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District V on FacebookIn an effort to provide you with current information regarding women’s health, District V has joined Facebook. We are updating our page regularly with news specifically relevant to District V members. You can find us at facebook.com/ACOGDistrictV.

ACOG national is also on Facebook at facebook.com/ACOGNational. If you’re a Facebook member, log in and click on the “Like” button on the ACOG national and District V pages. Then, you’ll be able to comment on and share any updates posted. You’ll also get ACOG national and District V news sent directly to your Facebook news feed.

Anyone can view Facebook pages, but only Facebook members can interact with ACOG national and District V. To become a Facebook member, sign up at facebook.com.

ACOG national is also on Twitter at twitter.com/acognews. To follow its feed, go to twitter.com and sign up as a member. You’ll be the first to hear ACOG news!

 

Chair’s report

Dr. Donald K. BryanDonald K. Bryan, MD

Many District V Fellows have expressed concern regarding upcoming Maintenance of Certification (MOC) examinations. ACOG and the American Board of Obstetrics and Gynecology (ABOG) are working side by side to alleviate some of this anxiety. Our leaders want everyone to understand that this is to be a valuable educational process. To that end, many communications have been developed and appropriate preliminary educational events at national and district meetings are being organized.

The 2012 Annual Clinical Meeting in San Diego featured sample written exams from ABOG MOC Part III. Similar educational opportunities will be presented at the 2013 ACM in New Orleans, May 4–8, and at the 2013 Annual District Meeting in Maui, HI, September 26–28. I hope many of you can attend these meetings.

The ACM promises to provide a wide variety of informative and important sessions. New Orleans should prove to be a fascinating and entertaining venue. Read more about what the 2013 ACM has to offer.

The ADM is a joint meeting with Districts VI, VIII, and IX, so there will be plenty of networking and social opportunities. The interactive program features sessions on approaches to common ob-gyn conditions, controversies in our field, and contemporary topics that will also be of interest to spouses and significant others.

Additional ADM attractions include:

  • Social events—Welcome Reception; “Dancing with the Docs;” an astronomy lecture; and yoga on the beach
  • Breakout sessions—“Taking Mobile and Interactive Learning Back Home;” “Personal and Professional Financial Planning;” and one more to-be-decided topic
  • Leadership training—Organized by Junior Fellows and young physicians, though everyone is invited to attend
  • Clinical symposia—Scheduled throughout the three-day conference at times that will not interfere with the main learning agenda

The ADM will be held at the Grand Wailea Resort, a serene beach setting featuring ocean views and tropical wildlife. Online registration for the meeting will be open soon. Check the District V website for forthcoming information.

 

District V develops program to fund Junior Fellow projects

Dr. Tanya E. FranklinTanya E. Franklin, MD, District V Junior Fellow chair

In 2009, the Junior Fellow Congress Advisory Council (JFCAC) developed the Junior Fellow Initiative Toolkit (JFIT) Contest, which calls for Junior Fellows to submit descriptions of notable educational or community service projects they’ve accomplished. One winner is selected each year, and all the projects are posted on the Junior Fellow website in a simple, adaptable form for others to start their own projects.

Last year, the District V Junior Fellow Advisory Council decided to follow suit and highlight all the amazing service project ideas throughout the district. Our goal was to encourage Junior Fellow leadership within our district and communities. The deadline for the District V JFIT Contest was July 31, 2012. We received eight creative, innovative project proposals:

  • “AIDS Day 2012: Bringing Scientific Research to the Community” (Indiana University in Indianapolis)
  • “Free Breastfeeding Pilot Class in Spanish” (University of Michigan in Ann Arbor)
  • “Future Residents in Ob-Gyn Mentoring Program” (University of Michigan)
  • “Ob-Gyn International Surgical Team for Education and Research” (University of Ottawa in Ontario)
  • “Easy Care Sustainable Garden for Maternity Home Setting” (St. Vincent Hospital in Indianapolis)
  • “Adolescent Reproductive Health Education” (Case Western University Hospitals MacDonald Women’s Hospital in Cleveland, OH)
  • “Multilingual Outreach Program” (Summa Akron City Hospital in Ohio)
  • “Women’s Reproductive Health Outreach” (University of Louisville in Kentucky)

The decision was difficult, but three proposals were awarded the District V JFIT Contest prize of $500 each to complete their projects. Chosen projects were:

  • “AIDS Day 2012: Bringing Scientific Research to the Community”
  • “Adolescent Reproductive Health Education”
  • “Women’s Reproductive Health Outreach”

The winners were expected to submit their final projects to the JFCAC JFIT Contest, though all applicants were encouraged to do so.

