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CONTROVERSIES IN WOMEN’S HEALTH University of California San Francisco Presented by the Division of General Internal Medicine Department of Medicine University of California, San Francisco Thursday - Friday • December 11-12, 2014 HOTEL NIKKO SAN FRANCISCO, CA PROGRAM CHAIR Robert B. Baron, MD, MS Professor of Medicine Associate Dean for Graduate and Continuing Medical Education University of California, San Francisco

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Page 1: CONTROVERSIES IN WOMEN’S HEALTH - UCSF CME€¦ · CONTROVERSIES IN WOMEN’S HEALTH ... and current approaches to management of chronic illness. ... 8:30 Cervical Cancer Screening

CONTROVERSIES INWOMEN’S HEALTH

University of CaliforniaSan Francisco

Presented by theDivision of General Internal MedicineDepartment of MedicineUniversity of California, San Francisco

Thursday - Friday • Decem

ber 11-12, 2014

HOTEL NIKKOSAN FRANCISCO, CA

PROGRAM CHAIR

Robert B. Baron, MD, MSProfessor of MedicineAssociate Dean for Graduate andContinuing Medical EducationUniversity of California, San Francisco

Page 2: CONTROVERSIES IN WOMEN’S HEALTH - UCSF CME€¦ · CONTROVERSIES IN WOMEN’S HEALTH ... and current approaches to management of chronic illness. ... 8:30 Cervical Cancer Screening

Hotel NikkoSan Francisco, CA

ACCREDITATION

The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council forContinuing Medical Education to provide continuing medicaleducation for physicians.UCSF designates this live activityfor a maximum of 13.50 AMAPRA Category 1 CreditsTM.Physicians should claim only thecredit commensurate with the extent of their participation in the activity.This CME activity meets therequirements under CaliforniaAssembly Bill 1195, continuing education and cultural andlinguistic competency. Geriatric Medicine:The approved credits shownabove include 8.25 credits towardmeeting the requirements under California Assembly Bill 1820,Geriatric Medicine. Nurses: For the purpose of recertification,the American NursesCredentialing Center acceptsAMA PRA Category 1 CreditTMissued by organizationsaccredited by the ACCME.Physician Assistants:AAPA accepts category 1 creditfrom AOACCME, Prescribedcredit from AAFP, and AMA PRACategory 1 CreditsTM fromorganizations accredited by the ACCME.Pharmacy: The California Board of Pharmacy accepts as continuingprofessional education thosecourses that meet the standard ofrelevance to pharmacy practiceand have been approved for AMAPRA Category 1 CreditsTM. Family Physicians: Application for CME credit hasbeen filed with the AmericanAcademy of Family Physicians.Determination of credit ispending.Licensed Clinical SocialWorkers and Marriage &Family Therapists: This course meets thequalifications on an hour-for-hourbasis of continuing educationcredit for MFT’s and/or LCSW’sas required by the CaliforniaBoard of Behavioral Sciences. Approval No. PCE 1272.Obstetricians/Gynecologists:Application for cognate creditshas been filed with the AmericanCollege of Obstetricians andGynecologists. Determination of credit is pending.

EDUCATIONAL OBJECTIVES

CONTROVERSIES INWOMEN’S HEALTH

Increasing appreciation of the unique needs of womenpatients and women health care providers has created aneed for innovative educational programs on women’shealth. This program will provide a practical update on a full range of common but controversial issues in women’shealth. Emphasis will be placed on new developments inpreventive care for women, issues in reproductive health,and clinical strategies in the diagnosis and treatment ofcommon gynecologic and medical disorders of women. An audience response system will be used and ample timewill be provided for questions and discussion. An electroniccourse syllabus will be distributed to all participants prior tothe meeting. This course is presented by the Division ofGeneral Internal Medicine, Department of Medicine, in close collaboration with the Department of Obstetrics,Gynecology, and Reproductive Sciences and is sponsoredby the University of California, San Francisco.

Designed for practicing internists, family practitioners, and allother health professionals interested in providing high qualityprimary care, this course will present a comprehensive reviewof new developments in outpatient medicine. Special attentionwill be paid to the day-to-day controversies of office practice,emphasizing preventive medicine, diagnosis and treatment ofcommon disorders, issues in women’s health, and currentapproaches to management of chronic illness.

