2017 Matthew Bulfin Educational Conference Live CME Speakers and Objectives
Learning Objectives for each lecture given after each speaker:
[2 Credit Hours] DR. JOHN PATRICK “WHAT HIPPOCRATES KNEW THAT WE HAVE FORGOTTEN”
1. Understand the foundation of the Hippocratic Oath.
2. Understand the relationship of the Oath to the Physician-Patient relationship.
3. Enable the practicing physician to enunciate a defense of Hippocratic Medicine.
[.67 Credit Hours] Patrick James Baggot, M.D. “Treating the Fetus as Our Patient”
1. To understand how to enhance brain development in animals.
2. To understand how to enhance brain development in humans.
3. Review the data in children with Down syndrome to see if methods improve their intelligence.
[.67 Credit Hours] Martin McCaffrey, M.D. “Lives Worth Living”
Objectives: Participants will be able to
1. Understand the modern prognosis for children with Trisomy 13 and 18.
2. Understand the options available for life sustaining treatments for these children.
3. Identify the major obstacles to life sustaining treatments, and
4. Become aware of the support groups for family who care for infants with trisomies.
[.67 Credit Hours] German Alvarado, M.D., M.P.H., Ph.D. “Epidemiology of Zika”
A new viral epidemic appeared in the Western Hemisphere in the last years. This epidemic transmitted by an Aedes mosquito poses challenges for public health, especially for unborn children. We will provide an update on Zika epidemiology including incidence, location, risk factors, pregnancy outcomes, prevention and control:
1. Summarize the evidence on the incidence of Zika
2. Summarize the research on risk factors and pregnancy outcomes
3. Summarize the research on prevention and control of Zika infection
[.67 Credit Hours] Patrick Marmion, M.D., M.P.H. “Life-sustaining care denied for premature babies: Primary Prevention of Disabilities in Children”
1. Participants will understand the discriminatory nature of the practice of withholding care in periviable neonates as compared to older neonates.
2. Participants will become aware of the impact of physician recommendation against care, and the resultant substandard care of neonates who continue care.
3. Participants will become aware of the financial disincentives for neonatologists who continue to give life-sustaining care, and the degradation of medical ethics which results.
[.67 Credit Hours] Robin Pierucci, M.D., M.A., F.A.A.P. “End of Life Issues at the Beginning of Life: Perinatal/Neonatal Palliative Care”
1. No matter what other diagnoses are found, the very first one, and the one that is never negated or altered by any of the subsequent diagnoses is, “It’s a boy!, Or “It’s a girl”. This is and will always be a human being.
2. Be able to trace the journey of how perinatal palliative care evolved from adult hospice care.
3. Identify the inherent tensions that exist in our current medical/legal culture that impact end of life care decision making in general, and specifically to the care of newborn and “preborn” infants.
4. Describe what current research states about the use of perinatal/neonatal palliative care.
5. Describe bedside applications of perinatal/neonatal palliative care.
[.67 Credit Hours] William Polzin, M.D. “Framing the conversation for exploring innovative techniques in fetal therapy- the example of bilateral renal agenesis”
1. The audience will be able to describe the current status and limitations to some of the more common fetal interventions for fetal anomalies.
2. The audience will be able to cite of examples of valuable prenatal screening for anomalies.
3. The audience will be able to list the ethical concerns stemming from prenatal intervention.
[.67 Credit Hours] David A. Prentice, Ph.D. “3-Parent Embryos, Gene Edited Babies and the Human Future”
1. Understand and be able to explain the techniques and rationales used to create 3parent embryos.
2. Understand and be able to explain the techniques and rationales used for gene editing and genetic engineering of individuals
3. Understand and be able to explain the differences between somatic and germline genetic engineering
4. Be cognizant of the different ethical viewpoints related to human genetic engineering
5. Have a grasp of the regulatory and legal aspects relating to human genetic engineering, both U.S. and international
[.67 Credit Hours] Jennifer Lahl, R.N., M.A. “Gestational Surrogacy: An International Problem in Need of an International Solution”
1. Understand the medical risks to the surrogate mother and child.
2. Have knowledge of the international laws addressing surrogacy.
3. Learn of the early legal cases around surrogacy in the United States.
[.67 Credit Hours] George Delgado, M.D., F.A.A.F.P. “A Large Case Series of Abortion Pill Reversal Patients”
1. Understand the mechanisms of action of mifepristone.
2. Know the three pillars of scientific support of abortion pill reversal.
3. Understand the different treatment protocols.
4. Become well informed in the latest abortion pill reversal information.
5. Learn how to become part of the APR network.
[.67 Credit Hours] Naji Abi-Hashem, Ph.D. “Understanding and Dealing with Grief, Loss, Bereavement, and Traumatic Stress as Potential Outcomes of Reproductive Losses”
1. To differentiate between the types of losses and to list a few examples of minor losses versus major losses.
2. To describe three traumatic events and to name three common symptoms of trauma reactions.
3. To explain two situations where grief and trauma both are present, interactive, and overlapping.
4. To understand the possible impacts of loss and trauma in short-term experience --as minor or normal response, versus in long-term experience--as complicated, chronic, or pathological condition.
