Obstetrics & Gynecology Webcasts 2012
Ob/Gyn Grand Rounds are Webcast live -
Wednesdays from 07:45 to 08:45 Hours Central Time

Click here for Live Webcast of Ob/Gyn Grand Rounds
Live Webcast opens at 07:30 to end of rounds at 08:45 Central Time.  
December 26
No Grand Rounds

December 19
Obstetrical ICU Admissions in Manitoba
Dr. Dobrochna Globerman, Resident, Obstetrics & Gynecology
Objectives:
  1.  Define severe maternal morbidity, list incidence in developed countries and common causes
  2.  List common causes for obstetrical ICU admissions in Manitoba
  3.  Identify general maternal characteristics of women attending ICU, along with common interventions and neonatal and maternal outcomes. 

December 12
Prenatal Care: Time to Reassess An 80 Year Old Tradition
Dr. Lindsay Porteous, Resident Obstetrics & Gynecology
Objectives:
  1.  Review the Current Antenatal Care Model
  2.  Review the Literature on First Trimester Sceening and Their Perspective Outcomes
  3.  Propose A New Model for Antenatal Care Incorporating First Trimester Screening and Risk Stratification

December 5
No Grand Rounds
November 28
No Grand Rounds

November 21
"When a Women Changes Her Mind About Abortion"
Dr. Adelicia Yu, Resident, Obstetrics & Gynecology
  1.  Identify factors in decisions for abortion and regret after abortion.
  2.  Compare the outcomes of pregnancies after laminaria tent insertion and removal to those with no LT insertion in women who decide to keep the pregnancy.
  3.  Assess if same day Misoprostol provides adequate cervical ripening compared to laminaria tents and is the solution for this problem

November 14
"When a Patient Says "NO" A Discussion of Obstretical Patient Refusal of Maternal or Fetal Lifesaving Treatment"
Dr. Janie Gilbert, Resident, Obstetrical and Gynecology
Objectives:
  1.  To discuss cases in which obstretrical patients refuse treatment that is potentially life-saving for either themselves or their fetuses.
  2.  To review the legal obligations and implications for physicians in such cases
  3.  To review four basic principles of medical ethics and how they apply to patient refusal of life-saving obstetrical interventions
November 7
Blood Day - Combined Rounds
"Patient Blood Management - An Idea Whose Time Has Come"
Dr. John Freedman, Professor Emeritus, Medicine and Laboratory Medicine, University of Toronto Transfusion Medicine, St. Michael's Hospital
Objectives:
  1.  To understand the benefits and risks of transfusion today
  2.  To appreciate how to avoid transfusions (when appropriate)
  3.  To know the benefits accrued through optimal patient blood management.

October 31, 2012
No Grand Rounds

October 24, 2012
"Peripartum Hysterectomy: What Are The Trends In Manitoba?"
Dr. Amanda Morris, Resident,  Obstetrics & Gynecology,
Objectives:
  1. Evaluate the trends in peripartum hysterectomy over the last 20 years in Manitoba 
  2. Compare Manitoba data to trends in other centres worldwide.

October 17, 2012
Grand Rounds Cancelled

October 10, 2012
"Cosmetic Gynecology: Fashion or FGM"
Dr. Deanne Malenfant, Resident, Obstetrics & Gynecology
Objectives:
  1.  Understand what constitutes Cosmetic gynecology  
  2.  Know the current guidelines and studies regarding cosmetic gynecology
  3.  Become familiar wih some of the procedures
  4.  Begin to form a personal opinion on cosmetic gynecology
October 3, 2012
"Cervical Cancer Screening in Manitoba: Are We Overdue For A Change In Paradigm? Part II: HPV Testing"
Dr. Vanessa Poliquin, Resident, Obstetrics & Gynecology
Objectives:
  1.  To describe HPV-DNA testing technique and test performance for cervical intraepithelial neoplasia
  2. To summarize the evidence for strategies of incorporating HPV-DNA technology into cervical cancer screening
  3.  To explore cost and logistical consideratons related to HPV-DNA testing especially in the era of HPV-vaccination.

