Gynecologic Surgeons Unscrubbed

In an insightful episode of Unscrubbed, Dr. Cara King converses with the exceptional Dr. Mireille Truong, program director at Cedars-Sinai MIGS Fellowship and a luminary in surgical education. This episode delves into the journey of Dr. Truong from her initial fellowship to significant life transitions, including the shift from her position in Virginia to her current role in the vibrant city of Los Angeles. Dr. Truong shares her experiences and challenges faced when starting as an attending physician, building a MiGS program, and ultimately realizing her goal to establish a fellowship. With an undying passion for education, Dr. Truong navigates us through making mindful career choices while aligning with institutional goals. She emphasizes the importance of setting personal and career goals through short-term achievable actions, utilizing an executive coach, and striking harmony between professional aspirations and workplace culture. Dr. Truong recounts her vulnerable journey into motherhood, confronting postpartum depression, and the significance of supportive work environments during such transformative phases of life.   Resources: Dr. Mireille Truong's LinkedIn

In this episode, Dr. Cara King speaks with Dr. Veronica Lerner, ​​a Gynecologic Surgeon at Lenox Hill Hospital in New York City. Dr. Lerner shares how her journey in medicine began and the personal impact of growing up in a family from the former Soviet Union with a background in medicine, passionate about helping others. She talks about how she approaches surgical education today and the importance of considering time and surgical complexity when teaching. She also talks about how she believes simulation can help trainees fine tune their surgical training experience in the long run. Dr. King and Dr. Lerner have an in depth discussion on the value of honesty in leadership, the importance of patient advocacy and why focusing on the delivery of quality care, over being motivated by the furthering of science and teaching is necessary.   Resources: Dr. Veronica Lerner

In this episode, Dr. Cara King speaks with Dr. Helen Morgan, ​​Clinical Professor of Obstetrics and Gynecology and Learning Health Sciences at the University of Michigan. Dr. Morgan shares her insights on the diversification of the physician workforce. She also discusses how to optimize residency interviews, including the benefits of a standardized letter of evaluation, and the integration of coaching with medical education. Dr. Morgan talks about American Medical Association's (AMA) reimagining residency grant “Right Resident, Right Program, Ready Day One,” where she is currently co-investigator and program evaluation lead.   Resources: Dr. Helen Morgan Right Resident, Right Program, Ready Day One

In the second part of this two-part episode, Dr. Cara King continues her conversation with Dr. Kelly Wright, a minimally invasive gynecologic surgeon at Cedars-Sinai in Los Angeles. Kelly discusses the power of social media and how to set boundaries with technology, including email and the ever expanding virtual world. She also offers pro-tips on how to capitalize on telehealth to optimize patient care.   Resources: Dr. Kelly Wright on Twitter Dr. Kelly Wright on LinkedIn 48th Annual Scientific Meeting Social Media Committee Presents: Harnessing the Power of Social Media in Gynecological Medicine Think Again by Adam Grant

In the first part of this two-part episode, Dr. Cara King speaks with Dr. Kelly Wright, a minimally invasive gynecologic surgeon at Cedars-Sinai in Los Angeles. Kelly dives into the impact of gender bias in all areas of medicine and how she manages this in the operating room. She also discusses the power of social media and how she advocates for herself for appropriate compensation when she's approached by the industry for her opinion.   Resources: Dr. Kelly Wright on Twitter Dr. Kelly Wright on LinkedIn Caprice Greenberg's AAS 2017 President Address “Sticky Floors and Glass Ceilings” Dr. Louise P. King on Gynecologic Surgeons Unscrubbed Part 1, Part 2

Welcome to the second part of this two-part episode; Dr. Cara King speaks with Dr. Matthew Barker, a Board Certified in Obstetrics & Gynecology and Female Pelvic Medicine & Reconstructive Surgery. He is the Director of Female Pelvic Medicine and Reconstructive Surgery at Avera Health. For 12 years at the University of South Dakota, Matthew has been a Professor of Urogynecology and Reconstructive Pelvic Surgery in the Departments of Obstetrics & Gynecology, Internal Medicine, and Neurosciences.    In this episode, Matthew opens up on his journey into private medical practice in South Dakota, how he ended up having an idea for a full APP course, and how he engages his team in creating a meaningful culture at work.   Tune in!   During this episode, you will learn about; [01:55] How the APP course came into being and its mission [06:47] Allowing APPs to work in your clinic is the starting point of medical magic  [08:16] Available resources you can use to measure the level of your APPs mastery [10:36] The noble and incomparable roles of medical practitioners to the society [12:27] Matt's Piano lessons and his hobbies [18:34] Ending show Connect With Dr. Matthew Barker  Website: https://www.avera.org/ Twitter: https://twitter.com/MA_BARKER_MD LinkedIn: https://www.linkedin.com/in/matthew-a-barker-m-d-f-a-c-o-g-313971/  

