Gynecologic Surgeons Unscrubbed

Gynecologic Surgeons Unscrubbed

By Society of Gynecologic SurgeonsTechnology
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Gynecologic Surgeons Unscrubbed episodes

  • Transvaginal mesh updates, with Dr. Marie Fidela Paraiso

    Dr. Cara King (@drcaraking) hosts expert urogynecologist Marie Fidela Paraiso, MD, Head of the Center for Urogynecology and Reconstructive Pelvic Surgery and staff physician in the Department of Obstetrics and Gynecology at the Cleveland Clinic. 

    They discuss: 

    • FDA black box warning for transvaginal mesh for pelvic organ prolapse (POP) in April 2019
  • Vaginal mesh procedures versus surgical repair with native tissue 
  • Complications of mesh implants 
  • Varying types of mesh 
  • Can surgeons still use transvaginal mesh for prolapse repair?
  • Outcomes with high volume vs low volume surgeons 
  • Credentialing for repair surgeries 
  • ASPIRE trial as part of the Pelvic Floor Disorders Network
  • FDA-mandated 522 studies 
  • The opportunity of joining Cleveland Clinic’s FPMRS and MIGS sections to conduct prospective randomized trials 
  • Dr. Paraiso’s AAGL presidential duties 
  • Planned AAGL programs and celebration of global surgical education
  • Dr. Paraiso’s first AAGL presentation and early career aspirations
  • Opportunities that academics offer
  • The first female surgeons’ aspiring legacy of leadership 

    • This podcast is developed in collaboration with the Society of Gynecologic Surgeons

    Email the show: [email protected]

    Interact with us on Twitter: @MDedgeObGyn @drcaraking
    For more MDedge Podcasts, go to mdedge.com/podcasts

    31 min
  • Endometriosis: The role of imaging, the strength of a multidisciplinary team, and educating patients as well as physicians, with Nancy Petersen

    Dr. Cara King (@drcaraking) hosts endometriosis patient advocate and educator Nancy Petersen, (@nancynursez637) retired RN who developed with David Redwine, MD, the first endometriosis excision treatment program in the United States. Nancy has spoken on the topic of endometriosis across the nation and currently serves as a mentor to women with the disease through Nancy’s Nook, a Facebook resource for endometriosis education, discussion, and support.

    They discuss:

    • Are residents exposed enough to endometriosis education?
  • Targeting MIGS programs
  • The role of imaging in identifying endometriosis and preop planning
  • The importance of patients having high-volume surgeons
  • The strength of a multidisciplinary team
  • Nancy’s knowledge gathering in the disease state
  • Nancy’s Nook educates patients with endometriosis to advocate for themselves
  • How Nancy selects surgeons to be on their recommended list
  • Pregnancy before or after surgery?
  • Contacting physicians that you’ve visited in the past with no cure
  • Nancy’s one piece of advice to physicians who treat endometriosis
  • Multispecialty treatment centers

    • * * *

    Resources

    http://endopaedia.info/

    * * *

    This podcast is developed in collaboration with the Society of Gynecologic Surgeons

    Email the show: [email protected]

    Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD

    For more MDedge Podcasts, go to mdedge.com/podcasts

    27 min
  • The growth of a patient movement around endometriosis and what physicians may be missing, with Nancy Petersen

    Dr. Cara King (@drcaraking) hosts endometriosis patient advocate and educator Nancy Petersen, (@nancynursez637) retired RN who developed with David Redwine, MD, the first endometriosis excision treatment program in the United States. Nancy has spoken on the topic of endometriosis across the nation and currently serves as a mentor to women with the disease through Nancy’s Nook, a Facebook resource for endometriosis education, discussion, and support.

    They discuss:

    • Nancy’s early life and influences to pursue nursing
  • Nancy’s back pain and initial diagnosis of endometriosis
  • The first hearing of Dr. David Redwine’s early research
  • “Endometriosis reconsidered” is published
  • Nancy’s second surgery for endometriosis
  • Nancy’s back pain forces her retirement
  • The Endometriosis Research Center chat group
  • The growth in the numbers of patients with endometriosis joining the social group
  • Reimbursement concerns for endometriosis gyn surgeons
  • Are surgeons looking in the right places statistically to find endometriosis?
  • Nancy’s worries in preparing physicians on the whole picture of endometriosis

    • * * *

    Resources

    http://endopaedia.info/

    * * *

    This podcast is developed in collaboration with the Society of Gynecologic Surgeons

    Email the show: [email protected]

    Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD

    For more MDedge Podcasts, go to mdedge.com/podcasts

    29 min
  • Helping yourself and others to progress surgical skills with Dr. Ted Lee, plus how ObGyns can become involved in advocacy

    Dr. Cara King (@drcaraking) hosts surgical expert Ted Teh Min Lee, MD, Clinical Professor of Gynecology and Reproductive Sciences and Director of Minimally Invasive Gynecologic Surgery at the University of Pittsburgh Medical Center Magee Womens Hospital. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).