The purpose of this course is to increase competence andimprove clinician practice in primary care and women’s health. We specifically anticipate improvements in skills and strategies to:

• discuss and implement new guidelines for women forprevention and early detection of cancer with clinical exams, pap tests, genetic tests, and diagnostic imaging;

• discuss and implement new guidelines for women to prevent infectious diseases with vaccines, screening, and chemoprophylaxis;

• diagnose and treat common problems in women's healthincluding lipid disorders, hypertension, osteoporosis,menopause, amenorrhea, PCOS, breast cancer, UTI’s, and dementia;

• counsel patients about treatment options in contraceptionand therapeutic abortion;

• counsel women about best strategies for maintaining anideal diet, the use of vitamin and mineral supplements, and the role of bariatric surgery;

• manage common problems in dermatology;

• provide optimal care for transgender patients;

• select the best diagnostic tests;

• utilize optimal strategies to enhance value in medical practice.

Page 3: CONTROVERSIES IN WOMEN’S HEALTH - UCSF CME€¦ · CONTROVERSIES IN WOMEN’S HEALTH ... and current approaches to management of chronic illness. ... 8:30 Cervical Cancer Screening

THURSDAY, DECEMBER 11, 20147:30 am Course Registration and Continental Breakfast8:20 Welcome Robert B. Baron, MD, MS

PREVENTIVE MEDICINE FOR WOMENModerator: Robert B. Baron, MD, MS8:30 Cervical Cancer Screening Update and George F. Sawaya, MD

Implications for Annual Exams9:10 Q and A9:20 G Updates in Breast Cancer Screening Karla Kerlikowske, MD10:00 Q and A10:10 Break10:30 G Vaccinations for Adults and Adolescents Lisa Winston, MD 11:10 Q and A11:20 G Prevention of Cardiovascular Disease in Robert B. Baron, MD, MS

Women: Implications of New Guidelines for Hypertension and Lipid Disorders

12:00 pm Q and A12:10 Lunch (On Own)

CLINICAL STRATEGIES IN WOMEN’S HEALTH IModerator: Robert B. Baron, MD, MS1:30 G Breast Cancer: Key Topics for the Primary Leah Karliner, MD, MAS

Care Clinician2:10 Q and A2:20 G New Approaches to Urinary Tract Infection Brian Schwartz, MD3:00 Q and A3:10 Break3:30 G Updates in Diagnosis and Treatment of Katherine A. Julian, MD

Dementia4:10 Q and A4:20 New Guidelines for Menopause Management Judith M.E. Walsh, MD, MPH5:00 Q and A5:10 pm Adjourn

CONTROVERSIES IN WOMEN’S HEAL

GENERAL INFORMATIONPre-registration is preferred to ensure that adequate course materials are available. The syllabuswill be transmitted electronically prior to the course.Optional purchase of a printed syllabus is available for$30.HOW TO ENROLLTuition: $465 Physicians $365 Allied Health Professionals/ Physi-

cians-in-Training $30 Optional Printed SyllabusPayment may be made by Visa, MasterCard, AmEx or check. REGISTER VIA:Online: www.cme.ucsf.eduMail: Complete course registration form

and send with payment to: UCSF Office of CME

P.O. Box 45368San Francisco, CA 94145-0368

Fax: Fax completed registration form to:(415) 502-1795 (be sure to include your credit card number)

Phone: To register by phone or to inquire about registration status, please call UCSF’sCME Registration Office at (415) 476-5808 or check our website for up-to-date information on the course:www.cme.ucsf.edu

REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 admin-istrative fee. No refunds will be made on cancellationsreceived after that date.CONFERENCE LOCATION Enjoy San Francisco’s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco’s culinary hub at the Ferry Building.

Page 4: CONTROVERSIES IN WOMEN’S HEALTH - UCSF CME€¦ · CONTROVERSIES IN WOMEN’S HEALTH ... and current approaches to management of chronic illness. ... 8:30 Cervical Cancer Screening

Hotel NikkoSan Francisco, CA

FRIDAY, DECEMBER 12, 20148:00 am Continental BreakfastCLINICAL STRATEGIES IN WOMEN’S HEALTH IIModerator: Robert B. Baron, MD, MS8:30 Care of the Transgender Patient Erica Weiss, MD9:10 Q and A9:20 G Amenorrhea and PCOS: An Efficient Rebecca Jackson, MD