The world of healthcare is evolving, and it is important to keep up with the changes in the industry. Advanced Practice Providers (APPs) play a big role in this evolution. Welcome to the first part of this two-part episode; Dr. Cara King speaks with Dr. Matthew Barker, a Board Certified in Obstetrics & Gynecology and Female Pelvic Medicine & Reconstructive Surgery. He is the Director of Female Pelvic Medicine and Reconstructive Surgery at Avera Health. For 12 years at the University of South Dakota, Matthew has been a Professor of Urogynecology and Reconstructive Pelvic Surgery in the Departments of Obstetrics & Gynecology, Internal Medicine, and Neurosciences.  In this episode, Matthew opens up on how he incorporates Advanced Practice Providers (APPs) into his clinic as well as into his operating room, how his mother inspired his advocacy for women's wellness, and the importance of connecting with our patients. Tune in!   During this episode, you will learn about; [01:30] Meet our today's guest, Dr. Matthew Barker [04:22] How many APPs, how he efficiently trains and integrates them  [05:38] How he transitioned APPs from clinics to the operating room [07:21] The process of training APPs for surgery procedures  [09:47] Why do you need an APP for your healthcare organization's success? [10:56] How Matt manages the operations of APPs when in the operating room  [12:28] Billing and reimbursement tips for APPs [16:08] The importance of connecting with our patients [20:20] How Matt started living in South Dakota [21:55] Medical practice vs. furthering his education after graduation [25:36] It's okay to be nervous in the operating room [27:12] First time experiences and anxiety into medical practice [29:37] Preparation tips before doing surgery or operating room [32:56] Ending Show   Connect With Dr. Matthew Barker  Website: https://www.avera.org/ Twitter: https://twitter.com/MA_BARKER_MD LinkedIn: https://www.linkedin.com/in/matthew-a-barker-m-d-f-a-c-o-g-313971/

In the second part of this two-part episode, Dr. Cara King continues her conversation with Dr. Louise P. King, an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and a Surgeon within the Division of Minimally Invasive Gynecologic Surgery at Brigham and Women's. Lousie dives into the importance of appropriate reimbursement for gynecologic procedures as well as action items to help close these gaps. She also discusses the difficulties in navigating the medical system, especially for endometriosis care from the patient's perspective.   Resources: SGS Annual Course in Advanced Gynecologic Surgery Surgeon volume and ethics with Dr. Louise P. King (Part 1) Endo What? Double Discrimination, the Pay Gap in Gynecologic Surgery, and Its Association With Quality of Care by Dr. Katie L. Watson and Dr. Louise P. King

In the first part of this two-part episode, Dr. Cara King speaks with Dr. Louise P. King, an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and a Surgeon within the Division of Minimally Invasive Gynecologic Surgery at Brigham and Women's. Louise opens up about what led her to switch careers from law into medicine. She also talks about the importance of critical thinking and the ethical considerations about disclosing volume to our patients.   Resources: Double Discrimination, the Pay Gap in Gynecologic Surgery, and Its Association With Quality of Care by Katie L. Watson and Louise P. King

In the second part of this two-part episode, Dr. Cara King continues her conversation with Shannon Cohn, a film producer and an advocate for endometriosis. Shannon opens up about her own personal struggles with endometriosis and how she subsequently has become an advocate for this disease through her films, Endo What, and her upcoming documentary, Below the Belt, coming out this fall. She also discusses how she has secured millions of research dollars for endometriosis through DOD funding and also the impact of her school nurse initiative, which is working to cut down the diagnosis time for endometriosis in adolescents.   Resources: Shannon Cohn on LinkedIn Endo What documentary Endo What website School Nurse Initiative Endo What on Twitter Endo What on Instagram Endo What on Facebook

In the first part of this two-part episode, Dr. Cara King speaks with Shannon Cohn, a film producer and an advocate for endometriosis. She is the producer and director of the documentary, Endo What, with a second film called Below the Belt coming out this fall. Shannon talks about her journey from international law into the graduate film program at NYU. She also shares where she finds her creativity and how her time in West Africa shaped her future.   Resources: Shannon Cohn on LinkedIn Endo What documentary Endo What website Endo What on Twitter Endo What on Instagram Endo What on Facebook Sliding Doors movie

In the second part of this two-part episode, Dr. Cara King continues her conversation with Janet Dombrowski. Janet discusses the importance of compassionate self-talk and provides insight on how to maintain momentum. She also teases her upcoming TeLinde Lecture at Society of Gynecologic Surgeons' 47th Annual Scientific Meeting.   Resources: SGS' 47th Annual Scientific Meeting

In this first part of a two-part episode, Dr. Cara King speaks with Janet Dombrowski. Janet talks about her career transition from nursing into coaching. She also discusses the importance of finding your why and the unique area of surgical coaching.   Resources: SGS' 47th Annual Scientific Meeting

In this second part of a two-part episode, Dr. Cara King continues her conversation with Dr. Mark Walters. Mark discusses maximizing educational impact during each case and the incorporation of new technology. He also shares his thoughts about integration of surgical coaching.   Resources: SGS' 47th Annual Scientific Meeting The Mark D. Walters Lectureship Fund

In this first part of a two-part episode, Dr. Cara King speaks with Dr. Mark Walters. Mark is the first endowed chair for the Society of Gynecologic Surgeons (SGS) and has his own lectureship fund that was established in 2020. He talks about what he’s been up to since his retirement from the Cleveland Clinic this past year and provides insight into being a surgical educator.    Resources: SGS’ 47th Annual Scientific Meeting The Mark D. Walters Lectureship Fund

In the second episode of a two-part series, Dr. Cara King continues her conversation with Dr. Jake Lauer, currently a Minimally Invasive Gynecologic Surgery (MIGS) fellow at Columbia University Irving Medical Center, to discuss his perspective piece, “The Future of the Gynecologic Surgeon: Rationale for and Steps toward Subspecialization of Complex Gynecologic Surgery.” Jake also dives into the history of the OBGYN profession and where he sees a subspecialization of MIGS moving in the future.   Resources: Dr. Jake Lauer on LinkedIn Dr. Jake Lauer on Twitter Dr. Jake Lauer on Instagram The Future of the Gynecologic Surgeon: Rationale for and Steps toward Subspecialization of Complex Gynecologic Surgery by Jacob K. Lauer, MD, MPH, FACOG and Arnold P. Advincula, MD, FACOG, FACS Gynecologic Surgeons Unscrubbed with Dr. Jake Lauer (Part 1)

In this first episode of a two-part series, Dr. Cara King talks to Dr. Jake Lauer, currently a Minimally Invasive Gynecologic Surgery (MIGS) fellow at Columbia University Irving Medical Center, about work transitions from residencies to fellowships into staff and vice versa. Jake talks about his unconventional transition from residency to an academic practice and back to his current fellowship. He shares what he has found challenging and surprises along the way.   Resources: Dr. Jake Lauer on LinkedIn Dr. Jake Lauer on Twitter Dr. Jake Lauer on Instagram The Future of the Gynecologic Surgeon: Rationale for and Steps toward Subspecialization of Complex Gynecologic Surgery by Jacob K. Lauer, MD, MPH, FACOG and Arnold P. Advincula, MD, FACOG, FACS Strava GPS Cycling and Running App

In this episode, Dr. Cara King continues her conversation with Dr. Cecile Ferrando, director of the transgender surgery and medicine program at The Cleveland Clinic. They discuss the difficult topics of coping with as well as reflecting on surgical complications, and how being a female in the operating room can have unique challenges. Listen as Cecile shares how she has taken her surgical practice to the next level through innovation.   Resources: Dr. Cecile Ferrando on Twitter Dr. Cecile Ferrando at the Cleveland Clinic Part 1 of the conversation with Dr. Cecile Ferrando Society of Gynecologic Surgeons (SGS) SGS 47th Annual Scientific Meeting

In the first episode of a two-part series, Dr. Cara King speaks with Dr. Cecile Ferrando, director of the transgender surgery and medicine program at The Cleveland Clinic, following International Transgender Day of Visibility on March 31. Cecile talks about her journey into reconstructive transgender surgery and how she prepared for her first few cases post-fellowship. She also discusses the importance of transparency with her patients.   Resources: Dr. Cecile Ferrando at the Cleveland Clinic Dr. Cecile Ferrando on Twitter