    They discuss:

    • Lee’s “favorite” surgical failure
  • The benefits of recording surgeries and producing surgical videos
  • Finding endometriosis as a passion
  • The surgical frustrations of treating endometriosis
  • Choosing a fellow: Who edges out their peers?
  • Taking your time to “interrogate tissues” and solve a problem
  • Creativity and flexibility in the OR
  • The importance of “always learning”
  • Evolving tissue extraction techniques when power morcellators removed from the market
  • Lee’s perspectives and plans for being president of AAGL in 2012

    • * * *

    Women’s health advocacy with Megan Evans

    • How ObGyns can become involved in advocacy
      • Sign up for ACOG’s government affairs emails
  • Follow Twitter feeds and consider joining Twitter
  • Become involved in your local medical and/or ACOG society
    • Contact your state rep at ACOG
  • ACOG’s Gelhaus and McCain fellowships
  • The wellness benefits of advocacy

    • * * *

    This podcast is developed in collaboration with the Society of Gynecologic Surgeons

    Email the show: [email protected]

    Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD

    For more MDedge Podcasts, go to mdedge.com/podcasts

    28 min
  • Building a surgical practice with Dr. Ted Lee, plus how a bill becomes law and ACOG’s advocacy lessons learned

    Dr. Cara King (@drcaraking) hosts surgical expert Ted Teh Min Lee, MD, Clinical Professor of Gynecology and Reproductive Sciences and Director of Minimally Invasive Gynecologic Surgery at the University of Pittsburgh Medical Center Magee Womens Hospital. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).

    They discuss:

    • Lee’s challenges in moving to the United States from Taiwan at a young age and his career path
  • Cultivating extracurricular activities, such as fly fishing
  • Video’s importance in surgical education
  • Prioritizing learning and learning style
  • Lee’s break into gynecologic surgery with C.Y. Liu, MD
  • The challenges of subspecializing in MIGS in ObGyn
  • Tips for new graduates who are building a surgical practice
  • Case selection and specialized back-up in the OR
  • Taking appropriate risk during surgery

    • * * *

    Women’s health advocacy with Megan Evans

    • How does a bill become a law?
      • Step 1: A bill is born
    Anyone may draft a bill; however, only members of Congress can introduce legislation, and, by doing so, become the sponsor(s). The president, a member of the cabinet or the head of a federal agency can also propose legislation, although a member of Congress must introduce it.
  • Step 2: Committee action
    • As soon as a bill is introduced, it is referred to a committee. At this point the bill is examined carefully and its chances for passage are first determined. If the committee does not act on a bill, the bill is effectively “dead.”
  • Step 3: Subcommittee review
    • Often, bills are referred to a subcommittee for study and hearings. Hearings provide the opportunity to put on the record the views of the executive branch, experts, other public officials and supporters, and opponents of the legislation.
  • Step 4: Mark up
    • When the hearings are completed, the subcommittee may meet to “mark up” the bill; that is, make changes and amendments prior to recommending the bill to the full committee. If a subcommittee votes not to report legislation to the full committee, the bill dies. If the committee votes for the bill, it is sent to the floor.
  • Step 5: Committee action to report a bill
    • After receiving a subcommittee's report on a bill the full committee votes on its recommendation to the House or Senate. This procedure is called “ordering a bill reported.”
  • Step 6: Voting
    • After the debate and the approval of any amendments, the bill is passed or defeated by the members voting.
  • Step 7: Referral to other chamber
    • When the House or Senate passes a bill, it is referred to the other chamber, where it usually follows the same route through committee and floor action. This chamber may approve the bill as received, reject it, ignore it, or change it.
  • Step 8: Conference committee action
    • When the actions of the other chamber significantly alter the bill, a conference committee is formed to reconcile the differences between the House and Senate versions. If the conferees are unable to reach agreement, the legislation dies. If agreement is reached, a conference report is prepared describing the committee members’ recommendations for changes. Both the House and Senate must approve the conference report.
  • Step 9: Final action
    • After both the House and Senate have approved a bill in identical form, it is sent to the president. If the president approves of the legislation, he signs it and it becomes law. Or, if the president takes no action for 10 days, while Congress is in session, it automatically becomes law. If the president opposes the bill he can veto it; or if he takes no action after the Congress has adjourned its second session, it is a “pocket veto” and the legislation dies.
  • Step 10: Overriding a veto
    • If the president vetoes a bill, Congress may attempt to “override the veto.” If both the Senate and the House pass the bill by a two-thirds majority, the president’s veto is overruled and the bill becomes a law.
  • ACOG’s advocacy efforts and lessons learned

    • * * *

    This podcast is developed in collaboration with the Society of Gynecologic Surgeons

    Email the show: [email protected]

    Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD

    For more MDedge Podcasts, go to mdedge.com/podcasts

    32 min
  • Fostering leadership to build a successful team with Dr. Tommaso Falcone, plus endometriosis legislation and advocacy

    Dr. Cara King (@drcaraking) hosts surgical leader and expert Tommaso Falcone, MD, Professor of Surgery at Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and Chairman of the ObGyn & Women's Health Institute at Cleveland Clinic. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).

