Clinician's Roundtable

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. Joining host Ana Maria Rosario at Omnia Education's Women's Health Annual Visit in Pasadena, CA to discuss key considerations for acute excessive vaginal bleeding is Dr. Anita Nelson, Professor Emeritus at the David Geffen School of Medicine at UCLA.

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 differences in how we define 'breast awareness' versus breast self-examination. Join the discussion!

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 those decisions, more modern philosophies advocate for direct patient involvement in these decisions a little later in life. Joining Dr. Prathima Setty to focus on this important topic is Dr. Earl Cheng, Professor of Urology, Division Head of Urology and Co-Head of Reconstructive Pediatric Urology at Northwestern University Feinberg School of Medicine. Dr. Cheng directs the Gender and Sex Development Program at Ann & Robert H. Lurie Children's Hospital of Chicago.

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 risk, remains commonly neglected by the medical community. What parts do nutritional choices and habits play in breast cancer development, and how can clinicians make better risk assessments given this information? Dr. Edward Sauter, Professor of Surgery and Director of the Cancer Treatment and Prevention Center at the University of Texas Health Sciences Center, joins Dr. Matt Birnholz to discuss emerging connections between nutrition and breast cancer.

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 established specialist physicians to expand their patient profile by including general practice, as well as the physicians with physical impairment who must transition to primary care because of manual dexterity is diminished for any number of reasons.

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 information and best practices in establishing an interdisciplinary program in improving chronic disease treatment worldwide. She reviews challenges and progress toward providing better education, research and training, and service infrastructures addressing global health issues within the United States and around the world.

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 for black women with breast cancer. Dr. Olopade is an expert in cancer risk assessment and individualized treatment for the most aggressive forms of breast cancer, having developed novel management strategies based on an understanding of the altered genes in individual patients. She stresses comprehensive risk reduction and prevention strategies in high-risk populations, as well as earlier detection through advanced imaging technologies.

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 to adopt it. Join Dr. Matt Birnholz and Dr. Nathaniel DeNicola discuss the role of technology and social media in medicine, with particular attention to ACOG's adoption over the past 10 years.

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 examinations more trouble than they're worth? Join Dr. Matt Birnholz and guest Dr. Hannah Bloomfield, Chief of Research at the Minneapolis VA Medical Center, speaking at ACOG’s annual scientific meeting. They focus on the latest research behind this question of whether routine pelvic examinations are really necessary for monitoring patient health, and the potential pros and cons of abandoning this practice in annual OB/GYN checkups.

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 Dr. Matt Birnholz and Dr. Linda Szymanski, Medical Director of Labor and Delivery at Johns Hopkins Hospital at the Johns Hopkins School of Medicine. They discuss the latest research on exercise during pregnancy, from benefits to harms, and how clinicians can counsel patients on the "right" amount of exercise during this life period.