Approach to Work-up and Treatment 10:00 Q and A10:10 Break10:30 New Guidelines for Detection and Treatment Michael S. Policar, MD, MPH

of Sexually Transmitted Infections11:10 Q and A11:20 Contraception in Medically Complicated Jennifer Kerns, MD, MPH

Women12:00 pm Q and A12:10 Lunch (On Own)CLINICAL STRATEGIES IN WOMEN’S HEALTH IIIModerator: Robert B. Baron, MD, MS1:30 G The ABC and D's of Vitamins and Jeffrey A. Tice, MD

Supplements in Women's Health2:10 Q and A2:20 G Current and Emerging Strategies for Anne Schafer, MD

Osteoporosis3:00 Q and A3:10 Break3:30 The Bariatric Surgery Patient: What the Michelle Guy, MD

Primary Care Provider Needs to Know4:10 Q and A4:20 G Dermatology for Women’s Health Toby Maurer, MD5:00 Q and A5:10 pm Adjourn

G - Geriatric Credit

CONFERENCE LOCATION (CONT’D)Hotel Nikko is just steps from Union Square and the Theatre District.A block of guestrooms has been reserved at the spe-cial UCSF conference rate of $209/night. Please make your reservations early. The cut off date is November 12, 2014, or until the group roomblock is filled. After this date, rooms will be provided ona space-available basis only. To make hotel reserva-tions, call the Hotel Nikko at (415) 394-1111, toll-freeat (800) 248-3308. Please identify yourself as a member of the UCSF Controversies in Women’sHealth conference to receive the special rate.

By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable.

RENTAL CAR Hertz is offering special rates for participants of this conference; simply call (800) 654-2240 and referto identification number #03BW0133, or call your travel agent. You may also make reservations atwww.Hertz.com. Advance reservations are recom-mended.AIR TRANSPORTATIONUCSF has negotiated special fares with United Airlinesfor our course attendees. You may use the followingtour code to book on your own:United – www.united.com – offer code: ZQPP914327

LTH

Page 5: CONTROVERSIES IN WOMEN’S HEALTH - UCSF CME€¦ · CONTROVERSIES IN WOMEN’S HEALTH ... and current approaches to management of chronic illness. ... 8:30 Cervical Cancer Screening

Primary Care Medicine: Principles

and Practice

October 22-24, 2014

Hotel Nikko

San Francisco, California

Primary Care Medicine: Update 2015

April 5-10, 2015

Maui, Hawaii

Essentials of W

omen’s Health:

An Integrated Approach to

Primary Care and Office Gynecology

July 5-10, 2015

Big Island, Hawaii

Essentials of Primary Care: A Core

Curriculum for Ambulatory Practice

August 2-7, 2015

North Lake Tahoe, California

Upcoming CME Courses

Of Special Interest to the Primary Care Professional

0569

University of California,

San Francisco

Office of Continuing

Medical Education

UCSF Box 0742

San Francisco, CA

94143-0742

For more information,

visit our website at

www.cme.ucsf.edu.

You may also reach

us by calling the

Office of CME at

(415) 476-4251 or

emailing

[email protected].

EPrinted on

Recycled Paper.

COURSE CHAIR

Robert B. Baron, MD, MSProfessor of MedicineAssociate Dean for Graduateand Continuing Medical EducationUniversity of California, San FranciscoCOURSE FACULTY(University of California, San Franciscounless otherwise indicated)

Michelle Guy, MDAssociate Professor of Medicine

Rebecca Jackson, MDAssociate Professor of Obstetrics,Gynecology and ReproductiveSciences and of Epidemiology andBiostatistics; Chief, Obstetrics,Gynecology and ReproductiveSciences, San FranciscoGeneral Hospital

Katherine A. Julian, MDProfessor of Medicine;Program Director, UCSF PrimaryCare General Internal MedicineResidency Program

COURSE FACULTY (CONT’D)

Leah Karliner, MD, MASAssociate Professor of Medicine

Karla Kerlikowske, MDProfessor of Medicine and ofEpidemiology & Biostatistics

Jennifer Kerns, MD, MPHAssistant Professor of Obstetrics,Gynecology and ReproductiveSciences

Toby Maurer, MDProfessor of Dermatology;Chief, Dermatology,San Francisco General Hospital

Michael S. Policar, MD, MPHProfessor of Obstetrics, Gynecologyand Reproductive Sciences

George F. Sawaya, MDProfessor of Obstetrics, Gynecologyand Reproductive Sciencesand of Epidemiology & Biostatistics

Anne Schafer, MDAssistant Professor of Medicine

COURSE FACULTY (CONT’D)

Brian S. Schwartz, MDAssociate Professor of Medicine;Program Director, InfectiousDiseases Fellowship;Gold-Headed Cane EndowedTeaching Chair in Internal MedicineDivision of Infectious Diseases

Jeffrey A. Tice, MDAssociate Professor of Medicine

Judith M.E. Walsh, MD, MPHProfessor of Medicine

Erica Weiss, MDNorthern California OB/GYN Lead,Transgender Health,Kaiser Permanente,San Francisco, CA

Lisa Winston, MDProfessor of Medicine, Division of Infectious DiseasesDirector, Inpatient Medical Servicesand Hospital EpidemiologistSan Francisco General Hospital

Page 6: CONTROVERSIES IN WOMEN’S HEALTH - UCSF CME€¦ · CONTROVERSIES IN WOMEN’S HEALTH ... and current approaches to management of chronic illness. ... 8:30 Cervical Cancer Screening

æ Dr. æ Ms. æ Mr. æ Mrs.

Last Name First M.I.

Degree Specialty

Address

City State Zip

Daytime Phone Fax

Email

Address Label Code Letter (see address label: example, A, B, C, D, etc.)

Would you like to be on our priority email list? £Yes £ No

Date of birth to be used as OCME registrant number: ___ ___ /___ ___ / XX Month Day

Please indicate if you have any special needs:

Tuition: £ $465 Physicians £ $365 Allied Health Professionals/Physicians-in-Training£ $30 Optional Printed Syllabus

Make checks payable to UC Regents.

Please charge my credit card: £ Visa £ MasterCard £ AmEx for $

Card # | Expiration date

Name on Card (Please Print) | Authorized Signature

Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a$75 administrative fee. No refunds will be made on cancellations received after that date.

Please check our website for up-to-date information on the course: www.cme.ucsf.edu

CONTROVERSIES IN WOMEN’S HEALTHDecember 11-12, 2014Hotel Nikko • San Francisco, California

