Clinician's Roundtable

Host: Prathima Setty, MD Guest: Draion M. "Dr. Drai" Burch, DO What does transgender mean? What are common health issues found in transgender patients? Host Dr. Prathima Setty welcomes Dr. Draion M. Burch, also known as "Dr Drai". Dr. Drai will address these questions, as well as, information on screening, hormone therapy, and resources available for clinicians, specifically on how to make their offices transgender-friendly. Dr. Burch is a practicing physician and teaching faculty member at Magee-Womens Hospital of The University of Pittsburgh Medical Center. Dr. Drai is the Founder and Chief Medical Advisor of DrDrai.com, where he discusses actionable ideas and real-world strategies to help women take control of their health.

Host: Matt Birnholz, MD It is known from prior studies that healthcare professionals who wait for the subjects of sex and intimacy to be brought forth by their patients will typically not cover these important health topics at all. Nowhere is this more prominent than in elderly patient populations, particularly in women, where even the mere idea of continuing sexuality is so often ignored. Dr. Michael Krychman, Executive Director of the Southern California Center for Sexual Health and Survivorship in Newport Beach, CA, joins host Dr. Matt Birnholz to discuss counseling strategies on sexual health that physicians must incorporate into their practices for optimal care of elder women.

Host: Maurice Pickard, MD Gun violence continues to be a major health care issue. What can physicians and other health care providers do to reduce firearms-related violence? Host Dr. Maurice Pickard welcomes Dr. David Fleming, the 2014-2015 President of the American College of Physicians (ACP), the nation's largest medical specialty organization. Dr Fleming discusses the ACP's new policy paper, Reducing Firearm-Related Injuries and Deaths in the United States, published in the Annals of Internal Medicine. This paper offers strategies to address the societal, health care, and regulatory barriers to reducing firearms-related violence, injuries, and deaths in the United States. Dr. Fleming is Professor of Medicine at the University of Missouri School of Medicine, where he also serves as Chairman of the Department of Medicine and Director of the MU Center for Health Ethics.

Host: Ana Maria Rosario Guest: David Gandell, MD Genital herpes is a common sexually transmitted disease. However, it is also one that is commonly underrecognized and misdiagnosed. Senior reporter Ana Maria Rosario chats with Dr. David L. Gandell to discuss genital herpes, from its prevalence to presentation of symptoms, treatment options, and ongoing therapy. Of particular focus within their discussion is the importance of counseling patients through the course of diagnosis and treatment. Dr. Gandell is a Clinical Professor of Obstetrics and Gynecology from the University of Rochester, Strong Memorial Hospital in Rochester, NY.

Host: Ana Maria Rosario Guest: David Stone, MD It's been two years since ACOG released Practice Bulletin #130 regarding the Prediction and Prevention of Preterm Birth. Where are we today in identifying patients who are a great risk? How can clinicians put the information into clinical practice to provide significant outcomes? Senior reporter Ana Maria Rosario welcomes Dr. David Stone, Practicing Ob-Gyn in the metro Detroit area for over 20 years. Dr. Stone shares his clinical experience, perspective and passion regarding the every day practice of predicting and peventing preterm birth. Dr. Stone is a Fellow of the American College of Obstetrics and Gynecology and a member of several national organizations including the American Medical Association and the Society of Robotic Surgeons

Host: Ana Maria Rosario Breast cancer screening is not the same as breast cancer risk assessment. What are the various screening procedures, what are their respective strengths and weaknesses, and how can clinicians best assess which tools to use for their patients? Senior correspondent Ana Maria Rosario welcomes Dr. William C. Dooley to provide an update on breast cancer screening. Dr. Dooley is the G. Rainey Williams Professor Chair in Surgical Breast Oncology at the University of Oklahoma Department of Surgery.