    They discuss:

    • What it takes to be a leader and the components of leadership to build an outstanding department (serving your staff, emotional intelligence, recognizing and fostering talent, living the passion for women’s health)
  • Identifying talent to build a successful team
  • Recruiting leaders
  • When a recruit does not work out
  • Advice for making the jump to department chairperson
  • The 3 types of mentors and their roles

    • * * *

    Women’s health advocacy with Megan Evans

    • What is happening legislatively when it comes to endometriosis?
      • 6368/A. 484: Bill at the federal level focusing on education. Introduced in New York by State Senator Monica Martinez and State Assemblymember Linda Rosenthal. It is awaiting the Governor’s signature.
        • Requires State Commissioner of Health to provide educational materials on endometriosis to school districts (school nurses) and clinicians throughout the state—focusing on earlier diagnosis of the condition.
  • Which campaigns are using social media to get the word out about endometriosis?
    • For the New York bill, the Endometriosis Foundation of America is running a campaign called #LetsTalkPeriod
  • Social media is a powerful tool to use for contacting local and national representatives to advocate for issues
  • Favorite social media platforms to discuss bills
  • What bills regarding endometriosis are currently active at the national level?
    • Res. 118 (116th Congress): Bipartisan and bicameral bill that recognizes endometriosis as an unmet disease, designates March as endometriosis awareness month, and provides funding for endometriosis research. Introduced by Senator Tammy Duckworth and Congressman David Scott.
  • Other bills that include endometriosis (but are not specific to the condition) include a House bill introduced by Congresswoman Carolyn Maloney (HR 3865). It amends the public Health Service Act, which aims to reduce the amount of chemicals included in feminine hygiene products and investigate the link to included chemicals and female cancers, infertility, and endometriosis.
  • Another bill has been introduced and hopes to ensure contraception access (HR 2182 /S 1086), which is essential to women with endometriosis, as hormonal contraception is important as a treatment option for endometriosis symptoms.
  • A final bill also is in the introductory stages (S 1461 /H 2803), and it aims to require insurance coverage for infertility treatments.

    • * * *

    Suggested reading

    The Serving Leader: Five Powerful Actions to Transform Your Team, Business, and Community

    by Kenneth R. Jennings and John Stahl-Wert

    Team of Teams: New Rules of Engagement for a Complex World

    by Stan McChrystal, Chris Fussell, and Tatum Collins

    * * *

    This podcast is developed in collaboration with the Society of Gynecologic Surgeons

    Email the show: [email protected]

    Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD

    For more MDedge Podcasts, go to mdedge.com/podcasts

    31 min
  • The early and current years of a master surgeon with Dr. Tommaso Falcone, plus the importance of advocacy in ObGyn with Dr. Megan Evans

    Dr. Cara King (@drcaraking) hosts surgical leader and expert Tommaso Falcone, MD, Professor of Surgery at Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and Chairman of the ObGyn & Women's Health Institute at Cleveland Clinic. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).

    They discuss:

    • New leadership at the Cleveland Clinic in Cleveland
  • The Cleveland Clinic’s surgical hospital opening in London, England
  • Cleveland Clinic’s endometriosis center in Cleveland
  • Good judgement is birthed from bad judgement
  • The master surgeon: How is he/she defined?
  • Surgical meetings: importance to surgical education
  • Endometriosis

    • Women’s health advocacy with Megan Evans

    • How did Dr. Evans become an advocacy specialist?
  • Why is advocacy important to prioritize in our careers?
  • One of the most rewarding projects Dr. Evans has worked on in advocacy

    • This podcast is developed in collaboration with the Society of Gynecologic Surgeons

    Email the show: [email protected]

    Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD

    For more MDedge Podcasts, go to mdedge.com/podcasts

    33 min
  • Gynecologic Surgeons Unscrubbed trailer

    Here's a sneak peak of Gynecologic Surgeons Unscrubbed.

    A series-based podcast focusing on surgical and medical education, featuring interviews and practice-changing discussion, hosted by Cara King, DO, MS.

    This podcast is a collaboration between MDedge and the Society of Gynecologic Surgeons.

    3 min

About Gynecologic Surgeons Unscrubbed

From the publisher's feed

Host Cara King, DO, MS, gynecologic surgeon from the Cleveland Clinic, focuses on surgical and medical education, featuring interviews providing expert pearls, patient perspective, and practice-changing discussion.