriate patients for referral to fertility specialists for fertility preservation counseling and/or procedures » Identify the different options available for fertility preservation » Initiate a work-up for ovarian reserve as part of the evaluation for elective oocyte cryopreservation LLT05 See page 8 Office Practice Category 10 Endometrial Hyperplasia in 2014 Room 470A Joel Sorosky, MD, University of Connecticut and Hartford Hospital, Hartford, Connecticut The diagnosis and management of uterine hyperplasia will be reviewed. The relationship between uterine hyperplasia, endometrial cancer, and reproductive options will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Diagnose uterine hyperplasia » Review the medical and surgical treatment of uterine hyperplasia » Review the reproductive options in women with uterine hyperplasia PRACTICE LLT06 Exercise in Pregnancy: The New Guidelines Raul Artal, MD, Saint Louis University School of Medicine, Saint Louis, Missouri LUNCH AND LEARN Room 470B This course will provide the practicing ob-gyn with the new guidelines for exercise in pregnancy with anatomical and physiological considerations being discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » » LLT07 Discuss the new ACOG guidelines Describe and understand basic principles of exercise prescription and specifically for pregnant women Incorporate exercise prescription in their medical practice Describe relative and absolute contraindications to exercise in pregnancy Prescribe exercise to diabetic patients or at risk to acquire gestational diabetes SCOPE Certification: A How to Apply Guide Room 475A Philip H. Lahrmann, MD, Hartford Hospital, Hartford, Connecticut PANELISTS: John P. Keats, MD CPE, Ventura, California Barbara S. Levy, MD, ACOG, Washington, DC D. Ashley Hill, MD, Orlando, Florida Safety Certification in Outpatient Practice Excellence (SCOPE) for Women’s Health Program has been established by ACOG Fellows and staff. Defining, implementing, and maintaining office policies and procedures will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Define the requirements necessary to provide quality health care to women in an office setting » Identify the goals of the SCOPE program » Proceed with an application for SCOPE certification 2014 Annual Clinical Meeting facebook.com/acognational 81 NEW TUESDAY THIS YEAR 12:15 PM – 1:30 PM LUNCH WITH THE EXPERTS EXHIBIT HALL Small roundtable discussions Dining options are limited at the convention center. We strongly recommend participating in one of these luncheon sessions. NEW! CURBSIDE CONSULTS Bring your cases and meet with experts in subspecialties to answer your questions and “talk shop.” LT100 Consult with Maternal Fetal Medicine Experts Brian M. Mercer, MD, Immediate Past President, Society of Maternal Fetal Medicine (SMFM) LT101 Consult with Reproductive Endocrinology Experts Richard H. Reindollar, MD, President, American Society for Reproductive Medicine (ASRM) LT102 Consult with Minimally Invasive Surgery Experts Charles E. Miller, MD, Past President, American Association of Gynecologic Laparoscopists (AAGL) LT103 Consult with Oncology Experts Richard R. Barakat, MD, President, Society of Gynecologic Oncology (SGO) LT104 Consult with Urogynecology Experts Charles W. Nager, MD, President, American Urogynecologic Society (AUGS) SGO CONTRACEPTION/FAMILY PLANNING LT01 Emergency Contraception LUNCH WITH THE EXPERTS Rachel B. Rapkin, MD, University of South Florida, Tampa, Florida EDUCATION 82 LT02 Leadership Development in OB/GYN Karen E. Harris, MD, MPH, Gainesville, Florida LT03 I Have a Great Idea for a Medical Device...Now What Do I Do? Stuart R. Hart, MD, University of South Florida Morsani College of Medicine, Tampa, Florida LT04 Interested in Research? Ob-Gyn Research Career Development Programs Supported by NIH Estella C. Parrott, MD, National Institute of Child Health and Human Development, Bethesda, Maryland LT05 Challenges of the Millennial Teaching Millennials Jennifer J. Prats, MD, University of South Florida, Tampa, Florida LT06 Maintaining an Academic Flare While in Private Practice: A Perfect Hybrid Patrick S. Ramsey, MD, MSPH, Texas Perinatal Group/Uniformed Service University of the Health Sciences, San Antonio, Texas LT07 Abuse Shashi Sharma, MD, Rochester General Hospital, Rochester, New York twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY EDUCATION LT08 Creating a Laborist Group at your Institution Laurie S. Swaim, MD, Baylor College of Medicine, Houston, Texas ETHICS/PROFESSIONAL LIABILITY/RISK MANAGEMENT LT09 EMRs for OBs and Health Reform Mark S. Seigel, MD, George Washington University Medical Faculty Associates, Washington, DC GYNECOLOGY Royal Belgian Society of Obstetrics and Gynecology LT10 Cidofovir and Cervical Dysplasia Michel Bossens, MD, Bruxelles, Belgium LT11 Laparoscopic Management of Large Ovarian Cysts-PEARLS Sanford S. Osher, MD, Bethesda North Hospital, Cincinnati, Ohio LT12 Evaluation of the Adnexal Mass Stephen L. Rose, MD, University of Wisconsin, Madison, Wisconsin LT13 Dysmenorrhea: New Views and Options for the Problem Patient Roger P. Smith, MD, Indiana University School of Medicine, Indianapolis, Indiana LT14 Tips for Treating Refractory Vulvovaginitis Symptoms Colleen M. Stockdale, MD, University of Iowa, Iowa City, Iowa LT15 Evidence-based Approach to Prophylactic Oophorectomy at the Time of Benign Hysterectomy: Does Ovarian Removal Improve Survival Neal M. Lonky, MD, MPH, Kaiser Permanente, Yorba Linda, California LUNCH WITH THE EXPERTS MENOPAUSE LT16 Hormone Replacement Therapy Diana S. Curran, MD, University of Michigan Health System, Ann Arbor, Michigan LT17 Triple Witching: Obesity, Menopause and Metabolic Syndrome Maida B. Taylor, MD, University of California San Francisco, San Francisco, California OBSTETRICS LT18 2014 Annual Clinical Meeting Aneuploidy Screening and Beyond David E. Abel, MD, Prenatal Diagnosis of Northern California, Sacramento, California facebook.com/acognational 83 TUESDAY 12:15 PM – 1:30 PM LUNCH WITH THE EXPERTS OBSTETRICS Royal Belgian Society of Obstetrics and Gynecology LUNCH WITH THE EXPERTS LT19 Finding a Needle in a Haystack: The Workup of Stillbirth Rana S. Berry, MD, Indiana University School of Medicine, Indianapolis, Indiana LT20 AIP—Abnormally Invasive Placenta—From Clinical Management to Basic Research Frederic Chantraine, MD, Bruxelles, Belgium LT21 Thrombophilias and Pregnancy Nora M. Doyle, MD, University of Oklahoma-Tulsa, Tulsa, Oklahoma LT22 Updated Management of Patients with Thrombophilias in Obstetrics/Gynecology Practice Adam J. Duhl, MD, The Commonwealth Medical College (Pennsylvania), Oakland, New Jersey LT23 Effective Handoffs in Labor and Delivery Marygrace Elson, MD, University of Iowa Hospital and Clinics, Iowa City, Iowa LT24 Vacuum Extraction Delivery: Do’s and Don’ts Martin L. Gimovsky, MD, Newark Beth Israel Medical Center, Newark, New Jersey LT25 OB Ultrasound for Fetal Assessment Cole D. Greves, MD, Orlando Health, Orlando, Florida LT26 Intraheptic Cholestasis of Pregnancy Cassandra E. Henderson, MD, CDE, Lincoln Medical and Mental Health Center, Bronx, New York LT27 Post Placental IUD Insertion Brenda Pereda, MD, University of New Mexico, Albuquerque, New Mexico LT28 Assessment of Fetal Heart Tracing: Predicting Levels of Fetal Acidosis Michael G. Ross, MD, Harbor-UCLA Medical Center, Torrance, California OFFICE PRACTICE LT29 Chronic Sexual Pain/ Dyspareunia Deborah J. Coady, MD, Soho Obstetrics and Gynecology, PC, New York, New York LT30 Abdominal Cerclage Frederic Debieve, MD, PhD, Bruxelles, Belgium LT31 Future in Fetal Surgery Corinne Hubinont, MD, Bruxelles, Belgium LT32 Healthcare Legislation: 2014 Challenges for Ob-Gyns Lucia DiVenere, American Congress of Obstetricians and Gynecologists, Washington, DC Royal Belgian Society of Obstetrics and Gynecology Royal Belgian Society of Obstetrics and Gynecology 84 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY OFFICE PRACTICE Royal Belgian Society of Obstetrics and Gynecology LT33 Keeping Yourself From Getting Back and Neck Strain While You Practice Victor M. Feldbaum, MD, Memphis, Tennessee LT34 Beyond Kegels and Biofeedback: Discussing the Broader Scope of Physical Therapy in Obstetrics and Female Pelvic Health Jessica Leigh McKinney, PT, MS, Marathon Physical Therapy, Center for Pelvic and Women’s Health, Newton, Massachusetts LT35 Office Practice Design and Management David J. Moreland, MD, University of North Texas Health Science Center, Fort Worth, Texas LT36 Update on Diabetes in Pregnancy Dotun A. Ogunyemi, MD, Cedars-Sinai Medical LT37 Using Group Patient Education to Improve Efficiency and Productivity in Your Practice Sarah M. Page-Ramsey, MD, Uniformed Services University of the Health Sciences, Bethesda, Maryland LT38 Future in Robotic Surgery Michel Degueldre, MD, Bruxelles, Belgium LT39 ASCCP Management Guidelines Alan G. Waxman, MD, MPH, University of New Mexico School of Medicine, Albuquerque, New Mexico Center, Los Angeles, California LUNCH WITH THE EXPERTS ONCOLOGY LT40 Breast Disease Jennifer L. Griffin Miller, MD, University of Nebraska Medical Center College of Medicine, Omaha, Nebraska PRIMARY CARE LT41 SBIRT Model: Screening for and Managing Substance Use in Practice Tricia E. Wright, MD, University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii; University of Maryland, Baltimore, Maryland REPRODUCTIVE ENDOCRINOLOGY AND INFERTILITY Royal Belgian Society of Obstetrics and Gynecology LT42 Contribution of Oocytes In Vitro Maturation and Vitrification in Assisted Reproduction: Advances and Controversies LT43 PCOS: What You Need to Know as Ricardo J. Loret de Mola, MD, Southern Illinois University School of Medicine, Springfield, Illinois a General OB/GYN 2014 Annual Clinical Meeting Isabelle Demeestere, MD, Bruxelles, Belgium facebook.com/acognational 85 TUESDAY 2:00 PM – 5:00 PM POSTGRADUATE COURSES OBSTETRICS See page 8 Office Practice Category 40 TU301 Medical Disorders During Pregnancy: Update 2014 Room 181BC Michelle Y. Owens, MD, University of Mississippi Medical Center, Jackson, Mississippi James B. Hill, MD, Eastern Virginia School of Medicine, Chesapeake, Virginia This course will focus on the latest updates in diagnosis and treatment of common medical complications in pregnancy. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify the criteria for diagnosing common medical disorders in pregnancy » Identify medications that can be safely used to treat specific medical disorders in pregnancy » Describe adverse perinatal outcomes and suggested interventions for medical disorders covered in this course » Discuss the prognoses of specific medical conditions not only for labor and delivery, but also for the long-term non-pregnant state » Identify those obstetrics patients requiring maternal fetal medicine consultation See page 8 Obstetrical Category 20 INTERACTIVE » TU302 Intrapartum Fetal Monitoring— Reducing Risk through Standardization Room 180 Lisa A. Miller, CNM, JD, Perinatal Risk Management and Education Services, Portland, Oregon Eric F. Warshaw, MD, Kaiser Westside Medical Center, Portland, Oregon This interactive course will allow participants to assess intrapartum electronic fetal monitoring (EFM) and apply a standardized evidence-based algorithm to intrapartum EFM. Participants will have an opportunity to apply the principles to actual EFM tracings. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify knowledge gaps in intrapartum fetal monitoring » Describe standardized, systematic approach to fetal heart rate interpretation and management that is evidence-based and reflects consensus in the medical literature » List three strategies to reduce liability risks related to intrapartum fetal monitoring POSTGRADUATE COURSES GYNECOLOGY INTERACTIVE » TU303 Gynecologic Ultrasound— Simple, Complex, and at Times Confusing! Room 470B Chrystie K. Fujimoto, MD, University of Hawaii, Honolulu, Hawaii Steven R. Goldstein, MD, New York University School of Medicine, New York, New York This interactive, case-based course is for the Ob-Gyn desiring to improve skills in first trimester obstetric and gynecologic ultrasound. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the role of pelvic ultrasound in the evaluation of early pregnancy » Discuss the use of ultrasound in ovarian cancer screening » Develop a differential diagnosis of pelvic masses and discuss the diagnostic limitations of pelvic ultrasound 86 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY TU304 Contraception Controversies and Jennifer Salcedo, MD, MPH, MPP, University of Hawaii, Honolulu, Hawaii Conundrums Room 475B Bliss Kaneshiro, MD, University of Hawaii, Honolulu, Hawaii Reni A. Soon, MD, University of Hawaii, Honolulu, Hawaii Katherine Whitehouse, DO, University of Hawaii, Honolulu, Hawaii Participants will compare current management of contraceptive conundrums with strategies supported by the literature and guidelines: postpartum contraception, LARC, emergency contraception, and comorbidities. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Confidently address the most common contraception conundrums in their practices » Appropriately address contraceptive options for women with challenging medical comorbidities » Problem-solve common patient questions on contraceptive method use and side effect management See page 8 Gynecology Categories 10-17 TU305 Tried and True and New: Management Strategies for Recurrent First Trimester Pregnancy Loss Room 176AB Paul R. Brezina, MD, Fertility Associates of Memphis, Memphis, Tennessee William H. Kutteh, MD, PhD, HCLD, Vanderbilt University School of Medicine and Fertility Associates of Memphis, Memphis, Tennessee This course will review the currently accepted investigations into genetic, endocrinologic, anatomic, immunologic, microbiologic, thrombophilic, and iatrogenic causes of Recurrent Pregnancy Loss. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss how advances in genetics have influenced our thinking of pregnancy loss and recurrent pregnancy loss » Discuss new algorithms for initiating the RPL workup » Describe the known etiologies that have been associated with RPL and outline the diagnostic tests that should be offered to couples with RPL » Explain the risks, benefits and expected outcomes of treatments for RPL POSTGRADUATE COURSES PRACTICE TU306 What Every Ob-Gyn Needs to Know About Pediatric and Adolescent Gynecology Room 184D Robert K. Zurawin, MD, Baylor College of Medicine, Houston, Texas Joseph S. Sanfilippo, MD, PhD, HCLD, Magee Womens Hospital, Pittsburgh, Pennsylvania This course is designed to familiarize the practicing gynecologist with the diagnosis and management of common problems in children and adolescent patients. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Review the anatomic and endocrinologic development of the young female patient—normal and abnormal » Illustrate the differential diagnoses of common gynecologic problems in the pediatric and adolescent female that are frequently misdiagnosed » Explore the current treatment options for endometriosis, abnormal uterine bleeding, malignancies and chronic pain in the adolescent female » Describe the minimally invasive modalities for the correction of congenital abnormalities of the female genital tract 2014 Annual Clinical Meeting facebook.com/acognational 87 TUESDAY 2:00 PM – 5:00 PM POSTGRADUATE COURSES See page 6-7 AMERICAN COLLEGE OF PHYSICIANS TU307 Primary Care Aspects for Women—Part 2 Room 186 James J. Woodruff, MD, The American College of Physicians and the University of Chicago Medicine, Chicago, Illinois Amber Pincavage, MD, The University of Chicago, Chicago, Illinois Sachin Shah, MD, The University of Chicago, Chicago, Illinois Topics that will be covered include colon cancer screening, cholesterol screening and management, asthma, coronary artery disease, hypertension, thyroid disease, anemia, gastro esophageal reflux disease, irritable bowel syndrome and depression. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify opportunities to impact the primary care of women in the setting of an obstetrics and gynecology outpatient practice » Identify and effectively triage common internal medicine complaints in the setting of an obstetrics and gynecology outpatient practice TU308 Sexual Health 101: From Dilators J. Chris Carey, MD, Denver Health, Denver, Colorado to Dildos Room 471B Karen E. Adams, MD, Oregon Health and Sciences University, Portland, Oregon There will be an overview of how to take a sexual history and how to approach a patient with a sexual problem, followed by experience in role playing in history and brief therapy. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Describe the evaluation of a patient who presents with sexual dysfunction Describe the effects of common medications on sexual function Treat common sexual dysfunctions Refer sexual problems when indicated PRACTICE MANAGERS POSTGRADUATE COURSES TU309 Women’s Health Practice of the Future Room 176C Robert W. Yelverton, MD, Chair, District XII, Tampa, Florida Dorimar Siverio-Minardi, MPH, MBA, Women’s Care Florida, Tampa, Florida This course is specifically designed for practice managers and will address how to identify infrastructure and information needs that are required to respond to change. Value-based contracting and alternative payment methodologies will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify infrastructure and information needs required to respond to change » Identify alternatives payment methodologies and the concept of value-based contracting in ob/gyn » Describe new practice models for Ob-Gyn population management and their reimbursement models • The Maternal Health Home » Identify the importance of patient engagement and satisfaction » Identify the importance of certification—SCOPE 88 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists NEW TUESDAY THIS YEAR 2:00 PM – 3:30 PM CUTTING EDGE TOPICS IN OB-GYN This new session will feature a panel of speakers from subspecialty societies that will bring you up-to-date on the hot topics and current trends that have the most impact. LOCATED IN: BALLROOM D MODERATOR: L. CHESNEY THOMPSON, MD SASGOG SOCIETY OF MATERNAL FETAL MEDICINE Vincenzo Berghella, MD President, Society for Maternal-Fetal Medicine THE JOHN E. BUSTER, MD, REPRODUCTIVE ENDOCRINOLOGY/INFERTILITY SESSION Richard H. Reindollar, MD President, American Society for Reproductive Medicine THE KATHRYN M. AND THOMAS F. PURDON, Nancy Gaba, MD President, Society of Academic Specialists in MD GENERALISTS’ SESSION General Obstetrics and Gynecology SOCIETY OF GYNECOLOGIC ONCOLOGY Richard R. Barakat, MD President, Society of Gynecologic Oncology AMERICAN UROGYNECOLOGIC SOCIETY Charles W. Nager, MD President, American Urogynecologic Society SGO CUTTING EDGE TOPICS IN OB-GYN 2014 Annual Clinical Meeting facebook.com/acognational 89 TUESDAY 2:30 PM – 3:30 PM CLINICAL SEMINARS “i” DENOTES AUDIENCE RESPONSE SYSTEM, AN INTERACTIVE CLINICAL SEMINAR. OBSTETRICS See page 8 Obstetrical Category 24 CTP32 Update in Fetal Surgery: What’s Available and What’s Appropriate Michael A. Belfort, MD, Baylor College of Medicine and Texas Children’s Hospital, Houston, Texas Room 475A This course will cover fetal intervention surgery and will educate general ob-gyns and maternal-fetal medicine practitioners on the latest developments. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Review the anatomic and endocrinologic development of the young female patient—normal and abnormal » Illustrate the differential diagnoses of common gynecologic problems in the pediatric and adolescent female that are frequently mis-diagnosed » Explore the current treatment options for endometriosis, abnormal uterine bleeding, malignancies and chronic pain in the adolescent female » Describe the minimally invasive modalities for the correction of congenital abnormalities of the female genital tract CLINICAL SEMINARS INTERACTIVE » NEWLY ENDOWED iCTP33 The Connie and Harry Jonas, MD Clinical Seminar: Induction of Labor Mildred M. Ramirez, MD, Baylor College of Medicine, Houston, Texas Room 184BC Who, When, and What of induction of labor with emphasis on best practices for setting safety, improving neonatal outcomes, and potentially reducing cesarean delivery. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify who should be a candidate for induction of labor » Incorporate new guidelines in timing of medical inductions » Select and compare the risks, benefits, and alternative options for induction of labor INTERACTIVE » iCTP34 Anomalies That Should Not Be Missed By Ultrasound Room 185BC Daniel W. Skupski, MD, New York Hospital Queens, Weill Medical College of Cornell University, New York, New York Stephen T. Chasen, MD, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, New York A multitude of ultrasound images helps the attendee know how to suspect and diagnose anomalies in the first two trimesters of pregnacy and the unique features of multifetal gestations. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » 90 Identify the major anomalies identifiable with ultrasound during the second trimester examination Identify the major anomalies identifiable during the first trimester when ultrasound examinations are performed Discuss the differential diagnosis of abnormalities diagnosable in multiple gestations Describe the limitations of diagnosing fetal anomalies with ultrasound twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY Joseph R. Wax, MD, Tufts University School of CTP35 Bariatric Surgery and Women’s Medicine, Boston, MA and Maine Medical Center, Reproductive Health—An ObGyn’s Map to the Clinical Minefield Portland, Maine Room 185A The effects of bariatric surgery on preconception, pregnancy, postpartum care, and late surgical complications leading to maternal and neonatal morbidity and mortality will be discussed. Using actual case histories, clinicians will participate in recognizing and avoiding missteps contributing to adverse outcomes. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the epidemiology and morbidity of obesity in women » Describe common bariatric surgical procedures and their implications for reproductive health of women » Identify and avoid common pitfalls in diagnosing and managing late complications of bariatric surgery in pregnancy CTP36 5-Minute MFM Consult Room 178A CLINICAL SEMINARS Kirk D. Ramin, MD, Univeristy of Minnesota, Minneapolis, Minnesota and Baylor College of Medicine, Houston, Texas Joseph K. Hwang, MD, University of Minnesota Medical School, Minneapolis, Minnesota Susan M. Ramin, MD, Baylor College of Medicine, Houston, Texas Yasuko Yamamura, MD, University of Minnesota, Minneapolis, Minnesota This course is designed to address commonly encountered clinical dilemmas and frequently requested Maternal-Fetal Medicine consultations. Cases will be presented. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Counsel patients regarding timing of delivery in pregnancies complicated by IUGR, diabetes and hypertension » Discuss the role of non-invasive prenatal testing and screening for thrombophillias during pregnancy » Identify and manage post-partum hemorrhage, preterm labor and cervical shortening See page 6-7 INTERACTIVE » iCTP37 Preterm Birth: Cerclage, 17-OH-P, Vaginal Progesterone, Tocolyze, or Cross Your Fingers? Rita W. Driggers, MD, Sibley Memorial Hospital, Washington, DC and Johns Hopkins University School of Medicine, Baltimore, Maryland Room 175 This course will address tools for prediction, prevention, and management of women at risk for preterm birth, prior preterm birth, or short cervix in a current pregnancy. COURSE OBJECTIVES At the end of this course, the participant should be able to: 2014 Annual Clinical Meeting » Discuss the use, benefits, and limitations of tests and tools available for prediction of preterm birth (PTB) to include: • Fetal fibronectin • Cervical length » Select the most appropriate management for the patient with a sonographically short cervix » Identify the indications for treatments used to prevent PTB • Vaginal progesterone • 17 alpha-hydroxyprogesterone caproate (17P) • Cerclage » Properly utilize medications proven to decrease morbidity and mortality associated with PTB to include: » Magnesium neuroprophylaxis » Corticosteroids » Antibiotics facebook.com/acognational 91 TUESDAY 2:30 PM – 3:30 PM CLINICAL SEMINARS See page 6-7 INTERACTIVE » iCTP38 How to Incorporate Prenatal Genetics into Your Practice Room 474A Nancy C. Rose, MD, Intermountain Healthcare/ University of Utah; Salt Lake City, Utah Devereux N. Saller, Jr, MD, Magee Women’s Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania Andrew F. Wagner, MD, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma This interactive session is designed to help providers learn the best options of standard and newly developed prenatal genetic testing in a case based, informal format. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss how to screen for aneuploidy using all available screening methods, such as non-invasive prenatal testing and various forms of serum screening » Identify how to incorporate newborn screening into prenatal care » Discuss when microarray testing should be used in place of a conventional karyotype CLINICAL SEMINARS GYNECOLOGY CTP39 Endometriosis Update See page 8 Office Practice Category 10 Room 179 Gregory M. Christman, MD, University of Florida, Gainesville, Florida This session will discuss potential promising non-surgical treatment strategies, use of serum markers, and eutopic endometrial biopsy in patients with pain or infertility. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the role and utility of various medical options to address endometriosis associated pelvic pain » Determine the appropriate role of surgery in assisting patients with endometriosis associated infertility » Provide an update on the latest research in endometriosis as the basis for potential lifestyle modifications and new treatment options CTP40 Robotic Sacrocolpopexy Compli- Lennox P. John Hoyte, MD, University of South cations—Diagnosis & Management Florida, Tampa, Florida Room 470A Participants will learn the indications, anatomy, and surgical principles relevant to the robotic sacrocolpopexy procedure, using a combination of detailed MR based 3D pelvic floor reconstructions and an intraoperative surgical video. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the robotic sacrocolpopexy procedure » Demonstrate the route to complications of this procedure » Describe complication management of sacrocolpopexy Royal Belgian Society of Obstetrics and Gynecology CTP41 Male Fertility Preservation in a Pediatric Population Christine Wyns, MD, Bruxelles, Belgium Room 471A This session will discuss the utilization of male fertility preservation in the pediatric population. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Provide current knowledge about fertility preservation in prepubertal boys: • options for stem cell cryopreservation and clinical experience • use of stored tissue: how far are we from routine application? 92 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists TUESDAY See page 6-7 CTP42 Effects of Military Service on Women’s Reproductive Health: How Ob-Gyn’s Can Optimize Reproductive Health for Women Veterans Laurie C. Zephyrin, MD, MPH, Office of Women’s Health Services, Department of Veterans Afairs, Washington, DC Room 178B The unique reproductive health conditions and needs of women Veterans will be discussed. Additional research and new collaborations are required to develop policy and programs to enhance care delivery. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify the increasing population of women Veterans, their changing military roles and exposure to combat, and the percentage of women Veterans seen in various clinical settings » Screen women for military service, current or past » Describe the unique health conditions that can affect the reproductive health of women Veterans and importance of preconception care » Discuss the Department of Veterans Affairs women’s health initiatives, as well as opportunities for collaboration with VA CLINICAL SEMINARS PRACTICE CTP43 aDAPT Your Patient Communication (2:30 PM – 4:00 PM) Brenda Walsh, Strategic Training Solutions, Boston, Massachusetts Room 474B Completion of a communication assessment will reveal your personal communication preferences and instruct you on how to deal with challenging patients of all types. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Discuss both the strengths and potential limitations of their personal communication style when interacting with patients of another style » Identify specific strategies and tactics to employ to more successfully engage your patients, drive higher levels of compliance while minimizing risk of misdiagnosis » Cite specific behavioral cues and statements made that help to reveal a patient’s preferred communication style thereby enable you to more quickly and successfully aDAPT to their style needs CTP44 Using Social Media to Improve Your Ob-Gyn Practice Mark S. Seigel, MD, George Washington University Medical Faculty Associates, Washington, DC Room 187AB This course will demonstrate a step-by-step approach to safe and effective use of social media for your ob-gyn practice. Improving communication with patients, marketing, and website ranking on internet search engines will be discussed. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Identify how the use of social media can benefit your ob/gyn practice » Discuss the different social media, and their usefulness for a blog or website » Discuss ethical and professional guidelines in the use of social media according to the AMA and the Federation of State Medical Boards » List the principles of effective social media writing 2014 Annual Clinical Meeting facebook.com/acognational 93 TUESDAY 2:30 PM – 3:30 PM CLINICAL SEMINARS CTP45 The Menace of Multitasking Room 185D Joanne L. Perron, MD, Pebble Beach, California Robert Wallace, MD, MBA, Westlake Village, California Our society places high value on the skill of multitasking. Yet scientific evidence indicates that multitasking leads to increased error and decreased productivity. Understand how multitasking has an adverse impact on patient safety and personal well-being. COURSE OBJECTIVES At the end of this course, the participant should be able to: » » » » Reframe the risks of multitasking with regard to efficiency Discuss how multitasking is associated with adverse medical outcomes Discuss how mindfulness and attention to the task at hand can enhance patient safety Integrate mindfulness with one’s personal and professional lives CTP46 The Business of Ob-Gyn Hospitalists Jennifer A. Tessmer-Tuck, MD, North Memorial Medical Center Laborist Associates, Robbinsdale, Minnesota Karenmarie K. Meyer, MD, OB Hospitalist Group, University of Illinois, Chicago, Illinois Room 476 CLINICAL SEMINARS You will learn about various business aspects of hospitalists: developing a financially stable Ob-Gyn hospitalist practice, increasing your labor and delivery triage unit reimbursement as an Emergency Department, entering into mutually beneficial collaborative practice agreements with other Ob-Gyn groups and maximizing billing capture. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe various Ob-Gyn hospitalist models including hospital employed, staffing-company employed, private contractor, MFM extender and academic hospitalist » Discuss collaborative practice agreements including reciprocal billing » Explore options for reaching financial viability—charge capture via improved billing, L&D triage unit as an Emergency Department, decreasing liability insurance costs CTP47 Abnormal Uterine Bleeding Room 187C Kristen A. Matteson, MD, Women & Infant’s Hospital Providence, Rhode Island This course will discuss abnormal uterine bleeding. COURSE OBJECTIVES At the end of this course, the participant should be able to: » Describe the definitions of abnormal uterine bleeding (AUB) and dysfunctional uterine bleeding (DUB) and where they are heading » Critically evaluate medical and surgical therapies for AUB not caused by structural abnormalities or systemic diseases » Develop strategies for choosing the best treatment for patients in his/her practice POSTERS Royal Belgian Society of Obstetrics and Gynecology Posters will be available for viewing all day. Authors of the posters will be available for questions and answers between 3:45 PM and 4:45 PM in the Exhibit Hall. The number listed indicates the poster location. LOCATED IN: EXHIBIT HALL Prenatal IV Immunoglobulin to Treat and Prevent Congenital CMV Infection in Twin Pregnancy Catherine Dath, Janoub Khazaal, Benedicte Michel, Jean-Marc Biard Catholic University of Louvain, Department of Obstetrics, Fetal Medicine Unit, Brussels, Belgium 94 twitter.com/acognews | #ACOG14 HUS or Severe Post-Partum HELLP Valeria Gallo, Clotilde Lamy, Mark Libertalis, Geraldine Debruyn, Fred Buxant, Sophie Alexander Management of Pelvic Organ Prolapse in FrenchSpeaking Belgium: The EPILAPSUS Study Linda Tebache, MD Hospital and Health Care, Region de Liege, Belgique, Belgium The American College of Obstetricians and Gynecologists TUESDAY POSTER SESSION Blue ribbon abstracts are those that received the highest rankings. Posters will be available for viewing all day. Authors of the posters will be available fro questions and answers between 3:45 PM and 4:45 PM in the Exhibit Hall. The number listed indicates the poster location. LOCATED IN: EXHIBIT HALL CONTRACEPTION/FAMILY PLANNING 1 2 3 Post-Abortion Hemorrhage and Risk of Other Complications in Women with Second-Trimester Fetal Demise Sarp Aksel, BS Albert Einstein College of Medicine, Bronx, New York Abby Sokoloff, MPH; Jennifer Kerns, MD, MS, MPH; Jody Ellen Steinauer, MD, MAS; Lauren Lederle, BA; Rachel Deming, BA Reproductive Health Needs Among Drug Treatment Clients Marthe M. Bryant-Genevier University of