First Preliminary ProgramTransforming Reproductive Medicine Worldwide               OCTOBER 12 - 17, 2013         Photogra...
Welcome to Boston!Boston is more vibrant than ever! New green spaces are sprouting up all over, and a revitalized waterfro...
NIGHT MUSEUM          AT         THE                        OF SCIENCE                                    BOSTON • MA     ...
Exciting events coming   your way in 2013!Get a step ahead!          Make plans now to participate in the          4th ann...
IFFS/ASRM WELCOME                                Dear Colleagues,                                                         ...
IFFS/ASRM CONJOINT MEETING               PROGRAM PLANNING COMMITTEE                                   IFFS SCIENTIFIC COMM...
IFFS OFFICERS AND BOARD OF DIRECTORS 2010 - 2013                                          IFFS OFFICERS                   ...
IFFS/ASRM Annual Meeting Policies and DisclaimersCANCELLATION POLICYThe International Federation of Fertility Societies an...
Registration & Meeting Information                                        How to Register    8 Register online @ www.asrm....
Registration Information     Book in the IFFS/ASRM Housing Block and           save $50 off Registration fees!      Indivi...
Registration InformationPOSTGRADUATE COURSE REGISTRATION FEES                             SCIENTIFIC PROGRAM REGISTRATION ...
Housing Information             Book in the IFFS/ASRM Housing Block and                  SAVE $50 off Registration fees! T...
2013 IFFS/ASRM CONJOINT MEETING13                                       Boston Hotel Map
Disclosure Statements/Conflict of Interest Policy                                                  2013 IFFS/ASRM Conflict...
Postgraduate Program                                                                        One-Day Courses               ...
46TH ANNUAL POSTGRADUATE PROGRAM1.	 Demonstrate correct coding of diagnostic conditions that are typically encountered in ...
46TH ANNUAL POSTGRADUATE PROGRAM                                    CRYOPRESERVATION OF REPRODUCTIVE CELLS AND TISSUES:   ...
46TH ANNUAL POSTGRADUATE PROGRAM                                   BRIDGING THE GAP BETWEEN SCIENCE AND CLINICAL CARE IN  ...
46TH ANNUAL POSTGRADUATE PROGRAMACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participa...
46TH ANNUAL POSTGRADUATE PROGRAM                            THE ART OF GENETICS: REPRODUCTIVE GENETICS IN THE ART SETTING ...
46TH ANNUAL POSTGRADUATE PROGRAM                                        THIRD PARTY REPRODUCTION IN THE UNITED STATES:    ...
46TH ANNUAL POSTGRADUATE PROGRAM                                                                  One-Day Courses         ...
46TH ANNUAL POSTGRADUATE PROGRAMLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Exp...
46TH ANNUAL POSTGRADUATE PROGRAMACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participa...
46TH ANNUAL POSTGRADUATE PROGRAMACGME CompetencyMedical knowledgeLEARNING OBJECTIVESAt the conclusion of this course, part...
46TH ANNUAL POSTGRADUATE PROGRAM               GLOBAL FAMILY PLANNING: THE KEY TO ACHIEVING MILLENNIUM DEVELOPMENT GOALS  ...
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013
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69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013

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69th American Society for Reproductive Medicine (ASRM) Annual Meeting 2013

  1. 1. First Preliminary ProgramTransforming Reproductive Medicine Worldwide OCTOBER 12 - 17, 2013 Photographs courtesy of the Greater Boston Convention & Visitors Bureau
  2. 2. Welcome to Boston!Boston is more vibrant than ever! New green spaces are sprouting up all over, and a revitalized waterfront has added to the city’salready dynamic downtown neighborhoods. These developments are thanks in part to the city’s Big Dig project, which is nowcomplete. Additionally, Logan International Airport’s recent upgrades are making it easier than ever to get in and out of the city, andnew sights and attractions are providing more for everyone to see and do while in Boston.Boston’s Waterfront has become an idyllic setting for watching sailboats and ferries glide in and out of the harbor and an excellentdestination for classic New England seafood restaurants.Boston’s Rose Kennedy Greenway consists of three parks and a total of 30 acres of beautiful, tree-lined corridors. Visitors will findmore than 900 trees, public art, fountains and great places for exercise or contemplation. In the works for the Greenway are the BostonMuseum Project, which will focus on the last 200 years of Boston history, and The New Center for Arts and Culture, which willpresent a variety of dance performances, films, music, lectures and art.The new 44-mile Boston HarborWalk includes the downtown Boston waterfront and continues north and south along wharves, piers,museums, historic forts, bridges, beaches and shoreline from Chelsea Creek to the Neponset River. The HarborWalk also connects tonew and existing trails: The Freedom Trail, the new Walk To The Sea, the Emerald Necklace, the Charles River Esplanade, the RoseKennedy Greenway, and in the future, the South Bay Harbor Trail.The one-mile Walk To The Sea is a Beacon Hill-to-the-waterfront marked walkway. Beginning at the Massachusetts State House, thevisitor learns about the four centuries of maritime history from Beacon Hill to State Street to the 18th century Long Wharf.Constructed from dirt excavated from the Big Dig’s extensive network of tunnels, Spectacle Island in Boston Harbor features amarina, visitor center, sandy beaches and five miles of walking trails that lead to the crest of a 157-foot hill offering panoramic viewsof the harbor and the city. Visitors are welcome from dawn to dusk during the summer months. Passenger ferry service is availablefrom Boston.Chinatown Park, a beautiful parcel of land in Chinatown, is populated by bamboo trees, azaleas, stones and a peaceful stream. Thenew park is situated at the south end of the Greenway and is the perfect place to experience the Chinese ideal of Feng Shui, followedby an authentic dim sum meal.History around every corner, and so much more! Boston’s rich art, music and dance institutions, theatre and cultural attractions,distinguished dining and nightlife venues, world-class shopping and championship sports teams make it a unique place for travelers tovisit. The city’s downtown neighborhoods offer endless unique experiences and its proximity to other must-see sites all around NewEngland make it one of the country’s most diverse and exciting locales.Here in Boston, visitors are never at a loss for things to do. The many museums, concert halls, theaters and nightclubs are alwaysshowcasing great talent and events. There’s the internationally acclaimed Museum of Fine Arts, the Museum of Science, New EnglandAquarium and the John F. Kennedy Presidential Library & Museum. Beyond the museum scene, there’s the world-famous BostonSymphony Orchestra and Boston Pops, local and pre-Broadway theater, distinctive dining, endless opportunities for shopping andsightseeing, and a year-round calendar of special events and celebrations.Boston is home to a grand tradition of sporting excellence. This is where storied franchises such as the Red Sox (2004 and 2007World Series Champions), the Celtics (2008 World Champions), the Bruins, and the New England Patriots (2001, 2003 and 2004Super Bowl champions) all play their games. Visiting sports fans can’t help getting caught up in the enthusiasm.In addition to everything within the city limits, some of Massachusetts’ most scenic and historic towns are just a short distance fromthe city center. There are sights to see at every turn. Cambridge is often referred to as “Boston’s Left Bank” with an atmosphere —and attitude — all its own. It’s the spirited, slightly mischievous side of Boston, just a bridge away on the other side of the CharlesRiver. Packed with youthful vitality and international flair, it’s a city where Old World meets New Age in a mesmerizing blend ofhistory and technology. As the East Coast’s leading hub for high tech and biotech, Cambridge has a creative, entrepreneurial spirit. Itis also the birthplace of higher education in America. Harvard College was founded in 1636, and across town, Massachusetts Instituteof Technology (MIT) is known as the epicenter of cyberculture. Both universities house renowned museum collections and toursthat are open to the public. As a captivating, offbeat alternative to Boston’s urban center, the “squares” of Cambridge are charmingneighborhoods rich in eclectic shopping, theaters, museums and historic sites. Cambridge also offers a tantalizing array of diningoptions for the visitor with a sophisticated palate. Information on Boston provided by the Greater Boston Convention and Visitors Bureau 2
  3. 3. NIGHT MUSEUM AT THE OF SCIENCE BOSTON • MA MIX, MINGLE & BE BLINDED BY SCIENCE! Wednesday, October 16, 2013 7:00 pm - 9:00 pm Tickets $125 Explore Bostons Museum of Science Heavy hors doeuvres • Beer • Wine Transportation will be provided.
