2024 FEB CCSS: Clinical Considerations and Current Trends in Women's Health

February 22, 2024

Program Description

The Defense Health Agency, J-7, Continuing Education Program Office Clinical Communities Speaker Series events are designed to address the professional practice gaps of our learners to improve the care that our health care professionals deliver. This continuing education (CE)/continuing medical education (CME) event is conducted to achieve results that reflect a change in skills, competence, and performance of the health care team, and patient outcomes. Collaboration occurs with the Department of Defense, several government agencies, and other civilian experts for recruitment of academic subject matter experts, clinicians, and researchers to present on current promising, evidence-based research and best practices, thus enhancing the overall educational experience. Participants are expected to apply what they learned in providing patient care individually and collaboratively as a team towards improved patient outcomes.

Program Overview

This event will explore the evidence-based practices in women’s health care from the Department of Defense, Defense Health Agency, Walter Reed National Military Medical Center, Johns Hopkins University School of Medicine, Catholic University, Florida Atlantic University, the Veterans Health Administration, and other top community practice groups. The educational content will be created by Subject Matter Experts in the ethics, research, academia, and medical domains of military and civilian health care sectors. The primary focus of this event aims to enhance the quality of patient outcomes and population health by providing advanced continuing education opportunities to improve the practice, skills, and knowledge of health care providers across the Military Health System.

Target Audience

Credits vary by session

Course summary
Course opens: 
01/12/2024
Course expires: 
03/07/2024
Event starts: 
02/22/2024 - 7:15am EST
Event ends: 
02/22/2024 - 3:15pm EST

 

Time (ET)Titles/SpeakersEducational Objectives (If applicable)
0715 – 0720

Welcome Remarks

Lolita T. O’Donnell, Ph.D., M.S.N., R.N.
Division Chief, Leadership Education Analysis Development Sustainment Division
Academic Superintendent, Continuing Education Program Office, J-7, Education and Training Directorate, Defense Health Agency
Falls Church, Va.

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0720 – 0730

Opening Remarks

Army Col Maria Molina, M.D., F.A.C.O.G., F.A.C.S., C.H.S.E.
Acting Director, J-7, Education and Training
Defense Health Agency
Falls Church, Va.

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Moderator

Army Lt. Col. Noelle Dove, D.N.P., R.N., C.N.M.
Deputy Director
U.S. Army Obstetrics and Gynecology Nursing Course
Fort Cavazos, Texas

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0730 – 0830

S01: An Analysis of Cardiovascular and Hypertensive Disease in Pregnancy: Outcomes and Disparities

Rita W. Driggers, M.D., F.A.C.O.G.
Associate Professor of Gynecology and Obstetrics
Johns Hopkins University School of Medicine
Medical Director, Maternal Fetal Medicine Sibley
Memorial Hospital Johns Hopkins Medicine
Washington, D.C.

  1. Describe physiologic changes in pregnancy that affect the cardiovascular system.
  2. Summarize risk factors for cardiovascular and hypertensive disease in pregnancy.
  3. Discuss signs and symptoms of cardiovascular and hypertensive disease in pregnancy.
  4. Outline the most common presentations of cardiovascular disease in pregnancy.
  5. Explain general management of chronic hypertension, preeclampsia, and cardiovascular disease in pregnancy.
0830 – 0840Break
0840 – 0940

S02: Assessment of Ethical Issues Related to the Health Care of Women and Children: A Lookback at Recent Conflict Zones

Army Lt. Col. (Ret) Janice Agazio, Ph.D., C.R.N.P., R.N., F.A.A.N.P., F.A.A.N.
Associate Dean for Doctoral Programs
Ordinary Professor, School of Nursing
The Catholic University of America
Washington, D.C.


Air Force Col. (ret) Candy Wilson, Ph.D., A.P.R.N.,
W.H.N.P.-B.C., F.A.A.N.P., F.A.A.N.

Interim Associate Dean of Research and Scholarship,
Schmidt Family Distinguished Professor
Associate Professor,
Christine E Lynn College of Nursing
Florida Atlantic University
Boca Raton, Fla.

