Clinician's Roundtable

Female sexual dysfunction, or FSD, has long been under-diagnosed and under-treated in clinical practice. But in recent months, notable leaders in women's health have stepped forward to push for new recognition and prioritization of this disorder to the forefront of the FDA. On this program, host Dr. Matt Birnholz is joined by one of those leaders who helped jumpstart this critical development: Dr. Michael Krychman, Executive Director of the Southern California Center for Sexual Health in Newport Beach, CA.

How can clinicians learn to individualize hormonal therapys for your menopausal patients? What are the common symptoms? Host Dr. Prathima Setty welcomes Dr. Risa Kagan to discuss this important topic as well as, understanding the importance of understanding the difference between hormone-replacement therapy to hormone therapy. Dr. Kagan is Clinical Professor of the Departmient of Obstetrics, Gynecology, and Reproductive Sciences at the University of California, San Francisco, CA. She is a North American Menopause Society (NAMS) certified Menopause Practitioner and is certified by the International Society of Clinical Densitometry. She serves on national committees developing standards for menopause and osteoporosis care and is actively involved in several professional organizations including the North American Menopause Society where she was the 2005-2006 chair of the professional education committee.

About NAMS

The interview was conducted live at The North American Menopause Society (NAMS) meeting. Founded in 1989, NAMS is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education-makes ...

Dr. Prathima Setty welcomes Dr. Ethel Siris, the Madeline C. Stabile Professor of Clinical Medicine in the Department of Medicine, College of Physicians and Surgeons of Columbia University, and the Director of the Toni Stabile Osteoporosis Center of the Columbia University Medical Center. Their discussion focuses on updated indications and assessments for confirming diagnoses of osteoporosis and recommended approaches to treatment in mild to severe cases.

The interview was conducted live at The North American Menopause Society (NAMS) meeting. Founded in 1989, NAMS is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education-makes NAMS uniquely qualified to serve as the definitive resource for health professionals and the public for accurate, unbiased information about menopause and healthy aging To learn more about NAMS, visit www.menopause.org.

As a family practictioner, host Dr. Jennifer Caudle's passions is the health of her adolescent patients. Obesity is all too prevalent among adolescents, and with this comes a concern about hypertension. And, to discuss the great concern, Dr. Caudle welcomes Dr. Julie Ingelfinger, Deputy Editor of The New England Journal of Medicine and Professor of Pediatrics at Harvard Medical School. Dr. Ingelfinger is the author of the article, "The Child or Adolescent with Elevated Blood Pressure," which was published a recent issue of the New England Journal of Medicine.

In Family Medicine, treating foot conditions is common. Today's interview is focused on the diagnosis and treatment of 5 common foot diagnoses, including Onychomycosis, Ingrown Toenails, Bunions, Diabetic Foot Care and Plantar Fasciitis. In this segment, host Dr. Jen Caudle speaks with guest Dr. Maasi J. Smith, podiatric surgeon who received his Doctorate of Podiatric Medicine from Temple University's School of Podiatric Medicine in Philadelphia, Pennsylvania.

Host Dr. Prathima Setty welcomes Dr. Eve Espey, Associate Professor of Obstetrics and Gynecology and Associate Dean of Students at the University of New Mexico School of Medicine, to discuss the comparative efficacies, side effect profiles, costs, and procedural methods for the latest long-acting reversible contraceptives available. Dr. Espey serves on the undergraduate medical education committee of the Association of Professors of Gynecology and Obstetrics and on the Committee for Underserved Women of the American College of Obstetrics and Gynecology.

Bruxism, or teeth grinding, is more highly prevalent in the population than is commonly believed. It can occur for many reasons and can trigger multiple other health issues such as migraines, jaw dislocations, and exposed enamel roots. Joining host Dr. Prathima Setty to discuss this important problem and the mechanical, behavioral, and pharmacological methods of treatment available is Dr. Anne Saxena, DDS, who owns and operates Elite Smiles Dental, a private dental practice in Leesburg, VA. She is also certified in laser dentistry, sedation dentistry, invisalign, and implant dentistry.

The Gender, Sexuality and HIV Prevention Center at Ann & Robert H Lurie Children's Hospital of Chicago is the first of its kind facilty for adolescent patients. Host Dr. Jennifer Caudle welcoms the center's director, Dr. Robert Garofalo. Dr. Garofalo will share the center's mission of supporting multidisciplinary academic subjects including sexual health, gender, sexuality, HIV prevention and health disparities which affect adolescent and young adult populations at risk of acquiring HIV. The Center partners with similar organizations throughout the country in creating an environment where clinicians, academics and scientists can collaborate to design projects with public health significance.

Robert Garofalo, MD, MPH, is Professor of Pediatrics and Preventive Medicine at Northwestern University Feinberg School of Medicine. He is also an Attending Physician at Lurie Children's, where he directs the Adolescent/Young Adult HIV Program. Dr. Garofalo is a national authority on LGBT health issues, adolescent sexuality, and HIV clinical care and prevention.

The CDC released a report on the prevalence of sexual violence and intimate partner violence (IPV) that stated about 36% of women in the US are raped or sexually assaulted by an intimate partner during their lifetimes. About 6% experience this in any given year. The costs are burdensome to the health care system and society, estimated at 2.3 to 7 billion dollars in the first year after the assault. What can physicians do to address this public health issue? Host family practitioner Dr. Jennifer Caudle welcomes Dr. Jane Liebschutz to answer these questions and provide insight to the important roles of the physician. Dr. Liebschutz is an Associate Professor of Medicine and Community Health Science and the Director of the General Internal Medicine-Family Medicine-Pediatrics Academic Fellowship at Boston Medical Center.

Recent data from the American Cancer Society documents over 14 million survivors of cancer living in the US at the present time. For these individuals, cancer rehabiliation is a critically important service that improves quality of life and, by extension, decreases morbidity and mortality rates. However, while cancer rehabilitation is mandated to be available to all cancer survivors throughout the US, not everyone has access to this care. How are healthcare systems addressing this disparity? Joining host Dr. Maurice Pickard to discuss this issue is Dr. Julie Silver, Associate Professor of Physical Medicine and Rehabilitation at Harvard Medical School and co-founder of Oncology Rehab Partners.