  4. 4. Exciting events coming your way in 2013!Get a step ahead! Make plans now to participate in the 4th annual ASRM 5k Run & 1 mile Walk Monday •October 14, 2013 Boston, MA
  5. 5. IFFS/ASRM WELCOME Dear Colleagues, INSIDE I write as President of the International Federation of Fertility Societies (IFFS) to invite you to our 21st World Congress to be held conjointly with the American Society for Reproductive Medicine (ASRM), one of our very senior member societies, in Boston on October 12-17, 2013. It is a pleasure for IFFS to thank Dr. Linda Giudice and the ASRM WELCOME TO BOSTON . . . . . . . . . . . 2 staff for their co-operation and help to IFFS over the past three years. MUSEUM NIGHT . . . . . . . . . . . . . . . . 3 Building on the strong foundation of the 2010 IFFS World Congress in Munich, our last Triennial Congress, features such as OPENING CEREMONY & regional sessions and live surgery have been incorporated into the NETWORKING EVENT . . . . . . . . . . . . . . 4 2013 program. The Regional Sessions are planned and presented by ASRM 5K RUN INFORMATION . . . . . . 4 David Healy, M.D., Ph.D. IFFS member societies, most often in the language of their country. IFFS President 2010-2013 IFFS/ASRM WELCOME . . . . . . . . . . . . 5 For those who are unfamiliar with IFFS, the Federation wasfounded in 1951 with an educational mission. Each year IFFS conducts workshops in selected cities IFFS/ASRM CONJOINTin underdeveloped countries, sponsors a Symposium in its International Series on topics of regional MEETING PROGRAMconcern, and every three years holds a World Congress. Today more than 70 national societies from PLANNING COMMITTEE . . . . . . . . . . . 6around the globe are members of the Federation. Our 2013 Program Chair, Dr. Basil Tarlatzis, and his colleagues, have crafted an exciting program IFFS OFFICERS ANDfor Boston using the trilogy structure, the hallmark of past IFFS World Congresses. BOARD OF DIRECTORS . . . . . . . . . . . 7So mark October 12 -17, 2013, in all your diaries and electronic devices now - you will never, ASRM OFFICERS ANDnever know how good Boston is if you never, never go! BOARD OF DIRECTORS . . . . . . . . . . . 7Sincerely, IFFS/ASRM ANNUAL MEETING POLICIES & DISCLAIMERS . . . . . . . . . 8Dr. David Healy, FRANZCOG, FRCOG, Ph.D. REGISTRATION & MEETINGIFFS President 2010 -2013 INFORMATION . . . . . . . . . . . . . . . . 9-11 As President-elect of the American Society for Reproductive HOUSING INFORMATION . . . . . . 12-13 Medicine (President 2012-2013), I enthusiastically welcome you to the 69th Annual Meeting of the ASRM conjoint with the 21st DISCLOSURE STATEMENTS & Meeting of the International Federation of Fertility Societies (IFFS) CONFLICT OF INTEREST POLICY . . .14 in Boston, Massachusetts, October 12-17, 2013. Serdar Bulun and POSTGRADUATE the ASRM Scientific Program Committee along with Basil Tarlatzis PROGRAM . . . . . . . . . . . . . . . . . . 15-30 and the IFFS Scientific Committee have put together a phenomenal program, along with Anuja Dokras for the Postgraduate Program FUTURE ASRM MEETING DATES . . . 30 and Steven Palter for the Video Program. NEEDS ASSESSMENT & As a conjoint meeting, we have extended the program by one LEARNING OBJECTIVES . . . . . . . . . 31 day to accommodate additional interactive poster sessions, the traditional IFFS trilogies, and regional meetings for our international IFFS/ASRM 2013 societies. The theme of our conjoint meeting is “Transforming CONJOINT MEETING GRID . . . . . . . 32Linda C. Giudice, M.D., Ph.D. Reproductive Medicine Worldwide,” and we have planned plenaryASRM President 2012-2013 lectures by international luminaries addressing state-of-the-art issues SCIENTIFIC PROGRAMin reproductive medicine and science. DAILY SCHEDULE . . . . . . . . . . . . . 33-38 We shall continue to have roundtables, videos, interactive sessions, symposia, and the popular MENOPAUSE DAY . . . . . . . . . . . . . . . 39sessions focused on menopause and contraception. During the 2013 meeting, we also plan hands-onrobotic and other surgical intensives, and to focus more broadly on global applications of infertility SURGERY DAY . . . . . . . . . . . . . . . . . . 40therapies and reproductive health in low resource settings. CONTRACEPTION DAY . . . . . . . . . . . 41 As a conjoint meeting, our U.S. and international members will join the membership of theIFFS in reaching out to specialists in reproductive medicine worldwide to learn from each other SPOUSE/GUEST PROGRAM . . . . . . . 41about issues that are unique in different parts of the world and those that are common to us all. PLENARY SESSIONS . . . . . . . . . . 42-43This conjoint meeting provides an opportunity to learn the latest research in the oral and posterpresentations and other venues. Our many special interest and professional groups within ASRM TRILOGIES . . . . . . . . . . . . . . . . . . . 44-49will be presenting data that can be considered by all. ASRM MORNING SYMPOSIA . . . . . . . 50 The Conjoint meeting of the IFFS/ASRM in Boston 2013 will provide an opportunity to learn,to see old friends, meet new friends, and see the world of reproductive medicine through a new ASRM AFTERNOONlens. We are developing a social program for all in Boston, a vibrant city with great historical SYMPOSIA . . . . . . . . . . . . . . . . . . 51-52significance in the U.S. and globally. I look forward to seeing you in Boston in 2013, as we allparticipating in the process of “Transforming Reproductive Medicine Worldwide!” INTERACTIVE SESSIONS . . . . . . 53-56 SMRU MINI-SYMPOSIA . . . . . . . . . . . 56Sincerely, VIDEO SESSIONS . . . . . . . . . . . . . . . 56Linda C. Giudice, M.D., Ph.D. WRITE THE NEXT CHAPTERASRM President 2012-2013 CONTRIBUTION OPPORTUNITIES . . 59 5
  6. 6. IFFS/ASRM CONJOINT MEETING PROGRAM PLANNING COMMITTEE IFFS SCIENTIFIC COMMITTEE Basil Tarlatzis (Greece), Chair Joe Leigh Simpson (USA), President Elect Liselotte Mettler (Germany), 2010 Chair Local SC Linda Giudice (USA), 2013 Congress Chair Serdar Bulun (USA), 2013 Chair Local SC Dhiraj Gada (India), 2016 Congress Chair Narendra Malhotra (India), 2016 Chair Local SC Richard Kennedy (UK), Secretary General, ex officio member Paul Devroey (Belgium), Director of Medical Education, ex officio member David Healy, IFFS President IFFS SCIENTIFIC COMMITTEE MEMBER SOCIETIES Brazilian Society of Human Reproduction Artur Dzik British Fertility Society Sue Avery Finnish Gynecological Association Antti Perheentupa Japan Society of Reproductive Medicine Minoru Irahara Fertility Society of Australia Cynthia Farquhar Korean Society for Reproductive Medicine Seok Hyun Kim American Society for Reproductive Medicine Alan DeCherney (ex officio) American Society for Reproductive Medicine Andrew La Barbera (ex officio) American Society for Reproductive Medicine Robert Rebar (ex officio) ASRM SCIENTIFIC AND POSTGRADUATE PLANNING COMMITTEES Linda C. Giudice, M.D., M.S., M.Sc., Ph.D., ASRM President Serdar E. Bulun, M.D., Scientific Program Chair Lawrence C. Layman, M.D., Interactive Sessions Chair Kurt T. Barnhart, M.D., Roundtable Program Chair Anuja Dokras, M.D., Ph.D., Postgraduate Program Chair Lisa M. Halvorson, M.D., Postgraduate Program Co-Chair Bradley J. Van Voorhis, M.D., Postgraduate Program Coordinating Chair G. David Ball, Ph.D., Society for Assisted Reproductive Technology Program Chair Kurt T. Barnhart, M.D., Society for Reproductive Endocrinology and Infertility Program Chair Paul J. Turek, M.D., Society for Male Reproduction and Urology Program Chair Grace M. Janik, M.D., Society of Reproductive Surgeons Program Chair Nidhi Desai, J.D., Legal Professional Group Program Chair Claudia Pascale, Ph.D., Mental Health Professional Group Program Chair Deborah L. Jaffe, B.S.N., Nurses’ Professional Group Program Chair Thomas G. Turner, M.S., Society of Reproductive Biologists and Technologists Program Chair Joseph J. Travia, Jr., B.S., M.B.A., Association of Reproductive Managers Program Chair Catherine Racowsky, Ph.D., Ad Hoc Member Marcelle I. Cedars, M.D., Ad Hoc Member Robert E. Brannigan, M.D., Ad Hoc Member Robert W. Rebar, M.D., ASRM Executive Director Andrew R. La Barbera, Ph.D., H.C.L.D., ASRM Scientific Director C. Lee Hutchison, M.A., ASRM Scientific Program Coordinator Penelope Fenton, M.A., ASRM Postgraduate Program Coordinator ASRM VIDEO COMMITTEE Steven F. Palter, M.D., Chair Tien-cheng A. Chang, Ph.D. Marius Meintjes, D.V.M., Ph.D. Tommaso Falcone, M.D. Dana A. Ohl, M.D. Emilio Fernandez, M.D. David L. Olive, M.D. Antonio R. Gargiulo, M.D. Marc P. Portmann, M.T. Arik Kahane, M.D. Togas Tulandi, M.D. Philip S. Li, M.D. Paul J. Turek, M.D. Stephen R. Lindheim, M.D. 6
  7. 7. IFFS OFFICERS AND BOARD OF DIRECTORS 2010 - 2013 IFFS OFFICERS David Healy (Australia), President Joe Leigh Simpson (USA), President Elect Richard Kennedy (UK), Secretary General Gabriel de Candolle (Switzerland), Assistant Secretary General Edgar Mocanu (Ireland), Treasurer Mauricio Abrao (Brazil), Assistant Treasurer Basil Tarlatzis (Greece), Past President Paul Devroey (Belgium), Director of Medical Education IFFS BOARD OF DIRECTORS AND THEIR MEMBER SOCIETIES American Society for Reproductive Medicine G. David Adamson 2007-2016 Argentine Society for Reproductive Medicine Marcos Horton 2010-2019 Colombian Association of Fertility and Jose Ignacio Madero 2004-2013 Reproductive Medicine Fertility Society of Australia Ossie Petrucco 2004-2013 German Society of Reproductive Medicine Tina Buchholz 2004-2013 Indian Society of Assisted Reproduction Dhiraj Gada 2010-2019 Japan Society of Reproductive Medicine Minoru Irahara 2007-2016 Jordanian Society for Fertility and Genetics Mazen El-Zibdeh 2010-2019 Swedish Society of Obstetrics and Gynecology Pietro Gambadauro 2007-2016 ASRM OFFICERS AND BOARD OF DIRECTORS 2012 - 2013 ASRM OFFICERS Linda C. Giudice, M.D., Ph.D., President Richard H. Reindollar, M.D., President-Elect Dolores J. Lamb, Ph.D., H.C.L.D., Immediate Past President Roger A. Lobo, M.D., Past President Catherine Racowsky, Ph.D., H.C.L.D., Secretary Stuart S. Howards, M.D., Treasurer ASRM BOARD OF DIRECTORS AND THEIR MEMBER SOCIETIES Marc Fritz, M.D. Nancy Brackett, Ph.D. Marcelle I. Cedars, M.D. Christos Coutifaris, M.D., Ph.D. Roger A. Lobo, M.D. Dolores J. Lamb, Ph.D., H.C.L.D. Steven Nakajima, M.D. (SREI) Grace Janik, M.D. (SRS) Grace Centola, Ph.D., , H.C.L.D. (SMRU) Thomas Turner, Jr., E.L.D., M.S. (SRBT) David Ball, Ph.D., H.C.L.D. (SART) ASRM EXECUTIVE DIRECTOR Robert W. Rebar, M.D. ASRM SCIENTIFIC DIRECTOR Andrew R. La Barbera, Ph.D., H.C.L.D. 7
