Clinical Practice Alert: Chlamydia and Gonorrhea Screening and Treatment

June 20, 2019

Description:

Rates of sexually-transmitted diseases (STDs) such as chlamydia trachomatis (CT) and gonorrhea (GC) have reached an all-time high. In the U.S., California leads the nation in reported cases of these STDs. Because persons with CT and GC are often asymptomatic, screening is essential for the early detection and treatment that can prevent reproductive complications including pelvic inflammatory disease (PID), tubal infertility, ectopic pregnancy, and chronic pelvic pain in females and epididymitis in males. Join us for a webinar to learn about current clinical guidelines for routine and targeted screening, treatment, follow-up, and prevention of CT and GC.

Learning Objectives:

  • Understand current guidelines for screening for CT and GC among sexually active people
  • List the indications for anorectal and oropharyngeal CT/GC screening
  • Explain when test-of-cure is indicated
  • Identify the proper ICD-10 codes for lab requests and billing information

Speakers:

Ina Park, MD, MS
Co-author of the CDC STI Treatment Guidelines, 2021

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources:

Pain Management: Tips, Tricks, and Evidence

February 5, 2019

Description:

Patients often experience varying levels of pain or discomfort from procedures performed during family planning visits. The purpose of this webinar is to provide clinicians with evidence-based tips, tricks, and strategies on how to prevent and minimize pain during family planning procedures.

The webinar focuses on the most commonly performed family planning procedures such as: IUD insertion/removal, implant insertion/removal, colposcopy, biopsy, and vulvar biopsy. Less common procedures for non-gynecologists such as LEEP, cryo, and procedures not covered by the Family PACT Program are not discussed.

Learning Objectives:

  • Three components and factors associated with procedure pain and strategies to alleviate discomfort
  • Four examples of trauma-informed care practices for family planning clients
  • Three examples of ways to use patient-centered language during pelvic exams
  • Considerations for administering and providing the appropriate level of local anesthetic
  • Pain management for family planning procedures

Speaker:

Karen Meckstroth, MD, MPH

Resources:

Preventing and Managing IUD Complications

October 4, 2018

Description:

The purpose of the webinar is to provide clinicians who are doing IUD placements with advanced skills to prevent and manage the uncommon complications that can occur with the placement and use of IUDs. It consists of case studies that detail the management of difficult IUD placements owing to cervical stenoisis, morbid obesity, and vasovagal syncope. Management of IUD complications, including uterine perforation, tenaculum site injuries, and post-IUD placement infection will be discussed. The work-up and management of the patient with a “missing” IUD string, including variants of malpositioned IUDs and intrauterine pregnancy with an IUD in place, are explained as well.

Learning Objectives:

  • Maneuvers that can be performed to improve the likelihood of successful placement in morbidly obese patients
  • Techniques to avert vaso-vagal episodes and 4 sequential steps in the management of a vaso-vagal syncope
  • The most common predisposing factors for uterine perforation with IUD placement
  • Causes of a “missing” IUD string and how each is managed
  • Management of post-IUD placement pelvic inflammatory disease

Speaker:

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources:

The Evolving Well Woman Visit

April 26, 2018

Description:

The contents of the well-woman visit have changed significantly in the past decade, such that many screening tests are performed in modified age groups and at different screening intervals. This webinar will review the well-woman health screening recommendations published by the California Department of Public Health (CDPH), U.S. Preventive Services Task Force (USPSTF), American College of Obstetrics and Gynecology (ACOG) and other national organizations.

Learning Objectives:

  • Reproductive goals counseling
  • Use of newer cervical cancer screening technologies
  • Utility of screening clinical breast exams and screening pelvic exams
  • Coding for well-woman visits

Speaker:

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources:

Zika Virus: Implications for Family Planning

June 29, 2016

Description:

The Zika virus is an emerging concern for the health of people who are pregnant or may become pregnant. This webinar discusses the unique role that providers play in keeping people healthy.

Learning Objectives:

  • The epidemiology, transmission, and implications for family planning needs of Zika virus
  • Use principles of shared decision-making to counsel people at risk of Zika infection about family planning options
  • Review resources for family planning clinicians about the Zika virus

Speaker:

Dominika Seidman, MD, MAS

Resources:

Emergency Contraception

December 6, 2018

Description:

Learn the answers to the most commonly asked questions about emergency contraception and the science behind them.  Stay updated and learn about their effectiveness, how to get them, when to use them, and what to do afterwards for long term contraception.

Speaker:

Michael Policar, MD, MPH
Professor Emeritus, UCSF
Senior Medical Advisor, CAPTC and California OFP
Clinical Fellow, NFPRHA

Resources: 

Same-Day Placement of LARC: Solutions to Common Barriers

March 24, 2016

Description:

Long-acting reversible contraceptives (LARCs) have long been one of the most popular and most effective forms of contraception. They require little to no maintenance, it can be inserted on the same day as a doctor’s visit, and depending on the options, are good for 3-10 years. The webinar addresses the health concerns and barriers of LARCs and how to overcome them.

Learning Objectives:

  • Bleeding changes associated with each LARC method
  • Familiarity with use of the U.S. Medical Eligibility Criteria for Contraceptive Use
  • Testing required prior to LARC placement
  • Barriers and solutions to same-day placement of LARC methods

Speaker:

Patty Cason, RN, MS, FNP-BC
Assistant Clinical Professor
UCLA School of Nursing
President, Envision SRH

Resources:

Shared Decision Making in Contraceptive Counseling

December 15, 2015

Description:

The relationship between providers and patients is important to maintain good health. Communication is a crucial factor that can affect outcomes such as preventive care, in terms of contraception options and medication adherence. This relationship is essential to providing information about diagnoses and treatment plans, as well as ensuring that patients are staying well-informed and supported.

Learning Objectives:

  • Evidence for shared decision making in contraceptive counseling
  • Best practices for engaging in shared decision making with clients choosing a contraceptive method
  • Potential provider biases that may influence contraceptive counseling and the role of shared decision making in addressing these biases
  • Solutions to potential barriers to the implementation of shared decision making, including limited time in the clinical encounter

Speaker:

Christine Dehlendorf, MD, MAS

Resources: