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Workshops

Tuesday Morning Workshops | Tuesday Afternoon Workshops

Wednesday Morning Workshops | Wednesday Afternoon Workshops | Bonus Sessions | Industry Workshops

 

Tuesday, October 3 | 8:30 am - 12:00 pm


Evaluation and Treatment of Vesicovaginal and Rectovaginal Fistulas in Lower Resource Settings | Room 550

Presented by the Global Health SIG

Workshop Director: Saifuddin T. Mama MD, MPH, FACOG, FACS, FPMRS, Cooper Medical School of Rowan University 
Faculty: Brittany Star Hampton, MD; Blair Washington, MD; Peter Jeppson, MD; Chi Chiung Grace Chen, MD; Joan Blomquist, MD; Rahel Nardos, MD; Robert Gutman, MD

Pelvic pathology encountered a vesicovaginal and rectovaginal fistulas, which is uncommon in the United States. This workshop will help surgeons working in a lower resource setting understand the skills needed for surgical treatment and will provide insights for enhancing routine pelvic surgery at your facility.

Slides 1 | Slides 2 | Slides 3 | Slides 4 | Slides 5 | Slides 6 | Slides 7 | Slides 8 | Slides 9
 

Continence Begins with Prevention: A New Paradigm Using a Transdisciplinary Science Approach | Room 555

This workshop is free for Fellows

Workshop Director: Alayne D. Markland, DO, MSc, The University of Alabama at Birmingham
Faculty: Tamara Bavendam, MD; Jerry Lowder, MD; Diane Newman, DNP, FAAN, BCB-PMO; Sonya Brady, PhD; Deepa Camenga

The primary goal of the Prevention of Lower Urinary Tract Symptoms (PLUS) Consortium, a multi-center network funded by the U.S. National Institutes of Health, is prevention of lower urinary tract symptoms (LUTS) in women by advancing bladder health. Transdisciplinary members modified a bladder health conceptual framework adopted from social ecological, biopsychosocial, and a prevention science research paradigm to investigate bladder health. This workshop will provide an overview of the PLUS consortium, including ongoing efforts to define and study bladder health across the age spectrum. The workshop will introduce prevention science methods, share strategies to implement collaborative team science, and seek input from urogynecology practitioners.

Slides
 

Challenges in FPMRS Surgical Coding for 2017 and Beyond | Ballroom D

Presented by the AUGS Coding Committee

Workshop Director: Marc Toglia, MD, Sidney Kimmel School of Medicine
Faculty: Janet Tomezsko, MD; Brad Hart, MBA, MS, CMPE, CPC, CPMA, COBGC; Alison Weidner, MD

With the U.S. Health System steadily shifting from a volume based reimbursement to value based payment models, accurate coding and documentation is becoming more critical to the FPMRS specialist and gynecologic surgeon. Improper coding can lead to denial for services as well as financial penalties related to quality reporting measures. Quality metrics is a trending topic as reporting is now live and mandatory for 2017, and many metrics are surgically based for the FPMRS and gynecologic specialist. This workshop will show an in depth look at the complicated relationship between coding and documentation and provide an update to recent CPT changes, NCCI edits, and how changes in surgical length of stay is affecting surgical reimbursement.

Slides
 

Quality Improvement Bootcamp | Room 552


Workshop Director: Robert F. Flora, MD, MBA, MPH, McLaren Health Care

Patient safety and quality improvement education is being targeted at the undergraduate, graduate, and continuing medical education levels. The Association of American Medical Colleges (AAMC) and Accreditation Council for Graduate Medical Education (ACGME) have placed requirements in educational guidelines, but are finding a lack of faculty trained in these topics. AAMC and ACGME are developing activities such as a faculty development program. This workshop will develop FPMRS faculty skilled in performing and teaching quality improvement.

Handout | Pre-work | Slides

Tuesday, October 3 | 1:30 pm - 5:00 pm 


Building Academic Success in Urogynecology: Health Services Research and The Power of Big Data | Room 551

This workshop is free for Fellows

Workshop Director: Donna Mazloomdoost, MD, Pelvic Floor Disorders Network (PFDN) Gynecologic Health and Disease Branch, Eunice Kennedy Shriver, National Institutes of Health 
Faculty: Vatche A. Minassian, MD, MPH; J. Eric Jelovsek, MD MMEd; Jason Wright, MD

This workshop is designed to familiarize investigators with available resources for research. Learn about National Institutes of Health (NIH) resources, data currently available for public use from the Pelvic Floor Disorders Network (PFDN) and other big databases, proposing study ideas, becoming more efficient in protocol design and implementation, and making the most of your available resources.

