Host Cara King, DO, MS, gynecologic surgeon from the Cleveland Clinic, focuses on surgical and medical education, featuring interviews providing expert pearls, patient perspective, and practice-changing discussion. This serial podcast is created in collaboration with the Society of Gynecologic Surgeons. The information is provided for informational and educational purposes only.
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October 23, 2019Episode 12 min
Gynecologic Surgeons Unscrubbed trailer
Here's a sneak peak of Gynecologic Surgeons Unscrubbed.
A series-based podcast focusing on surgical and medical education, featuring interviews and practice-changing discussion, hosted by Cara King, DO, MS.
This podcast is a collaboration between MDedge and the Society of Gynecologic Surgeons.
November 8, 2019Episode 232 min
The early and current years of a master surgeon with Dr. Tommaso Falcone, plus the importance of advocacy in ObGyn with Dr. Megan Evans
Dr. Cara King (@drcaraking) hosts surgical leader and expert Tommaso Falcone, MD, Professor of Surgery at Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and Chairman of the ObGyn & Women's Health Institute at Cleveland Clinic. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).
They discuss:
New leadership at the Cleveland Clinic in Cleveland
The Cleveland Clinic’s surgical hospital opening in London, England
Cleveland Clinic’s endometriosis center in Cleveland
Good judgement is birthed from bad judgement
The master surgeon: How is he/she defined?
Surgical meetings: importance to surgical education
Endometriosis
Women’s health advocacy with Megan Evans
How did Dr. Evans become an advocacy specialist?
Why is advocacy important to prioritize in our careers?
One of the most rewarding projects Dr. Evans has worked on in advocacy
This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD
For more MDedge Podcasts, go to mdedge.com/podcasts
November 8, 2019Episode 330 min
Fostering leadership to build a successful team with Dr. Tommaso Falcone, plus endometriosis legislation and advocacy
Dr. Cara King (@drcaraking) hosts surgical leader and expert Tommaso Falcone, MD, Professor of Surgery at Cleveland Clinic Lerner College of Medicine of Case Western Reserve University and Chairman of the ObGyn & Women's Health Institute at Cleveland Clinic. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).
They discuss:
What it takes to be a leader and the components of leadership to build an outstanding department (serving your staff, emotional intelligence, recognizing and fostering talent, living the passion for women’s health)
Identifying talent to build a successful team
Recruiting leaders
When a recruit does not work out
Advice for making the jump to department chairperson
The 3 types of mentors and their roles
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Women’s health advocacy with Megan Evans
What is happening legislatively when it comes to endometriosis? 6368/A. 484: Bill at the federal level focusing on education. Introduced in New York by State Senator Monica Martinez and State Assemblymember Linda Rosenthal. It is awaiting the Governor’s signature. Requires State Commissioner of Health to provide educational materials on endometriosis to school districts (school nurses) and clinicians throughout the state—focusing on earlier diagnosis of the condition.
Which campaigns are using social media to get the word out about endometriosis? For the New York bill, the Endometriosis Foundation of America is running a campaign called #LetsTalkPeriod
Social media is a powerful tool to use for contacting local and national representatives to advocate for issues
Favorite social media platforms to discuss bills
What bills regarding endometriosis are currently active at the national level? Res. 118 (116th Congress): Bipartisan and bicameral bill that recognizes endometriosis as an unmet disease, designates March as endometriosis awareness month, and provides funding for endometriosis research. Introduced by Senator Tammy Duckworth and Congressman David Scott.
Other bills that include endometriosis (but are not specific to the condition) include a House bill introduced by Congresswoman Carolyn Maloney (HR 3865). It amends the public Health Service Act, which aims to reduce the amount of chemicals included in feminine hygiene products and investigate the link to included chemicals and female cancers, infertility, and endometriosis.
Another bill has been introduced and hopes to ensure contraception access (HR 2182 /S 1086), which is essential to women with endometriosis, as hormonal contraception is important as a treatment option for endometriosis symptoms.
A final bill also is in the introductory stages (S 1461 /H 2803), and it aims to require insurance coverage for infertility treatments.
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Suggested reading
The Serving Leader: Five Powerful Actions to Transform Your Team, Business, and Community
by Kenneth R. Jennings and John Stahl-Wert
Team of Teams: New Rules of Engagement for a Complex World
by Stan McChrystal, Chris Fussell, and Tatum Collins
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This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD
For more MDedge Podcasts, go to mdedge.com/podcasts
November 8, 2019Episode 431 min
Building a surgical practice with Dr. Ted Lee, plus how a bill becomes law and ACOG’s advocacy lessons learned
Dr. Cara King (@drcaraking) hosts surgical expert Ted Teh Min Lee, MD, Clinical Professor of Gynecology and Reproductive Sciences and Director of Minimally Invasive Gynecologic Surgery at the University of Pittsburgh Medical Center Magee Womens Hospital. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).
