28th Annual Southwestern Ontario Obstetrics & Gynaecology Update Day - HH Allen Day Agenda

Date: Friday, November 5, 2021

Time: 7:45 am to 1:00 pm

Location: Held virtually due to COVID-19 social distancing protocols

Cost: $25.00 Physicians/Researchers/Allied Health Professionals and Free for Learners

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by Continuing Professional Development, Schulich School of Medicine & Dentistry, Western University. You may claim a maximum of 4.75 hours (credits are automatically calculated).

Each participant should claim only those hours of credit that he/she actually spent participating in the educational program.

Learning Objectives

By the end of this program, participants will be able to:

  1. Discuss current and optimal reproductive health care information related to obstetrics and gynaecology, including menopause, vulvar dermatology, uterine fibroid embolization, adnexal masses and induction of labour.
  2. Incorporate and apply this up-to-date knowledge on new treatments, identification practices, cultural appreciation, management and referral options into their clinical practices.

A minimum of 25% of this program is dedicated to participant interaction. Each presentation will include a question and answer period.

Agenda

Session 1 - Chaired by Dr. Carol King

Each presentation will be 30 minutes, followed by a 10-minute question and answer period.

Time Speaker & Titles
8:00 – 8:45

What’s New in Menopause

Dr. Michelle Jacobson, Obstetrics & Gynaecology, University of Toronto

At the end of this session, participants should be able to: 

  • Review newer menopause guideline recommendations
  • Describe updated evidence on menopause management
  • Discuss new or soon to be available treatments for women with menopausal symptoms
8:45 - 9:30

Maternity Care for Indigenous Patients

Dr. Tlell Brown Bentley, Obstetrics & Gynaecology, Western University
Recipient of the Tew Resident Lectureship

At the end of this session, participants will be able to:

  • Identify determinants of Indigenous women's health, including systemic racism within medicine, with a focus on understanding the history of coercive sterilization in Canada
  • Develop the capacity to engage in culturally safe care
  • Describe the role and scope of Indigenous midwifery care in both rural, remote, and urban populations.
9:30 - 10:15

Recognition of Common Vulvar Complaints

Dr. Lynette Margesson, Obstetrics & Gynaecology and Dermatology, Dartmouth College

At the conclusion of this presentation participants will be able to:

  • Recognize the normal vulva and common variations
  • Recognize the most common vulvar conditions
  • Identify key points for diagnosis
10:15 - 10:25

BREAK

Session 2 - Chaired by Dr. Janine Hutson

Each presentation will be 20 minutes, followed by a 10-minute question and answer period.

Time Speaker & Titles
10:25 - 10:55

Mirror, mirror on the wall, which of these is the most malignant of them all? A review of the SOGC/GOC Initial Investigation and Management of Adnexal Masses guideline

Dr. Ji-Hyun Jang, Obstetrics & Gynaecology, Western University

At the end of this presentation participants will be able to:

  • Describe the key features on history and physical examination of a patient presenting with an adnexal mass
  • Describe investigations for an adnexal mass
  • Describe the IOTA rules and concerning sonographic features of an adnexal mass
  • Recognize adnexal masses that may benefit from a Gynecologic Oncology opinion
10:55 - 11:25

Uterine Artery Embolization for Fibroids and Adenomyosis: Update on Current Evidence, Patient Selection, and Clinical Outcomes

Dr. Derek Cool, Medical Imaging, Western University

At the end of this presentation, participants will be able to:

  • Describe the procedure and counsel patients using the latest data on clinical outcomes
  • Identify patients appropriate for uterine artery embolization, including factors that might limit clinical success.
  • Recognize expected post-treatment course and identify potential short-term and long-term complications.

Session 2: Induction of Labour 2021 Panel Discussion - Chaired by Dr. Janine Hutson

Each presentation will be 30 minutes, followed by a 25-minute panel discussion after both lectures.

Time Speaker & Titles
11:25 - 11:55

Labour Induction in Contemporary Practice: Why, When and How

Dr. Rohan D’Souza, Obstetrics & Gynaecology, University of Toronto & McMaster University

At the end of this session, participants should be able to:

  • Review historical literature and put current recommendations in context (Why?)
  • Critically appraise the optimal timing for labour induction in low- and high-risk pregnancies (When?)
  • Explain the importance of individualized care to improve outcomes following labour induction (How?)
11:55 - 12:25

An Evidence-Based Approach to Optimizing the Success of Labour Induction

Dr. Harrison Banner, Obstetrics & Gynaecology, Western University

By the end of this presentation, participants will be able to:

  • Describe the current literature as well as the controversies in the field of induction of labour
  • Articulate a patient-centred and individualized approach to pre-induction assessment and planning, and the process of induction of labour
  • Explain the differences between spontaneous labour and induced labour, in terms of the underlying physiology and expectations for progress towards vaginal birth
  • Apply several adjunctive strategies, including the use of intra-uterine pressure catheters, oxytocin rest, and oxytocin-alternative medications, to induction of labour that is not progressing as expected.
12:25 - 12:50

PANEL DISCUSSION: Dr. Harrison Banner & Dr. Rohan D'Souza