  8. 8. IFFS/ASRM Annual Meeting Policies and DisclaimersCANCELLATION POLICYThe International Federation of Fertility Societies and the American Society for Reproductive Medicine reserve the rightto cancel this activity due to unforeseen circumstances. In the event of such cancellation, the full enrollment fee will bereturned to the registrant.REFUND/NON-ATTENDANCE POLICYCancellations received before or by September 12th will receive a full refund minus a $50 processing fee. Cancellationsreceived after September 12th will not be eligible for a refund.ADA STATEMENTThe International Federation of Fertility Societies and the American Society for Reproductive Medicine fully complywith the legal requirements of the ADA and the rules and regulations thereof. Accommodations for Disabilities: Pleasenotify the American Society for Reproductive Medicine, 1209 Montgomery Highway, Birmingham, Alabama, USA 35216,telephone 1-205-978-5000, a minimum of 10 working days in advance of the event if a reasonable accommodation for adisability is needed.EQUAL OPPORTUNITY STATEMENTThe International Federation of Fertility Societies and the American Society for Reproductive Medicine value and promotediversity among its members, officers and staff. The Societies prohibit discrimination toward any member or employee dueto race, color, religion, age, gender, sexual orientation, national origin, citizenship, disability, military status or other basisprohibited by law. IFFS and ASRM strive to achieve gender, racial and ethnic balance in hiring and governance. IFFS andASRM maintain policies, procedures and personnel actions that conform to the letter and spirit of all laws and regulationspertaining to equal opportunity and nondiscrimination in employment, appointments and elections to office.DISCLAIMER STATEMENTThe content and views presented in this educational activity are those of the faculty/authors and do not necessarily reflectthose of the International Federation of Fertility Societies and the American Society for Reproductive Medicine. Thismaterial is prepared based upon a review of multiple sources of information, but it is not exhaustive of the subject matter.Therefore, healthcare professionals and other individuals should review and consider other publications and materialson the subject matter before relying solely upon the information contained within this educational activity to make clinicaldecisions about individual patients. 8
  9. 9. Registration & Meeting Information How to Register 8 Register online @ www.asrm.org and receive immediate confirmation! ! On-site in Boston, MA Choices may be limited on-site. Pre-registration is recommended. On-Site Registration Desk: Boston Convention and Exposition Center Friday, October 11 . . . . . . . . . . . 2:00 p.m. – 7:00 p.m. Saturday, October 12 . . . . . . . . . 7:00 a.m. – 7:00 p.m. Sunday, October 13 . . . . . . . . . . 7:00 a.m. – 7:00 p.m. Monday, October 14 . . . . . . . . . . 7:00 a.m. – 5:00 p.m. Tuesday, October 15 . . . . . . . . . 7:00 a.m. – 5:00 p.m. Wednesday, October 16 . . . . . . . . 7:00 a.m. – 5:00 p.m. Thursday, October 17 . . . . . . . . . 7:00 a.m. – 1:00 p.m. Be Sure to Visit the Exhibit Hall Sunday, October 13 . . . . . . . . . 7:30 p.m.- 9:30 p.m. Monday, October 14 . . . . . . . . . 9:00 a.m.- 5:00 p.m. Tuesday, October 15 . . . . . . . . . 9:00 a.m.- 5:00 p.m. Wednesday, October 16 . . . . . . 9:00 a.m.- 5:00 p.m. Thursday, October 17 . . . . . . . . . . . . . . 9:00 a.m.- 12:00 p.m. For the safety of your child and in order to maintain the scientific nature of the display, no children under the age of 16 (except infants under 6 months of age carried in arms at all times) will be allowed in the Exhibit Hall. Strollers and infants in backpacks are not permitted in the Exhibit Hall or Poster Hall at anytime. 9
  10. 10. Registration Information Book in the IFFS/ASRM Housing Block and save $50 off Registration fees! Individual Registration for the 2013 IFFS/ASRM Annual Meeting opens April 30, 2012. Group Registration for the 2013 IFFS/ASRM Annual Meeting opens April 30, 2012. To register, visit: www.asrm.org and click on “Annual Meeting” and then “Register for 2013 Annual Meeting.” Use your 2013 IFFS/ASRM First Program as a guide in registering for the courses you wish to attend. For questions, please call (866) 471-7224 or (703) 449-6418 or email asrmregistration@jspargo.com. Register early to take advantage of discounted rates! Early Bird Deadline 7/12/2013 • Advanced Deadline 9/14/2013 Cancellations received before or by September 12, 2013 will receive a full refund minus a $50 processing fee. Cancellations received after September 12, 2013 will not be eligible for a refund.CERTIFICATE OF ATTENDANCEProof of attendance is available on request from J. Spargo at the registration desk. Continuing Education Credit informationis located in the front of the Postgraduate Course syllabi, and the Final Program and online.ADMISSION BADGESName badges will be issued for the Postgraduate and Scientific Programs and are required for admission. Spouse/guestbadges will be issued and are required for admission to spouse/guest activities and the Exhibit Hall.PHOTO/AUDIO/VIDEO RECORDINGPhotographing or audio/video recording of any session for personal or commercial purposes without permission isprohibited. 10
  11. 11. Registration InformationPOSTGRADUATE COURSE REGISTRATION FEES SCIENTIFIC PROGRAM REGISTRATION FEES Early Bird Advanced Onsite Early Bird Advanced Onsite By By After By By After 7/11/2013 9/12/2013 9/12/2013 7/11/2013 9/12/2013 9/12/2013ASRM Member (Doctoral) ASRM Member $595 $695 $795One 1-day course $320 $350 $380 (Doctoral) ASRM Member $495 $545 $595Two 1-day courses $580 $640 $700 (Non-Doctoral) ASRM Life Member $495 $545 $595One 2-day course $540 $600 $660 Fellow $495 $545 $595 (proof of status letter from chair/dept. head required)ASRM Member (Non-Doctoral)One 1-day course $220 $240 $260 Non- ASRM Member $795 $895 $995 (Doctoral)Two 1-day courses $400 $440 $480 Non- ASRM Member $495 $545 $595 (Non-Doctoral)One 2-day course $380 $420 $460 Team Member from $495 $545 $595 your Office/PracticeNon-ASRM Member (Doctoral)One 1-day course $380 $420 $460 Medical $250 $250 $250 Resident-In-TrainingTwo 1-day courses $680 $750 $820 Full-time Student $250 $250 $250 (Full-time medical students and full-time graduate students working toward first doctorate; Documentation required)One 2-day course $650 $720 $790 Developing Countries** $545 $620 $695Non- ASRM Member (Non-Doctoral) Spouse/Guest Program $100 $100 $100One 1-day course $270 $300 $330 (Spouse/Guest registration includes Opening Reception, Exhibit Hall, Plenary Sessions & Hospitality)Two 1-day courses $480 $530 $580 TICKETED EVENTSOne 2-day course $450 $500 $550 Roundtable Luncheons $50/day You may attend only one Roundtable Luncheon per day.Medical Resident-In-Training, Fellow, Team Member Women’s $30from your office/practice Council BreakfastOne 1-day course $220 $240 $260 Wednesday, October 16, 2013 at 7:30 a.m. Museum Night $125Two 1-day courses $400 $440 $480 Wednesday, October 16, 2013 at 7:00 p.m.One 2-day course $380 $420 $460 **Individuals from the following countries will receive a discounted rate on registration: Afghanistan, Bangladesh, Benin, Burkina Faso, Burundi, Cambodia, Central African Republic, Chad, Comoros,SRS Hands-on Postgraduate Courses Democratic Republic of the Congo, Eritrea, Ethiopia, Gambia, $300 additional charge will apply Guinea, Guinea-Bissau, Haiti, Kenya, Democratic Republic of Korea, Kyrgyz Republic, Liberia, Madagascar, Malawi, Mali, Mozambique, Myanmar, Nepal, Niger, Rwanda, Sierra Leone, Somalia, Tajikistan, Tanzania, Togo, Uganda and Zimbabwe Morning Poster Sessions Poster Sessions will be held on Tuesday, Wednesday, and Thursday mornings from 7:00 a.m. until 9:00 a.m. Complimentary continental breakfast will be available. No reservation is required. 11
  12. 12. Housing Information Book in the IFFS/ASRM Housing Block and SAVE $50 off Registration fees! To book housing for the 2013 IFFS/ASRM Annual Meeting, visit www.asrm.org Click on “Annual Meeting” and then the appropriate housing link. For questions, please call (866) 471-7224 or (703) 449-6418 or email asrmhousing@jspargo.com1. Boston Park Plaza 5. Hilton Boston Financial District 9. Seaport Hotel$285.00 Single (1 person/1 bed) $275.00 Single (1 person/1 bed) $299.00 Single (1 person/1 bed)$285.00 Double (2 people/1 bed) $275.00 Double (2 people/1 bed) $299.00 Double (2 people/1 bed) Double/Double Double/Double Double/Double$285.00 $275.00 $299.00 (2 people/2 beds) (2 people/2 beds) (2 people/2 beds)$305.00 Triple (3 people/2 beds) $295.00 Triple (3 people/2 beds) $324.00 Triple (3 people/2 beds)$325.00 Quad (4 people/2 beds) $315.00 Quad (4 people/2 beds) $349.00 Quad (4 people/2 beds)2. Boston Marriott Copley Place 6. Hyatt Regency Boston 10. Sheraton Boston$289.00 Single (1 person/1 bed) $275.00 Single (1 person/1 bed) $299.00 Single (1 person/1 bed)$289.00 Double (2 people/1 bed) $275.00 Double (2 people/1 bed) $299.00 Double (2 people/1 bed) Double/Double Double/Double Double/Double$289.00 $275.00 (2 people/2 beds) (2 people/2 beds) $299.00 (2 people/2 beds)$309.00 Triple (3 people/2 beds) $300.00 Triple (3 people/2 beds) $319.00 Triple (3 people/2 beds)$329.00 Quad (4 people/2 beds) $325.00 Quad (4 people/2 beds) $339.00 Quad (4 people/2 beds)3. Courtyard Boston Downtown/Tremont 7. Omni Parker House Hotel 11. Westin Boston Waterfront (Headquarters Hotel)$219.00 Single (1 person/1 bed) $249.00 Single (1 person/1 bed) $319.00 Single (1 person/1 bed)$219.00 Double (2 people/1 bed) $249.00 Double (2 people/1 bed) Double/Double $319.00 Double (2 people/1 bed) Double/Double$239.00 $249.00 (2 people/2 beds) (2 people/2 beds) Double/Double $319.00 (2 people/2 beds)$259.00 Triple (3 people/2 beds) $279.00 Triple (3 people/2 beds) $339.00 Triple (3 people/2 beds)$279.00 Quad (4 people/2 beds) $309.00 Quad (4 people/2 beds) $359.00 Quad (4 people/2 beds)4. Fairmont Copley Plaza 8. Renaissance Boston Waterfront 12. Westin Copley Plaza$297.00 Single (1 person/1 bed) $309.00 Single (1 person/1 bed) $319.00 Single (1 person/1 bed)$297.00 Double (2 people/1 bed) $309.00 Double (2 people/1 bed) Double/Double $319.00 Double (2 people/1 bed) Double/Double$297.00 $309.00 (2 people/2 beds) (2 people/2 beds) Double/Double $319.00 (2 people/2 beds)$327.00 Triple (3 people/2 beds) $329.00 Triple (3 people/2 beds) $339.00 Triple (3 people/2 beds)$357.00 Quad (4 people/2 beds) $349.00 Quad (4 people/2 beds) $359.00 Quad (4 people/2 beds) 12
