Clinician's Roundtable

Host Dr. Prathima Setty welcomes Dr. Kurian Thott, Chief of OB/GYN at Stafford Hospital, to discuss the best gynecologic minimally invasive surgery procedures in practice today. Dr. Thott has specialized advanced training in Urogynecology and pelvic reconstructive surgery, and he was awarded for outstanding laparoscopic skill in minimally invasive surgery by both the American Association of Gynecologic Laparoscopists (AAGL) and Society of Laparoendoscopic Surgeons (SLS).

Female sexual dysfunction (FSD) occurs in about 20 - 60% of patients. FSD is common problem but how comfortable are clinicians in disussing this with their patients? Host Dr. Prathima Setty welcomes Dr. Draion "Dr. Drai" Burch, obstetrician-gynecologist and teaching faculty member at Magee-Womens Hospital of The University of Pittsburgh Medical Center. Dr. Drai reviews the symptoms and causes of FSD and how he counsels patients on FSD. Dr. Drai is also Clinical Assistant Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of Pittsburgh School of Medicine.

What does transgender mean? What are common health issues found in transgender patients? Host Dr. Prathima Setty welcomes Dr. Draion M. Burch, also known as "Dr Drai". Dr. Drai will address these questions, as well as, information on screening, hormone therapy, and resources available for clinicians, specifically on how to make their offices transgender-friendly. Dr. Burch is a practicing physician and teaching faculty member at Magee-Womens Hospital of The University of Pittsburgh Medical Center. Dr. Drai is the Founder and Chief Medical Advisor of DrDrai.com, where he discusses actionable ideas and real-world strategies to help women take control of their health.

It is known from prior studies that healthcare professionals who wait for the subjects of sex and intimacy to be brought forth by their patients will typically not cover these important health topics at all. Nowhere is this more prominent than in elderly patient populations, particularly in women, where even the mere idea of continuing sexuality is so often ignored. Dr. Michael Krychman, Executive Director of the Southern California Center for Sexual Health and Survivorship in Newport Beach, CA, joins host Dr. Matt Birnholz to discuss counseling strategies on sexual health that physicians must incorporate into their practices for optimal care of elder women.

Gun violence continues to be a major health care issue. What can physicians and other health care providers do to reduce firearms-related violence? Host Dr. Maurice Pickard welcomes Dr. David Fleming, the 2014-2015 President of the American College of Physicians (ACP), the nation's largest medical specialty organization. Dr Fleming discusses the ACP's new policy paper, Reducing Firearm-Related Injuries and Deaths in the United States, published in the Annals of Internal Medicine. This paper offers strategies to address the societal, health care, and regulatory barriers to reducing firearms-related violence, injuries, and deaths in the United States.

Dr. Fleming is Professor of Medicine at the University of Missouri School of Medicine, where he also serves as Chairman of the Department of Medicine and Director of the MU Center for Health Ethics.

Genital herpes is a common sexually transmitted disease. However, it is also one that is commonly underrecognized and misdiagnosed. Senior reporter Ana Maria Rosario chats with Dr. David L. Gandell to discuss genital herpes, from its prevalence to presentation of symptoms, treatment options, and ongoing therapy. Of particular focus within their discussion is the importance of counseling patients through the course of diagnosis and treatment. Dr. Gandell is a Clinical Professor of Obstetrics and Gynecology from the University of Rochester, Strong Memorial Hospital in Rochester, NY.

It's been two years since ACOG released Practice Bulletin #130 regarding the Prediction and Prevention of Preterm Birth. Where are we today in identifying patients who are a great risk? How can clinicians put the information into clinical practice to provide significant outcomes? Senior reporter Ana Maria Rosario welcomes Dr. David Stone, Practicing Ob-Gyn in the metro Detroit area for over 20 years. Dr. Stone shares his clinical experience, perspective and passion regarding the every day practice of predicting and peventing preterm birth. Dr. Stone is a Fellow of the American College of Obstetrics and Gynecology and a member of several national organizations including the American Medical Association and the Society of Robotic Surgeons

Breast cancer screening is not the same as breast cancer risk assessment. What are the various screening procedures, what are their respective strengths and weaknesses, and how can clinicians best assess which tools to use for their patients? Senior correspondent Ana Maria Rosario welcomes Dr. William C. Dooley to provide an update on breast cancer screening. Dr. Dooley is the G. Rainey Williams Professor Chair in Surgical Breast Oncology at the University of Oklahoma Department of Surgery.

What does the current evidence tell clinicians about the use of progestogens for prevention of preterm birth (PTB)? How should women with a previous spontaneous PTB be evaluated for risk of subsequent PTB? And what interventions have been shown to be beneficial for reducing the risk of PTB in women who do not have a history of PTB but who are found to have a short cervical length? Host Dr. Lee Shulman welcomes Dr. Baha Sibai to answer these questions and more. Dr. Sibai is Professor of the Department of Obstetrics, Gynecology and Reproductive Sciences at The University of Texas Health Sciences Center in Houston, Texas.

Host Dr. Thomas Wright chats with Dr. Lee Shulman on new prenatal screening choices. Dr. Shulman reviews the differences between prenatal screening and diagnosis. They also discuss the improvements in screening tools in the last several years and the latest technologies available to clinicians.

Dr. Lee Shulman is the Anna Ross Lapham Professor in Obstetrics and Gynecology and Chief of the Division of Reproductive at the Feinberg School of Medicine at Northwestern University in Chicago, Illinois. He also serves as the Co-Director of the Northwestern Ovarian Cancer Early Detection and Prevention Program and is the Medical Director of the Graduate Program in Genetic Counseling at Northwestern University.