Obstetrics and Gynaecology Rounds

Grand Round Presentation via Hybrid MS Teams/Parker Reception Room G2066

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Meeting ID: 264 112 859 673
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Add to iCal/Outlook | Add to Google Calendar (if you're logged into google)

Grand Round Presentation via Hybrid MS Teams/Parker Reception Room

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Meeting ID: 264 112 859 673
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OBJECTIVES:

Add to iCal/Outlook | Add to Google Calendar (if you're logged into google)

Grand Round Presentation via Hybrid MS Teams/Parker Reception Room G2066

Microsoft Teams meeting

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Meeting ID: 264 112 859 673
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OBJECTIVES:

Add to iCal/Outlook | Add to Google Calendar (if you're logged into google)

Department Meeting

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SOGC & ACSC

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Grand Round Presentation via Hybrid MS Teams/Parker Reception Room G2066

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Meeting ID: 264 112 859 673
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OBJECTIVES:

Add to iCal/Outlook | Add to Google Calendar (if you're logged into google)

Summer Break

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Grand Round Presentation via Hybrid MS Teams/Parker Reception Room G2066

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Meeting ID: 264 112 859 673
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OBJECTIVES:  

1. Review the burden of HPV related disease
2.  Discuss the rationale for switch to primary HPV screening
3.  Suggested pathways, including self-screening
4.  Challenges and ways to mitigate these
5.  Impact of the switch to primary HPV screening in Nova Scotia

(Video)

Grand Round  Presentation via Hybrid MS Teams/Parker Reception Room G2066

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OBJECTIVES:

1. Introduce three early career faculty members and their research programs aimed at impacting birthing parent and perinatal health
2. Provide an overview of research that explores variation in Canadian access to assisted reproduction.
3. Discuss the use of advanced quantitative methods to address persistent challenges in perinatal epidemiology: previous work and future directions.
4. Communicate recent research results on the current capacity of the health system to respond to domestic and sexualized violence in Nova Scotia.

(Video)

Grand Round Presentation via Hybrid MS Teams/Parker Reception Room G2066

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Meeting ID: 264 112 859 673
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OBJECTIVES: 

1. To review relevant pelvic floor anatomy
2. To discuss obstetrical anal sphincter injuries
3. To review episiotomy types and techniques 
4. To discuss the trends in OASIS and episiotomy 
5. To present the literature surrounding prevention of OASIS

(Video)

Grand Round Presentation via Hybrid MS Teams/Parker Reception Room G2066

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Meeting ID: 264 112 859 673
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(Video)

Department Research Day

Department Meeting

Grand Round Presentation via Hybrid MS Teams/Parker Reception Room G2066

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OBJECTIVES:

1. To define hypoactive sexual desire disorder in the context of female sexual dysfunction
2. To review the physiology of androgens in females and their role in sexual function
3. To understand the biopsychosocial approach to diagnosis and treatment of hypoactive sexual desire in females
4. To review the safety and efficacy of testosterone therapy for females with hypoactive sexual desire disorder

(Video) 

Grand Round Presentation via MS Teams/Parker reception room G2066

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Meeting ID: 264 112 859 673
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OBJECTIVES:

1. Define food insecurity and outline the state of food insecurity nationally and locally
2. Describe socioeconomic risk factors associated with food insecurity and pregnancy
3. Discuss methods of identifying food insecurity in pregnant populations
4. Highlight the impact of food insecurity on maternal and fetal wellbeing
5. Raise awareness on guidelines, resources and interventions for supporting food insecure patients

(Video)

March Break

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

https://pulse.iwk.nshealth.ca/events/view/?eventid=2014227

IWK Cineplex and Boardroom/MS Teams

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SPEAKERS: Dr. Katie Gardner, Darlene McKinnon, Tanya Snow

OBJECTIVES: 

1. Provide evidence-based framework that reduces psychological distress and improves staff wellbeing
2. Conversation focusing on the social and emotional issues that arise in caring for patients and families

HYBRID! Grand Round Presentation via MS Teams/Parker Reception Room G2066

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SPEAKERS: Dr. Maria Migas and Dr. Shauna O'Hearn

OBJECTIVES:

1.  Identify the common and uncommon symptoms associated with menopause, and its stages.
2. Recognize the gaps in knowledge and care that exist in our healthcare systems for individuals suffering with symptoms of menopause.
3. Demonstrate an understanding of the potential impact of menopause on an individual's work and how organizations can create supportive environments.

(Video)

Grand Round Presentation via MS Teams 

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PRESENTER: Dr. Husein Moloo, University of Ottawa

OBJECTIVES:

1.     Describe the concept of planetary health
2.     Recognize the impact that healthcare has on the planet
3.     Identify opportunities to improve the carbon footprint of obstetrics and gynaecology

(Video)

HYBRID! Grand Round Presentation via MS Teams/Parker Reception Room G2066

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OBJECTIVES: To present what the Society of Obstetricians and Gynaecologists can do for Department members to help strengthen women's health.