The JFCAC contest received nine submissions. We’re proud that three competitive projects came from District V. Kelly Kuo, MD, and her colleagues at Case Western University Hospitals MacDonald Women’s Hospital won the JFCAC contest with their “Adolescent Reproductive Health Education” project. Dr. Kuo will receive a $2,500 cash prize to fund her attendance to the 2013 Annual Clinical Meeting in New Orleans. She will present the project during the Junior Fellow Breakfast Business Meeting at 7 am on Tuesday, May 7. Read more about the winning project.

 

2013 CLC: District V lobbies Congress on women’s health issues

Dr. Connie G. WhiteConnie G. White, MD, MS, District V Legislative Committee chair and Kentucky Section vice chair

The 31st Annual ACOG Congressional Leadership Conference, The President’s Conference (CLC), took place March 3–5 in Washington, DC. It was the biggest CLC yet, attended by more than 330 ob-gyns. District V was represented by 25 participants from all five of its sections. View photos from the 2013 CLC.

Participants asked members of Congress to support three bills introduced this legislative session:

ACOG Fellows and Junior Fellows brought back many cosponsors and additional support for these initiatives, a testament to the power of our advocacy.

District V held its Annual Legislative Coffee Time prior to the opening session of the CLC on Sunday, March 3. This event was initiated in 2012 to give our attendees an opportunity to discuss common difficulties and develop support networks. Heart beat bills, physician-patient relationships, lay midwife practice, and contraception access are just a few of the issues we will grapple with this year. Kathryn Moore, ACOG director of state legislative and regulatory affairs, was on hand to guide both newcomers and seasoned advocates through the legislative process in District V. 

If you have never been to the CLC, consider adding it to your 2014 schedule. The dates for the 2014 CLC are March 2–5.

 

District V project wins ACOG Junior Fellow Initiative Toolkit Contest

MacDonald Women’s Hospital Residents        

JFIT project leader Kelly Kuo, MD, with fellow Case
Western University Hospitals MacDonald Women’s
Hospital residents Anne G. Sammarco, MD, and
Amber A. Bondurant, MD

Kelly Kuo, MD, project leader

The economic burden of unplanned teenage pregnancies in the US is estimated to exceed $9 billion annually. Government efforts to decrease teen pregnancy rates have been ongoing for decades, with reproductive health education often the subject of political and ideological debate. Specific requirements regarding the content and breadth of reproductive health-related curricula vary widely by state. In Ohio, for example, where comprehensive sex education is not mandatory, a significant percentage of students are taught abstinence without corresponding information regarding contraception and safe sex.

Evidence suggests that comprehensive approaches to sex education, rather than abstinence-only programs, better equip young people to make healthy and mutually protective relationships. At my resident clinic at Case Western University Hospitals MacDonald Women’s Hospital, approximately 25% of the obstetric population is aged 15 to 19, and 30% of patients screen positive for sexually transmitted diseases (STDs) in any trimester. Based on our experiences with young patients—the overwhelming majority for whom pregnancy is neither planned nor desired—we decided to go beyond the office setting to create a resident-led educational series on reproductive health for a local inner-city school.

        Reproductive Anatomy and Pregnancy Class

Resident-led educational session on reproductive
anatomy and physiology

In November 2012, using funds we received from the District V Junior Fellow Initiative Toolkit Contest, we created customized anatomy posters and purchased pelvic models for the school. Our goal was to provide 60 students with a comprehensive reproductive health curriculum, despite the challenges of a low-resource setting.

Over the course of three days, six residents taught sessions on reproductive anatomy and physiology, STDs, contraception, and negotiating safe relationships. Lessons included lectures, interactive games and discussion, and informal question-and-answer sessions. Pre- and post-test surveys demonstrated significant improvements in students’ knowledge of human anatomy, contraception, and safe sex practices.

The percentage of students able to name at least three forms of contraception increased from 30% to 72.5%. The percentage able to name at least three STDs increased from 20% to 75%. In the post-test questionnaire, 95% of students correctly answered “condoms” and/or “abstinence” as the only forms of contraception that also prevent STD transmission, compared with only 10% at the beginning of the study.