Host: Lee Philip Shulman, MD, FACOG, FACMG Guest: David Gandell, MD Guest: Bahaeddine M. Sibai, MD What does the current evidence tell clinicians about the use of progestogens for prevention of preterm birth (PTB)? How should women with a previous spontaneous PTB be evaluated for risk of subsequent PTB? And what interventions have been shown to be beneficial for reducing the risk of PTB in women who do not have a history of PTB but who are found to have a short cervical length? Host Dr. Lee Shulman welcomes Dr. Baha Sibai to answer these questions and more. Dr. Sibai is Professor of the Department of Obstetrics, Gynecology and Reproductive Sciences at The University of Texas Health Sciences Center in Houston, Texas.

Host: Thomas C. Wright, Jr., MD Guest: Lee Philip Shulman, MD, FACOG, FACMG Host Dr. Thomas Wright chats with Dr. Lee Shulman on new prenatal screening choices. Dr. Shulman reviews the differences between prenatal screening and diagnosis. They also discuss the improvements in screening tools in the last several years and the latest technologies available to clinicians. Dr. Lee Shulman is the Anna Ross Lapham Professor in Obstetrics and Gynecology and Chief of the Division of Reproductive at the Feinberg School of Medicine at Northwestern University in Chicago, Illinois. He also serves as the Co-Director of the Northwestern Ovarian Cancer Early Detection and Prevention Program and is the Medical Director of the Graduate Program in Genetic Counseling at Northwestern University.

Host: Ana Maria Rosario Senior correspondent Ana Maria Rosario chats with Kate Williams, LMSW, from the Alzheimer's Association's Greater Michigan Chapter. Ms. Williams discusses the prevalence of Alzheimer's disease, the myths and misconceptions, and morbidity and mortality statistics, particularly in women. The risk of Alzheimer's disease in women is 1 in 6, compared to the risk of breast cancer, which is 1 in 12. Physicians and other health care providers are encouraged to visit www.alz.org to find tools and resources for their patients and caregivers. Clinicians can also call the 24/7 helpline at 800.272.3900.

Host: Ana Maria Rosario Guest: Andrea J. Singer, MD, FACP, CCD Guest: Thomas C. Wright, Jr., MD In this program, senior correspondent Ana Maria Rosario chats with Drs. Andrea Singer andThomas C. Wright Jr. to review medical breakthroughs over the past 10 years in the field of women's health. Their discussion specifically focuses on cardiovascular medicine; advances in HPV; updates on female sexual dysfunction; current issues in obesity; advances in breast cancer screening; and the shift of osteoporosis/fracture management. This program was recorded live from the 10 year anniversary kick off of the Women's Health Annual Visit CME series. Celebrate a decade of Omnia Education's Women's Health Annual Visit by registering for an upcoming program in a city near you. Visit www.OmniaEducation.com Dr. Andrea J. Singer is Associate Professor of Medicine and Obstetrics & Gynecology and the Director of Women's Primary Care at Medstar Georgetown University Hospital and Georgetown University Medical

Host: Prathima Setty, MD As health care providers, despite our knowledge and empathy of patient experiences, we may become distanced from the day-to-day life of coping with chronic diseases such as diabetes. Host Dr. Prathima Setty welcomes Dr. Svetlana Katsnelson, an Endocrinology Fellow from Stony Brook University Medical Center in Stony Brook, New York to discuss her experience in living the life of patient with diabetes for one week. Dr. Katsnelson provides a "behind-the-scenes" account that led her to better understand how patients cope with strict timelines for eating and medicating, as well as complying with complicated devices that monitor blood glucose levels. Through this brief journey, Dr. Katsnelson came into greater awareness for how difficult it is to live with diabetes. Download and listen today!

Host: Matt Birnholz, MD The Society for Maternal Fetal Medicine (SMFM) has long been dedicated to the optimization of pregnancy and perinatal outcomes; but according to Dr. Vincenzo Berghella, President of SMFM and Professor of OB/GYN at Thomas Jefferson University School of Medicine, this mission is continually challenged by ongoing issues such as maternal morbidity and mortality, preterm birth, lack of updated practice guidelines, and OB/GYN burnout. Dr. Berghella speaks with host Dr. Matt Birnholz about SMFM's response to these and other issues, and includes his recently published 6 keys to physician happiness on behalf of practicing OB/GYNs everywhere.

Host: Matt Birnholz, MD The Millennial Generation, including those born between 1981 and 1996, has grown to incorporate the current cohort of young medical professionals in teaching positions. How do clinicians from this age group perceive best practices in medical education and patient care, and what challenges exist for colleagues of other age groups who prioritize different methods of communication and training? Dr. Jennifer Prats, Assistant Professor of Obstetrics and Gynecology at the University of South Florida Morsani College of Medicine, addresses these important questions from the vantage point of a Millennial teaching other Millennials in hospital wards and primary care clinics.

Host: Jennifer Caudle, DO The journal Academic Medicine recently reported that medical students, compared to age-matched fellow college graduates, reported significantly higher rates of burnout. What is happening to our 80,000 US medical students? Host Dr. Jennifer Caudle welcomes Dr. Richard Gunderman to discuss the issues of burnout in our young doctors, exhaustion in our more seasoned physicians, and the impacts both trends have on our healthcare system. Dr. Gunderman is Professor and Vice Chairman of the Department of Radiology at Indiana University, with faculty positions in pediatrics, medical education, philosophy, philanthropy, and liberal arts.

Host: Matt Birnholz, MD Dr. Andrew Wagner, Associate Professor of Obstetrics and Gynecology at the University of Oklahoma Health Sciences Center, joins host Dr. Matt Birnholz to discuss the roles of the OB/GYN as both primary care providers and specialists in screening, diagnosing, and treating hereditary cancer syndromes in women. Their discussion covers cancers of the breast, ovaries, endometrium and cervix, as well as related heriditary conditions such as Lynch Syndrome.

Host: Prathima Setty, MD According to the Anxiety and Depression Society of America, major depressive disorder (MDD) is the leading cause of disability in the US for people ages 15-44. Primary care physicians see this problem every day, yet many struggle with recognizing warning signs, diagnosing, and treating the disorder. Joining host Dr. Prathima Setty to address this issue with key clinical considerations and approaches for patients with MDD is Dr. Gina Perez, former Director of Medical Student Education for the Department of Psychiatry and Assistant Dean of Student Affairs at the University of Maryland School of Medicine. Dr. Perez currently serves on the Behavioral Health faculty of the Mid-Hudson family practice residency program in New York.

Host: Matt Birnholz, MD For modern healthcare practitioners, the philosophic change from managing disease to focusing on prevention and wellness isn't always easy or clearcut. The life and career story of Dr. Jonathan Burg, Internist, Physical Medicine & Rehabiliation specialist, and Founder and President of Cornerstone Wellness, encapsulates this experience in ways that are at once intuitively familiar and unmistakably unique. Join Dr. Burg as he shares his facinating story with host Dr. Matt Birnholz.

Host: Matt Birnholz, MD Despite numerous advances in maternal-fetal medicine over the past decades, maternal morbidity and mortality continues to plague labor and delivery wards across the U.S. What are the various clinical, social, and economic determinants of health for expectant mothers, and what partnerships exist to improve maternal care? Dr. Sarah Kilpatrick, Chair of the Department of Obstetrics and Gynecology and Associate Dean of Faculty Development at Ceders-Sinai Health Center, joins host Dr. Matt Birnholz to discuss ways in which healthcare professionals can take the lead on this pressing issue.

Host: Matt Birnholz, MD "We are what our parents and grandparents ate, and how they lived," says Dr. Mark Hanson, Director of the Academic Unit of Human Development and Health at the University of Southhampton in the United Kingdom. This chilling but increasingly recognized prospect concerning intergenerational passsages of disease risk helped found the Developmental Origins of Health and Disease (DOHaD) study, a worldwide collaboration aimed at better understanding environmental to genetic determinants of health across multiple generations. In this discussion with host Dr. Matt Birnholz, Dr. Hanson highlights the science behind broadening our scope of individualized care to include both past and future generations of each patient.

Host: Matt Birnholz, MD What can in-depth exploration of medical history topics teach and inform us about current trends in clinical practice? Dr. Peter Marcus, Associate Clinical Professor of OB/GYN at Yale University School of Medicine, joins Dr. Matt Birnholz to discuss various ways in which scholarship in medical history fosters greater aptitude for patient care.