Slides 1 | Slides 2 | Slides 3
 

Comprehensive Approach to Fistula Care | Room 550

Presented by the Global Health SIG

Workshop Director: Rahel Nardos, MD, MCR, Oregon Health & Science University
Faculty: Melaku Abreha; Fekade Ayenachew; Renate Roentgen; Theresa Spitznagle
 
This workshop is geared toward attendees who are interested in providing pelvic floor care to women in resource poor settings. The workshop will provide a deeper understanding of the complexities of providing sustainable holistic care to obstetric fistula patients. It will also provide the opportunity to build global health partnerships with fistula care leaders and organizations.

This workshop will include discussion of the comprehensive care of women with complex and challenging obstetric fistulas, as well as the role of community outreach partnerships and research in the care of fistula patients, led by two of Ethiopia’s expert fistula surgeons; discussion of the role of urinary diversions in obstetric fistula patients who are irreparable, led by an expert in female urology from Germany; discussion of the role of pelvic floor rehabilitation in women after obstetric injuries and the experience in setting up a physical therapy training program in Ethiopia; and discussion of the role of global health partnerships in pelvic floor health capacity building drawing from the experience of building first urogynecology fellowship program in Ethiopia.

Slides 1 | Slides 2 | Slides 3 | Slides 4

Surgical Failures: Managing the Anatomy, the Patient, and the Doctor: Getting it Right the Second Time | Room 555

Workshop Director: Christopher M. Tarnay, MD, FACOG, David Geffen School of Medicine at UCLA
Faculty: Jennifer Anger, MD, MPH; Tamara Grisales, MD

Recurrent prolapse and incontinence presents a major challenge for pelvic surgeons. This can become more complicated when caring for women with recurring symptoms after mesh removal. The goal has always been to provide safe and durable repair outcomes, which now has a greater emphasis as implementation of value based healthcare models occur. The workshop will provide tools for the exam room, consultation office, and operating room. There will be a focus on management of prolapse and incontinence after mesh removal. The workshop will also utilize case-based learning with videos to demonstrate how to perform techniques.
 

Coding Challenges and Opportunities for Office Based Activities and Procedures for the FPMRS Specialist | Ballroom D

Presented by the AUGS Coding Committee

Workshop Director: Marc Toglia, MD, Sidney Kimmel School of Medicine
Faculty: Alison Weidner, MD; Janet Tomezsko, MD; Brad Hart, MBA, MS, CMPE, CPC, CPMA, COBGC

Accurate coding and diagnosis is the key to managing your reimbursement, limiting your write-offs, and avoiding financial penalties. Understanding and mastering the language of current procedural terminology (CPT) and international classification of disease (ICD) are critical components of managing a successful practice. For FPMRS specialists, office visits and procedures are a significant source of revenue. This workshop will offer an in-depth look into the complex relationship between CPT and ICD-10 codes and the importance of proper documentation to support coding at higher levels of service.

Slides

Integrating Technology into Your Teaching Armamentarium | Room 552


Workshop Director: Robert F. Flora, MD, MBA, MPH, McLaren Health Care
Faculty: Robert Dodds, MD

To successfully integrate technology into your teaching armamentarium, one must understand how students learn using technology, and educators must develop the right mindset in utilizing technology. This workshop will introduce the theory of technological, pedagogical, and content knowledge, or TPACK, as a method of introducing technology into teaching practices. The workshop will provide an introduction to programs such as G Suite, Lucidchart, Explain Everything, and Nearpod. Participants will be given resources for integrating numerous digital tools into their teaching. Participants should bring their laptop or iPad to the workshop.

Slides

 

Wednesday, October 4 | 8:30 am - 12:00 pm

 

Energy Based Therapies in Gynecology and Vaginal Health: Laser, Light, and Radio-Frequency Therapies | Ballroom D

Workshop Director: Kevin Stepp, MD, Carolinas Healthcare System
Faculty:  Nathan Guerette, MD; Michael Krychman; Eric Sokol, MD; Andrea Pezzella, MD

This is a combined didactic and hands-on postgraduate workshop intended to cover the rapidly expanding use of energy-based treatments for genitourinary health and wellbeing. Energy-based treatments including LASER, Intense Pulsed Light (IPL), and Radiofrequency (RF) are established and common treatments of superficial and deeper skin conditions in dermatology and plastic surgery. These technologies have gained in popularity in gynecology and urogynecology. Although data is rapidly emerging, it is still very limited on these subjects. This workshop will introduce the concepts of laser and light physics as well as radiofrequency treatments to gynecologists.

