Content:

Variable reporting on gynecological pathology reports makes it difficult for gynecologist to consistently treat patients, and to reconcile the findings and follow guidelines from ASCCP and other national guidelines; increasing numbers of patients with endometrial hyperplasia and risk factors for endometrial cancer due to rising rates of obesity; algorithms for detection of endometrial cancer are complicated and nuanced and cases may be missed if providers are not up to date. Collaboration between Pathology and OB/GYN departments to discuss cases and interprete pathology findings taking into account the patient's clinical presentation to improve and expedite appropriate and current care for patients with abnormal pathological findings.  following FIGO classification system for evaluation and work up of abnormal uterine bleeding (PALM-COEIN).

Target Audience: 

Obstetricians and gynecologists physicians and pathologists. 

Learning Objectives: As a result of this activity, participants should be better able to:

1. Correlate clinical exam with pathological findings.
2. Collaborate between specialties to improve care for and follow up of patients.
3. Discuss updates in pathological nomenclature, citing current references when applicable. (https://www.acog.org); review Kaiser cervical cancer practice resource guidelines.
4. Improve communication between specialties to improve interpretation of findings and follow up of pathological findings. 

Planning Committee:

• Alea Angeja, MD, Department of Obstetrics and Gynecology
• Shilpa Chari, MD, Department of Obstetrics and Gynecology
• Jie Zheng, MD, Chief of Medical Education
• Tenisha Jones, MLIS, Library Services
• Agnes Lau, Sr. Quality Specialist

Cultural and Linquistic Competency:

Smokers are less likely to clear their HPV infection and more likely to develop worse disease; obese patients are more likely to develop AUB and endometrial hyperplasia/cancer.

References:

ACOG, ASCCP, and Kaiser Permanente practice resource algorithms for follow up of abnormal cytology in clinical library

• https://www.acog.org/Resources-And-Publications/Articles-and-Resources
• https://www.cap.org/protocols-and-guidelines/cap-guidelines?_adf.ctrl-state=2zbolg9tp_4&_afrLoop=179241919536287#!%40%40%3F_afrLoop%3D179241919536287%26_adf.ctrl-state%3D7jbjmj6a3_4,%20https://clm.kp.org/wps/portal/cl/NCAL/AdultCare?memberage=Adult%20Care&category=Ob-Gyn&doctype=Guidelines&sdtype=Clinical&location=AdultCare
• https://kplibraries.libguides.com/c.php?g=610084&p=4235260)

Disclosure:

The regular presenters and program planners of this case conference have disclosed that they have no relevant financial relationships with commercial interest (s). The CME Department has reviewed their disclosure information for the planner(s) and/or committee / faculty or this program and they do not have relationships that present a relevant financial conflict of interest.

Kaiser Permanente South San Francisco takes responsibility for the content, quality, and scientific integrity of this CME Activity.

Kaiser Permanente does not endorse any brand-name products.

Accreditation Statement:

Kaiser Permanente South San Francisco Medical Center is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.

Credit Statement:

The Kaiser Permanente South San Francisco Medical Center designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses may report up to a maximum total of 1.0 AMA PRA Category 1 Credit(s)™ towards the Continuing Medical Education requirements for license renewal by the California Board of Registered Nurses.