Maryland School of Medicine, Baltimore, Maryland Caitlin Eileen Martin, MPH; Mishka Terplan, MD Nomegestrol Acetate and 17ẞ-Estradiol Reduces Menstrual Symptoms, Pain, and Cramps Compared With Drospirenone and Ethinylestradiol: A Pooled Analysis Mitchell David Creinin University of California, Davis Health System, Sacramento, California Han Witjes; Tjeerd Korver 4 The Impact of Post-Abortion Intrauterine Device Placement on Immediate Post-Operative Recovery Ila D. Dayananda, MD, MPH Planned Parenthood of New York City, New York, New York Britt M. Lunde, MD, MPH; Erin Moshier, MS; Gillian Dean, MD, MPH; Lauren Porsch, MPH; Susan E. Pesci, MD 5 Metabolic Profiles in Phase 2 Study of Two 21/7 Oral Contraceptive Regimens (± 7 Hormone-Free Days) Baro Francesc, MD Hospital General Universitari Ball d’Hebron, Barcelona, Spain Herman Weiss, MD; Klaus Peters, MD; Nancy Ricciotti, MSN 6 LARC Training Intervetion: Results from a Cluster Randomized Trial on Pregnancy Outcomes Cynthia C. Harper, PhD University of California, San Francisco, San Francisco, California Carolyn L. Westhoff, MD, MSc; Corinne Rocca, PhD, MPH; J. Joseph Speidel, MD, MPH; Kirsten MJ Thompson, MPH; Philip Dempsey Darney, MD, MSc 2014 Annual Clinical Meeting 7 Randomized Controlled Trial of Adjunctive Social Media for More Effective Contraceptive Counseling Jason Dimitrios Kofinas, MD Weill Cornell Medical Center, New York, New York Aneesha Varrey, MD; Frank A. Chervenak, MD; Kate Sapra, MPH; Rula V. Kanj, MD; Tirsit S. Asfaw, MD 8 Phase 3 Study of Desogestrel/Ethinyl Estradiol Combined Oral Contraceptive for Pregnancy Prevention Robin Kroll, MD Women’s Clinical Research Center, Seattle, Washington Brandon K. Howard, PhD; Jennifer Hsieh, MS; Nancy Ricciotti, MSN 9 Surgical Uterine Evacuation for Pregnant Women with Leukemia in the First and Second Trimesters Elizabeth Winston Patton, MD MPhil Robert Wood Johnson Clinical Scholars, University of Michigan/Dept of Veteran’s Affairs, Ann Arbor, Michigan Cassing Hammond, MD; Sloane Leslie York, MD MPH 10 One Hour Buccal Misoprostol vs Osmotic Dilators for Cervical Preparation in Early Surgical Abortion Shanthi Sangreetha Ramesh, MD Northwestern University Feinberg School of Medicine, Chicago, Illinois Alicia Roston, MPH; Ashlesha A. Patel, MD, MPH; E. Steve Lichtenberg, MD, MPH; Julie Chor, MD, MPH; Lindsay Zimmerman, BS 11 Self-administered Lidocaine Gel for IUD Insertion in Nulliparous Women: A Randomized Controlled Trial Rachel Becker Rapkin, MD, MPH University of South Florida, Tampa, Florida Beatrice Allis Chen, MD, MPH; Christy Marie Boraas, MD, MPH; Eleanor Bimla Schwarz, MD, MS; Miriam Louise Cremer, MD, MPH; Sharon Lynelle Achilles, MD, PhD POSTERS 12 Return to Ovulatory Capacity with Three Combined Oral Contraceptive Regimens: A Comparative Trial Larry S. Seidman, DO Clinical Research of Philadelphia, LLC, Philadelphia, Pennsylvania Jennifer Hsieh, MS; Robin Kroll, MD facebook.com/acognational 95 TUESDAY 3:45 PM – 4:45 PM POSTERS 13 Mobile Health Application for Long Acting Reversible Contraceptive Information: A Secondary Analysis Aparna Sridhar, MD, MPH, FACOG David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California Angela Yingche Chen, MD, MPH 14 The Influence of Trust in Health Care Systems on Post-Abortion Contraceptive Choice Rachel Erin Stacey, MD Medical University of South Carolina, Charleston, South Carolina Angela Richardson Dempsey, MD, MPH 15 Single-Dose Levonorgestrel 1.5 mg Emergency Contraceptive Safety in Young Women (Various Age Groups) Gina Sucato, MD, MPH University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Herman Weiss, MD; Jennifer Hsieh, MS; Nancy Ricciotti, MSN POSTERS 19 Scope of Global Health Training Opportunities During Residency in Obstetrics and Gynecology Kacey Eichelberger, MD Greenville Health Systems, Greenville, South Carolina Amy M. Autry, MD; Anna Marie Connolly, MD; Jessica Elizabeth Morse, MD 20 Pilot Study: Can an Educational Intervention Increase HPV Vaccination in Female College Students? Marielle S. Gross, MA University of Florida, Gainesville, Florida Cuc Hong Tran, MPH; Jacqueline C. Castagno, MD; Kayla Sutherland, BA; Robert J. Amdur, MD 21 Quality of Web-Based Information on Epidural Anesthesia Julia Anne Jaffe SUNY Downstate/ Kings County, Brookyn, New York Norman F. Angell, MD; Shawna Noelle Tonick 16 Short Interval Between Pregnancies: A Search for Modifiable Risk Factors Priyanka Venkataraman, MD St. Luke’s University Hospital, Bethlehem, Pennsylvania Heather Winn, BS; Ingrid Paredes, MD; James N. Anasti, MD; Jill Stoltzfus, PhD 22 To Improve Safe Sleep More Emphasis Should Be Placed on Removing Inappropriate Items from Cribs Zachary Carl Kuhlmann, DO, FACOG The University of Kansas School of Medicine-Wichita, Wichita, Kansas Carolyn R. Ahlers-Schmidt, PhD; Christy Schunn, LSCSW; Jon Rosell, PhD; Stephanie Kuhlmann, DO 17 Pilot Study: Physician Self-Disclosure of IUC Use Versus Usual Contraceptive Counseling Mya Rose Zapata, MD, MSc University of Michigan, Ann Arbor, Michigan Fatima Jibril, BS; Giselle E. Kolenic, MA; Lisa Hope Harris; Melissa K. Zochowski, MBA; Vanessa Kathleen Dalton, MD, MPH 23 Rural OB/GYN Office Collaborates with Nursing Students for Shaken Baby Syndrome Prevention Teaching Ann W. Lambert, MSN, CRNP Auburn University, Auburn, Alabama Chih-hsuan Wang, PhD; James J. Walker, MD DOMESTIC VIOLENCE 18 Prevalence and Predictors of Domestic Violence in a Military Urogynecology Clinic Monica Ann Lutgendorf, MD Madigan Army Medical Center, Tacoma, Washington Amy Leigh O’Boyle, MD; Marie A. Snipes, PhD 96 EDUCATION twitter.com/acognews | #ACOG14 24 The Creation of a Women’s Health Policy Fellowship at a Major Academic Institution Aasta Dinesh Mehta, MD Drexel University College of Medicine, Philadelphia, Pennsylvania Mark B. Woodland, MD; Owen C. Montgomery, MD 25 Residents’ Learning and Retention of Electrosurgery Principles with Didactic and Handson Simulation Gulden Menderes, MD Yale New Haven Health System/Bridgeport Hospital, Bridgeport, Connecticut Masoud Azodi, MD The American College of Obstetricians and Gynecologists TUESDAY 26 The Impact of Vaginal Delivery Simulation on Medical Student Education Joshua Franklin Nitsche, MD, PhD Wake Forest School of Medicine, Winston-Salem, North Carolina Dana M. Morris, BSN; Kristina M. Veek, MD; Ugochi Nwanyi Akoma, MD 27 Resident Burnout Following the 2011 ACGME Duty Hour Restrictions: A Cross-Sectional Survey Study Susan H. Oakley, MD Good Samaritan Hospital, Cincinnati, Ohio Catrina Carleen Crisp, MD; Lauren B. Westermann, DO; Maria V. Estanol, MD; Rachel Nicole Pauls, MD; Steven Douglas Kleeman, MD 28 Robotic Surgery: Resident Friend or Foe? Mahate Ann Parker, MD University of Oklahoma Tulsa, Tulsa, Oklahoma Katherine Luthey Shepherd, DO; Nora Mary Doyle, MD, MPH, MSc; Tiffany Ann Nicole DiGiacomo, MD 29 Utilization of Web Resources Among Medical Students at a Large Urban Medical Center Lakha Prasannan, BS, MS SUNY Downstate Medical Center, Brooklyn, New York Michele Haughton, MD; Nagaraj Gabbur, MD 30 OB/Gyn Skills Orientation Improves Student Perception of Third Year Clerkship Todd Joseph Stanhope, MD Mayo Clinic, Rochester, Minnesota Eilean L. Myer, MD; Petra Marcela Casey, MD 31 The Rural Obstetrical Ultrasound Triage Exam: Teaching U/S to Students Interested in Global Health Jonathan Glenn Steller, MD University of California, Irvine School of Medicine, Orange, California Carol A. Major, MD; John C. Fox, MD; Julianne S. Toohey, MD; Lauren Sims, BS; Vinita Jain Speir, MD ETHICS/PROFESSIONAL LIABILITY/RISK MANAGEMENT 32 The Nationwide Relationship Between Malpractice Rates of Vaginal and Cesarean Delivery Clark Timothy Johnson, MD, MPH Johns Hopkins School of Medicine, Baltimore, Maryland Erika F. Werner, MD 2014 Annual Clinical Meeting 33 Does Medical Liability Affect OB/GYN Resident Retention? Aasta Dinesh Mehta, MD Drexel University College of Medicine, Philadelphia, Pennsylvania Bo Young Park, MPH; Peter Alan Schwartz, MD 34 The Influence of Medical Liability Premiums on Obstetrics and Gynecology Specialty Selection: A Longitudinal Analysis from 2001-2005 Francis Sudhindra Nuthalapaty, MD University of South Carolina School of Medicine, Greenville, Greenville, South Carolina H. Lee Higdon, III, PhD; Lily F. Shirazi, BS; Merri Maddox Paden, MD GYNECOLOGY 35 Single-Incision Robotic Supracervical Hysterectomy With a Single Multichannel Port as a Lower Cost Alternative to Laparoscopic Supracervical Hysterectomy Rupen Baxi, MD William Beaumont Health System, West Bloomfield, Michigan Brienne Noelle Williford, MD; Jay Ethan Fisher, MD 36 Radiofrequency Volumetric Thermal Ablation of Fibroids: Analysis of Three-Year Outcomes Jay Michael Berman, MD Wayne State University School of Medicine, Detroit, Michigan Richard Scott Guido, MD; Scott G. Chudnoff, MD, MS 37 Same Day Robotic Hysterectomy: Protocol and Safety and Feasibility Study Mostafa A. Borahay, MD The University of Texas Medical Branch at Galveston, Galveston, Texas Gokhan S. Kilic, MD POSTERS 38 Patient Adherence to Medical Management of Ectopic Pregnancy Charelle M. Carter, MD Medstar Washington Hospital Center, Washington, District of Columbia Elizabeth Britton Chahine, MD; Kirk Southern, BA; Rachel Katherine Scott, MD, MPH facebook.com/acognational 97 TUESDAY 3:45 PM – 4:45 PM POSTERS 39 The Impact of Operative Time on Perioperative Morbidity After Laparoscopic Hysterectomy Tatiana L. Catanzarite, MD Northwestern University Feinberg School of Medicine, Chicago, Illinois John Y.S. Kim, MD; Magdy Peter Milad, MD; Matthew A. Pilecki, BA; Sujata Saha, BS 47 Vaginal Hysterectomy as a Viable Option for Female-to-Male (FTM) Transgender Men Juno Obedin-Maliver, MD, MPH University of California San Francisco, San Francisco, California Alexis Light, BA; Gene DeHaan, BA; Jody Ellen Steinauer, MD, MAS; Rebecca Jackson, MD 40 Outcomes of Treatment for Endometrial Hyperplasia in Women Under Age 35 Marcia Amelia Ciccone, MD University of Southern California, Los Angeles, California Begum Ozel, MD; Christina Elizabeth Dancz, MD; Lironn Chitayat, BS 48 Is Routine Cystoscopy Warranted After Robotic Hysterectomy? Katie Ann Propst, MD Crozer Chester Medical Center, Upland, Pennsylvania Justin Chura, MD 41 The Post-Endometrial Ablation Endometrium: Reassessment with Biopsy and Ultrasound Jill Ashley Gadzinski, MD Loyola University Medical Center, Maywood, Illinois Elizabeth Rose Mueller, MD; Garrett Donald Fitzgerald, MD; Gretchen Garbe, MD; Jordan Leigh Sheran-Barlow, MD; Sarah Ann Wagner, MD 42 What’s a Girl to Do? The Problem of Adolescent Labial Hypertrophy Troy Robbin Hailparn, MD Cosmetic Gynecology Center of San Antonio, San Antonio, Texas LUNCH WITH THE EXPERTS 43 The Gynecologic Management of Hemoperitoneum Jessica Karen Lee, MD Magee Women’s Hospital, Pittsburgh, Pennsylvania Richard Scott Guido, MD; Serkan Bodur, MD 44 Novel Medical Protocol Offers Alternative to TAH BSO and Hemicolectomy in Stage VI Endometriosis Edward M. Lichten, MD Wayne State College of Medicine, Birmingham, Michigan POSTERS 45 The Relationship Between Obesity and Trends of the Routes of Hysterectomy for Benign Indications Emad Mounir Mikhail, MD University of South Florida, Tampa, Florida Branko Miladinovic, PhD; Michael A. Finan, MD 46 Salpingectomy at Time of Hysterectomy for Benign Indications: A Survey Study Christopher Michael Morosky, MD University of Connecticut School of Medicine, Farmington, Connecticut Kathleen D. Kueck, MD 98 twitter.com/acognews | #ACOG14 49 Manual Liquid-Based Cytology: A Pilot Study Lisa Rahangdale, MD, MPH University of North Carolina, Chapel Hill, North Carolina Davoud Asgari, PhD; Debra Budwit, MD; Linda Ohadugha, BS 50 The Role of Laparoscopy in the Management of Second Trimester Spontaneous Uterine Rupture Edwin Ricardo Ramirez, MD St. Johns Regional Medical Center, Oxnard, California Benjamin Hakakha, MD; Kelly Vanessa Dale, MD; Masood A. Khatamee, MD 51 Measuring Surgical Competency in Hysterectomies Madhuri G. Reddy, MD University of Kansas Medical Center, Kansas City, Kansas Carrie Lynn Wieneke, MD; Catherine Lindsey Satterwhite, MPH; Nia Thompson; Teresa Danielle Cothern, MD 52 Long Term Outcomes in Robotic Versus Conventional Laparoscopy for Treatment of Severe Endometriosis Ido Sirota, MD, MHA St. Luke’s Roosevelt Hospital Center, New York, New York Farr R. Nezhat, MD 53 Robotic vs Conventional Laparoscopy for Treatment of Severe Endometriosis—Comparison of Outcomes Ido Sirota, MD, MHA St. Luke’s-Roosevelt Hospital Center, New York, New York Farr R. Nezhat, MD The American College of Obstetricians and Gynecologists TUESDAY 54 Myomectomy at Cesarean Section in Aba, South-Eastern Nigeria Chisara Cyprian Umezurike, MD, Bmed.Sc, MBBS, FWACS Nigerian Christian Hospital, Aba, Abia Emmanuel Maduabuchi Akwuruoha, MD, MBBS, FWACS 55 Methotrexate: An Appropriate Treatment for Ectopic Pregnancy in an Inner-City Population? Amber Nicole Watters, MD Northwestern University, Chicago, Illinois Alicia Roston; Ashlesha A. Patel, MD, MPH; Emma Longley Barber, MD HIV/AIDS PROGRAM 56 Residence in a High Poverty Census Tract Is Predictive of Low Birth Weight Among Human Immunodeficiency Virus-Positive Women Ingrid Alexis Liff, MD Einstein/Montefiore Medical Center, Bronx, New York Karen Palmore Beckerman, MD; Laura Reimers; Maria Del Carmen Miraz, MD; Nickolas C. Teigen, MD; Rodney Lorne Wright, MD INFECTIOUS DISEASES 57 The Acceptability of a Novel Group B Streptococcus Vaccine in Pregnant Women Kevin A. Ault, MD Emory University School of Medicine, Atlanta, Georgia Gregory Zimet, PhD, FSAHM; Julie Ann Hurvitz; Saad Omer, PhD, MBBS, MPH; Walter Orenstein, MD 58 Trending the Association of PregnancyAssociated Severe Sepsis and Maternal Death: A Population Study Lavi Oud, MD Texas Tech University HSC, Odessa, Texas Phillip Watkins, MS; R. Moss Hampton, MD 59 Vertical Transmission of Salmonella typhi, an Intracellular Organism Marguerite B. Vigliani, MD Warren Alpert School of Medicine, East Providence, Rhode Island Anna I. Barkardiev, MD 2014 Annual Clinical Meeting MENOPAUSE 60 Safety Profile of Paroxetine 7.5 mg in Women with Moderate to Severe Vasomotor Symptoms James Alan Simon, MD, CCD, NCMP, IF, FACOG The George Washington University School of Medicine, Women’s Health & Research Consultants, Washington, District of Columbia David J. Portman, MD; Hana Mekonnen, MA; Joel Steven Lippman, MD; Kazem Kazempour, PhD; Sailaja Bhamidi Bhaskar, PhD OBSTETRICS 61 The Brief Debrief: Improving Communication and Patient Safety Culture on Labor and Delivery Mary Fleming Ackenbom, MD Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania Jennifer Myers, MD; Mathew Nabeeh Beshara, MD; Nadav Schwartz, MD; Sindhu Kikkeri Srinivas, MD, MSCE 62 Survey of Peripartum Hysterectomy Experiences: Anticipated, Unplanned or Averted Homa Khorrami Ahmadzia, MD, MPH Duke University Medical Center, Durham, North Carolina Amy Patricia Murtha, MD; Leo Richard Brancazio, MD; R. Phillips Heine, MD; Samantha Thomas, MD 63 Understanding Patient Perceptions of Communication about Gestational Weight Gain Nyima S. Ali, MD Pennsylvania Hospital, Philadelphia, Pennsylvania Charmaine Smith Wright, MD 64 Risk Factors for Poor Compliance with Postpartum Oral Glucose Tolerance Testing in Women with GDM Jennifer M. H. Amorosa, MD, MAT Mount Sinai School of Medicine, New York, New York Cynthia Gyamfi Bannerman, MD; Laura Gilroy; Moeun Son, MD; Samantha Corey Do, MD POSTERS 65 Progesterone Receptors Signaling and Upregulation of Decay-Accelerating Factor (DAF/CD55) Ariel J. Ansley, MPH Meharry Medical College, Nashville, Tennessee Bogdan J. Nowicki, MD, PhD; Stella Nowicki, DDS; Tanu Rana, PhD facebook.com/acognational 99 TUESDAY 3:45 PM – 4:45 PM POSTERS 66 Risk Factors Associated with The Need to Use Insulin Therapy in Women with Gestational Diabetes Rodrigo Ayala Yáñez, MD National Institute of Perinatology México, Mexico, Distrito Federal Alfredo Castillo-Mora, MD; Arelia Avila-Carrasco; Carlos Ortega-González, MD; Enrique Reyes-Muñoz, MD, PhD; Nayeli Martínez-Cruz, MD 67 The Impact of An Obstetric Hemorrhage Protocol on Outcomes in Postpartum Hemorrhage Priya Batra, MD University of California, Los Angeles, Los Angeles, California Daniela Markovic, MS; Debbie Suda, RN, MN; Rachel Mara Gutkin, MD, MPH 68 Utility of CerviLenz® in Assessing Cervical Length and Risk of Preterm Birth: A Multicenter Study Jason Kizer Baxter, MD, MSCP Thomas Jefferson University, Philadelphia, Pennsylvania Asad Ullah Sheikh, MD; Charles David Adair, MD; Matthew K. Hoffman, MD, MPH; Michael G. Ross, MD, MPH; Michael John Paidas, MD 69 Perimortem Cesarean Section: Injury-Free Survival as a Function of Arrest to Delivery Interval Time Michael David Benson, MD Feinberg School of Medicine, Northwestern University, Deerfield, Illinois Alexander Padovano, BSc; Ghada Bourjeily, MD; Ying Zhou, PhD 70 Urine Culture Results and Adverse Outcomes in Women with Pyelonephritis Victoria Katz Berger,MD Stanford University School of Medicine, Stanford, California