In this episode, Dr. Cara King speaks with Dr. Mathew Leonardi, an advanced gynecologic surgeon and sonologist (ultrasound specialist) at McMaster University Medical Centre in Hamilton, Canada. As March is Endometriosis awareness month, Mathew talks about advanced endometriosis imagery and how it impacts preoperative counseling, planning and intraoperative surgical intervention. He also talks about how he created his own path to get to where he is today. Listen as he shares how to build skills in advance sonography and incorporate this into residency as well as fellowship education.   Resources: Dr. Mathew Leonardi’s website Dr. Mathew Leonardi on Youtube “How to perform an ultrasound to diagnose endometriosis” by Dr. Mathew Leonardi IDEA (International Deep Endometriosis Analysis group) MUSA (Morphological Uterus Sonographic Assessment) International Ovarian Tumor Analysis (IOTA) Closing the communication loop between gynecological surgeons, diagnostic imaging experts and pathologists in endometriosis: building bridges between specialties by Dr. Mathew Leonardi, Dr. Mercedes Espada and Dr. George Condous

In this episode, Dr. Cara King speaks with Dr. Linda Bradley, Professor of Surgery at the Cleveland Clinic Lerner College of Medicine at Case Western Reserve University. Dr. Bradley is the first female African American surgeon to join the staff over 25 years ago and is the Medical Director of the American Association of Gynecologic Laparoscopists (AAGL). She talks with Dr. King about her upbringing in Cleveland and how she integrates her family into her work life. She also talks about her passion for cooking. Listen as she shares how to encourage more Black men and women to enter the medical profession and how to make the most out of a mentorship.   Resources: The Warmth of Other Suns by Isabel Wilkerson Coach Sam's Inner Circle Foundation Celebrate Sisterhood American Association of Gynecologic Laparoscopists (AAGL) 2018 Celebrate Sisterhood Flavor Over Fat: Cooking Made Simple! Cookbook

In this episode, Dr. Cara King speaks with LaShyra “Lash” Nolen, a medical student at Harvard Medical School and the school’s first Black woman student council president. Lash talks about the systemic racism she has seen during her medical education and what motivated her to address it through writing with her first article, “How Medical Education Is Missing the Bull’s-eye.” She also shares what advice she would give to young Black students interested in medicine as well as her thoughts on how healthcare professionals can use their position to help change these deep rooted issues within the institution.   Resources:   "How Medical Education Is Missing the Bull’s-eye" by LaShyra Nolen ACCEM Becoming by Michelle Obama LaShyra Nolen’s website LaShyra Nolen on Twitter

On June 29, 2020, Dr. Cara King (@drcaraking) hosts Beri Ridgeway, MD (@beridgeway), Associate Chief of Staff, Cleveland Clinic. They discuss: Reactivating services at the Cleveland Clinic Decision making for re-opening Space studies and design COVID testing for surgery Capacity for COVID testing Ongoing plans if COVID rate increases Better understanding virtual care being provided Reimbursement for telehealth visits Cleveland Clinic’s surgical reactivation workflow Antibody testing for COVID at Cleveland Clinic This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking @beridgeway For more MDedge Podcasts, go to mdedge.com/podcasts

Dr. Cara King (@drcaraking) hosts women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD). Dr. Evans is Assistant Professor, Tufts University School of Medicine, and Associate Program Director, Department of Obstetrics and Gynecology, Tufts Medical Center. They discuss:  How GME is funded Growth in resident training  GME caps for hospitals CMS’s GME programs Projected physician shortage Increased enrollment in medical schools Resident Physician Shortage Reduction Act of 2019 Opioid Workforce Act of 2019 This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD For more MDedge Podcasts, go to mdedge.com/podcasts

Dr. Cara King (@drcaraking) hosts surgical researcher and educator Caprice Greenberg, MD, MPH, Professor, Department of Surgery, Division of Surgical Oncology, and Morgridge Distinguished Chair in Health Services Research.  They discuss:  Intraoperative surgical performance and the attending surgeon’s role in outcomes Applying engineering factors to surgical performance  Surgical coaching: Proof of concept Differences in surgical mentors, teachers, and coaches Attributes of good surgical coaches Identifying surgeons who will be good coaches Creating a culture change to allow coaches in surgery Matching coachees with coaches The Academy for Surgical Coaching and its goals Video-based platforms for interactive surgical coaching Video-based surgical assessment  The Academy for Surgical Coaching’s summer 2020 summit  Resources Academy for Surgical Coaching  This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD For more MDedge Podcasts, go to mdedge.com/podcasts

