Course Schedule: Agenda
Hot Topics: Contraceptive Implant, IUD, EMB, Vasectomy, Fine Needle Aspiration, and Office Treatment of Hemorrhoids is a two-day course.
Faculty: Grant Fowler, MD, FAAFP
Earn up to 15 AMA PRA Category 1 credits™ and AAFP Prescribed Credits
2018 Course Location Information
Check back in the fall for the 2018 Course Schedule. Join our newsletter list at the bottom of our website for updates!
Hot Topics: Contraceptive Implant, IUD, EMB, Vasectomy, Fine Needle Aspiration, and Office Treatment of Hemorrhoids Course Description
This CME course includes a didactic review of underlying disease processes, patient selection, management of complications and hands-on practice of contraception, endometrial biopsy, no-scalpel/no-needle vasectomy and office treatment of hemorrhoids. NPI provides the necessary equipment and anatomic models with the goal of preparing the learner to perform these techniques in their own practice at the completion of the course. The course is designed in such a way that the material is easily learned in the classroom setting, with topics selected specifically for the primary care setting.
Contraceptive Implant: The contraceptive implant is a long-acting reversible contraceptive. The implant contains the progestin etonogestrel and is subdermally implanted into the arm. The course will discuss the insertion and removal of the implant. Indications, contraindications, benefits and complications will be discussed.
IUD: With proper patient selection, lUD’s are safe, cost-effective, and easily inserted. Studies show they prevent conception which makes them more acceptable to patient and physician alike. Reviews indicate they are often inappropriately overlooked as a contraceptive choice. The levonorgestrel-releasing IUD is also indicated to treat hypermenorrhea. IUD’s are approved for 5-10 years of continual use. Experts feel they are underused. This course will discuss insertion, removal, indications, contraindications, benefits and side effects.
Vasectomy (No-scalpel and No-needle): Patients truly prefer the no-scalpel technique. This course is a comprehensive review of the entire topic of vasectomy, but will concentrate on the no-scalpel approach. We will also demonstrate a method of performing this procedure with no-needle; an air gun is used to administer the local anesthetic. History, pre-operative counseling, complications, various techniques, and follow-up are all reviewed. Vasectomy is safer, less costly, and has a lower failure rate (and the failures can be detected) when compared to tubal ligations. Start-up expenses are minimal and patients prefer having their family physician do the procedure. The VASCLIP will also be reviewed.
Endometrial Biopsy/Abnormal Uterine Bleeding: Endometrial biopsy has replaced most D&C’s. Ninety-seven percent accuracy in diagnosis makes this the procedure of choice for evaluating abnormal uterine bleeding.
Fine Needle Aspiration: Fine needle aspiration is a simple procedure that is used to extract cells from masses and lumps for testing and diagnosis in the paravaginal and perianal region as well as other locations. This procedure is less invasive and less traumatic than other tissue sampling techniques.
Hemorrhoid Treatment: Ninety percent of symptomatic hemorrhoids can be treated in the office and the patient can return to work the same day. Office treatment of hemorrhoids using infrared coagulation (IRC) and rubber band ligation is reviewed. It’s now easier than you think. We will also discuss anal fissures and other issues of the perineal region.
By the end of this activity, the participant should be better able to:
2018 Course Accreditation
- Review current and emerging contraceptive technologies.
- Discuss male sterilization and learn the technique of no-scalpel vasectomy.
- Discuss subcutaneous contraceptive implants and intrauterine devices (IUDs) and their insertion & removal techniques.
- Discuss indications and technique of endometrial sampling procedures.
- Discuss techniques for fine-needle aspiration of masses.
- Review various common diseases of the perianal region (including hemorrhoids, skin tags, anal fissures, perirectal abscess, pilonidal disease, warts, cancers, etc.) and the appropriate medical and surgical management of these conditions in the primary care office.
The Texas Academy of Family Physicians designates this live activity for a maximum of 15 AMA PRA Category 1 Credits ™
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This Live activity, Hot Topics: Contraceptive Implant, IUD, EMB, Vasectomy, Fine Needle Aspiration, and Office Treatment of Hemorrhoids, with a beginning date of 07/19/2018, has been reviewed and is acceptable for up to 15.00 Prescribed credits by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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