They discuss:
Lee’s challenges in moving to the United States from Taiwan at a young age and his career path
Cultivating extracurricular activities, such as fly fishing
Video’s importance in surgical education
Prioritizing learning and learning style
Lee’s break into gynecologic surgery with C.Y. Liu, MD
The challenges of subspecializing in MIGS in ObGyn
Tips for new graduates who are building a surgical practice
Case selection and specialized back-up in the OR
Taking appropriate risk during surgery
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Women’s health advocacy with Megan Evans
How does a bill become a law? Step 1: A bill is born
Anyone may draft a bill; however, only members of Congress can introduce legislation, and, by doing so, become the sponsor(s). The president, a member of the cabinet or the head of a federal agency can also propose legislation, although a member of Congress must introduce it.
Step 2: Committee action
As soon as a bill is introduced, it is referred to a committee. At this point the bill is examined carefully and its chances for passage are first determined. If the committee does not act on a bill, the bill is effectively “dead.”
Step 3: Subcommittee review
Often, bills are referred to a subcommittee for study and hearings. Hearings provide the opportunity to put on the record the views of the executive branch, experts, other public officials and supporters, and opponents of the legislation.
Step 4: Mark up
When the hearings are completed, the subcommittee may meet to “mark up” the bill; that is, make changes and amendments prior to recommending the bill to the full committee. If a subcommittee votes not to report legislation to the full committee, the bill dies. If the committee votes for the bill, it is sent to the floor.
Step 5: Committee action to report a bill
After receiving a subcommittee's report on a bill the full committee votes on its recommendation to the House or Senate. This procedure is called “ordering a bill reported.”
Step 6: Voting
After the debate and the approval of any amendments, the bill is passed or defeated by the members voting.
Step 7: Referral to other chamber
When the House or Senate passes a bill, it is referred to the other chamber, where it usually follows the same route through committee and floor action. This chamber may approve the bill as received, reject it, ignore it, or change it.
Step 8: Conference committee action
When the actions of the other chamber significantly alter the bill, a conference committee is formed to reconcile the differences between the House and Senate versions. If the conferees are unable to reach agreement, the legislation dies. If agreement is reached, a conference report is prepared describing the committee members’ recommendations for changes. Both the House and Senate must approve the conference report.
Step 9: Final action
After both the House and Senate have approved a bill in identical form, it is sent to the president. If the president approves of the legislation, he signs it and it becomes law. Or, if the president takes no action for 10 days, while Congress is in session, it automatically becomes law. If the president opposes the bill he can veto it; or if he takes no action after the Congress has adjourned its second session, it is a “pocket veto” and the legislation dies.
Step 10: Overriding a veto
If the president vetoes a bill, Congress may attempt to “override the veto.” If both the Senate and the House pass the bill by a two-thirds majority, the president’s veto is overruled and the bill becomes a law.
ACOG’s advocacy efforts and lessons learned
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This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD
For more MDedge Podcasts, go to mdedge.com/podcasts
November 8, 2019Episode 527 min
Helping yourself and others to progress surgical skills with Dr. Ted Lee, plus how ObGyns can become involved in advocacy
Dr. Cara King (@drcaraking) hosts surgical expert Ted Teh Min Lee, MD, Clinical Professor of Gynecology and Reproductive Sciences and Director of Minimally Invasive Gynecologic Surgery at the University of Pittsburgh Medical Center Magee Womens Hospital. Dr. King also interviews women’s health advocacy expert Megan Evans, MD, MPH (@MeganEvansMD).
They discuss:
Lee’s “favorite” surgical failure
The benefits of recording surgeries and producing surgical videos
Finding endometriosis as a passion
The surgical frustrations of treating endometriosis
Choosing a fellow: Who edges out their peers?
Taking your time to “interrogate tissues” and solve a problem
Creativity and flexibility in the OR
The importance of “always learning”
Evolving tissue extraction techniques when power morcellators removed from the market
Lee’s perspectives and plans for being president of AAGL in 2012
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Women’s health advocacy with Megan Evans
How ObGyns can become involved in advocacy Sign up for ACOG’s government affairs emails
Follow Twitter feeds and consider joining Twitter
Become involved in your local medical and/or ACOG society Contact your state rep at ACOG
ACOG’s Gelhaus and McCain fellowships
The wellness benefits of advocacy
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This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD
For more MDedge Podcasts, go to mdedge.com/podcasts
November 8, 2019Episode 628 min
The growth of a patient movement around endometriosis and what physicians may be missing, with Nancy Petersen
Dr. Cara King (@drcaraking) hosts endometriosis patient advocate and educator Nancy Petersen, (@nancynursez637) retired RN who developed with David Redwine, MD, the first endometriosis excision treatment program in the United States. Nancy has spoken on the topic of endometriosis across the nation and currently serves as a mentor to women with the disease through Nancy’s Nook, a Facebook resource for endometriosis education, discussion, and support.
They discuss:
Nancy’s early life and influences to pursue nursing
Nancy’s back pain and initial diagnosis of endometriosis
The first hearing of Dr. David Redwine’s early research
“Endometriosis reconsidered” is published
Nancy’s second surgery for endometriosis
Nancy’s back pain forces her retirement
The Endometriosis Research Center chat group
The growth in the numbers of patients with endometriosis joining the social group
Reimbursement concerns for endometriosis gyn surgeons
Are surgeons looking in the right places statistically to find endometriosis?