Dr. Javier Magrina joins host Dr. Cara King (@drcaraking) live at the 2019 annual AAGL conference. Other experts join in the discussion, including Pouran Malekzadeh, MD; Laura Cano, MD; Rashad Pasic, MD; and Luis Gonzalez, MD.  They discuss:  Dr. Magrina’s path to pelvic surgery The creation of ObGyn as a specialty 130 years ago Limitations of low-volume surgeries  General ObGyn residency programs vs tracking residency programs What the United States can learn from other countries When to incorporate experts from other specialties into pelvic surgery Video review of surgery, and it role in evaluating surgical skill Subspecializing in surgery Assessing residents for surgical expertise What makes a good mentor?  Dr. Magrina’s most influential mentors What can a mentee do to enhance the relationship with a mentor?  Dr. Magrina’s advice to the graduating resident Views from podcast listeners on, “Should the OB be separated from the GYN?” This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking  For more MDedge Podcasts, go to mdedge.com/podcasts

On March 27, 2020, Dr. Cara King (@drcaraking) hosts Beri Ridgeway, MD, (@beridgeway) Institute Chair, Department of Obstetrics and Gynecology and Women’s Health, Cleveland Clinic. They discuss: Ohio’s state of affairs regarding COVID-19 Testing sites and tests completed to date Who can be tested for COVID-19, based on allocation of resources and underlying conditions The virtual approach to testing using telephones, FaceTime, and Google Duo Insurance coverage of virtual visits and charity care In-patient and out-patient visitation policy and hospital entrance checkpoints Wearing masks: current evidence-based approach COVID-19 modeling for Cleveland Clinic: contingency plans for worst-case scenarios Reducing nonessential operations COVID-19 preparations with many unknowns Elective surgeries: the slowdown of operations Supertracking GYN and early OB patients in a COVID-19 hot zone Redeployment strategy for now low-volume providers, including ObGyns Supporting staff emotionally * * * This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking @beridgeway For more MDedge Podcasts, go to mdedge.com/podcasts

On March 27, 2020, Dr. Cara King (@drcaraking) hosts Jonathan Dort, MD (@JonathanDort1), Vice Chairman for Education in the Department of Surgery; Program Director, General Surgery Residency; and Director, Minimally Invasive Surgery at Inova Medical Group, Falls Church, Virginia They discuss: SAGES’ COVID-19 resources Assumptions being made about viral transmission during laparoscopic surgery Should surgical patients be tested pre-surgery for COVID-19? PPE for the surgical and anesthesia team in the operating room Reducing operating teams to required personnel Optimizing filtration systems Which surgical cases are nonessential Use of masks in the OR COVIDsurg: Conoravirus global collaboration on surgical experience with COVID-19 Safety for residents and INOVA’s educational shift A new way of conducting grand rounds Working out virtual visit kinks for attendings and residents GME start date of July 1: Should it be pushed? * * * Resources SAGES COVID-19 resources CDC Recommended Guidance for Extended Use and Limited Reuse of N95 Filtering Facepiece Respirators in Healthcare Settings Globalsurg.org/COVIDsurg * * * This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking @JonathanDort1 @MeganEvansMD For more MDedge Podcasts, go to mdedge.com/podcasts

On March 27, 2020, Dr. Cara King (@drcaraking) hosts Sarah Cohen, MD, MPH, Division of Minimally Invasive Gynecologic Surgery, Mayo Clinic, Rochester, Minnesota They discuss: AAGL guidelines – starting the discussion Global collaboration among AAGL and other societies to craft guidelines Potential viral spread during laparoscopic surgery Potential viral spread during open procedures Thinking outside of the box (minilaps and vaginal hysterectomy) COVID-19 testing in surgical patients – what is possible today Universal chest CT before surgery? Recommended PPE for the OR Rethinking MIGS surgical steps to optimize for infectious disease Ideal surgical masks for the OR Ongoing updates to AAGL joint statement guidance Reliance on global colleagues * * * Resources COVID-19: Joint Statement on Minimally Invasive Gynecologic Surgery * * * This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking For more MDedge Podcasts, go to mdedge.com/podcasts

On March 27, 2020, Dr. Cara King (@drcaraking) hosts Vicki Reed, MD, (@ReedVickiMD) Residency Program Director, Department of Obstetrics and Gynecology, and Vice Chair, Education, Cleveland Clinic They discuss: Cleveland Clinic’s unique ObGyn residency program Resident prep for treating COVID-19 patients Online learning resources Resident participation in virtual visits Redeploying residents in a pandemic setting Work-hour requirements The impact to residents long-term Opportunities in competency-based education Involvement of medical students Ongoing emotional support Potential for pushing back the academic year * * * Resources Academy of Pelvic Surgery Rosh Review Open access SGS Video Library SurgeryU APGO CREOG * * * This podcast is developed in collaboration with the Society of Gynecologic Surgeons Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeObGyn @drcaraking @ReedVickiMD For more MDedge Podcasts, go to mdedge.com/podcasts

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

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

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

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

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

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

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

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.