  13. 13. 2013 IFFS/ASRM CONJOINT MEETING13 Boston Hotel Map
  14. 14. Disclosure Statements/Conflict of Interest Policy 2013 IFFS/ASRM Conflict of InterestHonorariaThe following speakers may receive Policy for Invited Speakershonoraria and/or discounted or free As a provider of continuing medical education (CME) accredited by theregistration: Accreditation Council for Continuing Medical Education (ACCME), the • Plenary Speakers American Society for Reproductive Medicine must ensure balance, • Postgraduate Course Faculty independence, objectivity and scientific rigor in all its educational activities. • Trilogy Speakers All presenters must disclose to the learners any commercial or financial • Symposia Speakers interests and/or other relationships with manufacturers of pharmaceuticals, • Interactive Session Speakers laboratory supplies and/or medical devices. All relationships, whether or not they directly apply to this CME event, must be disclosed. All non-FDAThe following speakers do not approved uses of products must be clearly identified. Disclosures may bereceive honoraria: made in the form of a slide, printed material, or oral statement. • Roundtable Presenters • Abstract Presenters The intent of this disclosure is not to prevent a speaker with a commercial or • Video Presenters financial interest from making a presentation. The intent is to assist ASRM in resolving conflicts of interest and to provide learners with information onDisclosure Statements which they can make their own judgments regarding any bias. AlthoughPostgraduate Faculty, Symposia ASRM reviews and resolves potential conflicts of interest, it remains for theSpeakers, Plenary Lecturers, Abstract audience to determine whether the speaker’s interests or relationships mayAuthors, Abstract Graders, Round- influence the presentationtable Presenters, Video Presenters, with regard to exposition or conclusion.and Interactive Speakers arerequired to disclose commercial Disclosures will be revealed to the learners. For postgraduate courses,relationships or other activities that disclosure information will be provided in the syllabus. For other activities,might be perceived as potential where no syllabus or other similar printed material is available, disclosuresconflicts of interest. must be made verbally to the audience by the speakers, preferably with the visual aid of a slide.Postgraduate course facultydisclosures will be listed in the course For those situations where there is no potential for conflict of interest, thesyllabi. portion of the form that so states should be completed. In those situations where a speaker does not complete a form or refuses to complete a form, theSymposium speakers’ disclosures will individual is ineligible to participate as a speaker in the CME activity.be presented in handout materials,as well as on slides.Disclosures from speakers in the Speakers should also reveal to the audience any “off label” usesPlenary Sessions, Interactive Sessions, (not approved by the FDA) of any drugs or products discussed.Roundtables, Videos and Symposiawill be published in the Final Program.Abstract authors’ disclosures will bepublished in the 2013 ProgramSupplement. Abstract authors’ disclosures are listed in the 2013 Program Supplement. Speakers in the Symposia and Interactive, Video, Roundtable and AbstractEach presenter should reveal his/her Sessions have also complied with ASRM policies and their disclosures are printeddisclosure information during his/her in the ASRM Final Program. The speaker should reveal this information duringpresentation, preferably with the his/her presentation, preferably with the visual aid of a slide.visual aid of a slide.Roundtable presenters shouldprovide a copy of their disclosureforms to the participants at their Continuing Medical Education andtable. Continuing Education Credits will be available. 14
  15. 15. Postgraduate Program One-Day Courses Saturday, October 12, 2013 46TH ANNUAL GLOBAL APPROACHES TO PREVENTING INFECTIONSPOSTGRADUATE IN THE ART LABORATORY: FROM THEORY TO PRACTICE Course PG1 (Saturday) PROGRAM Developed in Cooperation with the International Federation of Fertility Societies COMMITTEE FACULTY Deborah J. Anderson, Ph.D., Chair NEEDS ASSESSMENT AND COURSE DESCRIPTION Different regions of the world have different infections in the population that impact the CHAIR practice of assisted reproductive technologies. The challenge for laboratory and clinical staff Anuja Dokras, M.D., Ph.D. of ART clinics is to prevent transmission of infectious agents to the mother or gestational carrier and to the offspring of ART procedures. The objective of this live course is to train all CO-CHAIR members of the professional ART team to implement clinical and laboratory procedures to reduce the risk of transmission of infectious agents. Lisa M. Halvorson, M.D., Ph.D. ACGME Competency COORDINATING CHAIR Patient care Bradley J. Van Voorhis, M.D. LEARNING OBJECTIVES At the conclusion of this course, participants should be able to: 1. Summarize the prevalence and characteristics of concern in different populations around the world. WEEKEND COURSES 2. Design and implement practices to prevent infection in ART clinics in developed Dates: countries. Saturday, October 12TH 3. Discuss implementation of procedures to prevent infection in ART clinics in Sunday, October 13ST developing countries. Hours: 8:15 a.m.-5:00 p.m. CODING FOR REPRODUCTIVE MEDICINE PRACTICES 2013 Lunch is from Noon-1:00 p.m. Course PG2 (Saturday) Developed in Cooperation with the American Society for Reproductive Medicine Coding CommitteeCourses PG1-PG12 are one-day FACULTY courses on Saturday. John T. Queenan Jr., M.D., ChairCourses PG13-PG26 are one-day NEEDS ASSESSMENT AND COURSE DESCRIPTION courses on Sunday. Every reproductive medicine practice has a legal and ethical obligation to follow a specific set of rules and regulations that determine how reimbursements are calculated. Failure toCourse PG27 is a two-day course follow these rules can result in unfair practices to patients and/or legal consequences from government or third-party payers. The problem is those rules and regulations have become on Saturday and Sunday. so complex that most people cannot understand them without receiving special training. This live course, designed for physicians, practice managers, billers, office managers, sonographers, laboratory managers, and physician assistants, will include didactic lectures, panel discussions, case presentations and interactive question and answer sessions. Postgraduate Course The correct way to report diagnostic codes and select the appropriate procedure codes will be explained, with a focus on quality improvement and minimizing errors. Systems- Syllabi will be posted based resources available to aid in improving patient billing accuracy will be addressed, as will information technology resources that provide participants with the ability to continue online in updating their knowledge of correct coding in the future. Special attention will be given to September 2013. the upcoming changes in the International Statistical Classification of Diseases and Related Health Problems (ICD), 10th Revision. Printed copies will be distributed on-site. ACGME Competency Systems-based practice LEARNING OBJECTIVES At the conclusion of this course, participants should be able to: 15
  16. 16. 46TH ANNUAL POSTGRADUATE PROGRAM1. Demonstrate correct coding of diagnostic conditions that are typically encountered in the practice of reproductive endocrinology.2. Identify the correct Current Procedural Terminology (CPT) code for surgical procedures encountered in the practice of reproductive endocrinology and list additional resources available to aid with correct coding procedures in the future.3. Summarize the rules and regulations required by third-party payers regarding documentation guidelines to verify that physician services were rendered according to medical necessity and in accordance with the requirements of CPT.4. Describe the proper steps for successful verification or negotiation of coverage in obtaining third-party payer coverage for fertility services. COMPLICATIONS OF ART: IN SEARCH OF A HAPPY ENDING Course PG3 (Saturday)Developed in Cooperation with the Nurses’ Professional GroupFACULTYAngela Smith, N.P., ChairTamara M. Tobias, A.R.N.P., Co-ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONThe successful outcome of fertility treatment brings joy to many couples. Unfortunately, some treatments result in complications thatpresent complex issues and require special management strategies. These may include ovarian hyperstimulation syndrome (OHSS),ectopic pregnancy, pregnancy loss, multiple pregnancy and treatment failure. The decision to use third-party reproduction may be difficultand other psychological complications such as depression, isolation and relationship strain may add additional obstacles. Healthcareproviders must understand the problems that may occur, discuss treatment and management strategies, and recognize when referralsor other resources are needed. The factors that may prevent or reduce the risk of ovarian hyperstimulation syndrome and managementstrategies for ectopic and multifetal pregnancy will be addressed in this course. The psychological complications of pregnancy loss andtreatment failure will be examined. In addition, the psychosocial issues of third-party reproduction, depression, isolation and relationshipstressors will be explored. The goal of this live course is to increase the ability of nursing professionals to avoid potential complications offertility treatment and to provide patients with strategies to navigate their fertility journeys.      ACGME CompetencyPractice-based learning and improvementLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Discuss OHSS and various strategies to prevent this syndrome and the effectiveness of those strategies.2. Review the management and impact of an ectopic pregnancy.3. Explore the emotional influence of treatment failure and pregnancy loss. 4. Explain the unique issues confronting multifetal pregnancies and current treatment strategies.5. Examine the psychological implications of third-party reproduction, depression, isolation and relationship stressors which may ensue from fertility treatment. 16
