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Male Training Center for Family Planning and Reproductive Health

The National Male Training Center (MTC) for Family Planning offers training and performance improvement information and services for family planning and reproductive health care staff throughout the United States.

Male Training Center for Family Planning and Reproductive Health Website

The 2010 National Conference for Male Family Planning and Reproductive Health Services

Agenda with Objectives

Agenda and objectives are subject to change.

Preconference – August 1, 2010

   
7:30 AM Registration Opens for Preconference Participants
9:00 -11:15 AM

(includes 15” break)

Male Genitourinary Examination

Thad Wilson, PhD, APRN-BC & Obie Austin, MSN, BC, ANP

  1. Utilize techniques for focused history taking with the male client.
  2. Demonstrate advanced skill in the physical exam of the male client in the reproductive health setting.
  3. Recognize abnormal findings during the male genitourinary exam.
 

Advanced Pelvic Examination Techniques

Sharon Schnare, FNP, CNM, MSN, FAANP & Janet Lancaster, RNC, WHNP-BC

  1. Demonstrate ability to palpate ovaries and determine ovarian size more consistently.
  2. Demonstrate body postures and techniques to determine uterine positions more accurately.
  3. Demonstrate hand maneuvers more accurately to size the uterus more consistently.
  4. Describe various techniques utilized to examine obese women, women with disabilities and special needs.
  5. Describe specific techniques and tools necessary for challenging pelvic examinations.
 

Using Technology to Support an Evidence-Based Practice

Teri L. Thompson, PhD(c), RN, CPNP

  1. Discuss the individual clinician's role in establishing an evidence-based practice.
  2. Incorporate new technology into the evidence-based practice approach.
  3. Develop strategies for locating inexpensive evidence-based reproductive health care data bases.
  4. Locate nationally recognized guidelines and standards related to contraception and reproductive health.
  5. Apply new skills to a current problem in practice.
 

Title X Clinical Update & Case Studies

Sue Moskosky, MS, RNC & Jule Hallerdin, MN, MPH, CNM with Caroline Hewitt, DNS(c), MSN, WHNP-BC, ANP-BC & Jacki Witt, JD, MSN, WHNP-BC,CNM

  1. Describe the purpose and function of the Title X Guidelines and OPA Program Instruction;
  2. Discuss utilization of the Title X guidelines within context of current, evidence-based, nationally recognized standards of care;
  3. Apply the Title X clinical guidelines and nationally recognized standards of care to case presentations.
 

Now What? Taking a Sexual History & Dealing with the Answers

Linda Creegan, MS, FNP

  1. List the 5 components of a brief sexual history. 
  2. Discuss efficient communication techniques for taking a sexual history with male and female clients.
  3. Refer clients to appropriate resources more confidently and effectively.
 

Preceptor Refresher Training

(by invitation for CTCFP trained preceptors)

Partner Violence Across the Lifespan

Sue Kendig

11:15 AM – 12:30 PM Lunch on Your Own
12:30 – 2:45 PM

(includes 15” break)

Male Genitourinary Examination

(repeat)

Thad Wilson, PhD, APRN & Obie Austin, MSN, BC, ANP

 

Avoiding Common Pitfalls in Breast Examinations

Kelly Szala, MSN, RNC, WHNP & Sallie Brackman, RT (R)(M)

  1. Demonstrate advanced skill in breast examinations in the reproductive health setting.
  2. Recognize abnormal findings and develop an appropriate management or referral plan.
 

Microscopy: Diagnosing Vaginal Infections

Bradley Stoner, MD, PhD & Hilary Reno, MD, PhD

  1. Describe the etiology of vaginal infections and their current epidemiology in the US.
  2. Describe proper collection & handling of specimens for saline/KOH wet prep.
  3. Identify the following in a saline/KOH wet prep: trichomonads, yeast, bacteria, red & white blood cells & "clue" cells.
  4. Using proper microscopic technique, scan slides & describe findings using semi-quantitative descriptions.
 

Endometrial/Vulvar Biopsy

Jeffrey Wall, MD

  1. Describe the indications and methods for vulvar biopsy.
  2. Describe the indications and methods for endometrial biopsy.
 

Contraception for Newcomers to Women’s Health

Caroline Hewitt, DNS(c), MSN, WHNP-BC, ANP-BC

  1. Describe a variety of contraceptive methods and review updated recommendations for their use.
  2. Identify the benefits, efficacy profiles and potential side effects associated with each method.
  3. Develop skills needed to identify and match contraceptive users to appropriate methods.
 