Anonymous Questions from Students         

Anonymous questions collected from students
after educational session

 

Residents benefited as well, reporting increased comfort with counseling young teens and improved understanding of government policy as it relates to sex education. Feedback from teachers and residents reflected the perception that investing in reproductive health education can be both valuable and cost-efficient, particularly when community partnerships are utilized or created.

The socioeconomic burden of teen pregnancy certainly justifies comprehensive efforts to improve reproductive health education. Physicians are well-equipped to assist with providing young adults with accurate information, with the reciprocal benefits of increased cultural competency, counseling skills, and understanding of government policy as it relates to sex education.

I encourage you to read more about our project and all the other 2012 JFIT Contest submissions on the Junior Fellow website.

 

Section reports

Dr. Mark E. GentryIndiana
Mark E. Gentry, MD, section chair

The Indiana Section held two well-attended, educationally valuable meetings in September 2012 and January 2013 on ultrasound and minimally invasive surgery, respectively. In April, Kenneth L. Noller, MD, MS, American Board of Obstetrics and Gynecology director of evaluation, will present on the current status of Maintenance of Certification to our members. In September, we will hold a meeting with ACOG President Elect John C. Jennings, MD. We look forward to hosting Junior Fellow presentations from our local training programs and the possibility of assisting with the district Junior Fellow meeting in September.

Our approach to advocacy continues to evolve. The section sent five Fellows and Junior Fellows to the ACOG Congressional Leadership Conference, The President’s Conference (CLC), in March. We hope that this group of individuals becomes active locally as opportunities arise.

Rather than wait for legislation to happen, we are forging links with the Indiana State Medical Association and the Indiana State Department of Health. We now have a Fellow on the attorney general’s Task Force for Prescription Drug Abuse and have met with the chair of the Senate Health Committee regarding indications for ultrasound in the evaluation of dense breasts.

        Teichopsia

Jeffrey Rothenberg, MD, MS, District V secretary,
and his glass sculpture “Teichopsia”

Browsyne M. Tucker Edmonds, MD, testified before legislators in February on concerns regarding direct-entry midwifery. She drew on knowledge gained from her attendance at previous CLCs and assistance from ACOG. Interacting with legislators is challenging, but we feel we are becoming savvier.

The Indiana Section will host a reception for Indiana Fellows and those with ties to Indiana residency programs and the Indiana University School of Medicine at the Annual Clinical Meeting in New Orleans on Monday, May 6. More details will be forthcoming.

Jeffrey Rothenberg, MD, MS, District V secretary, recently completed a new glass sculpture titled “Teichopsia” for the Eugene and Marilyn Glick Eye Institute, the newest building on the Indiana University School of Medicine campus. Comprised of more than 150 individual pieces, it is Dr. Rothenberg’s third major public sculpture.


Dr. Divya B. CantorKentucky
Divya B. Cantor, MD, MBA, section chair

The Kentucky Section held a two-day conference in March in Louisville with the Neonatal Abstinence Syndrome Hospital Coalition, University of Louisville Hospital, Kosair Children’s Hospital, and Baptist Hospital East. The conference focused on the effect of substance-exposed pregnancies on mothers, infants, and caregivers.

Plans are under way for our annual reception at the Annual Clinical Meeting. It will be held Monday, May 6, from 5:30 to 7:30 pm at the Hilton New Orleans Riverfront Hotel. The University of Louisville and University of Kentucky are sponsoring the reception. It is open to all past and present Kentucky ob-gyns.

The Kentucky Section Annual Meeting will be held in conjunction with the Kentucky Medical Association (KMA) Annual Convention September 10–11. It will be a two-day event with the first day focusing on gynecologic topics and the second day focusing on obstetric areas of interest. KMA’s overall theme is “Safeguarding Kentucky’s Health,” and we are keeping this topic in mind as we plan our guest speaker.


Dr. Jody JonesMichigan
Jody Jones, MD, section vice chair

The 2013 Michigan Annual Section Meeting (also known as the “Snow Meeting”) was held January 31–February 2 at Crystal Mountain Resort and Spa in Thompsonville. The James Gell Lecture was given by Paul A. Gluck, MD, chair of the ACOG Council on Patient Safety in Women’s Health Care, on “Patient Safety in Ob-Gyn: Some Progress, Many Challenges.”

