Essentials of Women''''s Health: An Integrated Approach to Primary Care and Office Gynecology pdf

Essentials of Women's Health:
An Integrated Approach to
Primary Care and Office Gynecology
Essentials of Primary Care:
A Core Curriculum for
Adult Ambulatory Practice
Presented by the Division of General Internal Medicine,
Department of Medicine and Department of Obstetrics,
Gynecology & Reproductive Sciences
University of California, San Francisco
University of California
San Francisco
June 26 - July 1, 2005
Hapuna Beach Prince Hotel
Big Island, Hawaii
August 14-19, 2005
Resort at Squaw Creek
North Lake Tahoe, California
ACCREDITATION
The University of California, San Francisco School of
Medicine (UCSF) is accredited by the Accreditation
Council for Continuing Medical Education to provide
continuing medical education for physicians.
UCSF designates this educational activity for a
maximum of 19.75 category 1 credits toward
the American Medical Association Physician's
Recognition Award. Each physician should claim
only those credits actually spent in the activity.
Application for CME credit has been filed with the
American Academy of Family Physicians.
Determination of credit is pending.

For the purpose of recertification, the American
Nurses Credentialing Center accepts AMA PRA
category 1 credit issued by organizations
accredited by the ACCME.
The American College of Obstetricians and
Gynecologists (ACOG) has assigned 20 cognate
credits to this program.
REGISTRATION INFORMATION
Please use the attached form for advance registration
by mail or fax, or register online at cme.ucsf.edu.
Date: Sunday, June 26, 2005 at 4:00 pm
Location: Hapuna Beach Prince Hotel
62-100 Kauna’oa Dr
Kamuela, Big Island, HI 96743
808/880-1111
Course Fee: $715 Physicians;
$565 Allied health professionals,
interns and residents.
Registration fee includes course syllabus and daily
continental breakfast; additional meals and
accommodations are not included.
Essentials of Women’s Health:
An Integrated Approach to Primary Care and Office Gynecology
June 26 - July 1, 2005
■
Hapuna Beach Prince Hotel, Big Island, Hawaii
Increasing appreciation of the unique needs of women patients and women health care providers has
created a need for innovative educational programs on women’s health. This program is designed for
family physicians, internists, gynecologists, nurses and nurse practitioners, physician assistants, pharmacists
and all others involved in providing quality health care for women will provide a practical update on a full

range of common but controversial issues in women’s health. The course will serve to enhance the skills of
those already working in women’s health, as well as help develop new skills for those expanding their work
to include more primary care and office gynecology.
Developed and taught by UCSF faculty in Primary Care Internal Medicine and Obstetrics and Gynecology,
the course will present an integrated approach to women’s health. Emphasis will be placed on new
developments in preventive care and cardiovascular risk factors in women, issues in reproductive health,
and clinical strategies in the diagnosis and treatment of common gynecologic complaints and common
medical problems of women. Special emphasis will be placed on office skills needed for modern day
practice including enhanced physical examination skills, office gynecology, and updates in contraceptive
technology. The course will use formal lectures, hands-on workshops, small group discussions, questions
and answers and a detailed syllabus.
This course is presented by the Division of General Internal Medicine, Department of Medicine, and the
Department of Obstetrics, Gynecology & Reproductive Sciences, and is sponsored by the Office of
Continuing Medical Education, University of California, San Francisco School of Medicine.
EDUCATIONAL OBJECTIVES
An attendee completing this course should be
able to describe:
■
Current recommendations for prevention and
early detection of cancer in women;
■
Current classification systems for abnormal
pap; tests and appropriate follow-up strategies;
■
Current strategies for prevention of heart disease
including management of high blood cholesterol, the
use of diets, exercise and nutritional supplements,
and the use of new risk stratification tools;
■
Indications, current regimens and risks and

benefits for hormone replacement therapy with
estrogen and estrogen alternatives;
■
Current options and future possibilities for
contraception, emergency and medical abortion;
■
Use of office gynecologic techniques including
fitting diaphragms, placing pessaries, performing
endometrial biopsies, and placing and removing IUDs;
■
Current strategies for increasing fitness,
preventing weight gain, and counseling about
weight loss techniques including new diets,
drugs, and obesity surgery;
■
New approaches to management of chronic
medical illness in women including coronary
artery disease, osteoporosis, and diabetes;
■
Strategies for management of common problems
in office gynecology including incontinence,
amenorrhea, abnormal vaginal bleeding, and UTIs;
■
Management of acute problems including
dizziness, syncope, DVT and pulmonary emboli;
■
New developments in inpatient medicine;
■
Current indications and approaches for
gynecologic surgery;