  1. Discuss at least two major ethical issues related to the care of women and children that emerged during the recent conflicts.
  2. Summarize ethical principles that informed health care providers’ practice during the conflict for appropriate actions.
  3. Describe implications to prepare healthcare providers who will encounter wartime situations in the future.
 0940 – 0950Break
0950 – 1050

S03: Implementation Journey of Postpartum Hemorrhage Bundle and Walk-in Contraception Services

Susanna Didrickson Ph.D., R.N.C.-O.B., W.H.N.P.-B.C.
Nurse Consultant, Women’s Health Clinical Management Team
Directorate of Medical Affairs, Office of Clinical Support
Assistant Director for Healthcare Administration
Defense Health Agency
Falls Church, Va.

 

  1. State the three infrastructure components needed to implement an enterprise-wide policy with compliance and outcome metrics.
  2. Interpret performance trends in implementing various components of a leading practice bundle or administrative instruction and how feedback loops assist with creating tools or resources to further implementation and create sustainment.
  3. Describe the importance of creating an electronic sustainable data collection method and supporting tools that can be integrated into enterprise-wide data tracking and reporting mechanisms.
1050 – 1100Break
1100 – 1200

S04: Clinical Perspectives on the Complex Intersection of Pelvic Floor Disorders and Mental Health

Air Force Col. Heather M. Barbier, M.D., M.P.H., F.A.C.O.G., F.A.C.S.
Gynecologic Surgery & Obstetrics (GS&O) Residency Program Director
Female Pelvic Medicine & Reconstructive Surgery Physician
Associate Professor of GSO, Uniformed Services
University of the Health Sciences
Walter Reed National Military Medical Center
Bethesda, Md.


Katherine Miles, D.P.T., P.T., W.C.S.
Pelvic Health Physical Therapist
Walter Reed National Military Medical Center
Female Pelvic Medicine & Reconstructive Surgery Fellowship Program
Assistant Professor of Obstetrics & Gynecology at the Uniformed Services University of the Health Sciences
Bethesda, Md.

Danielle Worthington, Ph.D.
Women’s Health Psychologist
Clinical Psychologist
Walter Reed National Military Medical Center
Bethesda, Md.

  1. Identify pelvic floor disorders and be familiar with initiating treatment or referral for patients with pelvic floor disorders.
  2. Explain the role and function of Pelvic Health Physical Therapy (PHPT) in the multidisciplinary care of women’s health and wellness.
  3. Describe patient diagnoses, signs, and symptoms consistent with appropriate Pelvic Floor Physical Therapy (PFPT) consults.
  4. Summarize the interaction between pelvic floor dysfunction and mental health.
  5. Discuss how Women’s Health Psychology supports integrated care of pelvic floor disorders.
1200 – 1300Break
1300 – 1400

S05: 2023 Department of Veterans Affairs/Department of Defense Clinical Practice Guideline on Pregnancy: Updates to Clinical Care and Application

Carrie Kairys, D.N.P., F.N.P.-B.C.
Deputy Field Director, Area 2
Office of Women’s Health (10W)
Veteran Health Central Office
Durham, N.C.


Michael Clark, M.D., F.A.C.O.G.
Staff Physician, Department of Gynecologic Surgery & Obstetrics
Associate Director, Obstetrics & Gynecology
Residency Program
Madigan Army Medical Center
Joint Base Lewis-McChord, Wash.

​​​​​
  1. Identify the proper routine obstetric recommendations. 
  2. List key elements of evidence-based pharmacologic treatment options in the management of pregnancy. 
  3. Summarize key elements of complicated obstetric recommendations in the management of pregnancy. 
  4. Describe mental health recommendations in the management of pregnancy.
1400 – 1410Break
1410 – 1510

S06: Research, Interventions and Equitable Care Updates in Premenstrual and Perimenopausal Women: A Focus on Improving Mental Health

Navy Capt. Paulette Cazares, M.D., M.P.H.
Psychiatrist, Navy Medicine Readiness and Training Command
Naval Medical Center San Diego
San Diego, Calif.

