Clinician's Roundtable

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Pregnancy loss can occur in any trimester of pregnancy and for several possible reasons. For clinicians who treat pregnant patients, delivering the bad news of pregnancy loss is an avoidable part of practice. How do health care professionals best counsel these patients and their loved ones through these difficult times? Host Dr. Renee Allen joins...

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG In the US, more than one half of pregnant women are overweight or obese, and 8% of reproductive-aged women are extremely obese, putting them at a greater risk of pregnancy complications. In this episode, we review the magnitude of the problem, the anatomic and physiologic factors specific to the obese patient, and the maternal and fetal complicati...

Host: Ana Maria Rosario Guest: Anita L. Nelson, MD Current clinical definitions and terminology for vaginal bleeding often fail to clarify frequency, duration, and volume. Moreover, standards of treatment sometimes differ between obstetric and gynecological points of view. Taken together, the risks for misclassifying and mistreating women with acute excessive vaginal bleeding are preventably high....

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Host Dr. Renee Allen welcomes Dr. Victoria Green, renowned breast cancer researcher and OB/GYN clinician. Dr. Green is an Associate Professor in the Department of Gynecology & Obstetrics at Emory University School of Medicine. She will review USPSTF recommendations of biennial mammograms compared to ACOG's recommendations, as well as differenc...

Host: Prathima Setty, MD Disorders of sex development (DSDs) occur more frequently than most people realize, and yet there are numerous misconceptions persisting in the clinical arena as to how these disorders are best approached. For example, whereas older prevailing sentiments on presentations of ambiguous genitalia called for immediate sex assignments at birth followed by surgical alignments of...

Host: Matt Birnholz, MD Guest: Edward R. Sauter, MD, PhD, MHA In the clinical arena, discussions on breast cancer prevention and treatment often center on what is considered most "cutting edge," from genetic mechanisms of disease to new combination pharmacotherapies to breast-conserving surgical innovations. But another field of study, targeting the potential roles of nutrition in breast cancer ri...

Host: Matt Birnholz, MD From the floor of ACOG's annual scientific meeting, Dr. Matt Birnholz welcomes Dr. Leonard Glass, Founder and President of Physician Retraining & Reentry (PRR), a comprehensive educational platform which enables licensed physicians to reenter practice on a part-time basis in adult general practice outpatient clinics. It is also being considered as a means for recently e...

Guest: Olufunmilayo (Funmi) Olopade, MD, FACP Host: Maurice Pickard, MD Host Dr. Maurice Pickard welcomes Olufunmilayo (Funmi) Olopade, MD, FACP, Walter L. Palmer Distinguished Service Professor of Medicine & Human Genetics, Associate Dean for Global Health, and Director of Center for Clinical Cancer Genetics at the University of Chicago Medicine, Chicago, IL. Dr. Olopade reviews the latest in...

Host: Matt Birnholz, MD From mapping AEDs on a phone app to communicating with colleagues on Facebook, technology has become an integral part of daily life. Some would even call their phones an extension of the human nervous system, as evinced by a near-constant awareness of their battery life. Yet despite this high prevalence and demand for social media in regular affairs, medicine has been slow...

Host: Maurice Pickard, MD Guest: Olufunmilayo (Funmi) Olopade, MD, FACP Host Dr. Maurice Pickard welcomes Dr. Funmi Olopade, Walter L. Palmer Distinguished Service Professor in Medicine and Human Genetics, Director of the Hematology/Oncology Fellowship Program, and Director of the Center for Clinical Cancer Genetics at the University of Chicago. Dr. Olopade discusses disparities in health outcomes...

Host: Matt Birnholz, MD Most women will readily testify that pelvic examinations are unpleasant experiences; they can be physically painful and induce anxiety. But recent studies have also indicated that examinations of asymptomatic, average-risk woman may lead to unexpectedly high rates false positives and unnecessary followup tests. So the perennial question resurfaces: are routine pelvic examin...

Host: Matt Birnholz, MD Many people believe that exercise during pregnancy is detrimental to the health of the fetus. This belief seems to have come from an outdated study that the fetus’s heart rate drops if the mother exercises. More recent studies, however, have supported a counterposition that exercise during pregnancy is safe and can actually be beneficial for both the mother and fetus. Join...

Host: Matt Birnholz, MD Guest: Maureen Whelihan, MD There is a stigma around sex in the United States. That stigma makes it difficult both for patients to disclose details about their sex lives in clinical settings and for physicians to ask patients about sex. Consequentially patients may have treatable but unaddressed sexual problems because their physicians don't know those problems exists. Join...