■
Current guidelines for pre-operative evaluation
and peri-operative care;
■
Modern approaches to accessing and
understanding the medical literature.
Essentials of Women's Health:
An Integrated Approach to Primary Care and Office Gynecology
Essentials of Women's Health:
An Integrated Approach to Primary Care and Office Gynecology
Course Agenda
Course Agenda
WEDNESDAY - June 29, 2005
Moderator: George Sawaya, M.D.
7:00 am Amenorrhea:
You Will Never Be Confused Again
George F. Sawaya, MD
7:50 Vaginal Bleeding: When To Worry
Jody Steinauer, MD
8:40 Break
9:00 Hormone Therapy:
Myths Updates and Alternatives
Judith M.E. Walsh, MD, MPH
9:50 Understanding Dizziness and Syncope
Karen E. Hauer, MD
10:40 Adjourn
THURSDAY - June 30, 2005
Moderator: Judith Walsh, MD, MPH
7:00 am Prevention and Treatment of
Osteoporotic Fractures

Judith M.E. Walsh, MD, MPH
7:50 Treating Lipids for Prevention of CAD
in Women: How Aggressive Should We Be?
Robert B. Baron, MD, MS
8:40 An Evidence-Based Approach to
Contraception in Women with
Medical Problems
Jody Steinauer, MD
9:30 Break
9:50 Concurrent Workshops (choose one):
E) Managing Abnormal Cervical Cytology
and Histology: New Insights
George F. Sawaya, MD
F) Reading the Literature in Women’s
Health: Recent Papers Not to Miss
Judith M.E. Walsh, MD, MPH
11:20 Adjourn
FRIDAY - July 1, 2005
Moderator: Robert B. Baron, MD, MS
7:00 am Caring for Women in the Hospital:
Update 2005
Karen E. Hauer, MD
7:50 Current Strategies for Diabetes
Robert B. Baron, MD, MS
8:40 Best Evidence:
How to Find It, How to Evaluate It
George F. Sawaya, MD
9:30 Adjourn
COURSE FACULTY
Karen E. Hauer, MD Associate Professor of Clinical

Medicine; Director, Internal Medicine Clerkships
Salim D. Islam, MD Assistant Professor of Anesthesia
and Perioperative Care; Medical Assistant Chief,
Director of Quality, Kaiser Permante, San Francisco
George F. Sawaya, MD Associate Professor of
Obstetrics, Gynecology and Reproductive Sciences,
and Epidemiology & Biostatistics
Jody Steinauer, MD Assistant Professor of
Obstetrics, Gynecology & Reproductive Sciences
Judith M. E. Walsh, MD, MPH Associate Professor
of Clinical Medicine, Women's Health Clinical
Research Center
COURSE CHAIRS
Robert B. Baron, MD, MS Professor of Medicine; Associate Dean for CME; Vice Chief, Division of General
Internal Medicine; Director, Primary Care Internal Medicine Residency
Jeanette S. Brown, MD Professor of Obstetrics, Gynecology and Reproductive Sciences, Epidemiology, and
Urology; Director, UCSF Women’s Continence Center
SUNDAY - June 26, 2005
4:00 pm Registration
5:20 Welcome
Robert B. Baron MD, MS and Jeanette S. Brown, MD
5:30 Cancer Screening in Women:
Setting Evidence-Based Priorities
Judith M.E. Walsh, MD, MPH
6:20 Cervical Cancer Screening:
How Did This Get So Complicated?
George F. Sawaya, MD
7:10 Reception
MONDAY - June 27, 2005
Moderator: George F. Sawaya, MD