Laura J. Miller, M.D.
Medical Director of Reproductive Mental Health
Women’s Mental Health, Office of Mental Health and Suicide Prevention
Veterans Affairs

  1. Describe treatment options for premenstrual dysphoric disorder.
  2. Describe at least three contributory factors to risk of perimenopausal depression.
  3. List at least three interventions for treating perimenopausal depression.
  4. Discuss the role of bias in the recognition and treatment of both PMDD and perimenopausal mental health symptom clusters/illnesses.
  5. Summarize the epidemiology and symptoms of premenstrual syndrome, premenstrual dysphoric disorder, and premenstrual exacerbation.
1510 – 1515

Closing Remarks


Air Force Col. Larissa Weir, M.D., F.A.C.O.G.
Air Force Surgeon General Chief Women’s Health Consultant
Air Force Readiness Analysis Comprehensive Evaluation Team
Falls Church, Va.

 

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Welcome Remarks Speaker(s)

Lolita T. O'Donnell, Ph.D., M.S.N., R.N.

has no relevant financial relationships to disclose at this time.
Opening Remarks Speaker(s)

Army Colonel Maria Molina, M.D., F.A.C.O.G., F.A.C.S., C.H.S.E.

has no relevant financial relationships to disclose at this time.
Moderator(s)

Army Lieutenant Colonel Noelle Dove, D.N.P., R.N., C.N.M.

has no relevant financial relationships to disclose at this time.
Speaker(s)

Janice Agazio, Ph.D., C.R.N.P., R.N., F.A.A.N.P., F.A.A.N.

has no relevant financial relationships to disclose at this time.

Air Force Lieutenant Colonel Heather Barbier, M.D., M.P.H., F.A.C.O.G., F.A.C.S.

has no relevant financial relationships to disclose at this time.

Navy Captain Paulette Cazares, M.D., M.P.H.

has no relevant financial relationships to disclose at this time.

Michael Clark, M.D., F.A.C.O.G.

has no relevant financial relationships to disclose at this time.

Susanna Didrickson, Ph.D., R.N.C.-O.B., W.H.N.P.-B.C.

has no relevant financial relationships to disclose at this time.

Rita Driggers, M.D., F.A.C.O.G.

has no relevant financial relationships to disclose at this time.

Carrie Kairys, D.N.P., F.N.P.-B.C.

has no relevant financial relationships to disclose at this time.

Katherine Miles, D.P.T., P.T., W.C.S.

has no relevant financial relationships to disclose at this time.

Laura Miller, M.D.

has no relevant financial relationships to disclose at this time.

Candy Wilson, Ph.D., A.P.R.N., W.H.N.P.-B.C., F.A.A.N.P., F.A.A.N.

has no relevant financial relationships to disclose at this time.

Danielle Worthington, Ph.D.

has no relevant financial relationships to disclose at this time.
Closing Remarks Speaker(s)

Air Force Colonel Larissa Weir, M.D., F.A.C.O.G.

has no relevant financial relationships to disclose at this time.

Available Credit

Credit Offering Charts

  • 6.00 AAPA

    image DHA J-7 CEPO has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.00 hours of AAPA Category 1 CME credits. Physician assistants should only claim credit commensurate with the extent of their participation.

  • 6.00 ACCME Non-Physician CME Credit

    DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 6.00 hours for completing this Internet Live Course activity.

  • 3.00 ACHE

    DHA J-7 CEPO is authorized to award a maximum of 3.00 hours of pre-approved American College of Healthcare Executives (ACHE) Qualified Education credit for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

  • 6.00 ACPE Pharmacist

    image 
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 6.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.

  • 6.00 ACPE Pharmacy technician

    image 
    No valid paper/electronic statement of credit will be offered. DHA J-7 CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 6.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.

  • 1.00 ADA

    image The Defense Health Agency J-7 Continuing Education Program Office is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

  • 6.00 AMA PRA Category 1 Credit

    image DHA J-7 CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. DHA J-7 CEPO designated this Internet Live Course activity for a maximum of 6.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 6.00 ANCC

    The DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Internet Live Course for a maximum of 6.00 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.