SPEAKER(S): Dr. Jocelynn Cook, Dr. Diane Francoeur, Dr. Amanda Black, Dr. Lynn Murphy-Kaulbeck

(Video)

HYBRID! Grand Round Presentation via MS Teams/Parker Reception Room G2066

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OBJECTIVES: 

1. Define the impact of pelvic organ prolapse on population health and quality of life
2. Understand the evidence of pathophysiology behind hysterctomy as a cause for prolapse
3. Understand the evidence behind prophylactic vault suspension at hysterectomy in patients without prolapse
4. Review surgical approaches for uterosacral suspension

(Video)

HYBRID! Grand Round Presentation via MS Teams/Parker Reception Room G2066

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OBJECTIVES:

1. To provide an overview of cervical cancer in pregnancy, challenges and considerations associated with this diagnosis
2. To review diagnostic staging procedures for cervical cancer during pregnancy
3. Present a comprehensive outline of treatment modalities tailored to different stages of cervical cancer and gestational ages
4. Understanding the use of chemotherapy and radiation therapy in the setting of pregnancy
5. Discuss the decision-making process for determining mode and timing of delivery, considering both the fetal and maternal outcomes

(Video)

HYBRID! Grand Round Presentation via MS Teams/Parker Reception Room G2066

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OBJECTIVES: 

1. Revised definition of Infertility
2. Preimplantation Genetic Testing for Aneuploidy: is there still an indication for PGT-A
3. Social Oocyte Freezing: new trend
4. Artificial Intelligence: emerging technology

(Video)

HYBRID! Grand Round Presentation via MS Teams/Parker Room G2066

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OBJECTIVES: 

1. Define opioid use disorder (OUD) and review the epidemiology
2. Review the SOGC Guideline No. 443b: Opioid Use Throughout Women's Lifespan: Opioid Use in Pregnancy and Breastfeeding
3. Review IWK Health Policy #4.07: Care of patients on OAT for OUD including a review of the relevant 'PPOs'
4. Review screening for and management of OAT patients during the intrapartum and postpartum periods with emphasis on integrated care models
5. Provide an overview of NOWS management

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

PRESENTERS: Dr. Nathalie Kupher, Dr. Noor Sadeq - PGY5 Deparment of Obstetrics & Gynaecology

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

Meeting ID: 556-843-4238

Password: rounds

Presenter(s): Dr. Carolyn Thomson, Faculty of Medicine, Associate Professor, Dept. of Family Medicine, Dalhousie University;

Dr. Roberta Preston, Dalhousie University

OBJECTIVES:

1. To discuss psychological safety as it pertains to team function
2. To examine the link between psychological safety and patient safety
3. To explore psychological safety in the learning environment

​
(Video)

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

Meeting ID: 556-843-4238

Password: rounds

PRESENTER: Dr. Mark Hewitt, PGY2, Department of Obstetrics & Gynaecology

OBJECTIVES: 

1. Understand thyroid physiology and function in the nonpregnant and pregnant patient.
2. Understand thyroid function in the fetus.
3. Appreciate the role of thyroid hormone in fetal development.
4. Understand the proper assessment and monitoring of the thyroid in pregnant patients.
5. Understand the treatment of thyroid disorders when occurring in pregnancy and the postpartum period.
6. Develop an approach to the treatment of thyroid storm in the pregnant patient.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

Meeting ID: 556-843-4238

Password: rounds

SPEAKER: Dr. Michael MacGillivary, Department of Medicine, Division of Clinical Dermatology & Cutaneous Science; 

Department of Medicine, NS Health (Central Zone)

OBJECTIVES:

1. Develop an approach to dermatitic eruptions in vulvar skin
2. Describe the process and potential results of patch testing
3. Recognize potential allergens from common products used in the vulvar area

(Video)

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

Meeting ID: 556-843-4238

Password: rounds

PRESENTER:  Dr. Brigid Nee, Department of Obstetrics & Gynaecology

OBJECTIVES:

1. Describe the clinical diagnostic criteria for TOA
2. Order and interpret the relevant laboratory and imaging investigations
3. Compare and contrast antibiotic management alone with image-guided drainage and surgical source control
4. Reflect on the treatment nuances of TOA: timing of interventions, fertility factors
5. Review video of laparopscopic management of TOA and recognize the complexity of these cases

(Video)

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

Meeting ID: 556-843-4238

Password: rounds

SPEAKER: Dr. Rachelle Findley, Department of Obstetrics & Gynaecology

OBJECTIVES:

1. Understanding guiding principles for managing common medications in the pre-operative period.
2. Review evidence-based principles for reintroducing medications postoperatively.
3. Encourage discussion on areas for improvement and as emerging information around newer medications. 