Host: Matt Birnholz, MD Studies in the field of anthropology have shown that having a healthy grandmother plays a critically positive role in family cohesion. But the wholistic, personalized health needs of women in their elder years are not always recognized. This care disparity is all the more prominent in general OB/GYN practice, but thanks to the work of a select few, the trends may be about t...

Host: Maureen Whelihan, MD The increasingly recognized concept of a clinician's "work-life balance" is critical to thriving and avoiding burnout, but the philosophy behind this balance remains poorly understood. Some argue that adequate time alottment to one's priorities is the key factor in sustaining a positive medical career trajectory, but a select few believe that time allocation alone is not...

Over the past decade, Food Protein Enterocolitis, or FPIES, has emerged as the most actively studied non–IgE-mediated gastrointestinal food allergy because of its acute onset, severity of symptoms, and distinctive clinical features. Yet as a rare allergic disorder of infancy and young childhood, it is often misinterpreted and misdiagnosed in clinical practice, leading to difficult treatment paths...

Host: Matt Birnholz, MD In the past several years, endometrial ablation has become an increasingly utilized method for minimalizing heavy menstrual bleeding. What's more, this procedure has since been brought into the outpatient setting. But what do clinicians who are considering bringing this procedural practice into their offices need to know before moving forward? Joining Dr. Matt Birnholz to d...

Host: Jennifer Caudle, DO Approaching the topic of body weight with patients is a sensitive issue. It can be challenging for providers to discuss health issues related to excess weight while also remaining sensitive to terminology and language that may offend patients. Host Dr. Jennifer Caudle welcomes Dr. Adarsh Gupta to provide insight on how to approach obesity during an office visit. Dr. Gupta...

Host: Matt Birnholz, MD Dr. Matt Birnholz welcomes Dr. Tom Gellhaus, President-Elect of The American College of Obstetricians and Gynecologists, to discuss his vision for ACOG's initiatives to come, inspired in part by both his unique clinical training background and his extensive legislative activity experience on behalf of OB/GYN specialists nationwide. Dr Gellhaus is C linical Associate Profess...

Host: Matt Birnholz, MD Dr. Matt Birnholz welcomes Dr. Mark DeFrancesco, 66th President of The American College of Obstetricians and Gynecologists, to the program. Dr. DeFrancesco looks back at the accomplishments of his immediate predecessors, and reflects on the three-fold initiative to which he will dedicate his efforts on behalf of ACOG to advance the OB/GYN specialty for years to come. Dr. De...

Host: Matt Birnholz, MD Dr. Matt Birnholz welcomes Dr. Jeanne Conry, 64th President of The American Congress of Obstetricians and Gynecologists, Assistant Physician-in-Chief at The Permanente Medical Group in Roseville, CA, and Associate Clinical Professor of OB/GYN at the University of California, Davis. Dr. Conry reflects on three presidential initiatives she advanced during her tenure: (1) form...

Most women in the United States will develop fibroids at some point in their lives. But the range of issues experienced is very wide, from asymptomatic disease to debilitating illness. Joining Dr. Renee Matthews to examine the mysterious etiology and pathogenesis, quality of life impacts, and modern medical and surgical approaches to fibroids is Dr. Jessica Shepherd, Assistant Professor of Clinica...

Host: Matt Birnholz, MD Hypnosis, as a medical tool, doesn't enter the daily lexicon of clinical practice in most hospital settings. But for those familiar with its applications, hypnosis can be a versatile and powerfully effective therapeutic aid across the broad spectrum of psychiatric and somatic disease states. Will the healthcare community at large start to embrace these emerging roles for hy...

Host: Matt Birnholz, MD Placenta accreta, also known as invasive placentation, is on the rise in US labor and delivery wards. It’s also potentially deadly, and healthcare professionals need to know how to detect it quickly and manage it safely. Joining Dr. Matt Birnholz at Omnia Education’s Women’s Health Annual Visit in New York to discuss the types, risks, and therapeutic approaches for placenta...

Host: Matt Birnholz, MD In today's clinical practice, there is no appropriate "one size fits all" treatment approach for COPD. But while this progressive trend toward personalized medicine standards helps optimize COPD care for each patient, the cost-to-benefit ratio for drug development changes as COPD evolves from one disease state into a larger disease spectrum. What is the current to future pi...