Advances in Health Care for Women Over 40

Conference Overview

• I am more confident discussing sexuality issues with my older patients.
• I have decreased my use of “hormone testing” to diagnose menopause.
• I better understand the available management options for irregular bleeding in my perimenopausal patients.
• I have more tools and resources I can recommend to patients with uncomfortable menopause symptoms.
• I am emphasizing the importance of key lifestyle changes for healthy aging—fitness, weight management and nutrition.

These are just a few of the comments from the outcomes survey following the 2009 Conference, “Advances in Health Care for Women Over 40.” In fact, over 85% of the attendees reported making changes in their practice based on what they learned at the conference and 100% of those felt the changes had had a positive effect on the health and wellness of their patients. Now you have the opportunity to participate in this exciting meeting, one which will make a difference in your care of aging women.

Highlights of this Conference include:

• Two outstanding Pre-Conferences, one focusing on “Skin and Vulvar Dermatology,” including an optional skin and vulvar biopsy training, and the other targeted for newcomers to menopause care.
• A number of “Hot Topics,” and issues you deal with in your every day practice, addressed in a variety of teaching styles including didactic sessions, faculty panels, concurrent sessions, interactive case study discussions and hands-on skills trainings.
• Access to leaders in the field of menopause management who will translate the most recent evidence into practical, clinical advice for managing your patients.
• The Online CE Library, where you can listen to sessions you didn’t attend, earn additional CE for a nominal fee, and reference important details presented at the conference.
• The sparkling setting of La Jolla, a quaint village on the edge of the sea, where you can relax, feel pampered and enjoy the sites and sounds of sunny California.

Plan now to join your colleagues and the esteemed faculty for what is certain to be a very unique and engaging learning experience. See you there!

Planning Committee

Anita L. Nelson, MD
Conference Chair
David Geffen School of Medicine at UCLA

Pam Jenkins-Wallace, MS, NP
Director of Program Development
Contemporary Forums

Conference Objectives

• Describe new developments in assessment and management of common conditions as women age, including sleep disturbances, irregular bleeding, insulin resistance, osteoporosis, stress urinary incontinence, and sexuality issues.
• Discuss advances in technology and genetics related to GYN and breast cancer screening.
• Examine the use of hormone therapy, bio-identical hormones, as well as alternative therapies in menopause symptom management.
• Highlight key preventive health priorities for aging women including exercise, nutrition and supplements.
• Participate in interactive learning with faculty and colleagues through case-based discussion, problem-solving and skills trainings.

Who Should Attend

Clinicians from women’s health, family practice and internal medicine practices including:

• Physicians
• Nurse Practitioners
• Certified Nurse-Midwives
• Physician Assistants
• Registered Nurses
• Researchers

And anyone else providing health care for women over 40.

Conference Program

Thursday, May 20 | Friday, May 21 | Saturday, May 22

Pre-Conference A

Thursday, May 20

Skin and Vulvar Dermatology As Women Age

Join your colleagues at this comprehensive update on dermatology which will focus on common skin conditions as women age and clinically differentiating common and not-so-common vulvar lesions. Through didactic presentation, “test your skills” sessions, and case analysis, you will be challenged to improve your diagnostic and management skills in the dermatology arena.

This Pre-Conference will enable you to:

• Identify common skin disorders related to chronic illness in older women.
• Examine advances and pitfalls in cosmetic skin care.
• Reinforce clinical acumen in the diagnosis of skin and vulvar lesions.
• Determine appropriate treatment and management of common skin and vulvar conditions.
• Demonstrate proper technique for skin and vulvar biopsy (Optional Training).

7:00 a.m.	Pre-Conference A Registration • Check-In
8:00	Common Skin Conditions Related to Chronic Illness as Women Age Toby A. Maurer, MD ( RX= .25 hr.)
9:00	Vulvar Dermatoses and Vulvodynia Michael Policar, MD, MPH (RX = .25 hr.)
10:15	Break
10:30	Cosmetic Care for Aging Skin: Advances and Pitfalls Toby A. Maurer, MD ( RX= .25 hr.)
11:15	Questions and Discussion Faculty Panel ( RX= .25 hr.)
11:45	Lunch On Your Own
12:45 p.m.	Common and Uncommon Neoplastic Genital Lesions Michael Policar, MD, MPH
1:45	Test Your Skills: Is It Skin Cancer or Not? Toby A. Maurer, MD
2:30	Case Studies/Questions and Discussion Faculty Panel (RX = .25 hr.)
3:15	Adjourn
3:30 - 5:00 p.m.	Skin and Vulvar Biopsy Training (Optional Session) (Requires separate registration fee and is only open to Pre-Conference A attendees. Space is limited to 30 so register early!) Participate in a supervised practicum on non-human models, learning the instrumentation and techniques for biopsying the skin and vulva. This training will not be recorded and will not be a part of the Online CE Library.