CPT Coding and Billing for Title X

(part one of two)

Michael Policar, MD, MPH

  1. Explain coding conventions applied to new and established patient visits and consultations.
  2. Describe two acceptable methods for computing the level of an Evaluation and Management (E/M) visit.
  3. Explain how to claim an E/M visit and a procedure (CPT) code on the same date of service.
  4. Describe the 2 different ways that nurse practitioners and PA’s can bill office visits to Medicare.
2:45 – 3:30  PM Transition break
3:30 – 5:45 PM

(includes 15” break)

Male Genitourinary Examination

(repeat)

Thad Wilson, PhD, APRN-BC & Obie Austin, MSN, BC, ANP

 

Advanced Pelvic Examination Techniques

(repeat)

Sharon Schnare, FNP, CNM, MSN, FAANP & Janet Lancaster, RNC, WHNP-BC 

 

IUC Insertion

Julie Strickland, MD, MPH 

  1. List selection criteria for appropriate candidates for intrauterine contraception.
  2. Outline pre-insertion educational process and content for clients desiring intrauterine contraception.
  3. Discuss possible side effects of intrauterine contraception.
  4. Demonstrate skill in inserting intrauterine contraception.
 

Title X Clinical Update & Case Studies

(repeat)

Sue Moskosky, MS, RNC & Jule Hallerdin, MN, MPH, CNM, Caroline Hewitt, DNS(c), MSN, WHNP-BC, ANP-BC, Jacki Witt, JD, MSN, WHNP-BC

 

CPT Coding and Billing for Title X

(part two of two)   

Michael Policar, MD, MPH 

4:00 – 7:00 PM

Registration & Exhibits

5:30 – 7:00 PM

Reception & Poster Presentations

 

 

Monday, August 2, 2010

   
7:45 – 8:00 AM Opening Remarks: Susan Moskosky, MS, RNC
8:00 – 8:45 AM

Contraceptive Update: Latest Research & Emerging Evidence

Sarah Freeman, PhD, ARNP, FAANP

  1. Analyze new contraceptive modalities available and their appropriate use in women of all ages.
  2. Discuss the new non-contraceptives uses of new and existing methods available to women.
8:45 – 9:30 AM

Abnormal Pap Management

Update

Michael Policar, MD, MPH 

  1. Describe the content of recommendations of the ACS, USPSTF and ACOG regarding when Pap smear screening should be initiated, when it can be stopped, and how it should be performed;
  2. List three ways in which the management of abnormal Pap smears in adolescents differs from that of women older than 21 years;
  3. List five indications for colposcopic evaluation;
  4. List four clinical uses of high risk HPV-DNA tests
9:30 – 10:00 AM Break & Exhibits
10:00 – 10:30 AM

Development of Contraceptive Medical Eligibility Criteria for the US

Kathryn Curtis, PhD

    1.   Identify two new medical conditions added to the US Medical Eligibility Criteria for Contraceptive Use that are not included in the WHO guidance;

    2.   Explain the numeric scheme used to represent the recommendations in the WHO and US Medical Eligibility Criteria for Contraceptive Use.

10:30 – 11:30 AM

Obesity, Complex Medical Conditions & Contraception

Sharon Schnare, FNP, CNM, MSN, FAANP

  1. Identify the contraceptive methods that are safe to use for women with severe obesity.
  2. Select contraceptive methods considered safe for women with organ transplant.
  3. Determine the safer methods of contraception for women with migraine headaches.
  4. Distinguish safer contraceptives for women with gastric bypass surgery.
  5. Delineate specific methods safer for women with cardiac conditions.
11:30 AM – 12:00 PM

Expert Panel for Questions & Answers

Sharon Schnare, FNP, CNM, MSN, FAANP, Michael Policar, MD, MPH,  Sarah Freeman, PhD, ARNP, FAANP, and Kathryn Curtis, PhD

  1. Discuss challenging cases with national experts in women’s health.
12:00 – 1:15 PM Lunch & Exhibits
  Concurrent Sessions
1:15 – 2:15 PM

Motivational Interviewing for  Contraceptive Success

Sharon Schnare, FNP, CNM, MSN, FAANP

  1. Adapt MI skills and language into contraceptive counseling.
  2. Explain the impact of resistance when counseling.
  3. Describe how patients determine what they need to become more successful.
  4. Distinguish language that enhances rather than undermines patient success.
  5. Understand how giving too much information can inhibit success.
 

Gynecologic Bleeding Disorders

Sarah Freeman, PhD, ARNP, FAANP

  1. Develop a plan to collect and analyze data on a woman that presents with abnormal bleeding of gynecological origin.
  2. Develop a plan of treatment for women with gynecologic bleeding and evaluate its effectiveness.
 