Amanda Yeaton-Massey, MD; Henry C. Lee, MD; Jessica Kassis, MD; Maurice Leslie Druzin, MD; Yair Josh Blumenfeld, MD POSTERS 71 On-time Scheduled Cesarean Start Time Process Improvement Initiative Yair Josh Blumenfeld, MD Stanford University School of Medicine, Stanford, California Edward Riley, MD; Gillian Hilton, MD; Henry Lee, MD; Maurice Leslie Druzin, MD; Yasser Yehia El-Sayed, MD 100 twitter.com/acognews | #ACOG14 72 Reducing the Incidence of Hypothermia in Preterm Infants: A Community Hospital Experience Paul D. Bobby, MD Stamford Hospital, Stamford, Connecticut Donna Bowman, APRN; Elizabeth Kelley, RN; Jennifer Cabral, MD; John Cianella, MD; Susanne Marie Matias, DO 73 Race and Vaginal Birth After Cesarean Delivery in a Military Population Catherine Ann Brankin, DO Naval Medical Center, San Diego, San Diego, California Carolyn Coghill Piszczek, MD; Stephanie Benay Stratton, MD; Whitney Buckman You, MD, MPH 74 Obesity’s Impact on Trial of Labor After Cesarean Section at a Tertiary Care Center Christie J. Brough, BS University of Tennessee Health Science Center, Memphis, Tennessee Brian Emanuel Brocato, DO; Giancarlo Mari, MD 75 The Impact of Partner Support on Maternal Smoking and Alcohol Use During Pregnancy Sarah Capponi, BA Thomas Jefferson University, Philadelphia, Pennsylvania Albert Crawford, PhD, MBA; Brett Lawrence Worly, MD; Jason Kizer Baxter, MD; Katelyn Cohen, BA; Mazvita Nyamukapa, MPH 76 Use of Customized Birth Weight Percentiles for the Prediction of Shoulder Dystocia Nateya Dena Carrington, MD Baylor College of Medicine, Houston, Texas Christina Marie Davidson, MD; Haleh SangiHaghpeykar, PhD 77 Risk Factors for Neonatal Intensive Care Unit Admission After Term Twin Deliveries Anushka Magdalene Chelliah, MD Wayne State University, Detroit, Michigan Gustavo Alexander Vilchez Lagos, MD; Jing Dai, PhD; Ray O. Bahado-Singh, MD, MBA; Robert J. Sokol, MD 78 Vigorous Neonates with Acidemia at Term Cecily Clark-Ganheart, MD Medstar Washington Hospital Center, Washington, District of Columbia Annelee C. Boyle, MD; Eshetu Tefera; Julia Timofeev, MD; Patrick Shannon Ramsey, MD; Samuel Smith, MD The American College of Obstetricians and Gynecologists TUESDAY 79 Social Determinants of Partner Support in Pregnancy Katelyn Cohen, BA Thomas Jefferson University, Philadelphia, Pennsylvania Brett Lawrence Worly, MD; Jason Kizer Baxter, MD; Mazvita Nyamukapa, MPH; Sarah Capponi, BA 80 Spontaneous Uterine Rupture from Placenta Percreta: An Increasing Phenomenon? Kelley Elizabeth Conroy, MD Tufts Medical Center, Boston, Massachusetts Frances Hsieh, MD; Sabrina D. Craigo, MD 81 Sex Hormone Binding Globulin Levels as a Predictor for Developing Gestational Diabetes Mellitus Hanh N. Cottrell, MD The University of Toledo, Toledo, Ohio Joseph V. Karnitis, MD; Marjon Mobasseri 82 Multidisciplinary Simulation Drills Improve Efficiency of Emergency Medication Retrieval Kay I. Daniels, MD Stanford University School of Medicine, Palo Alto, California Ana Clark, RN,MS; Andrea Puck, RN,CNS; Julie Arafeh, RN, MSN; Shilpa Prema Chetty, MD; Steve Lipman, MD 83 The Laborist: Is This New Trend Associated with Higher Rates of Primary Cesarean Delivery? Daniele Sarah Feldman, MD Cedars Sinai Medical Center, Los Angeles, California D. Lisa Bollman, MSN; Kimberly D. Gregory, MD, MPH; Lisa Marie Korst, MD, PhD; Moshe Fridman, PhD; Samia El Haj Ibrahim, MS 84 The Laborist: What is the Frequency of this Model of Care and How is it Being Used in California? Daniele Sarah Feldman, MD Cedars Sinai Medical Center, Los Angeles, California D. Lisa Bollman, MSN; Kimberly D. Gregory, MD, MPH; Lisa Marie Korst, MD, PhD; Moshe Fridman, PhD; Samia El Haj Ibrahim, MS 85 Utility of Prophylactic Misoprostol in Reduction of Blood Loss at Vaginal Delivery Aleksandr M. Fuks, MD, FACOG Icahn School of Medicine, Mount Sinai Program, Queens Hospital Center, Jamaica, New York Azita Aslian, MD; Carolyn M. Salafia, MD; Dorota Kowalska, MD; Pallavi Khanna, MD, MBBS; Tricia Camille Yusaf, MD 2014 Annual Clinical Meeting 86 Traditional Dressing Versus Prevena™ Negative Pressure System in Preventing Wound Complications Charles Wayne Gibbs, MD Saint Luke’s Hospital, Kansas City, Missouri Erica Renee Heitmann, MD; George C. Lu, MD; Marc Ronald Parrish, MD; Mary Gerkovich, PhD; Teresa Ann Orth, MD, PhD 87 Predictors of Third and Fourth Degree Lacerations in Forceps Assisted Delivery: A Case Control Study Lisa Anne Gill, MD Mayo Clinic, Rochester, Rochester, Minnesota Abimbola O. Famuyide, MBBS; Angelica Thyais Garrett, MD; Sherif A. El-Nashar, MBBCh 88 Risk Factors for Inadvertent Extension of the Hysterotomy During Cesarean Section Lauren Elizabeth Giugale, MD Magee Women’s Hospital of UPMC, Pittsburgh, Pennsylvania Elizabeth Ellen Krans, MD, MSc; Sara Sakamoto, MD; Shannon Dunn, BS 89 Peripheral Nerve Blocks in Pregnant Patients with Headache Shravya Govindappagari, MD Albert Einstein College Of Medicine, Bronx, New York Ashlesha K. Dayal, MD; Brian M. Grosberg, MD; Matthew S. Robbins, MD; Sarah Vollbracht, MD; Tracy B. Grossman, MD 90 The Impact on Latency Beyond 24 Weeks’ Gestation Based on Cerclage Indication Laura N. Grese, BS University of Tennessee Health Science Center, Memphis, Tennessee Brian Emanuel Brocato, DO; Giancarlo Mari, MD 91 Sarcoidosis and Pregnancy: Obstetrical and Neonatal Outcomes in a Population-based Cohort Vicky Hadid, MD Jewish General Hospital, McGill University, Montreal, Quebec Haim Arie Abenhaim, MD, MPH; Lisa Oddy, MSc; Valerie Patenaude, MSc POSTERS 92 Pregnancy Outcomes in Marfan’s Syndrome: A Retrospective Cohort Study Noura Hassan, MD Jewish General Hospital, McGill University, Montreal, Quebec Haim Arie Abenhaim, MD, MPH; Lisa Oddy, MSc; Valerie Patenaude, MSc facebook.com/acognational 101 TUESDAY 3:45 PM – 4:45 PM POSTERS 93 Timing Delivery of VASA PREVIA: A Decision Analysis Merrit A. Hoover, PhD Oregon Health and Science University, Portland, Oregon Aaron Brandon Caughey, MD, PhD; Allison Jaye Allen, MD; Flynn C. LaRochelle, MD; Rachel A. Pilliod, MD; Shahana Baig-Lewis 100 Sleep Disturbances in Pregnancy Increases Risk for Gestational Diabetes Gwinnett Mc Ghee Ladson, MD Meharry Medical College, Nashville, Tennessee Chioma Nwabuisi, MSc; Janice Elizabeth Whitty, MD; John T. Clark, PhD; Robin Denise Atkinson, MD; Sanika Chirwa, PhD 94 Maternity Waiting Home Utilization and Maternal Mortality in Milot, Haiti Semonti Kahkashan Hossain, BS, BA Tufts University School of Medicine, Cambridge, Massachusetts Emily L. Porter, BA; Lisa M. Redden, BA; Mark D. Pearlmutter, MD 101 Primary Cesarean Prevention: A Collaborative Model of Care John Walter Larsen, Jr, MD The George Washington University, Washington, District of Columbia Whitney A. Pinger, CNM, MSN 95 Safety of Motrin Tocolysis Jessica Rose Jackson, MD, MSBS Sacred Heart Hospital, Florida State , Pensacola, Florida Bonnie Gillis; Elizabeth Hernandez-Marin; James Alan Thorp, MD; Julie Zemaitis DeCesare, MD; Lisa M. Sang, MS, BS 96 Yes We Can: How Our Community Hospital Lowered its Cesarean Rate Jeannie C. Kelly, MD Tufts Medical Center, Boston, Massachusetts Adam C. Urato 97 Non-Urgent Emergency Department use During Pregnancy: Associated Factors and Implications Kimberly A. Kilfoyle, MD Warren Alpert Medical School, Brown University, Women and Infants Hospital, Providence, Rhode Island Christina A. Raker, ScD; Kristen A. Matteson, MD; Maureen Glennon Phipps, MD, MPH; Roxanne Amanda Vrees, MD 98 Sex Differences in Pharmacokinetics of Diclectin/ Diclegis; Implications for Pregnancy Gideon Koren, MD, FRCPC, FACMT The Hospital for Sick Children, Toronto, Ontario Dan Farine, MD, FRCSC; Manon Vranderick; Simerpal Gill, PhD; Stuart MacLeod, BSc, MD, PhD, FRCPC POSTERS 99 Neurocognitive Development of Children Exposed Diclectin®/Diclegis® in Utero for Morning Sickness Gideon Koren, MD, FRCPC, FACMT The Hospital for Sick Children, Toronto, Ontario Dan Farine, MD, FRCSC; Elena Reydman; Elena Sanjuan; Irena Nulman, MD, PhD, FRCPC; Nathalie Carey, MSc 102 twitter.com/acognews | #ACOG14 102 Optimal Timing of Delivery in Obese Women: A Decision Analysis Vanessa Rose Lee Oregon Health & Science University, Portland, Oregon Aaron Brandon Caughey, MD, PhD; Anjali Kaimal, MD; Brenda Niu; Jim Nicholson, MD; Sarah Little, MD 103 Sleep Changes in Normal Pregnancy Sarah Elaine Little, DO Saint Barnabas Medical Center, Livingston, New Jersey Christopher J. McNamara, MD; Richard Charles Miller, MD 104 Ultrasound Assessment of Cervical Length to Predict No Spontaneous Delivery within 24 Hours at Term Henny Liwan, MD Sparrow Health System, Lansing, Michigan 105 Use of Commercial Tests for Aneuploidy Screening Using Cell-free Fetal DNA in Clinical Practice Adetola F. Louis-Jacques, MD Lehigh Valley Health Network, Allentown, Pennsylvania Courtney R. Burans; Elizabeth Schofield; John Carter Smulian; Meredith Rochon; Sarah Robinson 106 Mechanical Thromboprophylaxis Compliance Post-Cesarean: A Prospective Quality Assurance Analysis Katherine Dodge Ludlow, MD Columbia University Medical Center, New York, New York Alexander Michael Friedman, MD; Mary Elizabeth D’Alton, MD The American College of Obstetricians and Gynecologists TUESDAY 107 Patterns of Antiemetic Use Among American Women with Nausea and Vomiting of Pregnancy Svetlana Madjunkova, MD, PhD The Hospital for Sick Children, Toronto, Ontario Caroline Maltepe, BA; Dan Farine, MD, FRCSC; Gideon Koren, MD, FRCPC, FACMT 108 The Impact of Mode of Delivery on Neonatal Outcomes in Myelomeningocele Abeer Massarwa, MD Oregon Health and Science University, Portland, Oregon Aaron Brandon Caughey, MD, PhD; Vanessa Lee 109 Rates of Self-Reported Antenatal Mood Symptoms and Obstetrical Management Practices Michele L. McCarroll, PhD Summa Health System, Akron, Ohio Bradford William Fenton, MD, PhD; Jennifer L. Doyle, MSN; Patrick A. Palmieri, PhD; Tiffany H. Kenny, MSN; Vivian Elise Von Gruenigen, MD 114 The Hard Stop Policy: Perceptions and Understanding Among Practicing Obstetricians in Puerto Rico Maritzel Ana Moreno-Rivero, MD San Juan City Hospital, San Juan, Puerto Rico Edgardo J. Rivera, MD, FACOG; Erika M. Benabe, MD,FACOG; Karla M. Leavitt-Caraballo, MD 115 Timing of Repeat Cesarean Delivery Following Prior Uterine Surgery Christopher Michael Morosky, MD, FACOG University of Connecticut School of Medicine, Farmington, Connecticut Jeffrey T. Thorne, MD; Magdalena Szutowska, DO 116 Predicting Placenta Accreta: Which Cases are Undetected? Lauren Albrecht Murphy, New York Weill Cornell Medical Center, New York, New York Stephen Todd Chasen, MD 110 Prenatal PPD and Human Immunodeficiency Virus Test Completion Rate Pre- and Post-Electronic Health Record Implementation Tracey Ann McLean, MD University of California, San Francisco, San Francisco, California Adam Korrick Lewkowitz, MD; Marya G. Zlatnik, MD 117 Perinatal Outcomes in the Super Obese: A Community Hospital Experience Melissa Anne Murphy Papp, MD Oakwood Hospital and Medical Center, Dearborn, Michigan Althea Lindsay, DO, MPH; Federico G. Mariona, MD; Suzanna Chatterjee, MD 111 Prevalence of Anti Thyroid Peroxidase Antibodies in Pregnant Women and Effect on the Outcome of Pregnancy Monika Meena, MBBS PGIMER, Chandigarh, Chandigarh Niti Aggarwal, MD; S. Chopra, MD; V. Jain, MD 118 The Use of Abdominal Binders in Patients Undergoing Cesarean Delivery: A Prospective Randomized Controlled Trial Jennifer Rachel Myers,DO St. Luke’s University Health Network, Bethlehem, Pennsylvania Ann D. Constant; Christin Marie Gillier, MD; James N. Anasti, MD; Laura A. Wetzel; Ronald Mark Kriner, DO 112 What are the Odds? Spontaneous Version Following Preterm Premature Rupture of Membranes Suwan Mehra, MD Saint Louis University, Saint Louis, Missouri Erol Amon, MD; Thinh P. Nguyen, MD 113 Obesity Prevalence Among Reproductive-Age Women, By Number of Live Births—United States, 2001-2010 Michelle H. Moniz, MD University of Michigan, Ann Arbor, Michigan HwaJung Choi, PhD; Matthew M. Davis, MD, MAPP; Tammy Chang, MD, MPH, MS 2014 Annual Clinical Meeting 119 Predictors of Emergent Outcome in PPROM Cecil Huron Nelson, MD Medical University of South Carolina, Charleston, South Carolina Jill Mauldin, MD; Johanna Vonhofe, MD; Mya Ebeling; Scott Sullivan, MD POSTERS 120 Twin Pregnancy Outcomes in Women with Class III Obesity (BMI <40 kg/m2) Ivan Manjun Ngai, MD Montefiore Medical Center, Einstein College of Medicine, Bronx, New York David John Garry, DO; Melissa Grace Marji; Peer Dar, MD; Sahar Zaghi; Shravya Govindappagari, MD facebook.com/acognational 103 TUESDAY 3:45 PM – 4:45 PM POSTERS 121 The Effectiveness of 17-OHPC in Obese Women for Prevention of Preterm Delivery Ivan Manjun Ngai, MD Montifore Medical Center, Einstein College of Medicine, Bronx, New York David John Garry, DO; Diana Janet Garretto, MD; JeanJu Sheen, MD; Melissa Grace Marji; Nicole Neto, MD 122 Progesterone (17-OHPC) for Prevention of Preterm Birth and Preeclampsia Ivan Manjun Ngai, MD Montefiore Medical Center, Einstein College of Medicine, Bronx, New York David John Garry, DO; Diana Janet Garretto, MD; JeanJu Sheen, MD; Peter Samuel Bernstein, MD; Shravya Govindappagari, MD 130 Non-invasive Cell-free DNA-based Prenatal Detection of Microdeletions Using SNP-targeted Sequencing Matthew Rabinowitz, PhD Natera Inc., San Carlos, California Barbara J. Pettersen, MS; Bernhard G. Zimmermann, PhD; Matthew Hill, PhD; Melissa Savage, MS; Styrmir Sigurjonsson, PhD 124 Gestational Diabetes (GDM): Two Step Glucose Tolerance Test (GTT) Versus One Step GTT Oluseyi Kazeem Ogunleye, MD University of Florida, Gainesville, Florida Anthony Romaine Gregg, MD; Kathryn Ann Davidson, MD; Robert S. Egerman, MD 131 Noninvasive Aneuploidy Detection by Multiplexed Amplification and Sequencing of Polymorphic Loci Matthew Rabinowitz, PhD Natera Inc., San Carlos, California Barbara J. Pettersen, MS; Bernhard G. Zimmermann, PhD; Elizabeth Valenti, MS; Matthew Hill, PhD; Styrmir Sigurjonsson, PhD 126 Timing of Pregnancy after Bariatric Surgery Reshma R. Parikh, MD UMass Memorial Medical Center, Worcester, Massachusetts Katherine Leung; Leah C. Wilson, MD; Louise Maranda; Mary Geehern Lavoie, MD; Tiffany Anne Moore Simas, MD 127 Non-Invasive Prenatal Testing: A Replacement for CVS and Amniocentesis for Advanced Maternal Age? Kate E. Pettit, MD University of California, San Diego, San Diego, California Andrew Dean Hull, MD; Dolores H. Pretorius, MD; Lauren Korty, CGC; Marilyn C. Jones, MD 104 129 Placenta Accreta: Can We Forecast its Arrival? Lily Fathy Primo, MD University of Oklahoma, Tulsa, Tulsa, Oklahoma Katherine Luthey Shepherd, DO; Kelsey L. Arbogast, MD; Michael Owen Gardner, MD, MPH; Nora Mary Doyle, MD, MPH, MSc; Tiffany Ann Nicole DiGiacomo, MD 123 Outcome of Pregnancy when Gestational Diabetes Mellitus (GDM) is Diagnosed Before or After 24 Weeks Ivan Manjun Ngai, MD Montefiore Medical Center, Einstein College of Medicine, Bronx, New York David John Garry, DO; Ellen J. Landsberger, MD; Melissa Grace Marji; Nicole Neto, MD; Shravya Govindappagari, MD 125 Volumetric Assessment of Longitudinal Placental Growth Kelly Marie Orzechowski, MD Thomas Jefferson Univerisity, Jefferson Medical College, Philidelphia, Pennsylvania Christopher J. McNamara, MD; Diana Thomas, PhD; Richard Charles Miller, MD POSTERS 128 Rates of Gestational Weight Gain and Postpartum Weight Retention in Term Twin Pregnancies Kate E. Pettit, MD University of California, San Diego, San Diego, California Daphne Yvette LaCoursiere, MD, MPH; David B. Schrimmer, MD; Gladys A. Ramos, MD; Hedaya Alblewi; Thomas R. Moore, MD twitter.com/acognews | #ACOG14 132 Medical Nutrition Therapy Plus Metformin for Preventing Gestational Diabetes Among High Risk Women Enrique Reyes-Muñoz, MD, PhD National Institute of Perinatology, Mexico City, México, Distrito Federal Arelia Avila-Carrasco; Carlos Ortega-Gonzalez, MD; Jennifer Mier-Cabrera, PhD; Rodrigo Ayala Yañez, MD; Salvador Espino, MD 133 News Media Coverage on the Risks and Benefits of Home Births Jacob Ruiter Ligeti, MD Jewish General Hospital, McGill University, Montreal, Quebec Ariane Mallette, BCL, LLB; Haim Arie Abenhaim, MD, MPH; Lisa Oddy, MSc The American College of Obstetricians and Gynecologists TUESDAY 134 Racial/Ethnic Differences in Pregnancy Outcomes in Women with Chronic Hypertension Bethany Ann Sabol, MD Oregon Health and Science University, Portland, Oregon Aaron Brandon Caughey, MD, PhD; Allison Jaye Allen, MD; Jennifer Anne Salati, MD; Jonathan Snowden; Shireen Elizabeth de Sam Lazaro, MD 135 Predictors of Posterior Reversible Encephalopathy Syndrome (PRES) in Preeclampsia and Eclampsia Sumit Saraf, MD Maimonides Medical Center, Brooklyn, New York Garima Mittal; Howard L. Minkoff, MD; Neha M. Egbert, MD; Nelli Fisher, MD; Peter Homel, PhD 136 Novel System for Rapid Assessment of Blood Loss in Elective Surgery and Cesarean Delivery Siddarth Satish, MS Gauss Surgical, Inc., Los Altos, California Bridget M. Philip, MD; Elizabeth Ann Deckers, MD; Joseph T. Weinberg, BA; Vicky Ting, MD 137 Provider