Slides 1 | Slides 2 | Slides 3
 

Neuropathology of Chronic Pelvic Pain Disorders | Room 551

Workshop Director: Bruce S. Kahn, MD, FACOG, Scripps Clinic & Healthcare System
Faculty: Barry Jarnagin, MD; Charles Butrick, MD

Chronic pelvic pain (CPP) is a complex disorder that affects 6–26 percent of women. In general, it is poorly understood and difficult to treat. Chronic interstitial cystitis (IC) is a component of chronic pelvic pain and is a leading cause of pelvic pain and lower urinary tract symptoms in women. Morbidity associated with IC includes global, psychologic, and sexual health. This workshop will review the treatment of chronic pelvic pain and interstitial cystitis.

Slides 1 | Slides 2 | Slides 3 | Slides 4 | Slides 5
 

A Transdisciplinary Approach to Maternal Birth Trauma: A Day in the Life of a Perineal Clinic | Room 553

Workshop Director: Christina Lewicky-Gaupp, MD, Northwestern University Feinberg School of Medicine
Faculty: Kimberly Kenton, MD; Margaret Mueller, MD

While the risk factors and complications of OASIS (obstetric anal sphincter injuries) are well-described in literature, very few centers in the United States have implemented a dedicated perineal clinic for women who have suffered perineal trauma. A limited number of studies have prospectively addressed wound complications secondary to birth trauma and/or appropriate immediate and long-term postpartum care for women who suffer from OASIS. At our tertiary care, high volume delivery center (>12,000 deliveries annually), we have established and grown a transdisciplinary perineal (the Periparum Evaluation and Assessment of the pelvic floor around the time of delivery) clinic over the last three years. In this transdisciplinary model of the PEAPOD clinic, we as female pelvic medicine and reconstructive surgeons have partnered with physical therapists, psychologists, sex counselors, colorectal surgeons, and our patients to treat and study pelvic floor dysfunction in this unique patient population.

Slides
 

Robotic and Straight Laparoscopic Sacrocolpopexy 2.0: How to Avoid and Get Out of Trouble | Room 552

Workshop Directors: Patrick Culligan, MD, FACOG, FPMRS, Weill Cornell Department of Urology and Peter Rosenblatt, MD, FACOG, FPMRS, Mount Auburn Hospital

While the laparoscopic sacrocolpopexy procedure is extremely well established as a reliable approach for correction of uterovaginal or post-hysterectomy prolapse, the surgical learning curve for this procedure can be rather steep. Literature shows significant variance with surgery success results and complication rates with data supporting surgical technique and volume to be of paramount importance to outcomes. Typically, surgical textbooks and journal articles do not provide the surgical nuances that make up the “special sauce” of these procedures. Sometimes one or two seemingly small tips can help a surgeon greatly improve surgical efficiency and reach a new plateau along the learning curve. This workshop will cover detailed surgical techniques used regularly by high volume surgeons.

Slides
 

Understanding Mindfulness: Fostering Resilience and Quality of Life in Ourselves and our Patients | Room 550 

Workshop Director: David A. Richardson, MD, Henry Ford Health System
Faculty: Dawn Lemon, JD

Suffering and decreased quality of life have been documented in patients with chronic illness from urinary incontinence to cancer. Burnout, secondary traumatic stress, and decreased compassion satisfaction have been noted in medical students, residents, and staff physicians. Mindfulness and self-compassion training have improved patient outcomes, increased emotional resilience, and decreased burnout. Many physicians still have limited understanding in how mindfulness works and how it can be utilized in both self-care and patient care.

Resources | Slides 1 | Slides 2 |Slides 3
 

Wednesday, October 4 | 12:00 pm - 5:00 pm
 

Multidisciplinary Evaluation and Treatment of Vulvar Disorders  | Ballroom A 

Presented by the Advanced Practice, Physical Therapy, and Allied Health SIG

Workshop Director: Julie Starr, APRN, PhD, Missouri Center for Female Continence and Advanced Pelvic Surgery University of Missouri
Faculty: Amie Kawasaki MD; Deborah A. Lipkin, APRN; Kimberly Glow; Tara Thompson, PharmD

This workshop will include four hours of lecture and slides covering how to perform a thorough vulvar history and exam; normal vs abnormal findings; when to biopsy and vulvar treatment guidelines; skin care; dilator use; compounding formulas; and physical therapy for the patient with dyspareunia. Showing various viewpoints of these issues, the faculty for this workshop will include a physician, advanced practice nurse, physical therapist, and compounding pharmacist. Lunch will be provided by Allergan. 