Ira S. Winer, MD, Wayne State University School of Medicine in Detroit, presented his ongoing research on disulfiram to overcome chemoresistance in ovarian cancer. William B. Blessed, MD, Providence Hospital in Southfield, lectured on updates in medical genetics and serum aneuploidy screening with cell-free DNA.

After hitting the slopes with a 60-inch snow base during the midday break on Friday, attendees returned for a coding seminar by Jon K. Hathaway, MD, PhD, chair of the ACOG Health Economic and Coding Committee. The final lecture on Saturday was given by Robert D. Stager, MD, St. Joseph Mercy Hospital in Ann Arbor, who provided an overview on the Maintenance of Certification process.

We invite all Fellows, Junior Fellows, and their family members, especially our neighbors in District V, to attend the 2014 Michigan Annual Section Meeting, tentatively scheduled for January 30–February 1. View photos from the 2013 meeting.

In other exciting news, Sen. Debbie Stabenow visited the practice of Cheryl G. Fountain, MD, section secretary, at the Beaumont Family Medicine Center in Saint Clair Shores in August. Her visit was part of an initiative for members of Congress to see firsthand how cuts to graduate medical education funding, Medicare, and Medicaid will affect physicians’ abilities to care for patients.

“Sen. Stabenow is totally committed to working with us to develop innovative ways to improve quality and increase efficiencies in the Medicaid program,” Dr. Fountain said. “She wants to protect graduate medical education funding from repeated, targeted cuts.”

Sen. Debbie Stabenow and Dr. Cheryl G. Fountain Beaumont Family Medicine Center

Sen. Debbie Stabenow and Cheryl G. Fountain, MD,
section secretary

  Sen. Debbie Stabenow with Beaumont Family
  Medicine Center staff



Dr. Nathan L. RothOntario
Nathan L. Roth, MD, section chair

The Ontario Section held a meeting in December to welcome new section officers and review their responsibilities. We are grateful to David A. Rouselle, MD, immediate past section chair, and Joseph H. Cramer, MD, immediate past section vice chair, for their six years of unwavering service to the section. Their stewardship, mentorship, quick wit, and past and future contributions are valued.

Part of our role as section officers is to educate program directors and residents on the benefits of becoming an ACOG member. Benefits for Junior Fellows include:

  • Access to members-only resources on the ACOG website
  • Networking with ob-gyns across the country
  • Discounted rates to ACOG meetings
  • A yearly compendium of selected publications
  • Research grants, fellowships, and awards
  • Higher Education Loan Program
  • ACOG Career Connection

Amanda R. Cipolla, MD, is section Junior Fellow chair, and Mathew Leonardi, MD, is section Junior Fellow vice chair. They are looking for Junior Fellows to act as liaisons to each Ontario residency program to assist in distributing important ACOG information and to advise all residents about ACOG opportunities. The time commitment and responsibilities will be minimal. If you are interested, please email Dr. Cipolla at amanda.cipolla@gmail.com or Dr. Leonardi at mathew.leonardi@gmail.com.

 

Kentucky Section nominated for Service Recognition Award

Each year, ACOG districts and sections submit projects to be considered for the Council of District Chairs Service Recognition Award. The award is given in recognition of outstanding activities contributed to the field of ob-gyn. The Kentucky Section was nominated for the award this year for its work with the Healthy Babies are Worth the Wait (HBWW) initiative.

In 2006, the Kentucky Department for Public Health Division of Maternal and Child Health, Johnson & Johnson Pediatric Institute, and Kentucky March of Dimes partnered on HBWW to address Kentucky’s rising prematurity rate. The initiative was designed to help ensure that women have the care and information they need to maintain healthy, full-term pregnancies.

HBWW worked with health care providers and community partners at three targeted intervention sites in Kentucky to reduce premature birth. These sites were paired with control sites by a real-world ecological design using bundling of evidence-based interventions in academic, private, and clinic-based locations through linking clinical and public health services. The Kentucky Section collaborated with HBWW in both the intervention and control sites.

Community hospitals, health departments, and March of Dimes staff worked together to develop strategies to move out of their silos, identify gaps in community resources, and improve systems of care for pregnant women across agency boundaries. Providers were trained on the consequences of preterm delivery. Patient education and support were enhanced with special attention paid to health literacy and understanding.