(Video)

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

Meeting ID: 556-843-4238

Password: rounds

SPEAKER: Meaghen Flewelling - IWK Patient, Julia Donahue - Co-chair Family Leadership Council, Neda Moghadam, Family Leadership Council, IWK Health

OBJECTIVES:

1. Be able to explain the principles of People Centered Care and build on your current approach
2. Learn how People Centered Care principles impacted a family's experience with pregnancy loss
3. Identify opportunities for growth and successes with the community of care

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. Overview of Preeclampsia and clinical significance of sFLt-1/PIGF
2. Explore recent studies of high risk sFLt-1/PIGF patients
3. Review the current sFLt-1/PIGF ordering practices at the IWK
4. Discuss potential algorithms for management of patients with high risk sFLt-1/PIGF

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

PRESENTERS: Dr. Michiel Van Den Hof, Department of Obstetrics & Gynaecology 

OBJECTIVES: At the of the presentation, attendees will:

1. Identify different types of MCQ items;
2. List the technical flaws common to MCQs;
3. Describe the structure of an MCQ;
4. Ace the Royal College exam.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

PRESENTERS: Dr. James Bentley, Department of Obstetrics & Gynaecology and Dr. Shawn Murray, Department of Pathology

OBJECTIVES: At the end of the presentation, attendees will:

1. Understand the clinical features of VIN and Pagets disease of the vulva;
2. Discuss management of VIN including medical and surgical options;
3. Create a plan for evaluation and management of pagets disease.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

CO-PRESENTERS: Dr. Melanie Keats, Professor, School of Health and Human Performance, Division of Kinesiology and Dr. Stefan Heinze-Milne, Post-Doctoral Health System Impact Fellow, Cancer Care Program, Nova Scotia Health Authority
Trainee, BHCRI Cancer Research Training Program

OBJECTIVES:

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

PRESENTER: Dr. Heather Watson, Associate Professor, Department of Obstetrics & Gynaecology, University of Manitoba

OBJECTIVES: 

1. Understand that trauma is ubiquitous and can be triggered by routine care practices;
2. Describe the benefits of intellectual, relational, organizational and cultural humility;
3. Utilize principles of humility to navigate care events at highest risk for unintended retraumatization;
4. Apply principles of safety, agency & relationship to preserve the therapeutic alliance even when care is declined.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. To describe trends in adverse maternal and perinatal health outcomes by planned (and actual) mode of delivery following a previous cesarean section in Nova Scotia.
2. To describe preliminary results from an investigation into a rise in uterine rupture among those planning a vaginal delivery following a previous cesarean section in Nova Scotia. To discuss the implications of our investigation on surveillance efforts addressing severe maternal morbidity.
3. To describe an initial needs assessment for a revised clinical counseling and decision making tool on mode of delivery following a previous cesarean section.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. Briefly review placental anatomy, physiology, development and delivery.

2. Discuss postpartum handling of the placenta – specifically placental examination by pathology including the new IWK policy and requisition, and interpretation of results through recent cases.

3. Review SOGC Guideline on placentophagy including proposed benefits and potential harm. 

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. Intended outcomes of CBME
2. Resident experience with CBME
3. Faculty engagement
4. Tackling issues around appropriate EPA completion

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

Dr. Lynne McLeod; Shauna Wilcox

(Video)

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1.  Review of available guideline recommendations for prenatal care , labor , delivery in people with physical disabilities.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. To review our current response to errors in medicine and how it relates to the Model Penal Code

2. To learn about the three core behaviours that lead to error

3. To become familiar with the Just Culture Algorithm 

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. What is healthcare quality and why does it matter?
2. Is process improvement possible?
3. IWK Gynaecology Clinics example

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

SPEAKERS: Dr. Heather Scott, Department of Obstetrics & Gynaecology & Dr. Martha Paynter, Assistant Professor, Faculty of Nursing, University of New Brunswick

OBJECTIVES:

1. Develop an understanding of the experience of pregnant patients who are incarcerated.
2. Become familiar with the legislation and policies that can influence the care provided to pregnant individuals who are incarcerated, and the challenges of providing care within these parameters.
3. Develop an understanding of issues around ethics, privacy and confidentiality that arise when caring for incarcerated patients.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. Describe the pathophysiology, epidemiology, and clinical manifestations of Turner Syndrome;
2. Understand the gynecologists role in multidisciplinary care of patients with Turner Syndrome;
3. Recognize the emerging changes in our understanding of Turner Syndrome genetics.

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES:

1. Examine the history of oral intake restriction in obstetrics
2. Review the current literature
3. Examine our local practices
4. Discuss possible changes for the future

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

OBJECTIVES

1. Define and review incidence of fetal growth restriction
2. Review the new SOGC guideline on fetal growth restriction
3. Review management of early and late onset growth restriction

Grand Round Presentation via Zoom - https://dalobstetrics.ca/s/join-rounds

SPEAKER: Dr. Tanya Tulipan, Department of Psychiatry, Reproductive Mental Health, IWK Health

OBJECTIVES:

1. Review the psychological features of Traumatic Birth Experience
2. Discuss various treatment approaches
3. Review the role obstetrical care providers can play in the therapeutic process