Content:

Corroborate findings on radiological scans with evidence in literature to support the findings. We updated our practice based on the latest Kaiser Permanente adnexal mass guidelines. As a result of this conference more providers are compliant with the recommended workflow including ordering the CA 125 for adnexal masses in postmenopausal women to improve ovarian cancer detection shared evidence based practices to collaborate on follow up plans for patients. Reviewed classic findings of ectopic pregnancy to assist with earlier suspicion/diagnosis in office with bedside ultrasounds. Certain scans not available at certain times due to rad/tech support or sonographer availability can lead to ordering a different type of scan, incomplete history or medical record of patient menopausal status patients with socioeconomic barriers may choose not to follow up with recommended imaging intervals due to the costs involved in copays or transportation to appointments, inadequate communication between various departments can impair continuity for patients who need follow up imaging. Covering radiologists may not be familiar with Kaiser adnexal mass guidelines for reporting.

Target Audience: Obstetricians/Gynecologists and Radiologists

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

1. Correlate clinical exam with radiological findings.
2. Discuss updates in scanning techniques and new recommendations to evaluate certain disease processes including appropriate use of tumor markers.
3. Improve communications between specialties to better interpret radiological 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
• Agnes Lau, Sr. Quality Specialist

Cultural and Linquistic Competency:

Patients with financial issues may not be able to afford multiple scans so it is especially important to select the most appropriate scan for the condition being evaluated.

References:

• ACOG (https://www.acog.org/Resources-And-Publications/Articles-and-Resources)
• ACR (https://www.acr.org/News-Publications/Publications/JACR)
• KP guidelines on clinical library (https://clm.kp.org/wps/portal/cl/NCAL/AdultCare?memberage=Adult (pending librarian communication)  Care&category=Ob-Gyn&doctype=Guidelines&sdtype=Clinical&location=AdultCare)

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.