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Pre-Conference B

Thursday, May 20

Back To Basics: The Fundamentals of Menopause

Designed for the clinician who is new to women’s health or just needs to “brush up” on the fundamentals, this Pre-Conference will give you the foundation you need to understand the physiological complexities of menopause. Your questions about diagnosing menopause, managing symptoms, how to prescribe hormone therapy if indicated, as well as counseling strategies to help women navigate this important transition, will all be answered. Use this Pre-Conference as a stepping stone to the Main Conference where you will delve deeper into evidence-based approaches to addressing the health issues of aging women.

This Pre-Conference will enable you to:

• Review the physiology of menopause, including common symptoms women experience.
• Evaluate the role of hormone therapy in menopause symptom management, including appropriate prescribing regimens.
• Through case-based discussion, describe approaches to caring for women in perimenopause and menopause, including important diagnostic indicators, counseling and symptom management strategies.

7:30 a.m.	Pre-Conference B Registration • Check-In
8:00	The Biology and Physiology of Menopause Anita L. Nelson, MD
9:00	Perimenopause to Menopause: Diagnosing the Transition Anne Moore, MSN, RNC, FAANP
9:30	Break
9:45	How Women Experience Menopause: Common Symptoms, Complaints, Health Effects and Counseling Strategies Anne Moore, MSN, RNC, FAANP
10:30	Menopause Symptom Management: What’s the Role of Hormone Therapy and Where Do You Start? Anita L. Nelson, MD ( RX= 1 hr.)
11:30	Managing Menopause: Case Discussion and Q&A (Bring your cases and questions for collaborative discussion.) Faculty Panel (RX = .5 hr.)
12:30 p.m.	Adjourn

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Main Confernece

Friday, May 21

7:00 a.m.	Main Conference Registration • Check-In •Displays
8:00	Pills and Patches: Update on Managing Menopause Symptoms Michael Policar, MD, MPH (RX= .75 hr.)
8:50	Contraceptive Management During Perimenopause: Options and Challenges Anne Moore, MSN, RNC, FAANP (RX = .5 hr.)
9:35	Refreshment Break • Displays
10:00	Helping Your Patients “Re-Boot” Their Sex Lives: Intimacy is the Key Mary Jo Rapini, MEd, LPC
11:00	Breast Cancer Update: Identifying and Managing High-Risk Women Anita L. Nelson, MD (RX = .25 hr.)
11:45	Questions and Discussion Faculty Panel ( RX= .25 hr.)
12:15 p.m.	Lunch On Your Own
1:30	Alternative Therapies and Bioidentical Hormones for Menopause Management: An Evidence-Based Approach Ellen Hughes, MD, PhD (RX = .5 hr.)
2:15	Osteoporosis Update: Fracture Risk Assessment (FRAX) and Medications in the Pipeline Kathryn Macaulay, MD (RX = .25 hr.)
3:00	Refreshment Break • Displays
3:15	Insulin Resistance and Metabolic Syndrome: What It Means for Older Women Ellen Hughes, MD, PhD (RX = .25 hr.)
4:00	Questions and Discussion Faculty Panel (RX= .25 hr.)
4:30	Adjourn
5:00 - 9:00 p.m.	San Diego Trolley Tour

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Saturday, May 22

During each Concurrent Session, 4 topics are presented simultaneously in separate rooms. Sessions are limited in size and choices are assigned in the order registrations are received. Indicate your selections on the Registration Form.

8:00 am	CONCURRENT SESSIONS #1 #11 Irregular Bleeding in Perimenopause: Options for Management Michael Policar, MD, MPH (RX =.5 hr.) #12 Update on Minimally Invasive GYN Procedures: Look How Far We’ve Come! Joy Brotherton, MD, FACOG #13 Nutrition in a Bottle: The Role of Vitamins and Supplements as We Age Ellen Hughes, MD, PhD (RX =1 hr.) #14 Menopause and Migraines: What’s the Hormonal Connection? Cinde Ordelheide, NP (RX= .5 hr.)
9:00	Refreshment Break • Displays
9:30	CONCURRENT SESSIONS #2 #21 Getting Enough ZZZZs: How Aging Affects Sleep and Sleep Affects Aging Ellen Hughes, MD, PhD (RX = .25 hr.) #22 Body Image and Sexuality as Women Age Mary Jo Rapini, MEd, LPC #23 Pelvic Pain in Older Women: Remember to Look Beyond the Pelvis! Michael Policar, MD, MPH #24 New Technologies for Managing Stress Urinary Incontinence Charles W. Nager, MD
10:30	Session Change
10:45	CONCURRENT SESSIONS #3 #31 Exercise is Medicine: Strategies for Staying Active With Chronic Health Conditions and Limited Mobility Robyn M. Stuhr, MA, ACSM-RCEP #32 Androgens: What Role Do They Play in Menopause Management? Donna Shoupe, MD (RX = 1 hr.) #33 GYN Oncology: Recognizing “Red Flags” Through a Case-Based Approach Ilana Cass, MD #34 Pessary Fitting: Skill-Building Workshop (Limited to 30 people, so register early!) Charles W. Nager, MD Anita L. Nelson, MD Joy Brotherton, MD, FACOG
11:45	Lunch On Your Own
12:45 p.m.	Interesting Cases in Menopause Management Anita L. Nelson, MD (RX = .5 hr.) Ilana Cass, MD Donna Shoupe, MD
1:45	Impacting Lifestyle: Exercise for the “Babe” Boomers Robyn M. Stuhr, MA, ACSM-RCEP
2:30	Refreshment Break
2:45	Health Implications of Ovarian Preservation Donna Shoupe, MD
3:30	Advances in GYN Cancer Screening: Genetics and Technology Ilana Cass, MD
4:15	Questions and Discussion Faculty Panel
4:45	Conference Summary/Evaluation
5:00	Adjourn