Nancy’s worries in preparing physicians on the whole picture of endometriosis
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Resources
http://endopaedia.info/
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This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD
For more MDedge Podcasts, go to mdedge.com/podcasts
November 8, 2019Episode 726 min
Endometriosis: The role of imaging, the strength of a multidisciplinary team, and educating patients as well as physicians, with Nancy Petersen
Dr. Cara King (@drcaraking) hosts endometriosis patient advocate and educator Nancy Petersen, (@nancynursez637) retired RN who developed with David Redwine, MD, the first endometriosis excision treatment program in the United States. Nancy has spoken on the topic of endometriosis across the nation and currently serves as a mentor to women with the disease through Nancy’s Nook, a Facebook resource for endometriosis education, discussion, and support.
They discuss:
Are residents exposed enough to endometriosis education?
Targeting MIGS programs
The role of imaging in identifying endometriosis and preop planning
The importance of patients having high-volume surgeons
The strength of a multidisciplinary team
Nancy’s knowledge gathering in the disease state
Nancy’s Nook educates patients with endometriosis to advocate for themselves
How Nancy selects surgeons to be on their recommended list
Pregnancy before or after surgery?
Contacting physicians that you’ve visited in the past with no cure
Nancy’s one piece of advice to physicians who treat endometriosis
Multispecialty treatment centers
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Resources
http://endopaedia.info/
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This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking @MeganEvansMD
For more MDedge Podcasts, go to mdedge.com/podcasts
December 12, 2019Episode 830 min
Transvaginal mesh updates, with Dr. Marie Fidela Paraiso
Dr. Cara King (@drcaraking) hosts expert urogynecologist Marie Fidela Paraiso, MD, Head of the Center for Urogynecology and Reconstructive Pelvic Surgery and staff physician in the Department of Obstetrics and Gynecology at the Cleveland Clinic.
They discuss:
FDA black box warning for transvaginal mesh for pelvic organ prolapse (POP) in April 2019
Vaginal mesh procedures versus surgical repair with native tissue
Complications of mesh implants
Varying types of mesh
Can surgeons still use transvaginal mesh for prolapse repair?
Outcomes with high volume vs low volume surgeons
Credentialing for repair surgeries
ASPIRE trial as part of the Pelvic Floor Disorders Network
FDA-mandated 522 studies
The opportunity of joining Cleveland Clinic’s FPMRS and MIGS sections to conduct prospective randomized trials
Dr. Paraiso’s AAGL presidential duties
Planned AAGL programs and celebration of global surgical education
Dr. Paraiso’s first AAGL presentation and early career aspirations
Opportunities that academics offer
The first female surgeons’ aspiring legacy of leadership
This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking
For more MDedge Podcasts, go to mdedge.com/podcasts
March 31, 2020Episode 930 min
COVID-19: Resident/fellow safety and virtual curriculum
On March 27, 2020, Dr. Cara King (@drcaraking) hosts Vicki Reed, MD, (@ReedVickiMD) Residency Program Director, Department of Obstetrics and Gynecology, and Vice Chair, Education, Cleveland Clinic
They discuss:
Cleveland Clinic’s unique ObGyn residency program
Resident prep for treating COVID-19 patients
Online learning resources
Resident participation in virtual visits
Redeploying residents in a pandemic setting
Work-hour requirements
The impact to residents long-term
Opportunities in competency-based education
Involvement of medical students
Ongoing emotional support
Potential for pushing back the academic year
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Resources
Academy of Pelvic Surgery
Rosh Review
Open access SGS Video Library
SurgeryU
APGO
CREOG
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This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking @ReedVickiMD
For more MDedge Podcasts, go to mdedge.com/podcasts
March 31, 2020Episode 1018 min
COVID-19: AAGL joint guidelines on surgical safety during an infectious disease pandemic
On March 27, 2020, Dr. Cara King (@drcaraking) hosts Sarah Cohen, MD, MPH, Division of Minimally Invasive Gynecologic Surgery, Mayo Clinic, Rochester, Minnesota
They discuss:
AAGL guidelines – starting the discussion
Global collaboration among AAGL and other societies to craft guidelines
Potential viral spread during laparoscopic surgery
Potential viral spread during open procedures
Thinking outside of the box (minilaps and vaginal hysterectomy)
COVID-19 testing in surgical patients – what is possible today
Universal chest CT before surgery?
Recommended PPE for the OR
Rethinking MIGS surgical steps to optimize for infectious disease
Ideal surgical masks for the OR
Ongoing updates to AAGL joint statement guidance
Reliance on global colleagues
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Resources
COVID-19: Joint Statement on Minimally Invasive Gynecologic Surgery
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This podcast is developed in collaboration with the Society of Gynecologic Surgeons
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeObGyn @drcaraking
For more MDedge Podcasts, go to mdedge.com/podcasts
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