5. To acknowledge the mixture of findings in the literature about the outcomes of pregnancy failures and reproductive losses (such as miscarriages and abortions).
6. To learn basic empathy skills, therapeutic tools, and counseling intervention approaches to help those who are vulnerable and at risk, as they continue to struggle and suffer from enduring psychological symptoms, as bereaved, depressed, anxious, disturbed, and traumatized survivors.
[.67 Credit Hours] Anita Showalter DO, FACOOG (D) “Conscientious Objection to Referral for Reproductive Services”
1. Participants will understand the history of conscientious objection to taking human life in medicine
2. Participants will be able to identify the current arguments against conscientious objection to taking human life, and the counterarguments in support.
3. Participants will become familiar with the current legal engagements surrounding the issue of conscientious objection to taking human life in medicine.
[.67 Credit Hours] Jane Lindell Hughes, M.D. “Plan your exit strategy”
1. Explore reasons to move “out of network” and to Medicare non-par status.
2. Understand the differences between Medicare Par, Non-Par, opted out and disenrolled
3. Recognize the perverse intrusions into medical and surgical practice by commercial insurance networks and the looming Medicare mandates resulting from the MACRA law.
4. Identify steps and strategies to prepare for leaving insurance contracts and transitioning to Medicare non-Par status
5. Learn real world practice strategies for engaging staff and patients for a smooth transition
[.5 Credit Hours] Obianuju Ekeocha “The Abortion Agenda in Africa”
1. Become aware of the eugenic agenda of Marie Stopes and IPAS in Africa
2. Understand the dangerous nature of the current conditions under which abortions are performed and the impact on the health and safety of African women.
3. Be able to perceive the misinformation given by Marie Stopes and IPAS regarding abortion safety. and
4. Become aware of the lack of desire for elective abortion in the cultural context of Africa.
[2 Credit Hours] Richard Weikart “Upholding the Sanctity of Life in a Culture of Death”
1. To understand the way secular worldviews have eroded the Judeo-Christian Sanctity of Life Ethic
2. To understand how valuing all human lives equally affects medical practice
3. To be able to apply these insights to clinical practice
[.67 Credit Hours] Stephen Sammut, B.Pharm, Ph.D. “Chemically-induced Pregnancy Termination: An Animal Model”
1. Understand the limitations of human studies in the consequences of pregnancy termination on mental health
2. Understand the role of animal models in gaining some understanding into human behavior
3. Understand the impact of mid-term termination on rat behavior
4. Understand the long-term biochemical impact of mid-term chemical pregnancy termination
5. Understand the necessity for further investigation/research
[.67 Credit Hours] Shirley Gonzales, M.D. “The Menstrual Cycle as a Vital Sign: use of Naprotechnology in the Evaluation and Management of Abnormal Vaginal Bleeding and PCOS in the Adolescent”
1. Understand how the menstrual cycle is an important vital sign and how its charting aids in the evaluation of abnormal menstrual patterns throughout adolescence*
2. Develop an overall understanding of Naprotechnology and Naprotracking and how these can be used:
* to monitor various hormonal events during the menstrual cycle
* to detect menstrual cycle abnormalities
* to guide the evaluation and management of these abnormalities
3. PCOS: Discuss definitions, pathophysiology, diagnosis, associated comorbidities, and its management
4. Abnormal vaginal bleeding:
*Learn about newer terminologies used to define “DUB” including AUB and HMB
* Discuss differential diagnosis of abnormal vaginal bleeding in the adolescent girl
* Discuss evaluation and management
5. Develop a systematic approach to the evaluation and management of PCOS and “DUB” taking into consideration other pathophysiologic processes that need to be ruled out
[.67 Credit Hours] Christopher John Doyle, MA, LPC, LCPC “Benefits of Delaying Sexual Debut”
1. The importance of adolescent brain development as it relates to sexual risk avoidance as well as mass media's impact on the sexual risk behaviors of young people.
2. When considering a more rigorous standard for outcomes (placing a greater emphasis on longer behavioral outcomes while balancing the rigor of resarch design), this research review finds that sexual risk avoidance approaches to sexuality education compare better to the outcomes of comprehensive sexuality education than demonstrated in previous reviews.
3. Research documented in 35 years of scientific peer-reviewed literature shows that youth who delay sexual debut until marriage experience better health outcomes in a variety of health areas (physical, emotional/psychological, financial, and relational), on average, than youth who initiate sex before marriage.