Adherence to ACOG Guidelines for Obesity in Pregnancy: A Comparison of CNM and Ob-Gyn’s Ashley Elizabeth Scott, MD University of Illinois at Chicago, Chicago, Illinois Michelle Ann Kominiarek, MD 138 Post-Natal Exercise Can Reverse Diastasis Recti Geeta Sharma, MD Weill Cornell Medical College, New York, New York Leah Keller; Tricia Lobo, BS 139 Universal vs Selective Anticoagulation: Risk/ Benefit Analysis Vidya Shyamsunder Sharma, MD Lincoln Medical and Mental Health Center, Bronx, New York Minakshi Ramchand; Ray Anthony Mercado, DO; Tia Demille Welsh, MD, MPH 140 Shoulder Dystocia and Labor Induction Stratified by Maternal Weight: To Induce or Not to Induce? Ido Sirota, MD, MHA St. Luke’s Roosevelt Hospital Center, New York, New York Antonia Patrice Francis, MD; Graham Gaylord Ashmead, MD; Michelle Chevalier, MD, MPH 2014 Annual Clinical Meeting 141 PPROM Between 14-24 Weeks of Gestation: Outcomes with Expectant Management Eric Andrew Strand, MD Washington University, St. Louis, St. Louis, Missouri Bryrony Dougherty Homan, MD; Elizabeth S. Moore, PhD 142 Relationship Between Interpregnancy Interval and Cervical Length in High-Risk Women Akila Subramaniam, MD, MPH University of Alabama at Birmingham, Birmingham, Alabama John Owen, MD; Luisa Ann Wetta, MD 143 Prior Ultrasound-Indicated Cerclage: What Should the Management be in Next Pregnancy? Anju Suhag, MD Thomas Jefferson University, Philadelphia, Pennsylvania Laura Sanapo, MD; Sushma Potti, MD; Vincenzo Berghella, MD 144 Microwave Ablation for Twin Reversed Arterial Perfusion Sequence Lorene Atkins Temming, MD Carolinas Medical Center, Charlotte, North Carolina Albert Franco, MD; Courtney D. Stephenson, DO 145 Obesity and the Risk of Preterm Birth in Patients with Cerclage Lorene Atkins Temming, MD Carolinas Medical Center, Charlotte, North Carolina Courtney Lynn Tighe Moynihan, MD; Saju Daniel Joy, MD; Susan Michelle Kullstam, BA 146 Transplacental Passage of Antimicrobial Paraben Preservatives Craig V. Towers, MD University of Tennessee Medical Center, Knoxville, Knoxville, Tennessee Bobby Clayton Howard, MD; David Ford Lewis, MD; Jianjang Chen, PhD; Paul Terry, PhD; Wesley Carroll Chambers, MD POSTERS 147 Provider Characteristics that Predict Periviable Cesarean Brownsyne M. Tucker Edmonds, MD, MPH, MS Indiana University School of Medicine, Indianapolis, Indiana Fatima McKenzie, MS; Richard Frankel, PhD facebook.com/acognational 105 TUESDAY 3:45 PM – 4:45 PM POSTERS 148 PRONTO Low-Tech Obstetric Simulation and Team Training in Mexico Improves Patient Outcomes, and Evidence-Based Care at Birth Dilys M. Walker, MD University of Washington, Seattle, Washington Hector Lamadrid, PhD; Jennifer Fahey, CNM, MPH; Jimena Fritz, MD, MPH; Marisela Olvera, MPH; Susanna Cohen, CNM OFFICE PRACTICE 149 PRONTO Low-Tech Obstetric Simulation and Team-Training for Obstetric and Neonatal Emergencies in Mexico Leads to a Decrease in Cesarean Section Rates Dilys M. Walker, MD University of Washington, Seattle, Washington Hector Lamadrid, PhD; Jimena Fritz, MD, MPH; Leslie Carranza, MD; Marisela Olvera, MPH; Susanna Cohen, CNM 156 Insufficient Endometrial Biopsy Results in Women with Abnormal Uterine Bleeding Emily Nicole Prendergast, MD Northwestern University, Feinberg School of Medicine, Chicago, Illinois Alicia Roston, MPH; Ashlesha A. Patel, MD, MPH; Emily Misch; Yun-An Chou 150 Ovarian Artery Aneurysm Following Postpartum Hemorrhage: A Case Report Elizabeth Ann Weedin, DO University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma David L. Wood, MD; Edmond Baker, MD; Laura Terese Mercer, MD; 151 Survey of Postpartum Patients Regarding Electronic Communication between Obstetricians and Patients Rebecca Ann Welch, MD Allegheny Health Network, Pittsburgh, Pennsylvania Ronald L. Thomas, MD 152 Methamphetamines and Birth Outcomes Tricia Elaine Wright, MD, MS University of Hawaii, John A. Burns School of Medicine, Honolulu, Hawaii Lynnae K. Sauvage; Renee Schuetter, RN, MEd POSTERS 153 The Medical Management of Antiphospholipid Syndrome in Pregnancy: A Meta-Analysis Clara Qianqian Wu McGill University, Montreal, Quebec Kris B. Filion, PhD; Markus Chaim Martin, MDCM; Richard N. Brown, MBBS, FRCOG; Vanessa E. Kustec 154 Obstetric Care Preferences and Desire for Maternity Waiting Homes Among L and D Patients in Arusha, TZ Laila M. Zomorodian, BA University of Washington, Seattle, Washington Caroline M. Mitchell, MD, MPH; David Arthur Eschenbach, MD; Epiphania Massawe, RN; John P. Makundi, MBChB 106 twitter.com/acognews | #ACOG14 155 A 10-Year Retrospective Analysis of the New ACOG Pap Testing Guidelines on Adolescents Sara Christine Harris, MD University of Hawaii, Honolulu, Hawaii James Davis, PhD; Mark Kekoa-Yukinori Hiraoka, MD; Pamela Tauchi-Nishi, MD; Tracy Cheung 157 Colposcopic Acetowhitening of Vulvar Lesion: A Validity Study Joseph T. Santoso, MD University of Tennessee, West Clinic, Memphis, Tennessee Wendy Likes 158 Effect of Ferumoxytol on Quality of Life in Iron Deficiency Anemia from Abnormal Uterine Bleeding Melvin H. Seid, MD Lyndhurst Gynecologic Associates, Winston-Salem, North Carolina Gloria Lau, MSc, MBA; Kristine Bernard, MPH; Naomi V. Dahl, PharmD; William Strauss, MD, FACC ONCOLOGY 159 It is Safe to Perform Gynecologic Surgery First in Patients Undergoing Combined Breast/Gyn Surgery Jack B. Basil, MD TriHealth, Cincinnati, Ohio J. Michael Guenther, MD; James C. Pavelka, MD; Rachel Gibson Sinkey, MD 160 Investigating the Clinical Potential for 14-3-3 Zeta Protein to Serve as a Biomarker for Epitheloid Balint Farkas, MD, PhD University of Pecs, Pecs, Akos Jaray, MD; Beata Polgar, MD, PhD; Ioannis Hatzipetros, MD; Peter M. Gocze, MD, Dsc; Tamas Koszegi, MD, PhD The American College of Obstetricians and Gynecologists TUESDAY 161 Hormonal Contraceptive Use for Endometrial Cancer Prevention: Physician Attitudes and Practices Kyle Elizabeth Horst, BS University of Virginia, Charlottesville, Virginia Susan Carnall Modesitt, MD 162 Management of Epithelial Ovarian Cancer in the Setting of Concomitant Venous Thromboembolism Callie C. Hurtt, BS University of Arizona, Phoenix, Arizona Amy L. Weaver, MS; Jamie Nadine Bakkum-Gamez, MD; Janice Martin, RN; Michaela McGree, BS; William A. Cliby, MD 163 Robotic and Open Cytoreductive Surgery with HIPEC in the Management of Recurrent Ovarian Cancer Johanna E. Kreafle, BS University of Miami Miller School of Medicine, Miami, Florida Eric Douglas Schroeder, MD; John Paul Diaz, MD; Kristina Angel, RN, BSN; Ricardo E. Estape, MD; Richard Estape, BS 164 Investigating HPV-16 Methylation as Biomarker for High-Grade Cervical Intraepithelial Neoplasia Saira Mir, MD Emory University, Atlanta, Georgia Briyana Domjahn, MPH; Kevin A. Ault, MD 165 VTE Incidence Among Post-Operative Gynecologic Oncology Patients Evelyn A. Reynolds, MD University of Kansas Medical Center, Kansas City, Kansas Adam Hare; Alison Garrett Blevins, MD; Catherine Lindsey Satterwhite, PhD, MPH, MSPH; Kiersten Moreno, MD; Mary T. Fangman, MPH 166 Testing for Familial BRCA1/2 Mutations: Implications for Genetic Counseling and Risk Assessment Travis T. Sims, BS Feinberg School of Medicine, Northwestern University, Chicago, Illinois Jeffrey Scott Dungan, MD; Lee P. Shulman, MD; Taya J. Fallen, MS, CGC 2014 Annual Clinical Meeting PRIMARY CARE 167 Asian and Pacific Islander Populations Have Higher Rates of Short Interpregnancy Intervals Ritchie Mae Delara John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii Allison Sarah Bryant Mantha, MD, MPH; Erin Madden, MPH 168 Community Health Workers Paired with HPV Self-Samplers: A Promising Method to Reduce Cervical Cancer Morgan Mandigo, MSc University of Miami, Miller School of Medicine, Miami, Florida Brigitte Anne Frett, MSW; Erin Kobetz-Kerman, PhD, MPH; Ian Joseph Bishop, MD; Jean Robert Laurent; Maxi Raymondville, MD 169 An Opportunity for Ob/Gyns to Impact the Epidemic of Cardiovascular Disease in Women Mary L. Rosser , MD, PhD Montefiore Medical Center, Bronx, New York Allison J. Brusati, MD REPRODUCTIVE ENDOCRINOLOGY/ INFERTILITY 170 What Would You Do If You Knew? Elaine Tuason Aguinaldo, DO Lutheran Medical Center, Brooklyn, New York Dorcas C. Morgan, MD; Kell Julliard, MA 171 Reproductive Outcomes after Operative Hysteroscopy Using Sodium Hyaluronate/ Carboxymethylcellulose Neil Ryan Chappell, MD University of Alabama at Birmingham, Birmingham, Alabama Gordon Wright Bates, MD; Janet Frame McLaren, MD POSTERS 172 Surgical Management of Placenta Accreta after Early Pregnancy Loss Edmond Confino, MD Northwestern University, Feinberg School of Medicine, Chicago, Illinois Amy E. Williams, MD; Jared Cory Robins, MD facebook.com/acognational 107 TUESDAY 3:45 PM – 4:45 PM POSTERS 173 Prevalence of Intrauterine Anomalies in an Infertility Population Adrienne Lynne Gentry, DO Virginia Tech, Carilion School of Medicine, Roanoke, Virginia Robert Louis Slackman, MD 174 Vitamin D Normalizes Abnormally Elevated Serum AMH Levels Usually Noted in Women with PCOS Mohamad Irani, MD Maimonides Medical Center, Brooklyn, New York David B. Seifer, MD; Howard L. Minkoff, MD; Zaher Merhi, MD 175 Study of Predictive Factors in Azoospermia Among Men Who Had a Testicular Biopsy as Part of Their ART David Pening Hôpital Erasme, Bruxelles, Bruxelles Anne Delbaere, PhD; Fabienne Devreker, PhD 176 Transabdominal Oocyte Retrieval versus the Traditional Transvaginal Approach Ellerie Sondra Weissbrot, MD Winthrop University Hospital, Mineola, New York Christian Roman-Rodriguez, MD; Linda Sung, MD ULTRASOUND 177 Does Second Trimester Cervical Length Predict the Need for Cesarean Section Due to Labor Arrest? Rupsa C. Boelig, MD Thomas Jefferson University, Philadelphia, Pennsylvania Kelly Marie Orzechowski, MD; Vincenzo Berghella, MD 178 Does Second Trimester Cervical Length Predict Prolonged Pregnancy? Rupsa C. Boelig, MD Thomas Jefferson University, Philadelphia, Pennsylvania Kelly Marie Orzechowski, MD; Vincenzo Berghella, MD POSTERS 179 Adnexal Masses in Pregnancy: Does Magnitude Matter? Ryan Daniel Gholson, MD University of Oklahoma, Tulsa, Tulsa, Oklahoma Amanda Jo Miles, MD; Jessica Adams Pullen, MD; Michael Owen Gardner, MD, MPH; Nora Mary Doyle, MD, MPH, MSc 108 twitter.com/acognews | #ACOG14 180 Accuracy of Estimated Fetal Weight by Ultrasound vs Leopold Maneuver and Effect of Maternal Obesity Amanda L. Horton, MD Temple University Hospital, Philadelphia, Pennsylvania Dimitrios S. Mastrogiannis, MD, PhD, MBA; Juan J. Diaz, MD 181 Doppler Ultrasound: More than just for IUGR? Heidi Kay Leftwich, DO University of Illinois at Chicago, Chicago, Illinois Bethany Schmidt, MD; Isabelle A. Wilkins, MD; Judith Usher Hibbard, MD; Trang Pham, MS 182 Comparison of Forceps and Vacuum Assisted Vaginal Deliveries In Terms Of Levator Ani Muscle Injury Hafsa Umar Memon, MD Johns Hopkins University School Of Medicine, Baltimore, Maryland Victoria L. Handa, MD 183 A Survey of Perinatologists: Amniotic Fluid Index or Deepest Vertical Pocket? Joanne Natividad Quinones, MD, MSCE Lehigh Valley Health Network, Allentown, Pennsylvania John Carter Smulian, MD, MPH; Katie Karabasz Brown, BA; Meredith L. Rochon, MD; R. Melody Reynolds, MD 184 Declining Rate of Invasive Procedures for Prenatal Diagnosis in the Era of Noninvasive Prenatal Testing Aaron Lansing Turner, MD Cedars-Sinai Medical Center, Los Angeles, California John Williams, III, MD; Paola Aghajanian, MD; Steve Rad, MD; Tania Fay Esakoff, MD ; Yalda Afshar ,MD, PhD UROGYNECOLOGY 185 Cost Effectiveness of Urodynamics Testing in Women with Predominant Stress Incontinence Symptoms John Patrick Geisler, MD University of Toledo, Toledo, Ohio Robert Disler Drenchko, DO 186 Midurethral Slings for the Treatment of Stress Urinary Incontinence: Long-term Follup Up Emanuel C. Trabuco, MD, MS Mayo Clinic, Rochester, Minnesota Daniel A. Carranza, MD; Sherif A. El-Nashar, MBBCh, MS; Christopher J. Klingele, MD, MS; John B. Gebhart, MD, MS The American College of Obstetricians and Gynecologists ™ 2014 Annual Clinical Meeting facebook.com/acognational 109 WEDNESDAY COLLOQUIA CLINICAL SEMINARS AT-A-GLANCE WEDNESDAY APRIL 30 7:00 AM Registration Open (closes at 1:00 PM) 8:30 AM Inauguration and Convocation (see page 9 for robing information) For the first time, newly inducted Fellows will have the opportunity to walk across the stage when their name is called! 10:30 AM Exhibit Hall Opens (closes at 3:00 PM) 10:45 AM Film Festival (see page 52) 10:45 AM The Benson and Pamela Harer Seminar on History “The History of Physician Compliance with Female Atrocities, Genocide and the Holocaust” 11:50 AM The Hale Lecture “Polycystic Ovary Syndrome: Back to the Stein-Leventhal Age” 1:00 PM The ABOG Educational Foundation Lectureship on Patient Safety and Quality Improvement “Safety in the Outpatient Setting: The Next Frontier” LUNCH AND LEARN LUNCH WITH THE EXPERTS POSTGRADUATE COURSES FILM FESTIVAL 110 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists WEDNESDAY 10:45 AM – 2:00 PM COLLOQUIA PRACTICE Third Place Prize Paper Mothers at Risk: Maternal Mental Health Outcomes after Perinatal Death 10:45 AM Katherine J. Gold, MD, MSW, MS, University of Michigan, Ann Arbor, Michigan Timothy R.B. Johnson, MD The Benson and Pamela Harer Seminar on History “The History of Physician Compliance with Female Atrocities, Genocide and the Holocaust” Louis Weinstein, MD, Charleston, South Carolina Ballroom BC 10:55 AM COLLOQUIA Introduced by: Richard S. Hansell, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Evaluate the historic role of physician compliance with female atrocities, genocide, and the Holocaust » Discuss how physicians acted as perpetrators » Describe what can be done to prevent these current and future tragedies Paper Trends and Correlates of Monozygotic Twinning after Assisted Reproductive Technology (ART) 11:50 AM The Hale Lecture “Polycystic Ovary Syndrome: Back to the Stein-Leventhal Age Jessica R. Kanter, BS, Emory University, Decatur, Georgia Sheree Boulet, DrPH, MPH; Jennifer F. Kawwass MD; Denise J. Jamieson, MD, MPH; Dmitry Kissin, MD, MPH Richard S. Legro, MD, Milton S. Hershey Medical Center, Hershey, Pennsylvania Ballroom BC 12:00 PM Introduced by: Alison B. Edelman, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Define the key pathophysiologic mechanisms of anovulatory infertility in PCOS » Identify an evidence-based treatment strategy for treating infertility » Counsel patients about risks of treatment and ensuing pregnancies that result from treatment Paper Procedural Competency Assessment Tools for Vaginal Delivery and Cesarean Section: A Pilot Study 1:00 PM Celeste Hemingway, MD, MHPE, Vanderbilt University School of Medicine, Nashville, Tennessee ORAL PAPERS Melinda New, MD Paul Alvin Gluck, MD, University of Miami Miller The ABOG Educational FounSchool of Medicine, Miami, Florida dation Lectureship on Patient Safety and Quality Improvement “Safety in the Outpatient Setting: The Next Frontier” Ballrooom BC 1:10 PM Introduced by: Sharon T. Phelan, MD, Committee on Scientific Program COURSE OBJECTIVES At the end of this course, the participant should be able to: » Establish an office infrastructure to support patient safety » Develop a tracking system to follow up on critical lab and patient encounters » Develop checklists to reduce outpatient procedure errors 2014 Annual Clinical Meeting facebook.com/acognational 111 112 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists BUSINESS MEETINGS MEETING OF THE COLLEGE AND CONGRESS EXECUTIVE BOARDS FRIDAY, APRIL 25 | 8:00 AM – 5:00 PM WESTIN CHICAGO RIVER NORTH, ASTOR BALLROOM PAST PRESIDENT’S BUSINESS FORUM MONDAY, APRIL 28 | 7:00 PM LOCAL VENUE (By Invitation Only) (By Invitation Only) The Past Presidents Business Forum will meet at a local venue. The Congress and College Executive Boards will meet in the Westin Chicago River North. ANNUAL BUSINESS MEETING CONGRESS ADVISORY COUNCIL (CAC) MEETING AND RESEARCH AWARDS CEREMONY SUNDAY, APRIL 27 | 1:30 PM – 5:00 PM WESTIN CHICAGO RIVER NORTH, GRAND BALLROOM The Congress Advisory Council consists of national, district, and section officers of the Congress and College, past presidents, members of the Junior Fellow Congress Advisory Council, and committee chairs of the Congress and College. The Council will meet on Sunday, April 27, from 1:30 PM to 5:00 PM at The Westin Chicago River North, Grand Ballroom. The Research Awards Ceremony, honoring Research Fellowship Recipients as well as other distinguished Fellows, will open the meeting. All Congress and College members are invited to attend. LOOK FOR YOUR CO-RESIDENTS MIX AND MINGLE ALUMNI RECEPTION MONDAY, APRIL 28 | 6:00 PM – 8:00 PM SHERATON CHICAGO HOTEL AND TOWERS, RIVERWALK HALL B Participating Programs: Danbury Hospital Fellowship of Family Planning Friends of the Armed Forces District George Washington University Illinois Section of ACOG Indiana University Johns Hopkins University Kaiser Permanente Kentucky Section of ACOG Latin America Michigan State University Phoenix Integrated Residency in