September 26, 2012
No Grand Rounds

September 19, 2012
"Reducing Inequities in Access To and Use Of Prenatal Care in the Winnipeg Health Region"
Maureen Heaman, RN, PhD, Professor, Chir Chair in Gender and Health,
Faculty of Nursing, University of Manitoba  AND
Dr. Margaret Morris, Professor & Chair,
Department of Obstetrics & Gynecology, University of Manitoba
Objectives:
  1. To describe variations in rates of inadequate prenatal care across the Winnipeg community areas.
  2. To discuss results of a study of factors associated with inadequate prenatal care among inner-city women in Winnipeg.
  3. To describe results of a study of women who presented to Triage unit at Women’s Hospital with no prenatal care.
  4. To explain a new project beginning this fall that consists of three initiatives to improve access to and use of prenatal care in the Winnipeg Health Region.

September 12, 2012"
"When It's Not Just Cellulitis: A Review of Severe Postoperative Infections"
Dr. Christina Katopodis, Resident, Gynecologic Oncology
Objectives:
  1.  Describe the classifiction, risk factors and management of surgical site infections  
  2.  Review strategies to prevent sugical site infections
  3.  Discuss diagnosis and management of necrotizing fasciitis
September 5, 2012
"Perioperative Blood Management in OB/GYN"
Dr. Brian Muirhead, Assistant Professor, University of Manitoba
June 27, 2012
No Grand Rounds
June 20, 2012
"How Late is Too Late?"
Dr. Gunwant Warraich, Resident, Department of Obstetrics & Gynecology
June 13, 2012"
"Female Genital Cutting"
Dr. Anna Cameron, Resident, Gynecologic Oncology
Objectives:
  1.Review Fetal Genital Cutting
2.  Discuss obstetrical and gynecological complications of FGC
  3.  Review programs to eradicte the practice
June 6, 2012
"Unsafe Abortion: A Preventable Pandemic"
Dr. Karla Willows, Resident, Department of Obstetrics and Gynecology
Objectives:
  1. The burdn of insafe abortion worldwide - a public health overview  
  2. Prevention of unsafe abortion complications.
  3. A brief history of the legal status of therapeutic abortion in Canada
  4. The current status of contraception, emergency contraception and therapeutic abortion in Canada, including concerns relating to access, funding and medical education
May 30, 2012
No Grand Rounds
May 23, 2012
"Low Dose Aspirin and Pregnancy"
Dr. Ahmad Al Wazzan, Resident, Department of Obstetrics & Gynecology
Objectives
  1.  Structure and mechanism of action
  2.  Role of Infertility
  3.  Role in deferent obstetrical situation
  4.  Safety in pregnancy

May 16, 2012
"Chance Favors The Prepared Mind: What To Do For Cardiac Arrest in Pregnancy"
Dr. Adelicia Yu, Resident, Department of Obstetrics & Gynecology
Objectives
  1.  Review the causes of maternal cardiac arrest and mortality
  2.  Examine the modifications required in pregnancy for BLS and ACLS
  3.  Discuss the rationale and evidence for perimortum caesarean sections
May 9, 2012
"Fertility Preservation in Gynecologic Cancer Patients"
Dr. Abdul Al-Farsi , Fellow, Gynecologic Oncology
Objectives:
  1.  Discuss options of management for gynecologic cancer patients   
  2.  Is conservative management an option or women with cancer?
  3.  Risks and outcomes
May 2, 2012
"Ovarian Cancer Screening"
Dr. Dobrohna Globerman, Resident, Department of Obstetrics & Gynecology
Objectives:
  1. Discuss ovarian cancer and screening strategies in general (ultrasound and Ca125)
  2. Review landmark trials of ovrian cancer screening.
  3. Briefly discuss screening in the high-risk population
April 25, 2012
No Grand Rounds
April 18, 2012
No Grand Rounds - (Theatre Not available)
April 11, 2012
Induced PreMature Menopause: "More Than Just Hot Flashes"
Dr. Anet Maksymowicz, Resident, Department of Obstetrics & Gynecology
Objectives:
  1.  Review treatment induced menopause for benign and malignant diseases
  2.  Review the health consequences of premature menopause and appropriate hormone replacement  
April 4, 2012
Diagnosis and Management Of Opioid Dependence And Abuse In Pregnancy
Dr. Stephanie Johnston, Resident, Department of Obstetrics & Gynecology
Objectives:
  1. Brief overview of opioids and maintenance agonist therapies
  2. Approach to screening for opioid dependence and abuse during a prenatal visit.
  3. Treatment options during pregnancy
  4. Approach to pain management during labor and delivery
  5. Impact of opioid dependence and abuse during pregnancy
March 28, 2012
No Grand Rounds
March 21, 2012
"The PPROM Trial"
Dr. Thierry Lacaze, Chief, Division of Neonatology, Department of Pediatrics, Children's Hospital of Eastern Ontario
March 14, 2012
"Brestfeeding in Manitoba; Local Initiatives and the Physician's Role"
Dr. Jenna McNaught, Assistant Professor, Obstetrics & Gynecology, Ms. Maggie Ford, Educational Director, Department of Obstetrics & Gynecology, Ms. Kathy Hamelin, Clinical Nurse Specialist - Neonatal Women's Health
Objectives:
  1.  To present an innovative online educational program about breastfeeding developed in our department.
  2.  To update the department on the WHRA's progress with the Baby Friendly initiative.
  3.  To outline for physiciansthe importance of, and simple strategies for promoting breastfeeding in their practice.