7:00 am Urinary Incontinence:
Practical Evaluation and Treatment
Jeanette S. Brown, MD
7:50 Preventing the Unintended:
Contraception Update
Jody Steinauer MD
8:40 Incontinence and Pelvic Organ Prolapse:
Surgical Decisions
Jeanette S. Brown, MD
9:30 Break
9:50 Concurrent Workshops (choose one):
A) Fruit of the Womb: A Workshop of Office
Gynecologic Procedures in Papayas
Jody Steinauer, MD
B) Pre-Operative and Peri-Operative Care:
New Strategies to Prevent Complications
Karen E. Hauer, MD and Salim D. Islam, MD
11:20 Adjourn
TUESDAY - June 28, 2005
Moderator: Robert B. Baron, MD, MS
7:00 am Current Issues In Clinical Nutrition
Robert B. Baron, MD, MS
7:50 New Guidelines for Management of
Thromboembolic Disease
Karen E. Hauer, MD
8:40 Evidence-Based Management of UTIs
Jeanette S. Brown, MD
9:30 Break
9:50 Concurrent Workshops (choose one):
C) Obesity 2005: Implementing Diet and

Exercise Prescriptions in Office Practice
Robert B. Baron, MD, MS
D) Case Studies in Incontinence and
Pelvic Organ Prolapse
Jeanette S. Brown, MD
11:20 Adjourn
Lodging and Travel
Lodging and Travel
ACCOMMODATIONS
Situated along the Big Island’s Kohala Coast, the
Mauna Kea Resort features the Mauna Kea Beach
Hotel and the newer Hapuna Beach Prince Hotel.
For more details, visit www.princeresortshawaii.com.
A block of guestrooms has been reserved at the
Hapuna Beach Prince Hotel and the neighboring
Mauna Kea Beach Hotel at the following dis-
counted rates:
Rates are per room, per night, single/double, and
subject to 11.416% occupancy tax; simply call toll-
free 866/774-6236, or fax 808/944-4491 and
identify yourself as a member of UCSF Women’s
Health to receive the special rates. Reservations
must be received by May 25, 2005, to guarantee
availability of accommodations; after this date,
rooms will be provided on a space-available basis.
By staying at the host hotel, you help the University
of California meet its contractual obligations and
keep future registration fees reasonable. Please
take this into consideration when making your
accommodation decisions.

AIR TRANSPORTATION
Special arrangements have been made with
Montgomery Travel; simply call 800/391-2287,
or complete the form on their UCSF web page at
www.montgomerytravel.com. In addition to
lower rates than the published airfares, ticketed
passengers may take advantage of the 24-hour
emergency service. There is a $35 service fee.
RENTAL CAR
Hertz is offering special rates for participants of
this conference; simply call 800/654-2240 or go to
www.hertz.com and refer to CV#03BW0012, or
call your travel agent. Advance reservations are
recommended.
ACCOMMODATIONS
Located in North Lake Tahoe’s Squaw Valley — site
of the historic 1960 Olympic Winter games — the
Resort at Squaw Creek is the perfect location in
which to learn and relax. For more details, visit
www.squawcreek.com.
A block of guestrooms has been reserved at the
following discounted rates:
Rates are per room, per night, single/double, and
subject to 12% transient occupancy tax and a $12
per day resort fee; simply call 800/327-3353 and
identify yourself as a member of UCSF Primary Care
to receive the special rates. Reservations must be
received by July 14, 2005, to guarantee availability
of accommodations; after this date, rooms will be
provided on a space- and rate-available basis.

Deluxe Guestroom $199.00
One-Bedroom Suite $255.00
Two-Bedroom Suite $349.00
Hapuna Beach Partial Ocean $185.00
Hapuna Beach Ocean View $195.00
Hapuna Beach Premium Ocean $225.00
Hapuna Beach Ocean Front $240.00
Mauna Kea Mountain View $227.00
Mauna Kea Beach Front $260.00
Mauna Kea Deluxe Ocean View $284.00
BIG ISLAND, HAWAII
LAKE TAHOE, CALIFORNIA
Photo: Courtesy of Hawaii Visitors Bureau
Photo: Courtesy of Lake Tahoe Visitors Bureau
Course Registration
Course Registration
Online Registration: cme.ucsf.edu
Mail: UCSF Office of CME, PO Box 45368, San Francisco, CA 94145-0368
Fax: 415/502-1795
Registration Information: 415/476-5808
By staying at the host hotel, you help the University of
California meet its contractual obligations with the property
and keep future registration fees reasonable. Kindly take this
into consideration when making your decisions.
AIR TRANSPORTATION
The Reno/Tahoe International Airport is served by 10
major air carriers. Special arrangements have been
made with Montgomery Travel; simply call
800/391-2287, or complete the form on their UCSF
web page at www.montgomerytravel.com. In

