The course will cover the work up and management of vaginal bleeding in the acute care setting, spontaneous abortion, as well as contraception and sterilization.

The course will provide practical information for primary care providers, nurse practitioners, residents, medical students as well as the practicing obstetrician/gynecologist.

NUMBER OF CREDIT HOURS: The Harvard Medical School designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 2 hours to complete.

COST: $40.00 for the average learner. Participants living in emerging nations receive a 50% discount or can register for free. See our International Pricing Page for details.

OVERALL LEARNING OBJECTIVES:
The objective of this program is to update the practicing clinician regarding recent developments regarding diagnosis and management of early pregnancy complications.

1. Review patient evaluation for initiation and surveillance of contraception
2. Discuss the basic work-up of vaginal bleeding in the acute care setting
3. Describe common causes of acute vaginal bleeding
4. Integrate ultrasound findings with clinical scenarios
5. Discuss treatment of common gynecologic emergency such as ectopic pregnancy
6. Review contraindications to the different available contraceptive choices
7. Illustrate essential factors in selecting a contraceptive with a patient

METHOD OF PARTICIPATION:

Registrants participate in the learning process by answering interactive multiple choice questions that are dispersed throughout the case presentation. You must answer a question correctly in order to continue through the course. If you answer a question incorrectly, you will be prompted to try again.

In order to earn credit, physicians must complete the entire educational activity before the termination date (see above). Non-physicians may register for the course but are not eligible for AMA PRA Category 1 Credits™. Instead, non-physicians will earn a certificate of participation after successfully completing the course before its termination date.

COMBINATION OF MEDIA USED:

This internet enduring material is a case-based, interactive presentation comprised mainly of text, interactive questions, and images. A variety of media, including video clips, audio clips, and Flash animation, may be presented. Links to any necessary plugins are provided when necessary, but no plugins are required for general use of the CME website, and you may skip the multimedia presentation(s) within the course if you choose.

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JON EINARSSON, MD Course Director

Dr. Einarsson directs the Division of Minimally Invasive Gynecologic Surgery (MIGS) at Brigham and Women’s Hospital (BWH) and is an Associate Professor in Obstetrics and Gynecology at Harvard Medical School. Dr. Einarsson is internationally known in his field and has lectured and operated nationally and internationally. He has won several prestigious awards, including the Golden Laparoscope Award in 2011. His referral practice is focused on performing challenging laparoscopic cases, and the MIGS Division is very active in implementing clinical research projects and teaching activities. DISCLOSURE: Consultant for Ethicon Endo-Surgery in the area of gynecology

DANIELA CARUSI, MD Course Contributor

Dr. Carusi is an Assistant Professor of Obstetrics & Gynecology at Harvard Medical School, and Director of General Gynecology at Brigham & Women's Hospital. She has both written and lectured on contraception for medically complicated patients, and initiated a specialty referral practice to provide contraception to high-risk patients. Dr. Carusi spends much of her time teaching medical students, residents, and graduate students in both the classroom and clinical settings. Her other interests include appropriate use of diagnostic and screening tests, quality improvement, and obstetric and gynecologic surgery. DISCLOSURE: Reported no relevant financial relationships with a commercial entity

MINDY S. CHRISTIANSON, MD Course Contributor

Dr. Christianson is a graduate of the University of Wisconsin School of Medicine and Public Health. She completed her residency in Obstetrics and Gynecology at the Johns Hopkins School of Medicine. Currently a Clinical Fellow in Reproductive Endocrinology and Infertility at Johns Hopkins School of Medicine, her research interests include oocyte biology, fertility preservation and menopause. She has published several articles in peer-reviewed journals in the area of infertility. She is also in the process of developing a national menopause curriculum for OB/Gyn residents. DISCLOSURE: Ferring Pharmaceuticals. Grant recipient for fertility preservation.

SARAH L COHEN, MD, MPH Course Contributor

Dr. Cohen is an Instructor of Medicine at Harvard Medical School, and faculty of the Department of Obstetrics and Gynecology at Brigham and Women’s Hospital. Dr. Cohen is a graduate of the Johns Hopkins Hospital residency in Obstetrics and Gynecology, as well as the Brigham and Women’s Hospital fellowship in Minimally Invasive Gynecologic Surgery. She completed her Masters of Public Health at the Harvard School of Public Health. She has participated in a wide range of research and teaching activities, with main interests including surgical education and outcomes research from laparoscopic surgery. DISCLOSURE: Reported no relevant financial relationships with a commercial entity

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ROBERT BARBIERI, MD Reviewer