  17. 17. 46TH ANNUAL POSTGRADUATE PROGRAM CRYOPRESERVATION OF REPRODUCTIVE CELLS AND TISSUES: REAL WORLD APPROACHES AND LABORATORY PEARLS Course PG4 (Saturday)Developed in Cooperation with the Society of Reproductive Biologists and TechnologistsFACULTYMarybeth Gerrity, Ph.D., M.B.A., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONCryopreservation of reproductive cells and tissues has been practiced for more than half a century. However, lack of consensus onbest practices has led to variable cryopreservation success rates that may hamper clinical utilization. While human sperm has beencryopreserved for decades, techniques such as oocyte vitrification are relatively recent technology breakthroughs. The learning curve forsome of these techniques can be steep and best practices for how to determine a laboratory’s competence to perform the procedures arestill evolving. As the types of patients who are candidates for cryopreservation procedures expand beyond fertility patients to include thosewith chronic diseases, it may not be feasible to mount multiple attempts at cryopreservation. Optimizing outcomes from the outset will becritical. Review of the Society for Assisted Reproductive Technology (SART) outcome statistics indicate the outcomes with cryopreservationof embryos vary by center, and strategies for assessing the cause of the variability must be developed before the technique is offered topatients who may have only one chance for a successful outcome (e.g., cancer patients). At the same time, long-term storage of thesefrozen cells and tissues presents challenges to long-term success. Cells formerly stored for several years may now be stored for decades.As frozen egg banks become more common, the lessons learned from years of sperm banking should not be lost and good tissue-bankingpractices must be implemented. Finally, experimental techniques that broaden the types of tissues that can be cryopreserved are in use atsome centers. Knowledge of these methods, including their strengths, weaknesses and limitations, is essential in determining if they aresafe and efficacious and ready to move into widespread use or should be reserved for specialized centers. This live course for laboratoryclinicians will cover current cryopreservation techniques and their application outside of infertility treatment, instituting competency-basedtraining in laboratories, and issues of long-term storage of cells and tissues.ACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Describe the scope of the clinical use of cryopreservation of reproductive tissues and cells outside of infertility treatment.2. Assess the best methods for cryopreservation according to tissue type, including factors that can limit success.3. Design a plan for competency-based training that can be instituted for each cell or tissue type.4. Discuss the unique technical, financial, logistical and regulatory challenges of long-term storage of reproductive cells and tissues.5. Compare and contrast the practice of long-term banking of anonymous sperm donors with that of egg donors and answer the question, “What can egg banks learn from sperm banks?” A SIMPLIFIED RISK-FREE IVF WITHOUT COMPROMISING OUTCOME Course PG5 (Saturday)Developed in Cooperation with the Middle East Fertility SocietyFACULTYMohamed Aboulghar, M.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONThe success of in vitro fertilization (IVF) is affected by patients’ reproductive status, the stimulation protocol and the quality of gametesand embryos. These parameters can vary greatly among IVF clinics. It is necessary to optimize the clinical and laboratory proceduresto ensure the highest quality embryos. This live course for physicians, nurses and laboratory staff of IVF clinics is designed to highlightthe latest medical evidence in assisted reproductive technology. The course will describe how to simplify the IVF procedure beginningwith stimulation protocols. The faculty will address minimal monitoring, newer options for triggering ovulation, assuring safety of IVF byprevention of ovarian hyperstimulation syndrome (OHSS) and multiple pregnancy, and simplifying the laboratory and freezing procedureswithout reducing the pregnancy rate.ACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Perform natural- and clomiphene-cycle IVF.2. Describe the soft protocols for ovarian stimulation in IVF.3. Explore newer options for triggering ovulation with minimum risk.4. Avoid OHSS in performing IVF.5. Discuss the benefits and risks of single-embryo transfer and cryopreservation. 17
  18. 18. 46TH ANNUAL POSTGRADUATE PROGRAM BRIDGING THE GAP BETWEEN SCIENCE AND CLINICAL CARE IN ENDOMETRIOSIS-RELATED INFERTILITY Course PG6 (Saturday)Developed in Cooperation with the Endometriosis Special Interest GroupFACULTYHugh S. Taylor, M.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONEndometriosis is a highly prevalent disease. However, there are many gaps in physicians’ competence to diagnose patients withendometriosis. This disease places a tremendous burden on society, both economically and related to quality of life. The principalmanifestations of this disease, which causes both infertility and chronic pain, mandate that all general gynecologists and subspecialistsbe involved in the care of these patients. This live course is designed to improve physicians’ competence in the medical and surgicalmanagement of endometriosis. Topics to be discussed include: pathophysiology of endometriosis-associated pain syndromes;pathophysiology of endometriosis-associated infertility; choosing an appropriate medical or surgical therapy; technical aspects of surgicalapproaches; in vitro fertilization (IVF) approaches, including pre-IVF optimization; and new genetic etiologies of endometriosis. Coherentsummaries with key learning points will be provided and reinforced during the session of case reports.ACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Discuss clinical implications of the pathophysiology of endometriosis in patients with infertility.2. Explain the new genetic etiologies for endometriosis and ways to identify those at risk.3. Describe the options for managing endometriosis before an IVF cycle.4. Summarize the optimal approach for an IVF cycle in a woman with endometriosis. ULTRASOUND IMAGING IN ART Course PG7 (Saturday)Developed in Cooperation with the American Institute of Ultrasound in Medicine and the Imaging in Reproductive Medicine Special Interest GroupFACULTYLaurel A. Stadtmauer, M.D., Ph.D., ChairTodd Deutch, M.D., Co-ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONUltrasound has become the most widely used and important tool in diagnosis and treatment of infertility. Ultrasound and ultrasound-guided procedures have become integral components not just of assisted reproductive technology (ART), but also in the day-to-daypractice of reproductive medicine, infertility and gynecology. 3-D ultrasound allows better imaging, as well as more accurate volumerendering. It has become the gold standard for the diagnosis of uterine anomalies, and may assist in more accurate follicular monitoringmeasurements. In 2009, new practice guidelines for ultrasound in reproductive medicine were published by the American Institute ofUltrasound in Medicine (AIUM) and in collaboration with the American Society for Reproductive Medicine (ASRM). Surveys of membersof the Society for Reproductive Endocrinology and Infertility, the Imaging Special Interest Group and ASRM have revealed a strong desirefor CME credits in ultrasonography that would prepare reproductive medicine professionals and gynecologists for accreditation by AIUM.In addition, there is an interest in training and credentialing reproductive nurses and nurse practitioners to perform limited ultrasounds inthe office. This live one-day course, designed to meet the needs of physicians and other healthcare providers who use gynecologic sonography,will fulfill CME requirements for AIUM credentialing. The objective of this course is to provide a comprehensive survey of the use ofultrasonography in the female pelvis for physicians, nurses and ultrasonographers actively involved in reproductive medicine, infertilityand gynecology. This course will emphasize the use of ultrasound in maximizing ART success and including follicular monitoring with 3-D sonographicautomatic volume calculation, assessment of the uterine lining during retrieval and embryo transfer in an evidence-based manner. Newertechnologies, such as 3-D ultrasound, Doppler and the use of CT- and MRI-guided procedures, will also be discussed, along with cost-effective current or potential applications. Participants will be encouraged to actively take part in case presentations and discussions ofcontroversies. Practical applications of the technology will be addressed along with case presentations, and participants will have theopportunity to manipulate 3-D images. 18
  19. 19. 46TH ANNUAL POSTGRADUATE PROGRAMACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Summarize the appropriate use of ultrasonography in the evaluation of infertility, uterine abnormalities and the pathology of the reproductive tract.2. Describe the proper assessment of early pregnancy and list findings on early pregnancy assessments that are associated with poor outcome.3. Discuss the importance of 3-D ultrasonography in reproductive medicine, and the importance of Doppler blood-flow assessment in reproductive medicine and gynecology.4. Evaluate the use of fallopian tube patency with ultrasound.5. Critically evaluate how ultrasound can maximize the success of ART. CRITERIA FOR WORLD-CLASS PERFORMANCE EXCELLENCE Course PG8 (Saturday)Developed in Cooperation with the Association of Reproductive ManagersFACULTYJoseph J. Travia, Jr., B.S., M.B.A., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONReproductive medicine facilities are confronted with more challenges than ever before from patients expecting world-class service andresults. With slower annual growth and a competing global economy, being good is no longer an option; patients want the best. Patientsare well informed through social media and other Internet resources, and their expectations for good outcomes continue to rise. Theirinitial selection of a clinic will be based on cutting-edge technology and published results. If patients remain with their initial selection,that decision will be based on the level of service they received during their first visit. Scientific breakthroughs continue to provide newopportunities for meeting the needs of assisted reproductive technology (ART) patients world-wide. This live course is designed for practitioners wanting to create a world-class experience for their patients through performance excellenceat every level of their organization. From creative leadership, strategic planning, patient focus, measurement, analysis and knowledgemanagement to work environment and employee engagement, this course will enable every participant to contribute significantly to theirpractices reach for excellence.ACGME CompetencySystems-based practiceLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Formulate the critical logistics of strategic planning and implementation, with a focus on patient recruitment and retention.2. Convert strategic objectives into action plans, along with key action plan indicators to measure competency and performance results in the practice.3. Provide a world-class work environment that promotes creative leadership and employee engagement.4. Determine the best, most competitive healthcare service offerings for the practice, and the most effective patient and stakeholder communication vehicles to market those opportunities.5. Measure, analyze, review and improve performance at all levels of the organization through the information already available in clinical, laboratory, and operations databases. 19