Obstetrics and Gynecology 2014 Annual Clinical Meeting Tufts/Geoge Mitchell Society University of Illinois University of Iowa University of Michigan/ Norman Miller Alumni Society University of Nevada University of Rochester University of South Florida— Ingram/Spellacy Society University of Toledo University of Wisconsin Vanderbilt/Lonnie Burnett Society MONDAY, APRIL 28 | 11:00 AM MCCORMICK PLACE™ WEST BUILDING, BALLROOM D The Annual Business Meeting of the American Congress of Obstetricians and Gynecologists and the Election of Officers of the Congress will be held at the McCormick Place™ West Building, followed by an informational meeting on the activities of the American College of Obstetricians and Gynecologists. National officers will be elected at the Congress meeting; year-end reports will be presented at the separate meetings. All Fellows are encouraged to attend both meetings. NATIONAL OFFICER CANDIDATES’ FORUM WEDNESDAY, APRIL 30 | 2:00 PM WESTIN CHICAGO RIVER NORTH, GRAND BALLROOM SALON B The National Officer Candidates Forum will meet at the Westin Chicago River North. The candidates for national office for May 2015 to May 2016 will make presentations to all Congress and College members. The members of the national Committee on Nominations, including first and second alternates, are required to attend. COLLEGE EXECUTIVE BOARD MEETING WEDNESDAY, APRIL 30 | 5:30 PM WESTIN CHICAGO RIVER NORTH, GRAND BALLROOM SALON C (By Invitation Only) The College Executive Board will meet in the Westin Chicago River North facebook.com/acognational 113 ANCILLARY MEETINGS Ancillary Meetings Location Key: Sheraton Chicago Hotel and Towers Westin Chicago River North THURSDAY, APRIL 24 SUNDAY, APRIL 27 • Council of District Chairs (CDC) Meeting Illinois Boardroom • Advisory Committee on Policy Meeting Ontario Room 1:00 PM – 4:30 PM 8:00 AM – 10:00 AM • The John M. Gibbons, Jr., MD Medical Student Lecture Room 185 FRIDAY, APRIL 25 • District V Fellow Advisory Council Meeting. Promenade Ballroom Salon A 1:30 PM – 5:00 PM • Executive Board Meeting Astor Ballroom 8:00 AM – 11:00 AM 3:00 PM – 5:30 PM 8:00 AM – 5:00 PM 1:00 PM – 4:00 PM • District VIII Executive Committee Meeting Executive Room • Congress Advisory Council (CAC) Meeting preceded by the Industry Research Awards Ceremony Grand Ballroom 5:00 PM – 7:00 PM • AMGO Board Meeting Omni Hotel Chicago, Executive Board Room • District IX Executive Committee Meeting Grant Park Room 4:00 PM – 8:00 PM • District VII Executive Committee Meeting Lincoln Park Room • SASGOG Reception Room 196B • District XI Executive Committee Meeting Jackson Park Room MONDAY, APRIL 28 7:30 AM – 5:00 PM • CUCOG Annual Meeting Room 178A • Armed Forces District Advisory Council Meeting Promenade Ballroom Salon C • Armed Forces District Junior Fellow Business Meeting Illinois Boardroom 8:00 AM – 9:00 AM 8:00 AM – 2:00 PM 8:00 AM – 6:00 PM 8:00 AM – 5:00 PM 10:00 AM – 12:00 PM 8:00 AM – 6:00 PM 12:00 PM – 6:00 PM • CUCOG Executive Board Meeting Lincoln Boardroom SATURDAY, APRIL 26 • JFCAC Annual Meeting – Breakfast Huron Room 8:00 AM – 6:00 PM • How I Practice 2014 Video Series Filming Hyatt Regency McCormick Hotel, Boardroom 2 9:00 AM – 4:00 PM • JFCAC Annual Meeting Superior Room 12:00 PM – 1:00 PM • JFCAC Annual Meeting – Lunch Huron Room 2:00 PM – 6:00 PM • Committee on Patient Safety and Quality Improvement Ontario Room 5:00 PM – 6:00 PM • CUCOG Reception Room 178B 5:00 PM – 7:00 PM • District IV Junior Fellow Advisory Council Dinner Columbus Room • District V Junior Fellow Advisory Council Meeting Ontario Room 114 Swissotel McCormick Place™ Convention Center, West Building twitter.com/acognews | #ACOG14 8:00 AM – 12:00 PM • ACOG-CDC National Partnership for Maternal Safety/Mortality Superior Room • SASGOG Annual Meeting Room 190 6:45 AM – 7:45 PM • How I Practice 2014 Video Series Filming Hyatt Regency McCormick Hotel, Boardroom 2 • Talking with Your Children About Sexuality Michigan Room • How I Practice 2014 Video Series Filming Hyatt Regency McCormick Hotel, Boardroom 2 10:00 AM – 2:00 PM • Oral History Video Project Room 472 12:30 PM – 1:30 PM • Immunization Focus Group Illinois Board Room • AGOS Council Meeting Parlor E 12:30 PM – 1:45 PM 12:00 PM – 1:30 PM • District XII Executive Committee Meeting Washington Park Room 12:00 PM – 2:00 PM • District IX Committee on Patient Safety and Quality Improvement Executive Room 12:15 PM – 5:00 PM • The Dr. Scott and The Honorable Dr. Nan Hayworth Junior Fellow Course Room 184B 12:30 PM – 1:45 PM • 5th Annual Young Physician Leadership Council Meeting Lincoln Boardroom • District IV Fellow Executive Committee Luncheon and Meeting Astor Ballroom • McCain Fellows Luncheon Superior Room 1:00 PM – 2:00 PM • American Medial Association Roundtable Room 187C 4:30 PM – 5:30 PM • Fellowship in Family Planning Informational Session Erie Room 5:30 PM – 7:00 PM • Medical Student, JFCAC, Young Physician Reception Riverwalk Hall A 6:00 PM – 7:30 PM • Drexel University College of Medicine Alumni Reception Missouri Room The American College of Obstetricians and Gynecologists ANCILLARY MEETINGS 6:00 PM – 8:00 PM 12:00 PM – 1:00 PM • Mix and Mingle Alumni Reception Riverwalk Hall B 12:00 PM – 2:00 PM • Indiana Ob0Gyn Reception Mayfair Room TUESDAY, APRIL 29 6:30 AM – 8:00 AM • ACOG Committee on Honors and Recognitions Illinois Boardroom 6:45 AM – 8:00 AM • AI/AN Women’s Health Committee Breakfast Ohio Room 7:00 AM – 8:30 AM • Junior Fellow Breakfast Business Meeting Michigan Room 7:00 AM – 9:00 AM • 10th Annual Young Physician Breakfast Forum Meeting Ontario Room 8:00 AM – 6:00 PM • How I Practice 2014 Video Series Filming Hyatt Regency McCormick™, Boardroom 2 10:00 AM - 12:00 PM • Abortion Training in Residency Informational Session Mississippi Room • Silver Badge Club Luncheon Meeting Superior Room • ACS Advisory Council for Gynecology and Obstetrics Tennessee Room 12:30 PM – 1:30 PM • Immunization Focus Group Illinois Board Room 12:30 PM – 1:45 PM • Adolescent Pregnancy Prevention Luncheon Michigan Room 1:00 PM – 4:00 PM • Medical Student Residency Fair Riverwalk Hall A 4:30 PM – 6:00 PM • McCormick Place™ Convention Center, West Building » American Association of Pro-Life Obstetricians and Gynecologists Meeting Room 475B • Screening for Intimate Partner Violence: Who, What, Where, When, Why, and How? (An ACOG Project funded by Merck Pharmaceuticals and Futures Without Violence) Mayfair Room » Update on Emergency Contraception: New Method Options, Legal Regulations, and Practice Recommendations Sponsored by the Association of Reproductive Health Professionals in partnership with the ACOG Long-Acting Reversible Contraception (LARC) Program Room 185A » Society for the Prevention of Human Infertility Room 179 » Society of OB/GYN Hospitalists Room 186 » Breastfeeding and Obstetrics Room 476 » Complementary Health Practices Room 471A WEDNESDAY, APRIL 30 12:00 PM – 1:30 PM • Committee on Nominations Grand Ballroom Salon A 1:30 PM – 5:00 PM • National Officer Candidates Forum Speaker Ready Room Grand Registration Office 2:00 PM – 5:00 PM • National Officer Candidates Forum Grand Ballroom Salon B 5:30 PM – 6:30 PM • Executive Board Meeting Grand Ballroom Salon C PRODUCT THEATERS Product Theaters are located in the rear of the exhibit hall MONDAY, APRIL 28 TUESDAY, APRIL 29 Ariosa Diagnostics Cell Free DNA Testing for Fetal Trisomy in a General Screening Population Covidien OB VTE Safety Recommendations: Why We Need Them, What are they, How to use them 12:00 PM – 1:00 PM Eisai, Inc A Novel Treatment Option for Chronic Weight Managbement Pfizer A New Treatment Option for PostMenopausal Women with a Uterus 2014 Annual Clinical Meeting 12:00 PM – 1:00 PM Support the College Development Fund Hologic Inc. Cutting Edge Breast and Cervical Cancer Screening: Maximizing Benefits, Minimizing Harm Join QIAGEN in supporting the American College of Obstetricians and Gynecologists Development Fund. Noven Therapeutics Women’s Health What’s New in the Treatment of Vasomotor Symptoms For every signature attendees leave on the QIAGEN Signature Wall (Booth 1716), the College Development Fund will receive a $10.00 donation. facebook.com/acognational 115 EVENTS Welcome Reception Talking to Your Children About Sexuality McCain Fellows Luncheon Your Financial Apgar Event for All Spouses Medical Student Reception Young Physician Breakfast Adolescent Pregnancy Luncheon aDAPT Your Patient Communication President’s Party WELCOME RECEPTION (EV01) Sunday, April 27 5:30 PM – 7:00 PM Sheraton Chicago Hotel and Towers Riverwalk Hall Complimentary to ACOG registrants Chicago is known for its deep-dish pizzas, hot dogs, cold winters, and famous sports teams. Kick off the 2014 ACM in the Windy City with some Chicago-style music and cuisine. Bring the Kids! For your convenience, there will be a designated area for children. Bus transportation will be available from hotels in the room block that are not within walking distance of the Sheraton Hotel. Special thank you to Shionogi Inc. for its continuing support 116 twitter.com/acognews | #ACOG14 TALKING TO YOUR CHILDREN ABOUT SEXUALITY (EV02) Monday, April 28 10:00 AM – 12:00 PM Sheraton Chicago Hotel and Towers Michigan Room Complimentary to ACOG registrants Speakers: Melisa Holmes, MD, FACOG, and Patricia Hutchison, MD, FAAP, co-founders of Girlology Nearly half of all high school students report having had sexual intercourse with over one-third reporting current sexual activity. Yet, only 61 percent report condom use at last intercourse, and a mere 20 percent report birth control pill use. It is, therefore, essential that parents talk with their children about sex, sexuality, and how to become a responsible adult. Are you a parent? If so, then please join our 2-hour seminar as we discuss ways to become more comfortable talking with your children about sexuality. Learn what to say and when to say it! Early registration is strongly encouraged. Spouses are welcome. MCCAIN FELLOWS LUNCHEON (EV03) Monday, April 28 12:30 PM – 1:45 PM Sheraton Chicago Hotel and Towers Superior Room $50 Join ACOG’s distinguished McCain Fellows for an always engaging, dynamic discussion of real-life legislative battles—lessons learned and the keys to success. Federal and state legislation affects your practice and our specialty as never before. Find out what what’s in store for you, your practice, and your patients. Learn how to get involved and make your action count. Participants will learn the latest news that matters to you from Fellows and experts working to advocate ob-gyn issues on Capitol Hill and in the Statehouses. YOUR FINANCIAL APGAR (EV04) Monday, April 28 2:30 PM – 4:30 PM Complimentary to ACOG registrants McCormick Place™ West Building Room 186 $15 for spouse and guest This seminar is an enjoyable, understandable presentation of financial planning information necessary for financial security, peace of mind, and an improved quality of life. This program will encourage and stimulate you, your spouse, and adult children with practical methods to reach your goals. EVENT FOR ALL SPOUSES/ PARTNERS (EV05) Ice Cream Social “A Celebration of Friendship” Monday, April 28 1:00 PM – 2:30 PM Sheraton Chicago Hotel and Towers Held in Shula’s Restaurant $15 Join Mr. Bruce Webb, spouse of ACOG President Jeanne Conry, MD, PhD, and spouses/partners of all former ACOG presidents for an ice cream social. Mr. Webb will share some of his experiences as he traveled to national and international ob-gyn organization meetings with his spouse. Please come out to enjoy the ice cream and other light refreshments and celebrate friendships old and new. The American College of Obstetricians and Gynecologists EVENTS aDAPT YOUR PATIENT COMMUNICATION (EV09) Tuesday, April 29 2:30 PM – 4:00 PM McCormick Place™ West Building Room 474B Complimentary to ACOG registrants $15 to spouses and guests Completion of a communication assessment will reveal your personal communication preferences and instruct you on how to deal with challenging patients of all types. PRESIDENT’S PARTY (EV10) MEDICAL STUDENT, JFCAC, AND YOUNG PHYSICIAN RECEPTION (EV06) Monday, April 28 5:30 PM – 7:00 PM Sheraton Chicago Hotel and Towers Riverwalk Hall A Complimentary to registered medical students, College and Congress Officers, and young physicians. Special thank you to Duchesnay for its continuing support YOUNG PHYSICIAN BREAKFAST (EV07) Tuesday, April 29 7:00 AM – 8:30 AM Sheraton Chicago Hotel & Towers Ontario Room Guest Speaker: Stephanie C. Sher, JD Keynote Speaker: Stephanie C. Sher, JD, Attorney at Law, Steven’s and Lee Law Firm, “Pitfalls of Borderline Behavior in our Practices” $35 The definition of a young physician is a Fellow who is within the first eight years of Fellowship. This is an opportunity to network with other young physicians and learn how you can become actively involved in ACOG policy development. 2014 Annual Clinical Meeting ADOLESCENT PREGNANCY PREVENTION LUNCHEON (EV08) Tuesday, April 29 12:30 PM – 1:45 PM Sheraton Chicago Hotel and Towers Michigan Room $50 Speakers: Melisa Holmes, MD, FACOG, co-founders of Girlology Preliminary data indicated that the birth rate for teenagers 15-19 years fell 6 percent between 2011 and 2012 (29.4 births per 1,000 teenagers 15-19 years), another record low, with rates declining for younger and older teenagers and for all race and Hispanic origin groups. Comprehensive efforts to continue this decrease are needed and health care providers can help. Guidance from a health care pro¬vider can greatly enhance a teen’s ability to avoid an unintended pregnancy and facilitate her healthy transition to adulthood. Please join us at the Adolescent Pregnancy Prevention Luncheon to learn about ways to change the culture of sexuality education and help health care providers to become sexuality educators. Early registration is strongly encouraged. Spouses are welcome. Tuesday, April 29 6:00 PM – 9:00 PM Shedd Aquarium $100 Adults $75 Residents $35 Children (ages 7-16) Come on in, the water’s fun! You’ll find something wet, wild and wonderful wherever you walk. You will see things that swim and crawl, slither and fly. There are otters and an octopus, whales and penguins, lizards and rays. Sea jellies, dolphins and a sea turtle. And, of course, a wild assortment of fishes, from frogfishes to sharks. Join President Jeanne Conry, MD, PhD and her spouse Bruce Webb, along with the Executive Board members for a fun evening at the Shedd Aquarium. Shuttles will be available from all hotels in the ACOG block. Tickets will not be available on site. facebook.com/acognational 117 CAMP ACOG AND YOUTH TOURS WELCOME TO THE WINDY CITY Chicago is exceedingly rich in history and culture. Camp ACOG will offer the children an authentic Chicago experience. Our program includes history, highlights and discovery of the best Chicago has to offer. Children will get the chance to learn about and see some of Chicago’s greatest sights. They will also have many chances to interact while they learn through hands-on opportunities as they make new friends and visit with old ones. What a perfect way to enjoy a family trip! OVERALL CAMP ACOG AND YOUTH TOURS SCHEDULE Saturday, April 26 “LEDGES & LANDMARKS” Onsite: 7:30 AM – 5:30 PM Off-Site Tour: 10:00 AM – 4:00 PM Sunday, April 27 *Please note that all children must register. Children ages 6 years and older are welcome to participate in the off-site youth tours. Children under ages 6 years and those older who wish to remain onsite at Camp ACOG will be entertained with various games, arts & crafts, movies, and special visitors, such as magicians, storytellers, and face painters in the activity center. Please register for Camp ACOG and Youth Tours at www.accentregister.com/register/campacog14 “SENSE-SATIONAL CHICAGO” Onsite: 7:30 AM – 5:30 PM Off-Site Tour: 10:00 AM –4:00 PM Monday, April 28 “SPORTS SPECTACULAR” Onsite: 7:30 AM – 5:30 PM Off-Site Tour: 10:00 AM – 4:00 PM Tuesday, April 29 “WHAT’S COOKIN’ CHICAGO?” Onsite: 7:30 AM – 5:30 PM Off-Site Tour: 10:00 AM – 4:00 PM Wednesday, April 30 “CALL OF THE WILD” Onsite: 7:30 AM – 5:30 PM Off-Site Tour: 9:00 AM – 1:00 PM 118 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists SPOUSE AND GUEST TOURS Please register for spouse and guest tours at www.accentregister.com/ register/acogtours14 OVERALL SPOUSE AND GUEST TOURS SCHEDULE SATURDAY APRIL 26 SUNDAY, APRIL 27 MONDAY APRIL 28 TUESDAY APRIL 29 WEDNESDAY APRIL 30 1:30PM – 5:30PM 6:00PM – 10:00PM Chicago Highlights & Navy Pier Chicago by Moonlight With Hancock Observatory 11:00 AM – 3:00 PM 12:00 PM – 4:00 PM 2:00 PM – 4:30 PM Art Institute of Chicago Chicago Architecture River Cruise Chicago Segway Tour 10:00 AM – 2:00 PM 1:00 PM – 5:00 PM Time TBD Taste of Chicago Pizza Tour Chicago Highlights & Navy Pier Baseball Game White Sox vs. Detroit Tigers 10:00 AM – 2:00 PM 11:00 AM – 1:30 PM 1:00 PM – 4:00 PM Time TBD Exploring the Legacy of Tiffany Chicago Segway Tour Glessner & Clarke Historic Homes Baseball Game White Sox