Dr. Barbieri is certified in Internal Medicine, Endocrinology and Metabolism, Obstetrics and Gynecology and Reproductive Endocrinology and Infertility. Dr. Barbieri is a past President of the Association of Professors of Gynecology and Obstetrics (APGO), and the APGO Medical Education Foundation. He has served on the Board of Directors of the American Society of Reproductive Medicine and as the Chairperson of the National Institutes of Health, Reproductive Biology Study Section (Initial Review Group). He is the immediate past-Chair of the Massachusetts Section of the American College of Obstetricians and Gynecologists. He was an Editor of the Journal of Clinical Endocrinology and Metabolism (2004-2009). Dr. Barbieri is a contributing author to over 400 medical publications. He is an editor of 3 textbooks in obstetrics and gynecology: UpToDate in Obstetrics, Gynecology and Women’s Health; Yen and Jaffe’s Reproductive Endocrinology and Obstetrics and Gynecology: The Essentials of Clinical Care . He is the Editor-in-chief of OBG Management. His current research interests include the pathophysiology of endometriosis and fibroids and the endocrine factors that predict breast cancer. DISCLOSURE: Reported no relevant financial relationships with a commercial entity

KAREN WANG, MD Reviewer

Dr. Wang is the Associate Director of Minimally Invasive Gynecologic Surgery (MIGS) and the Fellowship Director at Brigham and Women’s Hospital (BWH). She completed her fellowship training in MIGS at the University of Michigan. She has participated in many national laparoscopic teaching courses and is interested in surgical innovation, laparoscopic training, and robotic surgery for benign gynecology. DISCLOSURE: Reported no relevant financial relationships with a commercial entity

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LINDA BAER, MSPH Planner

Ms. Baer is the Principal of Baer Consulting where she works with continuing medical education providers to enhance their CME programming and their adherence to Accreditation Council for Continuing Medical Education requirements. She has worked in planning, managing, and creating certification processes for CME activities since 2000 and has over 20 years of experience in program development in health and human services. DISCLOSURE: Reported no relevant financial relationships with a commercial entity

SANJIV CHOPRA, MD Planner

Dr. Sanjiv Chopra is Professor of Medicine and Faculty Dean for Continuing Medical Education at Harvard Medical School and Senior Consultant in Hepatology at the Beth Israel Deaconess Medical Center, Boston. In his role as Faculty Dean for Continuing Education, Dr. Chopra provides oversight and leadership of the Department and oversees the academic development of our programs. Dr. Chopra is an experienced clinician, researcher, and educator. In his research roles, he has served both as a principal investigator as well as co-investigator. He has more than 120 publications and five books to his credit, addressing topics in disease states, patient care, and leadership. Dr. Chopra’s teaching experience is extensive, and he has won numerous teaching awards for his work with medical students, residents and physicians. Currently, he directs and speaks at 10 multiday CME courses, nine of which are through HMS. For his full bio, please click here. DISCLOSURE: Reported no relevant financial relationships with commercial entities.

CHRISTOPHER DRURY, MA Planner

Mr. Drury is founder of The Quill Consulting, LLC, a privately-owned medical writing and editing company. With graduate degrees in both English and biology, Chris has written and edited professionally for over a decade in areas that span medicine, pharmaceuticals, marketing, outcomes research, health devices, and several others. He has also worked extensively in CME by planning and building CME programs; reviewing, writing, and editing proposals and CME content; moderating programs; and following through on outcomes deliverables. Chris currently operates out of his home in Mount Pleasant, South Carolina. DISCLOSURE: Reported no relevant financial relationships with a commercial entity

ANDI LONG, EDM Planner

Andi Long directs the Department of Continuing Education’s Distance Learning group, which offers a variety of online continuing medical education programs to health care professionals around the world. Andi develops strategies for new pilot programs and systematically rolls out new distance learning initiatives and has a leadership role in IT planning and other online processes for HMS DCE. She oversees the day-to-day operations of each distance learning activity and ensures ACCME compliance across all enduring programs. She has had the privilege of working with hundreds of Harvard Medical School Faculty members to develop high-quality, engaging online programs that physicians in more than 170 countries have taken part in. Andi earned her Ed.M. in Technology, Innovation, and Education from Harvard Graduate School of Education and graduated from Bridgewater State College, summa cum laude, with a degree in English. Her professional interests focus on teaching and learning with new technologies and online course development. DISCLOSURE: Reported no relevant financial relationships with commercial entities.

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NUMBER OF CREDITS: 2 

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This course should take approximately 2 hours to complete.

Within 2 weeks of completing the course, you will receive your certificate via email.

Click the image to view a sample of the certificate

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