Agenda | Slides 1 | Slides 2 | Slides 3 | Slides 4
 

Wednesday, October 4 | 1:00 pm - 4:30 pm
 

Effective Accountability Conversations | Room 550 

Workshop Director: Mikio A. Nihira, MD, MPH, University of California Riverside, Riverside Community Hospital
Faculty: Stephanie Pickett, MD; Adam Steinberg, DO

Gynecologic surgeons make huge investments in personnel. It is imperative that we leverage the skills that those people bring to our practices.  Great leaders set expectations precisely and provide actionable feedback to optimize the effectiveness of their staff.  Ineffective leaders "pay full" price to obtain their personnel but generally only get about 50% of the value of those resources if they are not skilled at providing actionable feedback.  Crucial Accountability provides individuals with an evidenced-based mechanism to systematically dissect an accountability failure and develop a strategy to address individuals who have not met their expectations. 

This course is designed for leaders who have been disappointed by others’ performances and want to be able to hold them accountable in a firm, respectable manner.  The strategies described in Crucial Accountability help leaders to directly addresses gaps between expectations and performances with a model that ensures individual and team effectiveness. The goal is to create a culture where individuals speak honestly, clearly and respectfully about violated expectations.  

Slides 
 

Transgender Surgery and Care: The Role of The Urogynecologist | Room 552 

Workshop Director: Cecile A. Unger, MD, MPH, Center for Urogynecology & Pelvic Reconstructive Surgery, Center for LGBT Care Obstetrics, Gynecology & Women’s Health Institute, Cleveland Clinic
Faculty: Robert Pollard, MD; Alix Leader-Cramer, MD; Tonya Thomas, MD; Dmitriy Nikolavsky, MD

Care of transgender patients is emerging across many curricula, spanning many subspecialties. There is currently a significant deficit in this type of education in female pelvic medicine and reconstructive surgery. Transgender men and women who are preoperative and postoperative in their transition have pelvic floor disorders and unique needs that could be addressed by urogynecology specialists. This workshop will show how urogynecologists can assist transgender patients with transition surgeries and help manage potential complications.

Slides 1 | Slides 2 | Slides 3 | Slides 4


Wednesday, October 4 | 3:00 - 5:00 pm

Perspectives on the Quality Payment Program and Performance Improvement in Urogyn | Room 551 

Workshop Director: Sarah Boyles, MD, MPH, The Oregon Clinic, Urogynecology Associates
Faculty: Blair Washington, MD, MHA; Rebecca Batalden, MD

The impact of the Quality Payment Program requires Urogynecologists to spend the necessary amount of time to provide a higher-level quality care for patients.  The new Merit-Based Incentive Payment System (MIPS) is Medicare’s primary physician reimbursement program as of January 1, 2017.  To help physicians understand the foundation and fundamental change in how performance and quality patient care will impact physician reimbursement, attend this workshop and learn how to comply with these new requirements while maximizing your payments.  Learn about reporting, and the advantages of reporting with the AQUIRE Qualified Clinical Data Registry.

Slides 1 | Slides 2 | Slides 3 | Slides 4

Bonus Sessions

Registration for Bonus Sessions is complimentary. 

Post or Perish | Room 551

Wednesday, October 4 | 3:00 p.m. – 3:45 p.m.
Speaker:
Brian Jacob, MD, Icahn School of Medicine at Mount Sinai Laparoscopic Surgical Center of New York

This session will take a close look at the growing use of social media, specifically closed Facebook groups and how they can be used to enhance surgical education and optimize patient care.
 

Future of Medicine and Technology: The Art of the Possible | Room 551 

Wednesday, October 4 | 4:00 p.m. – 4:45 p.m.
Speaker:
Michael Ruiz, MedStar Health

Video games, tablets, and smartphones are a small segment of technological advances made possible by the exponential growth of computer microprocessors as articulated in Moore’s Law. Predicting that every year we double in capacity while cutting costs, Moore’s Law has significant implications for innovation in healthcare technology. In this presentation, you will learn the dramatic impact technology has on healthcare through life-changing technology such as 3D printing and robotics, artificial intelligence, machine learning, and autonomous vehicles.

Slides

 

Industry Workshops

Olympus PneumoLiner Containment Device Training

We are excited for Olympus to offer training on the PneumoLiner Containment Device during the AUGS Conference.  The Olympus Contained Tissue Extraction System combines the PneumoLiner,™ a first-of-its-kind containment device, with Olympus’ next-generation laparoscopic PK® Morcellator to provide certain patients a laparoscopic surgery option to avoid open hysterectomy and myomectomy for uterine fibroid removal. Please note, the qualification criteria for attending this event is:

  •  You are an advanced GYN laparoscopist who has performed at least 12 major laparoscopic cases in the last three (3) months

Additionally, it is recommended:

  •  Your facility currently has an Olympus EPF-1 generator system with the latest software to perform morcellation with the next generation PK Morcellator
  •  Your facility currently allows morcellation in appropriate, low risk patients

We recommend advanced registration for this 1.5 hour training in order for you to select the time of day that works best for you.  Please use the provided "Register Here" link for this purpose.

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