vs. Detroit Tigers 9:00 AM – 12:00 PM Ernest Hemingway Museum & Home 2014 Annual Clinical Meeting facebook.com/acognational 119 ABSTRACT REVIEWERS The Committee on Scientific Program would like to express their appreciation to those who generously committed their time in support of the scientific program of the 2014 Annual Clinical Meeting. Jay E. Allard, MD Henry L. Galan, MD Maria Manriquez, MD Orion Albert Rust, MD Rebecca Hathaway Allen, MD Stanley A. Gall, MD Peter Sebastian Marcus, MD George Robert Saade, MD Paula Amato, MD Michael Owen Gardner, MD James N. Martin, Jr, MD Joseph S. Sanfilippo, MD Joseph Apuzzio, MD John William Gay, MD Jason C. Massengill, MD Karen Marie Schneider, MD Raul Artal, MD Alfredo F. Gei, MD Joan M. Mastrobattista, MD James H. Segars, MD Kevin A. Ault, MD Anthony Romaine Gregg, MD Linda S. Mihalov, MD Harish M. Sehdev, MD Janice L. Bacon, MD Daniel David Gruber, MD Manju Monga, MD Mark Shahram Shahin, MD Kurt T. Barnhart, MD Pratima Gupta, MD Diane Fay Morof, MD Andrea Denise Shields, MD Paula Helen Bednarek, MD David Michael Haas, MD Susan Marie Mou, MD Stuart H. Shippey, MD Pamela Donovan Berens, MD Susan T. Haas, MD, MSc Eilean L. Myer, MD Katerina R. Shvartsman, MD Vincenzo Berghella, MD Wendy F. Hansen, MD Thomas Daniel Myles, MD Gazala Siddiqui, MD Catherine Sands Bradley, MD Jason Odell Heaton, MD Sara Jeanette Newmann, MD Robert M. Silver, MD Daniel Marc Breitkopf, MD Andrew Wayne Helfgott, MD Peter Edward Nielsen, MD Lynn Louise Simpson, MD Haywood L. Brown, MD Cheri Clark Hemelt, MD Thomas Edward Nolan, MD Reni Aukai Soon, MD Jerome Lloyd Buller, MD Melinda Beth Henne, MD Holly Louise Olson, MD Joel Sorosky, MD Judith T. Burgis, MD W. Allen Hogge, MD Francisco J. Orejuela, MD Cyril Otis Spann, Jr, MD Ann Bishop Burke, MD Stacey L. Holman, MD Bryan T. Oshiro, MD Aaron Brandon Caughey, MD Ann L. Honebrink, MD Ian Asao Oyama, MD Sindhu Kikkeri Srinivas, MD, MSCE Ann Lee Chang, MD Jaou-Chen Huang, MD Sarah Michele Page-Ramsey, MD Lubna Chohan, MD Delbert Alan Johns, MD Emmanuelle Pare, MD Christina Shuwai Chu, MD Donna Denise Johnson, MD Joseph Edward Patruno, MD Jenell S. Coleman, MD Gerald Feitel Joseph, Jr, MD Mark D. Pearlman, MD Mitchell David Creinin, MD Leah Ann Kaufman, MD Scott M. Petersen, MD Diana S. Curran, MD Andrew M. Kaunitz, MD Sharon Theresa Phelan, MD Vanessa Kathleen Dalton, MD Elizabeth Riley Keeler, MD Maureen Glennon Phipps, MD Jill Kent Davies, MD Charles Cantwell Kilpatrick, MD Sarah Ward Prager, MD Nora Mary Doyle, MD Thomas A. Klein, MD Pamela A. Promecene-Cook, MD Rita Wesley Driggers, MD Elizabeth Ray Lapeyre, MD Anthony Mark Propst, MD Lorraine Dugoff, MD John Walter Larsen, MD Margaret R. Punch, MD Gena Colleen Dunivan, MD Wilma I. Larsen, MD Thomas F. Purdon, MD Rebecca F. Dunsmoor-Su, MD Hal C. Lawrence, III, MD Elisabeth H. Quint, MD James Fanning, DO Catherine Marie Leclair, MD Tina Renee Raine-Bennett, MD John Hall Farley, MD Men-Jean Lee, MD Mildred M. Ramirez, MD Maureen E. Farrell, MD Aviva Lee-Parritz, MD Elizabeth Anne Ferries-Rowe, MD William Madison Leininger, MD MC Patrick Shannon Ramsey, MD, MSPH John Robert Fischer, MD Lara Anne Friel, MD Michael Maxwell Frumovitz, MD Fred Daniel Fumia, MD Rajiv Babulal Gala, MD 120 Barton C. Staat, MD Michael Paul Stany, MD Scott Allan Sullivan, MD Laurie S. Swaim, MD Peter Takacs, MD Betsy Jean Taylor, MD Stephanie Beth Teal, MD Geoffrey D. Towers, MD Mark Allen Turrentine, MD Cosmas J.M. Van De Ven, MD Eileen Yee Wang, MD Tony Soo-Tung Wen, MD Bradford P. Whitcomb, MD Anna M. White, MD J. Kell Williams, MD Meredith Kirstin Williams, MD Johnnie Wright, Jr, MD William F. Rayburn, MD, MBA Jerome Yankowitz, MD Silvia Teresa Linares, MD John Thomas Repke, MD John Yeh, MD Sherri Anne Longo, MD Matthew Gerard Retzloff, MD Whitney Buckman You, MD Peter Michael Lotze, MD Randal D. Robinson, MD Christopher M. Zahn, MD Jack Ludmir, MD Katina Marie Robison, MD Robert K. Zurawin, MD Javier F. Magrina, MD Brenda N. Roy, PhD/MD twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists CORPORATE CONTRIBUTORS The College would like to thank… PRESIDENT’S CABINET PLATINUM GOLD SILVER BRONZE Shionogi Inc. Duchesnay, USA Bayer HealthCare Pharmaceuticals Ameda Hologic Merck Pfizer Masimo MEDA Pharmaceuticals Teva Women’s Health, Inc. COPIC Covidien Noven Salus Global Corporation Ariosa Diagnostics Ferring Pharmaceuticals GenPath Women’s Health Natera HANDS-ON CONTRIBUTORS Advancing Your Skills in Operative and Office Hysteroscopy Basic Obstetrics Ultrasound—A Hands-On Experience Hologic GE Healthcare Bayer HealthCare Pharmaceuticals Inc. Smith and Nephew Gynecology KARL STORZ Endoscopy -America Ethicon Hitachi Aloka Medical, Ltd Samsung Electronics America, Inc. Philips Healthcare Richard Wolf MedaPhor, Ltd. Obstetric Emergencies: Simulation Course CIRS Gaumard Scientific Vaginal Hysterectomy/Cystoscopy: Live Demonstration and Hands-on Workshop Limb and Things Operative Experience, Inc. Paradigm Medical Systems Conmed WELMED CAE 2014 Annual Clinical Meeting facebook.com/acognational 121 INDIVIDUAL DONORS Thank you to our 2014 President’s, Beacham, Reis and Schmitz Society Members President’s Society Midge and Jim Breeden, MD Sandra A. Carson, MD Ben H. Cheek, MD Jeanne A. Conry, MD, PhD and Bruce Webb Luis Ben Curet, MD and Lydia E. Curet Anna M. D’Amico, MD Dr. Mark DeFrancesco and Helen DeFrancesco Thomas M. Gellhaus, MD W. Benson Harer, Jr., MD Scott D. Hayworth, MD and the Honorable Nan A.S. Hayworth, MD Drs. Lisa and Larry Hollier Barbara and Gerald B. Holzman, MD Dr. and Mrs. John C. Jennings Dr. and Mrs. Gerald F. Joseph, Jr. Hal C. Lawrence III, MD Barbara S. Levy, MD and G. Gilbert Johnston, MD G. Sealy Massingill, MD and Debbie Massingill Javine H. McLaughlin, MD Owen C. Montgomery, MD and Kym Montgomery, DrNP Stephen Nwankwo Onwere, MD, MBChB Janet and Bob Palmer, MD Bridget D. Roots, MD Andre H. Saad, MD Dr. and Mrs. Morton A. Stenchever Eugene C. Toy, MD Elaine and Richard Waldman, MD Beacham Society Ted L. Anderson, MD, PhD Thomas F. Arnold, MD Robert Barbieri, MD Harold R. Bass, MD Drs. Thomas and May Blanchard Dr. and Mrs. James L. Breen John W. Calkins, MD Aaron Brandon Caughey, MD Eva Chalas, MD Donald M. Chervenak, MD Harvey M. Cohen, MD Jane Ann S. Dimer, MD 122 Terri Gallen Edersheim, MD Thomas G. Gaylord, MD Laurie C. Gregg, MD Richard W. Henderson, MD Dr. and Mrs. Richard S. Hollis Harold A. Kaminetzky, MD Joanie and Doug Kirkpatrick, MD J. Joshua Kopelman, MD Eduardo Lara-Torre, MD and Megan McNamara Robert P. Lorenz, MD and Christine H. Comstock, MD Drs. Jim and Gloria Martin Christopher Mason, MD Clayton H. McCracken III, MD Michael T. Mennuti, MD Brian M. Mercer, MD Patricia M. Miller, MD Wade A. Neiman, MD Dr. and Mrs. Thomas F. Purdon Isaac Schiff, MD Barry D. Smith, MD Samuel G. Smith, MD Dr. and Mrs. Albert L. Strunk Ramon Suarez, MD Wayne C. Trout, MD Dr. and Mrs. J. Martin Tucker Debra and Robert Wah, MD Reis Society Jacques S. Abramowicz, MD Tod C. Aeby, MD Mr. and Mrs. Richard C. Bailey Owen R. Bell, MD Howard Blanchette, MD Constance Bohon, MD Joanna M. Cain, MD Camille A. Clare, MD, MPH, CPE Raymon E. Darling, MD Christine de la Garza, MD Paula and Jed Delmore, MD Vivian Dickerson, MD Dianne Edgar, MD Denise M. Elser, MD Rebecca C. Falik, MD Dr. and Mrs. Stanley A. Gall William H.J. Haffner, MD Karen E. Harris, MD Paul B. Heller, MD twitter.com/acognews | #ACOG14 Magdalen E. Hull, MD MPH Lydia M. Jeffries, MD Harry S. Jonas, MD Sandra Koch, MD Susan Lemagie, MD Charles Macri, MD Dr. and Mrs. Michael J. McCoy Timothy C. McFarren, MD Frank C. Miller, MD Alfred H. Moffett, Jr., MD Holly L. Olson, MD Michelle Y. Owens, MD Sharon Theresa Phelan, MD Rebecca Glenn Rogers, MD Penny Rutledge, Esq. Richard H. Schwarz, MD Vicki Seltzer, MD Laura Sirott, MD Lyjia O. Strachan, MD Janette H. Strathy, MD Dr. and Mrs. Paul G. Tomich John S. Wachtel, MD Ms. Cathy H. Whittlesey Lane E. Williams, MD Robert Yelverton, MD Edward R. Yeomans, MD Schmitz Society Emmanuel Maduabuchi Akwuruoha, MD Rudi Ansbacher, MD, MS Joseph J. Apuzzio, MD William Atkins, MD Dr. and Mrs. J. Max Austin, Jr. Kenneth I. Barron, MD Ms. Erica Bukevicz Liang Bartkowiak, MD Ms. Valerie Borden Richard B. Clark, MD Marlene Mercedes Corton, MD Dr. and Mrs. Robert Crootof Alice N. Cunningham, MD Stella M. Dantas, MD Alan H. DeCherney, MD George Ellis, MD Henry W. Foster, MD Drs. Ernst and Marianne Friedrich Harvey A. Gabert, MD Rajiv Gala, MD and Anna White, MD Gabriel G. Hakim, MD R. Moss Hampton, MD Linda Harris, MD Dr. and Mrs. Frank N. Harrison, Jr. Jason Odell Heaton, MD Cheryl B. Iglesia, MD Ms. Colleen K. Ingram Richard Ivey, MD Na Jiang, MD Amanda Kallen, MD Chuks I. Kamanu, MD Randall T. Kelly, MD Ms. Linda Kinnane Susan and Jeffry Komins, MD Bernard Lambert, MD Wilma Larsen, MD Judy Levison, MD, MPH Edward Linn, MD Ali M. Luck, MD K. A. Manigar, MD Joseph E. Markee, Jr., MD Ivvanee E. Martinez, MD F.C. Maute, M.D. and Karen Maute John P. McHugh, MD Patricia E. Ndukwe, MD Ms. Katie O’Connell Anthony Okpani, MD Edmund H. Olson, MD Lawrence Perl, MD Brooks Ranney, MD Julia Rivera-Figueroa, MD Dr. and Mrs. Jeffrey E. Rodzak Marian Antonette Sampson, MD Joaquin J. Santolaya-Forgas, MD, PhD Dr. and Mrs. James R. Scott Kirsten M. Smith, MD David E. Soper, MD Mr. L. William Staudenmaier Patrick J. Sweeney, MD Teresa Tam, MD Sallye Jean Toniette, MD Vivian Elise Von Gruenigen, MD John D. Watson, MD Oglesby H. Young, MD Blenda Yun, MD The American College of Obstetricians and Gynecologists DISCLOSURES Speakers with disclosures—as of March 25, 2014 Arnold Patrick Advincula, MD Consulting: Intuitive Surgical, Cooper Surgical, SurgiQuest, Blue Endo Royalties: Cooper Surgical Kevin A. Ault, MD Dr. Ault has received research funds from Merck, Hoffman LaRoche, Gen Probe, Novartis and the NIH. Dr. Ault has acted as a consultant for the NIH, CDC and ACOG. Janice L. Bacon, MD I have been on the speakers bureau for Schionogi and Bayer–but have suspended myself from participation while serving ACOG as an officer and ACM participant–No other disclosures. Lisa Beth Bazzett, MD Merck-Speaker Sanofi Biosurgery–Speaker Michael A. Belfort, MD Glenveigh Medical–shareholder–I hold a patent on a balloon device (Ebb Belfort-Dildy Tamponade System) used for pelvic bleeding and the device is licensed to Glenveigh Medical. It has no direct relationship or use in Fetal Surgery which is the subject of my talk. Pamela Donovan Berens, MD I am a paid speaker for the Texas Department of State Health Services speaking regarding lactation. I additionally am a paid speaker for others organizations on topics related to lactation on occasion. I receive royalties from: 1) Pharmasoft publishing writing on lactation and 2) Up To Date writing on the puerperium. Pouru P. Bhiwandiwalla, MD Speaker fees from Teva Pharmaceuticals. Speaker fees from Noven. Research fees from Wake Research Associates. Advisory Board for Teva Pharmaceuticals. Molly Alexander Brewer, MD I am a consultant for Ethicon but that has no bearing on this presentation. Paul Robert Brezina, MD I am a speaker for AbbVie pharmaceuticals: Speak regarding endometriosis (this topic is unrelated to the topics discussed at my ACOG sessions and I do not plan on discussing AbbVie products or endometriosis during my lecture at ACOG) Andrew Ian Brill, MD Speaker: Ethicon, Smith and Nephew Consultant: Ethicon, Smith and Nephew, HALT Aaron Brandon Caughey, MD I am a medical advisor to three private companies, Aria Diagnostics and Cellscape, which are working in the area of prenatal diagnosis, and Mindchild which is developing a tool to better perform fetal heart rate monitoring. These companies have no association or interest in any of the topics I am speaking on at the upcoming meeting, specifically cesarean delivery. Gregory M. Christman, MD Research support: NICHD/NIAMS Rheumatic Disorders (PROTECT) Fertility Preservation Trial, Principal Investigator Abbvie Protocol M12-671 “A Randomized, Double Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Elagolix in Subjects with Moderate to Severe EndometriosisAssociated Pain.” Clinical Trial Site Site Principal Investigator. Teresa M. Darragh, MD Hologic: Research supplies for anal cytology, ongoing OncoHealth: Advisory Board, ongoing–stock options Roche: Advisory Board, October 2013–Honorarium paid to UCSF 2014 Annual Clinical Meeting Shad H. Deering, MD The Army has obtained a patent on a mobile OB emergency simulator I developed and licensed it to Gaumard Scientific. I have received no financial or other compensation related to this in the past 12 months. Giuseppe Del Priore, MD Berkley Bioscience, Precision Therapeutics, Advaxis, Inc. Libby Edwards, MD Amgen, investigator with a research grant regarding the long term safety of etanercept, a medication sometimes used for aphthous ulcers. Mark H. Einstein, MD I have advised or participated in educational speaking activities, but do not receive an honorarium from any companies. In specific cases, my hospital, Montefiore Medical Center has received payment for my time spent for these activities from Merck, GSK, Roche, BristolMyers Squibb, Hologic, Advaxis, Aura Biosciences, Inovio, Photocure, and PDS Biotechnologies. If travel is required for meetings with any industry, the company pays for Dr. Einstein’s travel. Also, Montefiore has received grant funding for research related costs of clinical trials that I have been the overall PI or Montefiore PI from Merck, GSK, Roche, Advaxis, Photocure, Inovio, and Hologic. Denise M. Elser, MD Consultant–Allergan Mark Ira Evans, MD Consultant Perkin Elmer/NTD Murray Allen Freedman, MD Consultant: Procter and Gamble Research Grant: Procter and Gamble Speaker’s Bureau: Shionogi Michael Maxwell Frumovitz, MD Novadaq (advisory board) Chrystie Kimie Fujimoto, MD Partner–Malama Imaging LLC Gynecologic and first trimester obstetric ultrasound practice. Amy Lynn Garcia, MD Bayer Inc.,–Consultant, Physicians Advisory Board Boston Scientific, Inc.–Consultant Channel Medsystems–Consultant Ethicon–Consultant, Speaker HOLOGIC, Inc.–Clinical Research, Consultant, Physicians Advisory Board IOGYN–Consultant KA Alessandro Ghidini, MD Honorarium from Wiley-Blackwell publishers for my work as Associate Editor for the journal Prenatal Diagnosis. Paul Alvin Gluck, MD Stevens & Lee, LLC–Senior Medical Consultant Baptist Health South Florida–Consultant to Simulation Center Bayer HealthCare–Women’s Health Care Advisory Board Steven Robert Goldstein, MD GYN Advisory Board: Shionogi Consultant: Cook ObGyn, Philips Ultrasound Speakers Bureau: Shionogi, Warner Chilcott, Noven David Alan Grimes, MD I serve on several Scientific Monitoring and Advisory Committees (Data Safety Monitoring Boards) for Bayersponsored studies. Hope K. Haefner, MD Merck, Inc. HPV advisory board Klaas Heinemann, MD The study presented at ACOG was a post-authorization safety study (PASS) which was requested by the European Medicines Agency (EMA). It was supervised by an independent Safety Monitoring and Advisory Board. The study was supported by an unconditional grant. George Alan Hill, MD Member of the United Health Care Women’s Health Scientific Advisory Board. Lennox P. John Hoyte, MD Lennox Hoyte MD–Proctor, course Director Intuitive Surgical Lennox Hoyte MD–Course lecturer, Coloplast, Lennox Hoyte MD–Course lab faculty–Boston Scientific Joseph K. Hwang, MD Speaker bureau for Hologic, LLC and Verinata Health, Inc. Bliss Kaneshiro, MD Uptodate–consultant Pono Pharma–my spouse is on the advisory board Lilly–my spouse is on a scientific advisory board. Noah D. Kauff, MD Noah D. Kauff, MD: Consulting: Pfizer; Expert Testimony: Pfizer Michael L. Krychman, MD Pfizer–Speaker and consultant Noven Pharmaceuticals– Speaker and consultant Palatin Technologies– Consultant Sprout Pharmaceutical–Consultant Bayer Pharmaceuticals–Consultant Shionogi, Inc.–Consultant and Speaker. Men-Jean Lee, MD Dr. Lee is an author and receives royalties for her clinical reviews on UptoDate on-line, Inc. Ted Teh Min Lee, MD Ethicon Endosurgery: Consultant, honararium Richard S. Legro, MD Consultant: AstraZeneca and Euroscreen, NIH Grant Support: NIH Neal Marc Lonky, MD, MPH I am the inventor of Soft-Lift ® surgical graspers owned by MediTech Development Inc to which I am a shareholder, and SoftBiopsy ® and Soft-ECC®, cervical biopsy devices used during colposcopy that is Manufactured by Histologics LLC, Yorba Linda, CA. I have financial interest in MediTech Development INc and Histologics LLC. Peter C.C. Mann, MD Consultant for Boston Scientific. Joan M. Mastrobattista, MD On medical advisory board for Counsyl (Universal genetic screening). Jessica Leigh McKinney Speaker’s bureau, Boston Scientific Corp. Karenmarie Kathleen Meyer, MD OB Hospitalist Group–Employee University of Illinois School of Medicine–Employee and Faculty Midwest Center for Day Surgery and Management Group-Stock holder Society of OB GYN Hospitalists–Board of Directors–unpaid position. Adventist Health System– spouse–employed physician. Leah Sharon Millheiser, MD Viveve Inc.