Community toolkits were developed, including a PowerPoint presentation, fact sheets, and patient handouts in English and Spanish on various topics related to preterm birth. These toolkits are available on the HBWW website. Focus groups found that comparing pictures of the brain at 35 weeks to the brain of a full-term baby was most effective in explaining to mothers why the last few weeks of pregnancy are important. The March of Dimes created a card and flier displaying this information, which can be ordered from the March of Dimes website.

The overall effect of HBWW on Kentucky’s preterm birth rate has been dramatic. Between 2007 and 2008, the state’s rate of preterm birth dropped 7.6% in a single year, the largest decrease of any of Kentucky’s contiguous states or other states in the south. Preterm birth rates at HBWW intervention sites have continued to drop. March of Dimes has expanded the Kentucky program and now has a total of eight program sites across the state.

With the success of HBWW in reducing rates of preterm birth in Kentucky, this model could be applied in other communities across the US. March of Dimes has already approved additional pilot projects based on the Kentucky model in New Jersey and Texas.

ACOG recognizes the hard work and determination of all the districts and sections nominated for the CDC Service Recognition Award:

  • District I: Massachusetts Section, Perinatal Quality Collaborative
  • District II: Rochester Gynecology Clinic for Women with Special Needs
  • District III: The OBesity Project (CDC Service Recognition Award winner)
  • District IV: Reviewing and Reporting on District Perinatal Mortality Data Project (CDC Service Recognition Award winner)
  • District VI: Mentorship Program
  • District VIII: Nevada Section, Fetal Alcohol Spectrum Disorders Project
  • District IX: Speakers Bureau Project
  • Armed Forces District: Air Force Section, Obstetric Quality Initiative

More information on all these submissions is available on the District and Section Activities website. 

 

2013 ACM: Join ACOG in New Orleans

2013 ACM in New OrleansThe 61st Annual Clinical Meeting will be held in New Orleans, May 4–8. Attendees can expect to participate in a wide variety of hands-on courses and educational and interactive sessions related to ob-gyn practice. Register today!

2013 ACM educational session topics include:

  • Updates in contraception
  • Noninvasive prenatal testing
  • Cervical cancer diagnosis guidelines
  • Endometrial cancer staging
  • Global health
  • Maternal mortality reduction
  • Environmental exposures to the unborn child
  • Cultural and religious perspectives on abortion

The ACM program will also feature sessions on work-life balance, family and professional relationship building, and leadership skills. The President’s Program will focus on the themes of patient safety, women’s health care advocacy, communication and technology, and practice and leadership in the 21st century. New this year will be three interactive surgical tutorials on pelvic anatomy, laparoscopic surgery, and techniques in abdominal wound closure. You won’t want to miss these outstanding presentations!

New Orleans is known for its rich history, culture, and traditions. The French Quarter (including the St. Louis Cathedral and Bourbon Street), New Orleans Botanical Garden, Audubon Zoo of New Orleans, and Audubon Aquarium of the Americas are just a few of the attractions attendees can look forward to visiting.

To find out more about what the ACM has to offer, read the ACM preliminary program and the special ACM preview issue of ACOG Today.

Save the meeting dates, and join thousands of ob-gyns and other women’s health care professionals at the ACM. It will be an experience to remember!

 

Calendar of events

2013

April

12–14
Interim District Advisory Council Meeting
Rio Mar Hotel
Rio Grande, Puerto Rico

Contact: Katherine Miller, 202-863-2532 or
kmiller@acog.org

May
4–8
Annual Clinical Meeting
New Orleans
acog.org/acm


September
10–11
Kentucky Section Annual Meeting
Hyatt Regency Louisville
Contact: Divya B. Cantor, MD, MBA, divya.cantor@gmail.com

10–11
Junior Fellow Day (in conjunction with the Kentucky Section Annual Meeting)
Hyatt Regency Louisville
Contact: Tanya E. Franklin, MD, tanya.franklin@louisville.edu

26–28
Annual District Meeting (with Districts VI, VIII, and IX)
Grand Wailea Resort
Maui, HI
Save the date and make your hotel reservation today!
Contact: Katherine Miller, 202-863-2532 or kmiller@acog.org 


2014

January
30–February 1
Michigan Annual Section Meeting
Crystal Mountain Resort and Spa
Thompsonville
Contact: Jody Jones, MD, jody_jones@ihacares.com