March 7, 2012
"The Iucd Revisited: Time To Get Over the Dalkon Shield"
Dr. Margaret Burnett, Professor and Head, Department of Obstetrics, Gynecology & Reproductive Sciences  
February 29, 2012
No Rounds
February 22, 2012
Gestational Trophoblastic Neoplasm: A Review
Dr. Leslea Walters
Resident, Obstetrics and Gynecology, University of Manitoba
Objectives:
    1.  Review of the epidemiology, classification and management of GTN 

February 15, 2012
Titrated Oral Misoprostol For Term Induction
Dr. Christine Robinson, Resident, Department of Obstetrics & Gynecology, University of Manitoba
Objectives:
  1. Discuss Misoprostol and uses, routes of administration, and side effect profile.
  2. Review the details, protocol, and background for Titrated Oral Misoprostol study piloted at St. Boniface with Dr. Robinson.
  3. Examine preliminary results and safety data of our pilot study
February 8, 2012
Diabetes and Pregnancy
Dr. Sora Ludwig, Associate Professor, Endocrinology and Metabolism, St. Boniface Hospital, University of Manitoba
February 1, 2012 (These Rounds were not webcast at the Department's request)
Creating An Academic Health Sciences Environmnt In Obstetrics And Gynecology:  Our Challenges and Strengths
Dr. Margaret Morris, Professor and Head, Department of Obstetrics, Gynecology & Reproductive Sciences

January 25, 2012
NO ROUNDS

January 18, 2012
"Transgender Medicine; A Gynaecologist's Point of View" 
Dr. Deanne Malenfant, Resident, Department of Obstetrics & Gynaecology, University of Manitoba
Objective:
  1. General understanding of basics of the concepts of transgender/differentially gendered/transsexuals/transvestites and diagnostic criteria associated.
  2. Being able to recognize the different components of caring for a patient with gender identity disorder and how they relate to a gynaecologist's role.
  3. Basic understanding of female transgender surgeries and it's implication for technique used for the gynaecological surgeries performed.
  4. Basic understandig of the different techniques for male transgender surgery and how it relates to post-op complications (as they may present to a gynaecologist).
  5. Appreciation of the difference in caring for a transgender patients and knowledge of the resources available in caring for these patients.
January 11, 2012
"Menstrual Migraine......We Can and Should Do Better" 
Dr. Khalid Al-Wadi, Resident, Department of Obstetrics & Gynaecology, University of Manitoba
Objectives:
  1. Review the pathophysiology of menstrual migraine with the diagnostic criteria.
  2. Review the treatment options for menstrual migraine.
  3. Review the preventative strategies for menstrual migraine with the role of hormonal  therapy.
January 4, 2012
NO ROUNDS
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