  20. 20. 46TH ANNUAL POSTGRADUATE PROGRAM THE ART OF GENETICS: REPRODUCTIVE GENETICS IN THE ART SETTING Course PG9 (Saturday)Developed in Cooperation with the Genetic Counseling Special Interest GroupFACULTYJill M. Fischer, M.S., C.G.C., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONReproductive genetics is an increasing part of the assisted reproductive technology (ART) practice. Daily, ART centers use geneticinformation when couples undergo ethnicity screening, when donors are screened and chosen for recipient couples, to determine thecause of infertility or recurrent pregnancy loss, and when utilizing preimplantation genetic screening (PGS) and preimplantation geneticdiagnosis (PGD). However, the application of genetic information and genetic testing is often limited due to lack of knowledge by themedical providers in the ART practice. Education of these medical providers is incomplete and most ART centers do not have a geneticcounselor on staff. This live course serves to provide basic to complex genetic information to help such practices start to fill this education gap andcompetently apply genetic information to improve patient care. The course will provide both basic genetics education and review of realtime application. The faculty will address current knowledge of the genetic causes of male infertility not limited to cystic fibrosis and geneticcauses of female infertility, including the latest research on and testing for fragile X syndrome. As high throughput carrier testing optionsbecome more readily available, current American Society for Reproductive Medicine (ASRM), American College of Obstetricians andGynecologists (ACOG) and American College of Medical Genetics (ACMG) carrier testing guidelines will be outlined and the applicationof such testing discussed. Current PGS/PGD test techniques and applications will be examined. Overall, this course should educate theART medical professionals on current genetic information and test options so they can improve patient care in their practices.ACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Explain genetic inheritance patterns, risk assessment and ethnicity screening.2. Describe genetic and chromosomal causes of male and female infertility and infertility test options.3. Define genetic and chromosomal test options for recurrent pregnancy-loss patients.4. Outline donor carrier screening guidelines by ASRM, ACOG and ACMG and their application to current practice.5. Evaluate the value of high throughput carrier screening in the ART setting and review current test techniques and applications of PGD. NEW FAMILIES ON TRIAL Course PG10 (Saturday)Developed in Cooperation with the Mental Health Professional GroupFACULTYAndrea Mechanick Braverman, Ph.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONThe idea of Mommy and Daddy and baby makes three as depicted in the 1950s “Leave it to Beaver” representation of the family has beenput into rerun by the new American family of “Modern Family” and “Two and a Half Men.” Many of the new families are made possibleonly by assisted reproductive technology (ART). Single mothers by choice and single fathers by choice are emerging as “choice” families.Co-in vitro fertilization (IVF) with lesbian partners sharing the genetic and gestational contribution to their children is now a commonprocedure. On the horizon are families where Mom freezes her eggs in her 20s or 30s but is now ready to fertilize an egg and get pregnantin her 40s and 50s. This live course will increase mental health professionals’ understanding of the many new ART families. This course will provideparticipants with the current research and theories explaining the needs and challenges for these families. Utilizing an interactive formatof a mock trial, participants will have the opportunity to hear “testimony” and be “the jury” to identify the issues and concerns of these ARTfamilies. This course will equip mental health professionals in providing competent understanding and sensitivity to the ever-expandingAll-American family.ACGME CompetencyInterpersonal and communication skillsLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Describe the different types of families made possible by ART.2. Discuss the current literature on the new ART families.3. Explain the challenges to providers in counseling these new ART families. 20
  21. 21. 46TH ANNUAL POSTGRADUATE PROGRAM THIRD PARTY REPRODUCTION IN THE UNITED STATES: LEGAL, MEDICAL AND PSYCHOLOGICAL/ETHICAL ASPECTS Course PG11 (Saturday)Developed in Cooperation with the Society for Assisted Reproductive TechnologyFACULTYJames M. Goldfarb, M.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONThird-party reproduction, particularly oocyte donation (OD) and gestational surrogacy (GS), has received much professional and publicattention recently. Both of these procedures have been utilized since the mid-1980s, but as they have evolved, the medical, legal andpsychological/ethical complexities have all increased. It is imperative that individuals involved with these procedures be aware of all thecomplex issues involved. Embryo donation (ED) and sperm donor insemination (DI) have attracted less attention and are medically notas complex as OD and GS. However, they, too, are associated with significant legal and psychological/ethical issues. This live course, designed for medical professionals involved in assisted reproductive technology (ART), examines the medical, legaland psychological/ethical issues involved in OD and GS, and to a lesser extent, ED and DI. Medical topics to be discussed include: safetyconsiderations and inclusion/exclusion criteria for egg and sperm donors and gestational surrogates, number of embryos to transfer inegg and embryo donor and gestational surrogate cycles, and role of oocyte cryopreservation in OD cycles. Legal topics will include:model legislation by the American Bar Association, variation in regulation of third-party reproduction in different states, new legislativeproposals to regulate third-party reproduction, informed consent and legal pitfalls. Psychological/ethical issues will include: egg donorand gestational surrogate payment, participant coercion, shared egg donation, divulging to offspring, and psychological aspects andscreening tools of third-party reproduction.ACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Explain the legal issues regarding OD, GS, ED and DI, particularly regarding state legislative efforts to regulate third-party reproduction.2. Discuss issues with egg donation, including establishment of a national egg donor registry, differences between anonymous and directed egg donation, and guidelines for payment of egg donors.3. Summarize the status of cross-border reproductive care as it relates to OD and GS. ENDOMETRIUM AND EMBRYO CROSS-TALK: HOW TO PREDICT AND ACHIEVE IMPLANTATION SUCCESS Course PG12 (Saturday)Developed in Cooperation with the European Society of Human Reproduction and EmbryologyFACULTYAntonis Makrigiannakis, M.D., Ph.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONDuring implantation, the cross-talk between the embryo and the endometrium remains largely unknown. Local and systemic playersinteract for the achievement of human pregnancy. Impaired implantation is currently considered the most important limiting factor for theestablishment of viable pregnancies in assisted reproduction. It is expected that elucidating the molecular background of the processwill enable accurate diagnosis and effective treatment of implantation failure and/or miscarriages. The purpose of this live course forembryologists and clinical reproductive medicine specialists is to identify factors that predict implantation success and investigate potentialtreatment modalities to manage implantation failure and/or miscarriages.ACGME CompetencyMedical knowledgeLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Summarize the physiology and pathophysiology of implantation.2. Describe local and systemic factors leading to miscarriages and/or implantation failure.3. Discuss the challenges of predicting and achieving implantation success. 21