Common Dermatological Problems in Family Planning

Jeffrey Wall, MD

  1. Recognize abnormalities in vulvar anatomy.
  2. Differentiate viral, bacterial, neoplastic vulvar skin lesions.
 

Strategies for Primary Breast Evaluation and Management

Glenn E. Talboy, Jr, MD, FACS

  1. Discuss the evaluation and management of common breast related complaints.
  2. Describe the current screening guidelines for early breast cancer detection.
  3. Develop strategies for the integration of breast care services.
 

Enhancing Reproductive Health Care for Males

 Linda Creegan, MS, FNP

  1. Identify key elements necessary in a family planning clinic for successfully serving males.
  2. Discuss communication strategies for interacting with male clients.
  3. Describe how to counsel men to participate in contraceptive decision-making and share prevention of pregnancy/STDs.
2:15 – 2:30 PM Transition Break
2:30 – 3:30 PM

Gynecologic  Endocrinology: Management Update on PCOS, Menopause, and Thyroid Conditions

Michael Policar, MD, MPH

  1. List four different delivery systems for menopausal estrogen therapy, describe how each is used clinically, and the equivalent dose of each.
  2. Describe the unique properties of “bioequivalent hormone” products are and discuss whether they have advantages over commercially available hormonal products.
  3. List two treatment regimens for each of the following manifestations of PCOS: dysfunctional bleeding, hirsuitism, and anovulatory infertility.
  4. List 3 circumstances when women should be screened for hypothyroidism, including which test(s) should be ordered.
 

Basic Tenets of Clinic Efficiency

Pat Blackburn, MPH

  1. Explain the importance of assessment/data collection in the CE process.
  2. Identify tools for collecting data.
  3. List common inefficiencies identified in site data.
  4. Identify possible interventions for inefficiencies.
 

Adolescent Gynecology

Julie Strickland, MD, MPH 

  1. Discuss evaluation and management of abnormal uterine bleeding in adolescents.
  2. Explore strategies for anticipatory care of the adolescent with acute and chronic gynecologic conditions (PCOS, STDs, endometriosis, etc).
  3. Determine when LARC may be considered as a contraceptive choice for an adolescent.
 

Pelvic Pain

Sarah Freeman, PhD, ARNP, FAANP

  1. Develop a plan to collect and analyze data on a woman that presents with chronic pelvic pain.
  2. Develop a plan of treatment for a woman with chronic pelvic pain.
  3. Evaluate the effectiveness of treatment for chronic pelvic pain.
 

Infertility Update: What Title X Providers Need to Know

Gregory C. Starks, MD

  1. Describe recent innovations in infertility treatment.
  2. Discuss components of level I infertility services required by Title X programs.
  3. Provide basic infertility care and make referrals as appropriate. 
3:30 – 3:50 PM Break & Exhibits
3:50 – 4:35 PM

Serving Males in Title X: Clinical Update

David Bell, MD, MPH

  1. Describe effective techniques for approaching males in a clinical setting.
  2. Approach males in the clinic setting with increased comfort.
  3. Discuss evaluation and management of common male reproductive health conditions.
4:35 – 5:05 PM

Chronic Disease Screening in Family Planning

Sherry Farr, MSPH, PhD & Cheryl Robbins, PhD

  1. Identify chronic disease conditions prevalent among women of reproductive age and screening opportunities in Title X settings;
  2. Describe current screening methodologies & professional recommendations for screening women of reproductive age for specific conditions; and
  3. Discuss possible interventions and follow-up practices, specific for women of reproductive age, for each condition.
5:05 – 5:20  PM   Q & A and Evaluation

Optional Dinner Session 6-8 pm 

 

* Life in Balance: Strategies for Optimal Health

Tieraona Low Dog, MD

  1. Discuss the evidence of safety and benefit for dietary supplements commonly recommended for health.
  2. Describe the scientific evidence for mind/body approaches to pain, anxiety, and depression.
  3. Discuss the scientific evidence for nutritional approaches for the prevention of cardiovascular disease and common cancers. 
 