addition to lower rates than the published airfares,
ticketed passengers may take advantage of the 24-
hour emergency service. There is a $35 service fee.
GROUND TRANSPORTATION
Reservations for the Resort at Squaw Creek Airport Shuttle
must be made 24 hours in advance of arrival/departure.
Please contact the Transportation Department at
800/327-3353, Option #8. Cancellations must be made
at least 24 hours in advance, or the full charge will be
assessed. Charter transportation (private shuttles and
limousines) are available within the Reno/Tahoe Basin
through the Transportation Department.
__________________________________________________________________________________________________
(Please Print) Last Name First M.I. Degree
___________________________________________________________________________________________________
Street Address Apt.No. City State Zip Code
(_______)___________________________________________________________________________________________
Daytime Phone Email Specialty
Would you like to be on our priority email list? 

Yes 

No
What is the one-letter code located to the right of the mailing address on the back of this form? ________
Month & Date of birth (to be used as OCME registrant number): ___/___/XX
Please indicate any special needs: __________________________________________________________________
Registration Fee:  $715 Physicians;  $565 Allied health professionals, interns and residents.
Essentials of Women's Health: MDM06M02
An Integrated Approach to Primary Care and Office Gynecology
Register me for Workshop ____ (A or B) to be held 9:50-11:20 am on Monday, June 27.

Register me for Workshop ____ (C or D) to be held 9:50-11:20 am on Tuesday, June 28.
Register me for Workshop ____ (E or F) to be held 9:50-11:20 am on Thursday, June 29.
Essentials of Primary Care: MDM06M04
A Core Curriculum for Practice in the Managed Care Era
Register me for Workshop ____ (A or B) to be held 10:20-11:50 am on Tuesday, August 16.
Register me for Workshop ____ (C or D) to be held 10:20-11:50 am on Wednesday, August 17.
Register me for Workshop ____ (E or F) to be held 10:20-11:50 am on Thursday, August 18.
Please charge my:  Visa or  MasterCard for $______  Check enclosed payable to "UC Regents".
___________________________________________________________________________________________________
Credit Card No. Exp. Date
___________________________________________________________________________________________________
(Please Print) Name on Card Authorized Signature
Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee; no refunds will be made on
cancellations received after that date. To request a refund, please send a copy of your registration confirmation with a written request to OCME, UCSF Box 0742,
San Francisco, CA 94143-0742.
RENTAL CAR
Hertz is offering special rates for participants of
this conference; simply call 800/654-2240 and refer
to CV#030D0018, or call your travel agent. Advance
reservations are recommended.
FAST, EASY, EFFICIENT!
Register online at:
cme.ucsf.edu
The majority of our attendees prefer the quickness
and ease of online registration. The form above is
provided for attendees who wish to pay by check
or do not have internet access. Please allow 2-3
weeks for mailed registrations.
Essentials of Primary Care:
A Core Curriculum for Adult Ambulatory Practice