[.67 Credit Hours] Michelle A. Cretella, M.D. “Gender Dysphoria in Children: Medical and Ethical Considerations”
1. Define terms including sex, gender, gender dysphoria, intersex, transgender and transsexual.
2. Briefly review the Disorders of Sex Development citing data from the North American Intersex Society to clarify the relationship between intersex conditions and gender dysphoria.
3. Explain what brain and twin studies reveal about the nature of gender dysphoria.
4. Present treatment protocol for gender dysphoria in children per the Pediatric Endocrine Society including risks and benefits.
5. Discuss ethical considerations in the care of children with gender dysphoria.
[.67 Credit Hours] Jeff Pauls Vitae Foundation “Healthcare and Planned Parenthood: The significance for Pro-Life OB/GYNs”
1. The findings from Vitae Foundation’s seventh Right Brain research study (2015) offer practical and executable suggestions for helping medical professionals serve an important role in the new, integrated pro-life model of healthcare and social services.
2. The responses of women in the study reveal both positive and negative feelings, experiences and attitudes toward the Planned Parenthood brand and the “healthcare” offered there. The Planned Parenthood strengths, to the extent possible, can be mimicked and reproduced and the weaknesses can be easily addressed within more responsible, comprehensive and professional medical practices.
3. Connecting OB/GYNs with life-affirming resources, organizations, and marketing and messaging strategies, regionally and nationally.
[.67 Credit Hours] Naji Abi-Hashem, Ph.D.“Healing the Healer”
[.67 Credit Hours] Christopher John Doyle, M.A., L.P.C., L.C.P.C. “A New Family Systems Therapeutic Approach for Families of Teenagers Experiencing Sexual and/or Gender Identity Conflicts”
This workshop will present a framework for working with families that have a child or minor that experience sexual or gender identity conflicts or identifies as LGBT.
1. How to ethically and safely work with families that are struggling with teenagers experiencing sexual and/or gender identity conflicts.
2. Case studies of experiential therapeutic interventions that are culturally competent and ethically sound.
3. How to develop a psychodynamic and family systems therapy model that identifies dysfunctional patterns of behaviors within the family while coaching parents and children to live and love each other the right way.
[.67 Credit Hours] Christopher B. Stroud, M.D., M.B.A., F.A.C.O.G. “Creighton Model FertilityCare/NaPROTECHNOLOGY: a faithful, effective, pro-life alternative to IVF”
1. Understand the Creighton Model FertilityCare problem-based approach to fertility management.
2. Understand most common gynecologic conditions leading to fertility challenges.
3. Understand most common ethical conflicts families express related to IVF.
4. Understand outcomes with IVF as compared to Creighton Model FertilityCare.
5. Understand utility of Creighton Model FertilityCare in addressing common problems in women’s reproductive health.
[.67 Credit Hours] Joel Brind, Ph.D. “Abortion-Breast cancer link: Review of recent evidence from Asia”
The present talk will focus on studies published over the last 10 years from South Asia (India, Pakistan, Bangladesh and Sri Lanka) which reaffirm the reality of the ABC link, revealing a substantially stronger association than has been observed elsewhere.
1. To understand the basis of the epidemiological evidence of the ABC link and
2. To understand the methodological flaws in the high profile prospective data-based research published between 1997 and 2008, which research has inappropriately driven public policy to discount the ABC link.
3. To understand the recent data from Asia, particularly the ABC link data from South Asia published within the last decade. A specific focus will be to understand why the South Asian association between abortion and breast cancer is stronger than it is elsewhere, owing to the particular lifestyle characteristics of South Asian women.
[.67 Credit Hours] Joel Brind, Ph.D. “On the nature of life itself: The lifeless basis of all medical and health-related education”
The present talk will focus on the philosophical underpinnings of what has been taught at all levels in the life sciences concerning the nature of life itself; the evolution of modern biological thinking over the last century.
1. To understand the current philosophical basis of the life sciences in general.
2. To understand the history and evolution of the modern mechanistic view of living systems as “aggregates of molecules.”
3. To understand how the modern mechanistic view of life has colored the thinking of the modern medical and health allied professions, to normalize such previously unthinkable procedures as elective abortion, assisted suicide and euthanasia.
[.67 Credit Hours] Arial Grossu, M.A. “Managing Extreme Prematurity: Treatment, Survival, and Outcomes in Infants Born at 22 to 24 Weeks Gestation”
Due to developments in technology, babies who are considered “extremely preterm” are surviving at younger gestational ages according to new studies.
1. Studies also show that there is variation in treatment and outcomes depending on the hospital.
2. This session will examine how physicians and health care staff can manage extreme prematurity and what their expectations for infant survival and outcomes should be.
3. This session will also examine the policy implications that extreme preterm infant survival has on the definition of viability, fetal pain, and the legality of late-term abortion.