* Sponsored by Development Systems, Inc./Women’s Health Care Symposium

 

Tuesday, August 3, 2010

   
7:45 – 8:00 AM Opening: Karla Johnson, MPH
8:00 – 9:00 AM

* Guide to Women’s Wellness

                                                                                 

Tieraona Low Dog, MD

  1. Identify three lifestyle interventions that can reduce the risk of chronic disease.
  2. Describe the evidence of safety and benefit for three dietary supplements used to reduce the symptoms of PMS and menopause.
  3. Discuss the evidence for three dietary interventions for weight loss and prevention of heart disease, and diabetes.
9:00 – 9:30 AM

The Clinician’s Role in Clinic Efficiency

                                                         

Jennifer Vail, MS, RN-C

  1. List potential benefits to clinicians when organizations undergo clinic efficiency programming
  2. Describe role-appropriate actions clinicians can take to enhance efficient service delivery
  3. Serve as an advocate within their agencies  for clinic efficiency programming
9:30 -10:00 AM Break & Exhibits
10:00 – 10:45 AM

Preconception Health and Reproductive Life Planning for HIV+ Couples

Gina Brown, MD

  1. Review evidence guiding current standards for preconception and interconception care.
  2. Identify unique aspects of providing preconception health care to HIV+ couples.
  3. Discuss solutions to challenges faced by HIV+ couples in planning their families.
  Concurrent Sessions
11:00 – 12:00 AM

* Migraines, Headaches & Contraception

Tieraona Low Dog, MD

  1. Define migraine with and without aura.
  2. Differentiate migraine, menstrually related migraine, and true menstrual migraine.
  3. Identify behavioral and pharmacologic options for acute and prophylactic management of menstrual migraine.
  4. Understand when estrogen-containing contraception or hormone therapy is appropriate for women with migraine.
 

Gynecologic Care for Women Living with HIV

Gina Brown, MD 

  1. Describe the unique contraception needs of HIV+ women.
  2. Discuss management of infections common in women with HIV infection.
  3. Explain differences in Pap and STI management for women living with HIV.
 

Teens & Social Media: the Good, the Bad & the Ugly

La Rhonda Crosby-Johnson, BSW

  1. Identify personal biases to social media.
  2. Demonstrate increased comfort with social media.
  3. Use social media to his/her advantage in advancing messages of reproductive health. 
 

Understanding the Culture of Poverty: Impact on Care

     

Patrice Zink, MA

  1. Explore concrete examples of people living in situation poverty and describe impact on family planning service delivery.
  2. Explore concrete examples of people living in generational poverty and describe impact on family planning service delivery.
  3. Identify and give examples of “Hidden Rules of Poverty”. 
 

Gynecologic Cancer Update

Verda Hunter-Hicks, MD, FACOG

  1. List screening tests for cervical, endometrial, and ovarian cancer.
  2. Describe risk factors for referral for genetic counseling for gynecologic malignancies.
  3. Discuss prevention strategies for gynecologic cancers.
12:00 – 1:00 PM Lunch & Exhibits
1:00 – 1:45 PM

Using the Using the Social Determinants of Health Approach to Reduce Disparities and Promote Health Equity

Kevin Fenton, MD, PhD, FFPH

  1. Provide overview of the impact of social determinants of health on HIV, STD and TB transmission.
  2. Describe the CDC’s comprehensive approach to addressing health disparities and promoting health equity.
  3. Discuss factors that comprise a social determinants approach to health promotion and protection.
  4. Outline the role federally funded programs such as Title X have in addressing disparities and promoting health equity, now and in the future. 
1:45 – 2:30 PM

Evidence-Based Paradigm Shifts in Reproductive Health

Caroline Hewitt, DNS(c), MSN, WHNP-BC, ANP-BC

  1. Identify trends in reproductive health care in the United States;
  2. Discuss emerging evidence and the current as well as potential impact on family planning programs.
2:30 – 2:45 PM Break & Exhibits
2:45 – 3:30 PM

STIs in the US: Where Are We Now? Where Are We Headed?

 Kevin Fenton, MD, PhD, FFPH

  1. Describe key features of the changing epidemiology of STIs in the United States.
  2. Review disparities in morbidity of gonorrhea, development of drug resistance and CDC’s efforts to address these concerns.
  3. Identify key changes in the CDC 2010 STD Treatment Guidelines.
  4. Discuss emerging trends, challenges and opportunities in STI management.
3:30 – 4:15 PM

I Can’t Believe She’s Texting in the Stirrups! Serving Twittering Teens

La Rhonda Crosby-Johnson, BSW 
  1. Understand the importance of social networking in the lives of teens.
  2. Demonstrate effective communication techniques and identify personal and professional barriers that block effective communication.
  3. Compare and contrast adult and teen values regarding communication.
4:15– 5:00  PM 

A Positive Life *

  1. Re-evaluate everyday difficulties to gain perspective for change;
  2. Explore strategies for more effectively meeting professional and personal challenges.

River Huston, BA

Evaluation

* Sponsored by Development Systems, Inc./Women’s Health Care Symposium