August 14-19, 2005
■
Resort at Squaw Creek, North Lake Tahoe, California
Changing patterns of medical practice are placing greater responsibility on primary care physicians.
Increasingly difficult management decisions must now be made in the ambulatory setting. Moreover,
primary care physicians must be increasingly competent in office skills and procedures more commonly
associated with specialist practice. At the same time, many specialty-trained physicians particularly
obstetrician-gynecologists, traditionally-trained internists and medical subspecialists are being asked to
play an expanding role in primary care practice. Nurse practitioners and physician assistants are also
playing an ever-increasing role in primary care.
This course is designed to provide a comprehensive "core curriculum" in adult primary care. The course will
serve as an excellent update and review for current primary care physicians and other primary care
professionals, and as an opportunity for specialists to expand their primary care knowledge and skills.
Particular emphasis will be placed on principles of primary care; office-based preventive medicine; practical
management of the most common problems seen in primary care practice; and expanded skills in clinical
examination and common office procedures. The course will utilize formal lectures, hands-on workshops,
case discussions, and questions and answers. A detailed syllabus will be provided for all participants.
This course is presented by the Division of General Internal Medicine, Department of Medicine and is sponsored
by the Office of Continuing Medical Education, University of California, San Francisco School of Medicine.
EDUCATIONAL OBJECTIVES
Program participants should be able to describe:
■
Current recommendations in office-based
preventive medicine including genetic testing,
cancer screening, management of cardiac risk
factors;
■
Management of common problems in
women's health including breast cancer,
osteoporosis, hormone replacement therapy, and

office procedures;
■
Management strategies for common office
problems including diabetes, hypertension, lipid
disorders, headache, depression, anxiety,
dyspepsia, peptic ulcer disease and cirrhosis.
■
Current issues in symptomatic treatment of
dying patients;
■
Diagnosis and treatment of common skin
disorders and skin cancer;
■
The use of diet therapy and nutritional
supplements for prevention and treatment of
chronic medical illness;
■
Current practical approaches to obesity;
■
Effective physical examination techniques and
office procedures for dermatology and office
orthopedics;
■
Current approaches to functional assessment,
prevention of functional decline, and
management of common problems in the
elderly;
■
Management of common urological problems
including prostate disorders, incontinence, and

erectile dysfunction;
■
Major new developments in the medical
literature in the last year.
ACCREDITATION
The University of California, San Francisco School of
Medicine (UCSF) is accredited by the Accreditation
Council for Continuing Medical Education (ACCME) to
provide continuing medical education for physicians.
UCSF designates this educational activity for a
maximum of 19.75 category 1 credits toward the
American Medical Association (AMA) Physician's
Recognition Award. Each physician should claim only
those credits actually spent in the activity.
Application for CME credit has been filed with the
American Academy of Family Physicians.
Determination of credit is pending.
For the purpose of recertification, the American
Nurses Credentialing Center accepts AMA PRA
category 1 credit issued by organizations
accredited by the ACCME.
REGISTRATION INFORMATION
Please use the attached form for advance registration
by mail or fax, or register online at cme.ucsf.edu.
Registration Information: 415/476-5808
Program Information: 415/476-5208
Date: Sunday, August 14 at 3:00 pm
Location: Resort at Squaw Creek
400 Squaw Creek Rd.
P.O. Box 3333

Olympic Valley, CA 96146
530/583-6300, 800/327-3353
Fax: 530/581-6632
www.squawcreek.com
Course Fee: $715 Physicians;
$565 Allied health professionals,
interns and residents.
Registration fee includes course syllabus and daily
continental breakfast; additional meals and
accommodations are not included.
Essentials of Primary Care:
A Core Curriculum for Adult Ambulatory Practice
Essentials of Primary Care:
A Core Curriculum for Adult Ambulatory Practice
Course Agenda
Course Agenda
COURSE FACULTY
Mary S. Beattie, MD Assistant Professor of Medicine
Adrienne Green, MD Associate Professor of Medicine
Toby A. Maurer, MD Associate Professor of
Medicine; Chief of Dermatology, San Francisco
General Hospital
Eliseo J. Perez-Stable, MD Professor of Medicine;
Chief, Division of General Internal Medicine;
Director, Center for Aging in Diverse Communities
Judith M.E. Walsh, MD, MPH Associate Professor
of Medicine, and Epidemiology & Biostatistics
COURSE CHAIR
Robert B. Baron, MD, MS Professor of Medicine; Associate Dean for CME; Vice Division Chief and Director,
Educational Programs, General Internal Medicine; Director, Primary Care Internal Medicine Residency