  22. 22. 46TH ANNUAL POSTGRADUATE PROGRAM One-Day Courses Sunday, October 13, 2013 PCOS: CARING FOR A WOMAN OVER HER LIFETIME Course PG13 (Sunday)Developed in Cooperation with the Society for Reproductive Endocrinology and InfertilityFACULTYKurt T. Barnhart, M.D., M.S.C.E., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONPolycystic ovary syndrome (PCOS) is the most common endocrine disorder in females of reproductive age and is highly prevalent. Theetiology of this heterogeneous condition remains obscure and its phenotype expression varies. PCOS affects many aspects of a woman’slife and this live course will supply the reproductive endocrinologist and general gynecologist with the latest information on PCOS inorder to provide up-to-date recommendations for patient care. Topics to be covered will include how PCOS affects reproductive healthover a woman’s lifespan, hirsutism and acne, contraception, fertility, menstrual cycle abnormalities, quality of life, ethnicity, pregnancycomplications, long-term metabolic and cardiovascular health and, finally, cancer risk. Information will include material from The Consensuson Women’s Health Aspects of Polycystic Ovary Syndrome.ACGME CompetencyPractice-based learning and improvementLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Contrast the signs and symptoms of PCOS in women of different ages and ethnicities.2. Interpret how aspects of the phenotype of PCOS correlate with risk factors for insulin resistance, diabetes mellitus (DM) type II and cardiovascular health.3. Develop a practical approach to testing for precursors of DM and cardiovascular disease in women with PCOS.4. Distinguish the medical and reproductive needs of a women with PCOS based on where she is in her lifetime. CROSSING BORDERS AND OTHER HOT LEGAL ISSUES FOR THE HEALTHCARE PROVIDER AND LEGAL PRACTITIONER Course PG14 (Sunday)Developed in Cooperation with the Legal Professional GroupFACULTYNidhi Desai, J.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONThe involvement of third parties in assisted reproduction as gamete and embryo donors and as gestational carriers has produced aplethora of legal issues for the reproductive healthcare professional. Confronted with the complicated relationships among intendedparents, gamete donors and gestational surrogates, the medical team often does not appreciate the legal implications of treating patientsfrom different countries. While medical practitioners should not offer legal advice, awareness of the legal complexities and possiblelandmines their patients may encounter with respect to immigration, contract enfoceability and parentage will help better serve practicesand patients. Recognition of those arrangements that require a partnership of legal and medical experts is essential in the creationof legally-secure families. The medical practitioner often has a lack of understanding of legal issues related to developments in newtechnologies and the interaction of the laws of various jurisdictions when treating or advising international clients. This live course will provide guidance to the healthcare practitioner and lawyer advising patients who are traveling from other countries aswell as those patients traveling out of the United States for treatment. Topics will include treatment, parentage, immigration, and contractenforceability given the intersection of multiple jurisdictions. The course will further explore current hot topics in assisted reproductivetechnology such as egg freezing and international regulations. This presentation is designed to review commonly-encountered situationsthat are subject to legal scrutiny, define the legal issues and potential pitfalls, provide practical solutions to roadblocks in assistedreproductive technology arrangements and explore the legal significance of treating clients from other countries. The various speakerswill further address issues emerging as a result of newer technology based on legal precedent and principles. Each presenter will fieldquestions from attendees that will allow for discussion of particular clinical conundrums, with the opportunity to develop usable solutionsfor clinical practice. This program will feature a practical approach to help lawyers and physicians better field situations as they arise.ACGME CompetencySystems-based practice 22
  23. 23. 46TH ANNUAL POSTGRADUATE PROGRAMLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Explain problematic issues arising out of cross-border care.2. Construct specific steps for clinics to take to protect their programs and patients.3. Discuss some of the emerging legal challenges brought on by newer assisted reproductive technologies.4. Formulate practical methods of dealing with these emerging issues. LEIOMYOMATA: CLINICAL UPDATES, RESEARCH DEVELOPMENTS AND DISPARITIES IN DISEASE, OUTCOMES AND ACCESS TO CARE Course PG15 (Sunday)Developed in Cooperation with the Fibroid Special Interest Group and the Health Disparities Special Interest GroupFACULTYGloria Richard-Davis, M.D., ChairAyman Al-Hendy, M.D., Ph.D., Co-ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONUterine leiomyomata (fibroids), benign estrogen-dependent tumors of the uterine wall, are a common cause of acute and chronic pelvicpain in women. Uterine fibroids affect 40-80% of women of reproductive age and are the leading indication for hysterectomy in African-American women. More than 600,000 hysterectomies were done in the United States in 2000 because of leiomyomata. At a mean costof $8 billion per year, African-American women are particularly affected as the prevalence of uterine fibroids is about three times higher inthat ethnic group compared with Caucasians. Currently there is no effective medical treatment for this common disease, and the impactof uterine fibroids on fertility remains controversial. Treatment options for the management of fibroids have largely focused on surgicaloptions with few focusing on reproductive-sparing procedures. Healthcare providers show no agreement on the best management option,partially because of their lack of current evidence-based knowledge (including the cause), of uterine fibroids. This live course, designedfor gynecologists, will provide a clear and meaningful overview of the problem, discuss current fibroid treatment options and their effecton fertility, and probe the future of these treatments.ACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Explain the developmental origin of uterine fibroids.2. Describe non-surgical, reproductive-sparing approach for treatment of uterine leiomyomata.3. Summarize the scientific data on why uterine leiomyomata are more common in African Americans.4. Discuss the role of myomectomy in the outcomes of assisted reproductive technologies. CRYOBIOLOGY, CRYOPHYSICS AND QUALITY CONTROL CONCERNS OF GAMETE, EMBRYO AND TISSUE VITRIFICATION Course PG16 (Sunday)Developed in Cooperation with the Society of Reproductive Biologists and TechnologistsFACULTYCharles L. Bormann, Ph.D., ChairMarybeth Gerrity, Ph.D., M.B.A., Co-ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONThe presentation of vitrification (VTF) to in vitro fertilization (IVF) laboratories and practices is often unscientific and chaotic. The majorityof demonstration and training in VTF techniques has come through workshops sponsored by industry, which are inherently biasedtoward the media and storage vessels that the company presenting the training has developed. With increasing pressures to conformto human cells, tissue and tissue products (HCT/P) and current good tissue practice (CGTP) standards, set forth by the Food and DrugAdministration (FDA), most laboratories are compelled to use devices that are FDA-approved or pending FDA approval. There is greatconcern surrounding the “technical signature” of using a published VTF method, questioning the simplicity, reliability and repeatability ofa given technique. There are growing concerns over the safety of VTF solutions used, cryo-security, and accepting VTF eggs/embryos inunfamiliar VTF devices. We are entering a new era of cryobiology where we are faced with serious quality control challenges. Alternative approaches presented in this live demonstration and hands-on workshop can offer universal uniformity in safety, simplicity,sterility, security and success. To by-pass commercial propaganda and technical signature issues, a hands-on demonstration andworkshop of three simple, practical devices currently in use will be used to emphasize the quality control nightmare we will be facingif alternative universal technique(s) are not adopted. Selection of these devices (0.25 mL straw, Hemi straw, and microSecure) fordemonstration was based on proven simplicity, low cost, safety and effectiveness of each device without vested commercial interest. Thiscourse will provide a solid background in the theories and basic science that has led to the current state of VTF in human systems. Wewill evaluate the various VTF methods by rating the pros and cons after hands-on experience. We will demonstrate good tissue practices(GTPs) and discuss quality control concerns. 23
  24. 24. 46TH ANNUAL POSTGRADUATE PROGRAMACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Participate in the cryobiological/cryophysical principles behind VTF technology via a “hands-on” workshop and contrast VTF to standard slow-freeze preservation.2. Evaluate, demonstrate and practice various non-commercial VTF methods that have been developed and applied, and assess the pros and cons in establishing a VTF program.3. Demonstrate laboratory GTPs and quality control concerns of VTF, and show how they influence intra- and inter-laboratory success within the methods and devices used in the hands-on workshop.4. Discuss overall quality management in striving to develop a standard global VTF technique (that minimizes “technical signature”) by participating in the use of various VTF techniques. MODERN MANAGEMENT OF POLYCYSTIC OVARY SYNDROME IN ADOLESCENTS Course PG17 (Sunday)Developed in Cooperation with the Pediatric and Adolescent Gynecology Special Interest GroupFACULTYJennifer E. Dietrich, M.S., M.Sc., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONPolycystic ovary syndrome (PCOS) affects an estimated 5-7% of women of reproductive age. True estimates are difficult to define inadolescents, but have been postulated to be higher. Because PCOS is associated with comorbidities such as diabetes mellitus type II,hypertension, non-alcoholic steatosis and obesity as well as other health problems, it is critical to establish an early diagnosis to avoidsignificant health problems later in life. This live course designed for clinicians who care for adolescent females will cover current scientific papers and new areas of researchthat focus on adolescent needs and screening. Through a lecture/audience participation format, participants will discuss early warningsigns such as precocious adrenarche that help providers determine the best time to screen adolescents for PCOS, which should resultin improved patient lifelong health.ACGME CompetencyMedical knowledgeLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Confidently perform an evaluation for PCOS on an adolescent female.2. Differentiate adult criteria from adolescent criteria in making the diagnosis of PCOS.3. Detect early warning signs indicating a possible diagnosis of PCOS in the adolescent and evaluate the need for early screening and early intervention.4. Discuss the available treatment options for adolescents with PCOS. EARLY LIFE TOXICANT EXPOSURES AND ADULT REPRODUCTIVE DISORDERS: A POTENTIAL ROLE FOR NUTRITIONAL INTERVENTION IN BOTH SEXES Course PG18 (Sunday)Developed in Cooperation with the Environment and Reproduction Special Interest Group and the Nutrition Special Interest GroupFACULTYKevin G. Osteen, Ph.D., H.C.L.