MDM15M05

Cable Car Line

101

101

101

80

280

Jefferson St

Beach St

North Point St

Francisco St

Francisco St

Chestnut St

Lombard St

Greenwich St

Filbert St

Chestnut St

Lombard St

Greenwich St

Filbert St

Union St

Union St

Green St

Green St

Vallejo St

Pacific St

Jackson St

Washington St

Clay St

Sacramento St

Sacramento StCalifornia St

California St

Vallejo St

Pacific St

Jackson St

Washington St

Clay St

Sacramento St

California St

Pine St

Bush St

Pine St

Bush St

Sutter St

Post St

Geary St

Greenwich St

Chestnut St

Filbert St

Union St

Green St

Vallejo St

Pacific St

Jackson St

Washington St

Clay St

Pine St

Bush St

Sutter St

Post St

Post St

Geary St

O’Farrell St

Ellis St

Ellis St

O’Farrell St

O’Farrell St

Ellis St

Eddy St

Turk St

Golden Gate St

McAllister St

Eddy St

Turk St

Golden Gate St

McAllister St

Grove St

Hayes St

Page St

Page St

Grove St

Hayes St

Fulton St

Fulton St

Fulton St

Front St

Davis St

Drum

m St

Steuart StSpear StMain StBeale StFremont St

2nd St

5th St

6th St

7th St

8th St

9th St

10th St

11th St

12th St

12th St

Mission

St

Mission

St

Howard

St

Harriso

n St

Harriso

n St

Bryant

St

South

Park

Branna

n St

Towns

end S

t

King St

Bryant

St

Branna

n St

Towns

end S

t

King St

Chann

el St

New Montgomery St

Battery St

Sansome St

Battery St

Sansome St

Montgom

ery St

Montgom

ery St

Montgom

ery St

Kearny St

Kearny St

Columbus Av

Grant Av

Grant Av

Kearny St

Grant Av

Powell St

Mason St

Mason St

Taylor St

Taylor St

Powell St

Mason St

Taylor St

Jones St

Leavenworth St

Hyde St

Jones St

Leavenworth St

Hyde St

Jones St

Leavenworth St

Hyde St

Larkin St

Polk St

Larkin St

Polk St

Larkin St

Polk St

Stockton St

Powell St

Stockton St

Stockton St

Octavia St

Laguna StO

ctavia St

Laguna St

Buchanan St

Buchanan St

Buchanan StW

ebster St

Webster St

Fillmore St

Fillmore St

Octavia St

Laguna St

Laguna St

Webster St

Fillmore St

Webster St

Fillmore St

Steiner St

Steiner St

Pierce St

Scott StPierce St

Van Ness Av

Gough St

Peter Y

orke wy

Starr King Wy

Bay St

North Pt

Beach St

McCoppin St

Miss

ionStHaight St

Waller StHermann St

Vale

ncia

St

Buchanan St

Berry S

t

Bay St

Bay St

Broadway

Broadway

Broadway

Van Ness Av

Van Ness Av

South Van Ness Av

Franklin St

Gough St

Franklin St

Franklin St

Gough St

The Embarcadero

The Embarcadero

Geary Expwy

Folsom

St

Folsom

St

3rd St

3rd St

Howard

St

1st St

Market

St

Market

St

Market

St

Market

St

Fell St

Oak St

Fell St

Oak St

Lombard St

Marina Bl

4th St

4th St

Berry S

t

NORTH BEACHPLAYGROUND

MICHELANGELOPLAYGROUND WASHINGTON

SQUARE

WALTONPARK

GEORGE R.MOSCONE

RECREATIONCENTER

LAFAYETTEPARK

AQUATICPARK

ALAMOSQUARE

SANFRANCISCO

BAY

MISSIO

N CREEK

GHIRARDELLISQUARE

THECANNERY

CROOKEDSTREET

FORTMASONCENTER

PIER39

BROADWAYPIER

(Pedestrian)

JUSTINHERMANPLAZA

PORTSMOUTHSQUARE

MOSCONE CONVENTIONCENTER NORTH & SOUTH

SFCITYHALL

CIVICAUDITORIUM

BROOKSHALL

MAINLIBRARY

CENTER FORTHE ARTS AT

YERBA BUENAGARDENS

UNIONSQUARE

UCEXTENTION

SF ART INSTITUTE

UNDERWATERWORLD AQUARIUM

YOUTHHOSTEL

MARITIMEMUSEUMFT. MASON

VISITORCENTER

COITTOWER

STS PETERAND PAUL

TRANSAMERICAPYRAMID BLDG.

GRACECATHEDRAL

MASONICAUDITORIUM

TRANSBAYTERMINAL

FERRYBUILDING

RINCONCENTER

WORLDTRADE CTR.

EMBARCADEROSHOPPING CENTER

GOLDENGATE UNIV.

SF MUSEUMOF MODERN ART

CALTRAINDEPOT

SF SHOPPINGCENTRE

CROCKERGALLERIA

OLD MINTOF SF

OPERAHOUSE

WARMEM.

THEATER

ST.MARY'S

CATHEDRAL

JAPANESECULTURAL &TRADE CENTER

PAINTEDLADIES(victorianhouses)

VAN NESSSTATION

CIVIC CENTERSTATION

POWELL ST.STATION

MONTGOMERY ST.STATION

EMBARCADEROSTATION

OCTAGONHOUSE

LEVI'SPLAZA

BANK OFAMERICA BLDG.

FISHERMAN'SWHARF

TELEGRAPHHILL

NORTHBEACH

FINANCIALDISTRICT

CHINATOWN

RUSSIANHILL

COWHOLLOW

MARINA

NOBHILL

SOUTH OFMARKET

PACIFICHEIGHTS

JAPANTOWN

FILLMORE

HAYESVALLEY

CIVICCENTER

SAN FRANCISCO

Parks

Cable Car Lines

Landmarks

Points of Interest

Neighborhoods

Hotel NikkoSan Francisco

On-Site Registration Date: Thursday, December 11, 2014Time: 7:30 - 8:20 amLocation: Hotel Nikko San Francisco

222 Mason StreetSan Francisco, CA 94102415-394-11111-800-NIKKO-SF (248-3308)www.hotelnikkosf.com

Mail to : UCSF Office of CMEP.O. Box 45368San Francisco, CA 94145-0368Fax: (415) 502-1795

Online registration: www.cme.ucsf.eduRegistration Information: (415) 476-5808Course Information: (415) 476-4251

Course Registration Form

www.cme.ucsf.edu