SUNDAY - August 14, 2005
3:00 pm Registration
5:00 Welcome
Robert B. Baron, MD, MS
5:05 Cancer Screening 2005:
Setting Evidence-Based Priorities
Judith M.E.Walsh, MD, MPS
5:55 Prevention of Breast Cancer:
Matching Risk to Intervention
Mary S. Beattie, MD
6:50 Meet the Faculty Reception
MONDAY - August 15, 2005
Moderator: Robert B. Baron, MD, MS
7:00 am Continental Breakfast
7:30 Treating Lipids for Prevention of CAD:
How Aggressive Should We Be?
Robert B. Baron MD, MS
8:20 Modern Management of Hypertension
Eliseo Perez-Stable, MD
9:10 Break
9:30 Sleep Disorders in Primary Care
Adrienne Green, MD
10:20 Assessment and Treatment of Common
Dermatologic Problems
Toby A. Maurer, MD
11:10 Adjourn
TUESDAY - August 16, 2005
Moderator: Judith M.E. Walsh, MD, MPH
7:00 am Continental Breakfast
7:30 Prevention and Treatment of

Osteoporotic Fractures
Judith M.E. Walsh, MD, MPH
8:20 Detection and Treatment of Non-
Melonoma Skin Cancers
Toby A. Maurer, MD
9:10 Differentiating Pigmented Skin Lesions
and Melanoma
Toby A. Maurer, MD
10:00 Break
10:20 Concurrent Workshops (select one):
A) Evaluation and Treatment of
Common Musculoskeletal Complaints
Mary S. Beattie, MD
B) Common Problems in Urology:
A Case-Based Approach
Eliseo J. Perez-Stable, MD
11:50 Adjourn
WEDNESDAY - August 17, 2005
Moderator: Adrienne Green, MD
7:00 am Continental Breakfast
7:30 Current Issues in Clinical Nutrition
Robert B. Baron, MD, MS
8:20 Prevention and Treatment of Complications
of Cirrhosis
Adrienne Green, MD
9:10 Hormone Therapy:
Myths, Updates and Alternatives
Judith M.E.Walsh MD, MPH
10:00 Break
10:20 Concurrent Workshops (select one):

C) Dermatologic Procedures in
Primary Care
Toby A. Maurer, MD
D) Common Problems in Geriatrics:
A Case-Based Approach
Adrienne Green, MD
11:50 Adjourn
THURSDAY - August 18, 2005
Moderator: Mary S. Beattie, MD
7:00 am Continental Breakfast
7:30 Symptom Management at the End-of-Life
Adrienne Green, MD
8:20 Adult Immunizations: Why Can’t We Do Better?
Eliseo J. Perez-Stable MD
9:10 Current Strategies for Common
Psychiatric Problems
Mary S. Beattie, MD
10:00 Break
10:20 Concurrent Workshops (select one):
E) Obesity 2005: Implementing Diet and
Exercise Prescriptions in Office Practice
Robert B. Baron, MD, MS
F) Common Problems in Women’s Health:
A Case-Based Approach
Judith M.E. Walsh, MD, MPH
11:50 Adjourn
FRIDAY - August 19, 2005
Moderator: Eliseo J. Perez-Stable MD
7:00 am Continental Breakfast
7:30 Current Strategies for Diabetes

Robert B. Baron, MD, MS
8:20 Modern Management of Headache
Mary S. Beattie, MD
9:10 Primary Care Medicine: The Year in Review
Eliseo J. Perez-Stable MD
10:00 Adjourn
University of California
San Francisco
For a listing of all our courses, visit us online at cme.ucsf.edu
or call 415/476-4251.
This activity is self-supporting and receives no state funding.
Nonprofit Org.
U.S. Postage
PAID
University of
California
MDM06M02/M04
Upcoming CME Courses
of Special Interest to the Primary Care Professional
059
University of California, San Francisco
Office of CME
UCSF Box 0742
San Francisco, CA 94143-0742
■
Advances in Internal Medicine
May 25-28, 2005
San Francisco, California
■
Pain Management and End-of-Life Care:

A Comprehensive Approach to Patient Care
June 9-10, 2005
San Francisco, California
■
Primary Care Medicine: Principles & Practice
October 19-21, 2005
San Francisco, California
■
Obstetrics & Gynecology Update:
What Does the Evidence Tell Us?
October 19-22, 2005
San Francisco, California
■
Controversies in Women's Health
December 8-9, 2005
San Francisco, California