–stock options ExploraMed–consulting fee. Stuart Richard Hart, MD Consultant and speaker for Boston Scientific, Covidien and Stryker. The honorarium for these events is paid to the University of South Florida and I do not receive any direct payment for these services. I have also reviewed charts for several medical malpractices. facebook.com/acognational 123 DISCLOSURES Speakers with disclosures—as of March 25, 2014 Charles E. Miller, MD Grant/Research–Covidien Femasys Olympus Novartis Abbvie Intuitive Surgical Consultant–Ferring Pharmaceuticals Ethicon Endo-Surgery Ethicon Women’s Health and Urology Boston Scientific Care Fusion Hologic Covidien Femasys Abbvie David Scott Miller, MD Research grant funding: Vermillion Inc. Lisa A. Miller, CNM, JD Paid consultant for Clinical Computer Systems, Inc., makers of the Obix Perinatal Data System. Medical Advisory Board, LifeWave, Inc. Sabine Moehner, PhD The study presented here was a post-authorization safety study (PASS) which was requested by the European Medicines Agency (EMA). It was supervised by an independent Safety Monitoring and Advisory Board. The study was supported by an unconditional grant. Richard George Moore, MD I receive research funding from Fujirebio Diagnostics and Abbott Diagnostics Inc. I have work as a consultant for Fujirebio Diagnostics in the past. David J. Moreland, MD I am a trainer for Merck on Nexplanon contraceptive. Malcolm Gordon Munro, MD Karl Storz Endoscopy America; Boston Scientific Inc; Gynesonics Inc; Bayer Healthcare; Aegea Inc; Halt Surgical; Abbvie Inc, Idoman Teoranta, Ltd. Kenan Rifat Omurtag, MD Consultant, RegularRateRhythm Software Lubna Pal, MD Merck pharmaceutical–consultant Resad Pasic, MD Consultant Ethicon Endo,Cooper Surgical Speaker for Storz Dawn Marie Pekarek, MD My husband works for Total Pain Solutions as a representative for the company. This does not have any relationship to the talk I am giving. Joann V. Pinkerton, MD 1) 3-13 to 3-14–Honorarium to The Rector of Visitors of the University of Virginia for consulting 1. Pfizer Scientific Advisory Board 2. Noven Pharmaceutical Scientific Advisory Board 3. Shionogi 4. DepoMed FDA advisory panel 5. Novonovartis James Alan Simon, MD Affiliation/Financial Interest–Corporate Organizations–Dr. James A. Simon has served (within the last year) or is currently serving as a consultant to or on the advisory boards of: Abbott Laboratories/ AbbVie, Inc. (North Chicago, IL), Agile Therapeutics, Inc. (Princeton, NJ), Amgen Inc. (Thousand Oaks, CA), Apotex, Inc. (Toronto, Canada), Ascend Therapeutics (Herndon, VA), BioSante (Lincolnshire, IL), Depomed, Inc. (Menlo Park, CA), Everett Laboratories, Inc. (West Orange, NJ), Intimina by Lelo, Inc. (San Jose. CA), Lupin Pharmaceuticals, (Baltimore, MD), TherapeuticsMD (Boca Raton, FL), Meda Pharmaceuticals Inc. (Somerset, NJ), Merck & Co., Inc. (Whitehouse Station, NJ), Novartis Pharmaceuticals Corporation (East Hanover, NJ), Noven Pharmaceuticals, Inc. (New York, NY), Novo Nordisk (Bagsvrerd, Denmark), Novogyne (East Hanover, NJ), Pfizer Inc. (New York, NY), Shionogi Inc. (Florham Park, NJ), Shippan Point Advisors LLC (Upper Saddle River, NJ), Slate Pharmaceuticals Inc. (Durham, NC), Sprout Pharmaceuticals (Raleigh, NC), Teva Pharmaceutical Industries Ltd (Jerusalem, Israel),Warner Chilcott (Rockaway, NJ), Watson Pharmaceutical Inc. (Corona, CA). In the last year he has received or is currently receiving grant/research support from: Abbott Laboratories/AbbVie, Inc. (North Chicago, IL), BioSante (Lincolnshire, IL), EndoCeutics Inc. (Quebec, Quebec), Novo Nordisk (Bagsvrerd, Denmark), Novogyne (East Hanover, NJ), Palatin Technologies (Cranbury, NJ), Teva Pharmaceutical Industries Ltd (Jerusalem, Israel), and Warner Chilcott (Rockaway, NJ). He has also served or is currently serving on the speakers bureaus of: Amgen Inc. (Thousand Oaks, CA), Eisai, Inc. (Woodcliff Lake, NJ), Merck (Whitehouse Station, NJ), Novartis (Basel, Switzerland), Noven Pharmaceuticals, Inc. (New York, NY), Novo Nordisk (Bagsvrerd, Denmark), Novogyne (East Hanover, NJ), Shionogi Inc. (Florham Park, NJ), Teva Pharmaceutical Industries Ltd (Jerusalem, Israel), and Warner Chilcott (Rockaway, NJ). Dr. Simon was the Chief Medical Officer for Sprout Pharmaceuticals (Raleigh, NC) until 4/1/13. Howard T. Strassner, Jr, MD Rush Medical College, Rush University Medical Center: Chair of the Department of Obstetrics and Gynecology and Director of Mternal-Fetal Medicine; and clinical practice in Women’s Health Consultants. Rebecca Glenn Rogers, MD American Medical Systems–DSMB chair for Transform trial. Chemen Mzima Tate, MD I have received honoraria for 3 speaking engagements discussing Diclegis and nausea/vomiting in pregnancy from Duchesnay USA. The total amount of the honoraria is less than $5,ooo. Devereux N. Saller, Jr, MD Medical Advisory Board for Natera Hugh Smith Taylor, MD Pfizer: honoraria and grant support Merk, Lilly, Abbott: Honoraria Medistem, OvaScience: scientific advisory board Edwin A. Salsitz, MD Reckitt-Benckiser Pharmaceuticals Treatment Advocate–Honorarium Received Maida Beth Taylor, MD I am a consultant to Innovus Pharma, Pharmaderm Div of Sandoz, and speaker for Shionogi. Joseph S. Sanfilippo, MD Bayer Advisory Board Smith Nephew Advisory Board Mishka Terplan, MD I receive 5% FTE for salary support from the following grant: SAMHSA U79T1020257: SBIRT Medical Residency Program Emre U. Seli, MD Merck Inc.–Research grant. twitter.com/acognews | #ACOG14 Wulf Hessel Utian, MD PHARMA ADVISORY COMMITTEES/ CONSULTANCY–Hygeia, Chair Advisory Board (11.27.07)–Pharmavite, Chair Menopausal Health Advisory Board (11.24.10)–SenoSENSE Inc (09.04.12)– TherapeuticsMD (01.01.13) Joseph R. Wax, MD Stockholder in Abbott Laboratories Expert witnessmedicolegal case Carolyn L. Westhoff, MD Honorarium–DSMB member for this study: Bayer George D. Wendel, Jr, MD Employee and member of Board of Directors of ABOG. Robert A. Wild, MD, PhD, MPH NIH review and consultant FDA review and consultant Atherotec consultant Jerome Yankowitz, MD In 2013 I gave a lecture for verinata but am no longer a part of their speaker bureau to my knowledge. Edward Martin Zabrek, MD mHealth Advisors, Founder, President Intel Corporation-unpaid consultant Microsoft Corporationunpaid consultant Samsung Corporation-Paid 2013 consultant; currently no contract AirStrip Technologies-previous paid consultant Hewlett Packardpaid consultant–VOALTE-board position–Sutter Healthcare-paid consultant Carolyn M. Zelop, MD I am unsure whether this qualifies as a disclosure, but I am an author for Uptodate which pays royalties The topics on Uptidafe overlap with my course content. Robert K. Zurawin, MD Consultant: Ethicon EndoSurgery, Ethicon Women’s Health and Urology, Conceptus, Storz, Hologic and Intuitive Surgical Kevin James-Edward Stepp, MD American Medical Systems–Consultant Titan Medical– Stock holder Teleflex–Speaker Olympus USA–Speaker Sarah Ward Prager, MD I have done consulting work for Population Services International in the area of global family planning. I do Nexplanon trainings, but I don’t receive honoraria for this. Michael G. Ross, MD Cervilenz: Medical Director, Stock ownership Sense4Baby: Medical Director 124 James Mark Shwayder, MD Royalties: Goldstein Sonobiposy Catheter: Cook Ob/ Gyn The American College of Obstetricians and Gynecologists DISCLOSURES Speakers with nothing to disclose—as of March 25, 2014 Adam Jon Duhl, MD Adeeb Khalifeh, MD Alan Garlett Waxman, MD, MPH Alan H. DeCherney, MD Amanda Cofer Yunker, DO Amber Pincavage, MD Amy Elizabeth Paris, MD Amy Ellen Rosenman, MD Andrew Frederick Wagner, MD Andrew Ian Sokol, MD Angela Glaser Anitra Danielle Beasley, MD Ann Pastijn, MD Anne Delbaere, PhD Anne Schuchat, MD Anthony Lee Shanks, II, MD Ashley R. Stuckey, MD Aubrey Ellyn Rauktys, MD Awathif Dhanya Mackeen, MD Baha M. Sibai, MD Bernard Gonik, MD Brandon K Woodard, MD Brenda O’Hanley Brian A. Levine, MD Brian MacKenzie Mercer, MD Brigid Kathleen McCue, MD Byron C. Calhoun, MD Cameron Haugen, MD Camille Angela Clare, MD MPH Carol Swanson Cox, MD Catherine Yvonne Spong, MD Celeste Ojeda Hemingway, MD Charles Roswell Rardin, MD Charles W. Nager, MD Cheryl B. Iglesia, MD Christian Michael Pettker, MD Christina Marie Davidson, MD Christine Wyns, MD PhD Colleen M. Stockdale, MD Corinne Hubinont, MD Daniel E. Stone, III, MD Daniel W. Skupski, MD Daphne Yvette LaCoursiere, MD David B. Schrimmer, MD David E. Soper, MD David Eric Abel, MD David Michael Boruta, II, MD David R. Kattan, MD David Seil Kim, MD MS MBA Deborah Jill Coady, MD Deborah Krakow, MD Dena Goffman, MD Denise J. Jamieson, MD, MPH Diana S. Curran, MD Dmitry M. Kissin, MD, MPH Dorimar Siverio-Minardi, MPH, MBA Dotun Adeboye Ogunyemi, MD E. Steve Lichtenberg, MD Eli Y. Adashi, MD Elizabeth Riley Keeler, MD Elliott Kingwill Main, MD Emanuel Coutinho Trabuco, MD Emily Elizabeth Petersen, MD Eric F. Warshaw, MD Erica T. Wang, MD Erika Beth Johnston-MacAnanny, MD Erin Elizabeth Tracy, MD 2014 Annual Clinical Meeting Estella C. Parrott, MD Eva Chalas, MD Eve Espey, MD MPH Federico G. Mariona, MD Felipe Luis G. Videla, MD Frances Elizabeth Casey, MD Frederic Chantraine, MD Gary Ventolini, MD George Andrew Macones, MD George Robert Saade, MD George Sealy Massingill, MD Gilbert Marc Jackson, MD Gladys A. Ramos, MD Hedaya Alblewi Henry L. Galan, MD Holly Powell Kennedy, CNM PhD Howard Taylor Sharp, MD Ikuo Konishi, MD PhD Ilan Emeric Timor, MD Isaac Delke, MD Isabelle Demeestere, MD J. Chris Carey, MD J. Martin Tucker, MD Jacques S. Abramowicz, MD Jaimey M. Pauli, MD James Bernard Hill, MD James Fanning, DO James J. Woodruff, MD James Joseph Burke, II, MD James Marshall Palmer, MD James T. Breeden, MD James Woith, EMT-P Jani R. Jensen, MD Jared Cory Robins, MD Jean Squifflet, MD Jeanette Ruth Chin, MD Jennifer Ann Tessmer-Tuck, MD Jennifer Fay Kawwass, MD Jennifer J. Prats, MD Jennifer Lynn Griffin Miller, MD Jennifer Salcedo, MD, MPH, MPP Jeong Lim, PhD Jessica Adams Pullen, MD Jessica Kanter Jessica Kiley, MD Jessica Marie Ritch, MD Jessica McClusky Jian Qun Huang, MD Joanna Mary Cain, MD Joanne L. Perron, MD Joel I. Polin, MD Joel Sorosky, MD John Anson Occhino, MD John Joseph Sciarra, MD John Thomas Repke, MD John Yeh, MD Jonah Fleisher, MD Joseph Michael Novi, DO Karen E. Adams, MD Karen Eloise Harris, MD MPH Kate Pettit, MD Katherine Carson Whitehouse, DO Katherine Gold, MD Kathi Keaton Minton, MA, RDMS/ RDCS, FAIUM Kenneth L. Noller, MD, MS Kevin Scott Overbeck, MD Kirk D. Ramin, MD Kirtanna Voralu, MS Kristen A. Matteson, MD L. Chesney Thompson, MD Larry C. Gilstrap, MD Laurel Wysong Rice, MD Laurie C. Zephyrin, MD, MPH Laurie S. Swaim, MD Lee A. Learman, MD PhD Lila E Nachtigall, MD Linda Dalal Shiber, MD Linnea Rose Goodman, MD Lisa Anne Gill, MD Lisa C. Flowers, MD Lisa M. Foglia, MD Louis Weinstein, MD Lucia DiVenere Luis B. Curet, MD Luis Diego Pacheco, MD Lynette J. Margesson, MD Lynn Borgatta, MD Lynn Louise Simpson, MD M. Kathryn Menard, MD, MPH M. Maya McDoom, MPH Magdy Peter Milad, MD, MS Mallory Kremer, MD Maria Aina Gaspar, MD Marjorie Clare Meyer, MD Mark D. Pearlman, MD Mark Gorden Martens, MD Mark Hanson, MD Mark K. Dodson, MD Mark L. Mokrzycki, MD Mark Stephen Seigel, MD Martha Frances Goetsch, MD, MPH Martin Larry Gimovsky, MD Mary Catherine Tolcher, MD Mary Elizabeth D’Alton, MD Marygrace Elson, MD Meaghan Margaret Aalto, MD Melinda Stacey New, MD Michael Paul Traynor, MD Michael Victor Zaretsky, MD Michel Degueldre, MD Michelle Lynn Matthews, MD Michelle Nisolle, MD Michelle Y. Owens, MD Mike R. Holbert, MD Mildred M. Ramirez, MD Mireille Diem-My Truong, MD Myra Jean Wick, MD Nadav Schwartz, MD Nancy C. Chescheir, MD Nancy C. Rose, MD Nancy D. Gaba, MD Nathaniel G DeNicola, MD Neeta L. Vora, MD Nelson Chinedu Echebiri, MD Nicholas Kongoasa, MD Nora Mary Doyle, MD Olivera Vragovic, MBA Oz Harmanli, MD Patrice M. Weiss, MD Patrick Shannon Ramsey, MD, MSPH Paul Bernard Heller, MD Paul G. Tomich, MD Paula J. Melone, DO Peter Edward Schwartz, MD Peter Sebastian Marcus, MD Philip Henry Lahrmann, MD Philip N. Eskew, Jr, MD Philip Samuels, MD Rachel Becker Rapkin, MD Rameet Harpal Singh, MD Rana Snipe Berry, MD Raul Artal, MD Rebecca Shari Usadi, MD Regina Montero, RN MSN CNOR Renee Samelson, MD Reni Aukai Soon, MD Ricardo J. Loret de Mola, MD Richard Henry Reindollar, MD Richard R. Barakat, MD Richard Todd Ivey, MD Rita Wesley Driggers, MD Robert Brian Gherman, MD Robert Jay Wallace, MD, MBA Robert Keer Silverman, MD Robert L. Barbieri, MD Robert W. Yelverton, MD Roger Perry Smith, MD Rosanne M. Kho, MD Sachin Shah, MD Sanford S. Osher, MD Sarah Ann Wagner, MD Sarah Diana Fox, MD Sarah J. Kilpatrick, MD, PhD Sarah Michele Page-Ramsey, MD Sarita Sonalkar, MD Shashi Sharma, MD Shazia Ambreen Malik, MD Sheree Boulet, DrPh MPH Sifa Turan, MD Sophia Ouhilal, MD Stephen Lee Rose, MD Stephen Todd Chasen, MD Steven W. Remmenga, MD Susan Marie Ramin, MD Tamika C. Auguste, MD Tania Fay Esakoff, MD Tao Duan, MD Ted Louis Anderson, MD, PhD Theresa A. Toigo Thomas Gregory Lang, MD Thomas J. Benedetti, MD Thomas R. Moore, MD Timothy R. B. Johnson, MD Tod C. Aeby, MD Tommaso Falcone, MD Tony Ogburn, MD Torri Derback Metz, MD Tricia Elaine Wright, MD Tyrone Hayes, MD Veronica Thierry Mallett, MD Victor M. Feldbaum, MD Victoria L. Green, MD JD MBA Vincenzo Berghella, MD Wayne R. Cohen, MD William F. Rayburn, MD, MBA William Hanna Kutteh, MD PhD HCLD William T. Hurley, MD Yasuko Yamamura, MD Yvon Englert, MD Yvonne S. Thornton, MD facebook.com/acognational 125 SAVE THE DATE 2015 ACOG Annual Clinical and Scientific Meeting San Francisco, CA May 2-6, 2015 Brand New Meeting Format to be Announced... Five days, theme-based sessions, tailor the meeting to your needs —all in 2015. Don’t miss out! www.acog.org/acm TEAMING UP for WOMEN’S HEALTH Gate 41 176a 175c 175b Prairie Avenue Service Corridor North Staging Room 178a Parking Lot A Service Corridor 179b Service Corridor 178b 179a FLOORPLANS McCORMICK PLACE™ WEST BUILDING LEVEL 1 175a M.L. King Jr. Drive 176b Access To/From Level 3 Hotel Conference Center Available Upon Request Access To/From Level 3 Service Corridor 180 181b 181c 182 Information Service Corridor 183b 183c Access To/From Level 3 190a 190b East Staging Room 184a 184bc 193a 193b 194a 186c 186b 187c Meeting 187b 2014187a Annual Clinical 194b 195 Service Corridor 185d Service Corridor 192b 196a Service Corridor 185a 186a 191 192c South Staging Room 184d 185bc 192a Service Corridor 183a Transportation Center Gates 43 & 44 / Bus Pickup & Drop Off Access To/From Level 2 Conference Center Service Corridor ate 40 Pick-up Drop off Indiana Avenue 176c Prairie Avenue 177 196b Gate 42 Access To/From Level 3 196c facebook.com/acognational Roadway to Lot A 127 FLOORPLANS LEVEL 4 Central Concourse Below Access To/From Central Concourse 475b 476 475a 474a 473 472 471b 471a 470b 470a Stage Pre-Function Access To/From Level 1 474b Access To Parking Lot A Service Corridor Pre-Function Ballroom E Ballroom D Ballroom C Access To/From Level 1 LEVEL 3 Parking Lot A Open to Below Ballroom B Ballroom A Access To Parking Lot A Open to Below Access To/From Level 2 Central Concourse Access To/From Level 2 Lunch with the Experts Speaker Ready Room Bridge To South Building Access To/From Level 2 Exhibit Hall Access To/From Overlook Cafe Access To/From Overlook Cafe Access To/From Service Desk Open to Below Access To/From Overlook Cafe Dock Doors D, E, F Access To/From Level 1 Dock Doors A, B,C Truck Ramp Emergency Ramp 128 twitter.com/acognews | #ACOG14 Loading Dock Access Ramp The American College of Obstetricians and Gynecologists FLOORPLANS SHERATON CHICAGO HOTEL & TOWERS EXHIBIT HALL HOTEL MEETING ROOM 2014 Annual Clinical Meeting facebook.com/acognational 129 FLOORPLANS HOTEL LOBBY LEVEL HOTEL BALLROOM 130 twitter.com/acognews | #ACOG14 The American College of Obstetricians and Gynecologists FUTURE MEETINGS COLLEGE AND CONGRESS VICE PRESIDENTS: 2015 May 2–6 San Francisco, CA HAL C. LAWRENCE III, MD EXECUTIVE VICE PRESIDENT BARBARA S. LEVY, MD VICE PRESIDENT, ADVOCACY RICHARD C. BAILEY, CPA, MBA CHIEF FINANCIAL OFFICER PENNY RUTLEDGE, JD VICE PRESIDENT, LEGAL AFFAIRS SANDRA ANN CARSON, MD VICE PRESIDENT, EDUCATION ALBERT L. STRUNK, JD, MD DEPUTY EXECUTIVE VICE PRESIDENT AND VICE PRESIDENT, FELLOWSHIP ACTIVITIES GERALD F. JOSEPH JR, MD VICE PRESIDENT, PRACTICE ACTIVITIES ACOG STAFF: 2016 May 14–18 Washington, DC ERICA BUKEVICZ, MBA, MS SENIOR DIRECTOR, EDUCATIONAL DEVELOPMENT AND TESTING VICTOR ROBINSON SENIOR DIRECTOR, MEETINGS AND EXHIBITS © 2014 The American College of Obstetricians and Gynecologists. All Rights Reserved. 409 12th Street, SW, Washington, DC 20024-2188 The fact that a product, service, or company is advertised in a College publication, or exhibited at a College meeting, shall not constitute a guarantee or endorsement of the quality or value of a product, service, or company advertised or exhibited. 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