  • 6.00 AOTA

    image The Defense Health Agency, J-7, Continuing Education Program Office is an AOTA Approved Provider of professional development. Course approval ID# 08921. This Distance Learning-Interactive course is offered at 0.6 CEUs, intermediate, OT service delivery, professional issues, foundational knowledge. AOTA does not endorse specific course content, products, or clinical procedures.

  • 4.00 APA

    image Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The DHA, J7, CEPO maintains responsibility for the content of the programs. DHA, J-7, CEPO designated this activity for a maximum of 4.00 CE credits. The instructional level of this activity is intermediate. There is no cost to participate.

  • 1.00 APTA
    American Physical Therapy Association (APTA)
    image 
    The DHA, J-7, CEPO is an American Physical Therapy Association (APTA) Approved Provider of continuing education. This activity was planned by and for the health care team, and learners will receive 0.1 APTA CEUs. The assignment of APTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by APTA. APTA CEUs are accepted by most state PT licensing boards. Learners are encouraged to check with their local chapter or state board to ensure that they accept APTA accredited courses for licensure renewal.
     
  • 3.00 ARBO/COPE
    This activity has been approved by ARBO/COPE. The Defense Health Agency J-7 Continuing Education Program Office designated this activity for a maximum of 3.00 credit hours. Optometrists should only claim credit commensurate with the extent of their participation in the activity.
     
  • 4.00 ASWB

    image As a Jointly Accredited Organization, DHA J-7 CEPO is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. DHA J-7 CEPO maintains responsibility for this course. Social workers completing this course receive a maximum of 4.00 ASWB continuing education credits.

  • 6.00 Certificate of Attendance
     
  • 3.00 BOC
    Board of Certification for the Athletic Trainer (BOC)

    image The Defense Health Agency, J-7, Continuing Education Program Office (BOC AP #: P12034) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of 3.00 hours/Continuing Education Units (CEUs). ATs should claim only those hours actually spent in the educational program.

  • 6.00 CCMC

    image This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for up to 6.00 CE contact hours.
     

  • 6.00 CDRimage

    The Defense Health Agency, J-7, Continuing Education Program Office is a Continuing Professional Education (CPE) Accredited provider with the Commission on Dietetic Registration (CDR). CDR Credentialed Practitioners will receive 6.00 Continuing Professional Education units (CPEUs) for completion of this activity/material.

  • 6.00 COPSKT

    image Provider # is 022224
    This continuing education activity has been accredited by The Council on Professional Standards for Kinesiotherapy (COPSKT) to include 1.00 contact hours/0.6 CEU. DHA, J-7, CEPO accredits enterprise-wide continuing education activities for military and civilian health care professionals. These courses are critical to DHA’s goal of providing the best possible quality care to active duty service members, veterans, and their families.

  • 6.00 IPCE

    image This activity was planned by and for the healthcare team, and learners can receive up to 6.00 Interprofessional Continuing Education (IPCE) credits for learning and change. In support of improving patient care, this activity has been planned and implemented by DHA, J-7, CEPO. DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Academy of Physician Assistants (AAPA), the Association of Regulatory Boards of Optometry's Council on Optometric Practitioner Education (ARBO/COPE), the Association of Social Work Boards (ASWB), the American Psychological Association (APA), the American Dental Association’s Continuing Education Recognition Program (ADA CERP), and Commission on Dietetic Registration (CDR) to provide continuing education for the health care team.

  • 4.00 NBCC

    image DHA J-7 CEPO has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6955. Programs that do not qualify for NBCC credit are clearly identified. DHA J-7 CEPO is solely responsible for all aspects of the programs.

 
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Accommodations for Learners with Hearing Impairment

Captions and transcripts are available upon request for all CE/CME live events and on-demand courses sponsored by J-7 CEPO.

Live events:
To request real-time, streaming closed captions, please contact CEPO at least three business days before an event begins. If CEPO cannot arrange for live event captioning, then a video recording and transcript of the audio will be provided after the event. 

On-demand "Home Study" courses:
You may request a transcript (a written account of a pre-recorded video’s audio content) upon registering for a CEPO Home Study course. 

CEPO can typically deliver a transcript within ten business days.

For more information, or to submit a request, please contact CEPO at dha.ncr.j7.mbx.cepo-cms-support@health.mil.