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONFetal programming is a normal component of developmental processes leading to appropriate organ system function in adults. However,early life programming processes can be negatively impacted by various environmental factors, including maternal stress, poor nutritionand exposure to various toxicants. Emerging evidence implies that disruption of fetal and neonatal programming may significantly affectan individual’s risk of adult disease, including reproductive failure. This concept, known as Developmental Origins of Health and Disease(DOHaD), requires clinical providers of reproductive medicine to examine the potential role of fetal/neonatal programming on adultpathology affecting fertility. This live course will present experimental evidence and clinical observations linking developmental toxicant exposure to reproductivedisorders. Additionally, the faculty will discuss the significance of epigenetic programming on the heritability of toxicant-associateddisorders and will describe the influence of nutrition on reducing the impact of a previous toxicant exposure. Finally, this course willpresent the emerging evidence that environmental toxicant exposure of animals and humans impacts adult reproductive function formultiple generations and will provide specific recommendations for providers to optimize patient care in fertility clinics. 24
  25. 25. 46TH ANNUAL POSTGRADUATE PROGRAMACGME CompetencyMedical knowledgeLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Evaluate the evidence implicating environmental toxicant exposure at different stages of life to disruption of adult reproductive tract function and development of disease.2. List specific toxicants, their routes of exposure and mechanisms of action which may negatively impact reproductive processes in humans.3. Describe the DOHaD hypothesis and its relevance to reproductive medicine.4. Discuss how nutrition may modify the negative impact of a prior toxicant exposure and improve reproductive outcomes.5. Develop improved strategies for ascertaining a couple’s exposure history relevant to infertility treatment. ULTRASOUND IMAGING IN REPRODUCTIVE MEDICINE: A PRACTICAL APPROACH Course PG19 (Sunday)Developed in Cooperation with the American Institute of Ultrasound in Medicine and the Imaging in Reproductive Medicine Special Interest GroupFACULTYLaurel A. Stadtmauer, M.D., Ph.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONUltrasound and ultrasound-guided procedures have become integral components, not just of assisted reproductive technology (ART),but also in the day-to-day practice of reproductive medicine, infertility and gynecology. In 2009, new practice guidelines for ultrasound inreproductive medicine were published by the American Institute of Ultrasound in Medicine (AIUM) and in collaboration with the AmericanSociety for Reproductive Medicine (ASRM). Surveys of members of the Society for Reproductive Endocrinology and Infertility, the ImagingSpecial Interest Group and ASRM have revealed a strong desire for CME credits in ultrasonography that would prepare reproductivemedicine professionals and gynecologists for accreditation by the AIUM. In addition, there is an interest in training and credentialingreproductive nurses and nurse practitioners to perform limited ultrasounds in the office. The objective of this course is to provide comprehensive survey of the use of ultrasonography in the female pelvis for physicians andother healthcare providers who use gynecologic ultrasonography. A practical problem-solving approach will be implemented with casepresentations. The faculty will critically review the application of ultrasonography to the infertility evaluation, diagnosis, treatments andcomplications as a way to maximize ART success. Ultrasound has helped in the early pregnancy evaluation and monitoring as well asin assessing pregnancy complications. Many other gynecologic findings on ultrasound such as congenital uterine anomalies, ovarianmasses, tubal disease and other uterine pathologies will be discussed along with their impact on fertility and the decision for surgery.A variety of reproductive problems throughout the reproductive lifespan, from puberty through menopause, will be addressed from anultrasound perspective. Newer technologies with current or potential applications, such as 3-dimensional (3-D) ultrasound, Doppler, andcost-effective use of CT- and MRI-guided procedures will also be covered. There will be interactive discussion of cases and controversies,and participants will also have the opportunity to learn practical applications and manipulate 3-D images. This course will fulfill CMErequirements for AIUM credentialing.ACGME CompetencyPatient careLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Summarize the appropriate use of ultrasonography in the evaluation of infertility, uterine abnormalities and the pathology of the reproductive tract.2. Describe the proper assessment of early pregnancy and list findings on early pregnancy assessments that are associated with poor outcome.3. Discuss the importance of 3-D ultrasonography in reproductive medicine, and the importance of Doppler blood flow assessment in reproductive medicine and gynecology.4. Evaluate patients with pelvic pain, abnormal bleeding and adnexal masses using a practical approach.5. Evaluate when surgical intervention is needed, when cancer is suspected and when imaging procedures can be performed to treat abnormalities on ultrasound. 25
  26. 26. 46TH ANNUAL POSTGRADUATE PROGRAM GLOBAL FAMILY PLANNING: THE KEY TO ACHIEVING MILLENNIUM DEVELOPMENT GOALS Course PG20 (Sunday)Developed in Cooperation with the Contraception Special Interest GroupFACULTYAlison Edelman, M.D., M.P.H., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONUnintended pregnancies continue to be at epidemic levels in the United States and worldwide. Unsafe abortion continues to be one ofthe top killers of women worldwide. The use of long-acting, reversible and permanent contraceptive methods prevent both pregnanciesand abortions. One important barrier to contraceptive use is lack of knowledge and hands-on experience among healthcare providers on“best practices” for contraceptive care. In addition, providers lack the skills for safe abortion care including postabortion and miscarriagemanagement. The Contraception Special Interest Group determined that a postgraduate course with a hands-on component would benefit reproductiveendocrinologists, general obstetrician-gynecologists, general internists, family medicine providers, and nurse practitioners. The topics tobe covered in this live course include: achieving millennium development goals (MDG) in the current world situation; family planning andthe environment; postpartum/postabortion contraception; transcervical and minilaparotomy sterilization; natural family planning; medicalmanagement of spontaneous abortions, postabortion care, and safe abortion care; manual vacuum aspiration (MVA) from biopsies,retained placentas, to abortions; resources for the clinician; medical eligibility criteria from the World Health Organization and the Centersfor Disease Control; and novel, developing contraception methods. The hands-on component will allow participants to improve clinicalskills in postpartum/postabortion intrauterine device (ppIUD) insertion, Essure/Adiana, MVA, transcervical and minilaparotomy permanentcontraception, and dilatation and evacuation.ACGME CompetencyMedical knowledgeLEARNING OBJECTIVESAt the conclusion of this course, participants should be able to:1. Analyze the current world situation, MDG goals and environmental issues related to population and family planning and recommend resources that aid the clinician in the provision of contraceptive care.2. Explain family-planning methods with the greatest impact for reducing maternal morbidity and mortality (use of ppIUD, permanent contraception, and novel methods being developed).3. Apply the acquired skills to perform ppIUD insertion and transcervical and minilaparotomy permanent contraception.4. Describe safe and standardized regimens for the medical management of incomplete abortion, miscarriage or undesired pregnancy.5. Describe and demonstrate the use of manual vacuum aspirator for gynecologic, obstetric and family planning indications. SAFE IN VITRO FERTILIZATION Course PG21 (Sunday)Developed in Cooperation with the Society for Assisted Reproductive TechnologyFACULTYValerie L. Baker, M.D., ChairNEEDS ASSESSMENT AND COURSE DESCRIPTIONAlthough assisted reproductive technology (ART) is a widely-used treatment that often leads to the birth of healthy children withoutserious maternal complications, concerns have been raised about increased risk of certain adverse outcomes for both the mother andthe offspring. ART has been associated with higher rates of compromised fetal growth, preterm delivery, maternal complications such aspreeclampsia, and possibly congenital anomalies and epigenetic disorders. Some risks of adverse outcomes associated with ART arelikely attributable to the underlying infertility. However, it is important for clinicians to be aware of ART risks that may be associated withthe treatment itself. Some adverse outcomes associated with ART may be attributable to multiple gestation, laboratory practices, or theunphysiologic maternal state in which pregnancy typically begins with ART. This live course will equip clinicians to better inform patients about the risks and benefits of various aspects of ART. Faculty will providerecommendations on how to mitigate the risks, including optimization of ovulation induction, and maximize the safety of ART. Other topicscovered include an up-to-date understanding of the benefits and risks of various laboratory procedures and ART treatment for patientswith medical problems.ACGME CompetencyPatient care 26

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