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Conference Faculty

Joy Brotherton, MD, FACOG Assistant Professor of Obstetrics and Gynecology David Geffen School of Medicine at UCLA Director of Minimally Invasive Surgery Harbor-UCLA Medical Center Torrance, California	Anita L. Nelson, MD Conference Chair Professor of Obstetrics and Gynecology David Geffen School of Medicine at UCLA Medical Director, Women’s Health Care Programs Harbor-UCLA Medical Center Torrance, California
Ilana Cass, MD Gynecologic Oncologist Director, Gynecologic Oncology Fellowship Program Cedars-Sinai Medical Center Assistant Professor of Obstetrics and Gynecology David Geffen School of Medicine at UCLA Los Angeles, California	Cinde Ordelheide, NP Nurse Practitioner, Women’s Health Scripps Clinic San Diego, California
Ellen Hughes, MD, PhD Clinical Professor of Medicine Emeritus University of California, San Francisco San Francisco, California	Michael Policar, MD, MPH Medical Director UCSF/Family PACT Program Support and Evaluation Sacramento, California Associate Clinical Professor Department of Obstetrics, Gynecology and Reproductive Sciences University of California, San Francisco San Francisco, California
Kathryn Macaulay, MD Associate Clinical Professor Department of Reproductive Medicine University of California, San Diego San Diego, California	Mary Jo Rapini, MEd, LPC Licensed Professional Counselor, Private Practice Sex/Relationship Counselor, Methodist Hospital Houston, Texas
Toby A. Maurer, MD Associate Professor of Dermatology University of California, San Francisco Chief of Dermatology San Francisco General Hospital San Francisco, California	Donna Shoupe, MD Professor of Obstetrics and Gynecology University of Southern California Los Angeles, California
Anne Moore, MSN, RNC, FAANP Professor for the Practice of Nursing Faculty, Women’s Health Nurse Practitioner Program Vanderbilt University School of Nursing Women’s Health Nurse Practitioner, Private Practice Nashville, Tennessee	Robyn M. Stuhr, MA, ACSM-RCEP Sports Medicine Program Director Department of Orthopedic Surgery University of California, San Diego San Diego, California
Charles W. Nager, MD Professor of Clinical Reproductive Medicine Director, Division of Urogynecology UC San Diego Medical Center San Diego, California

Accreditation

A Certificate of Attendance is given upon completion of course requirements, enabling you to register your credit with the appropriate licensing boards or associations. To apply for credit not listed below, use the procedure established by the specific organization. Additional brochures and evaluation forms provided upon request.

Physicians

Pre-Conference A: 6 credit hours
Pre-Conference A Optional Training: 1.5 credit hours (ACOG=2)
Pre-Conference B: 4 credit hours
Main Conference: 13.5 credit hours (ACOG=14)

Contemporary Forums is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Contemporary Forums designates this educational activity for a maximum of the listed AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The American College of Obstetricians and Gynecologists has assigned the listed number of cognate credits to the Pre-Conferences and Main Conference.

This activity has been reviewed and is acceptable for up to 21 Prescribed credits by the American Academy of Family Physicians.

In accordance with CA Assembly Bill No. 1195, Conference faculty have been advised to include content related to cultural and linguistic competency in the practice of medicine within their presentations, where appropriate.

Nurses and Nurse Practitioners

Pre-Conference A: 6 ANCC/7.2 CA BRN contact hours
Pre-Conference A Optional Training: 1.5 ANCC/1.8 CA BRN contact hours
Pre-Conference B: 4 ANCC/4.8 CA BRN contact hours
Main Conference: 13.5 ANCC/16.2 CA BRN contact hours

Contemporary Forums is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Contemporary Forums is approved by the California Board of Registered Nursing, Provider #04516. (CA BRN contact hour = 50 minutes)

Nurse-Midwives

Pre-Conference A: 6 hours
Pre-Conference A Optional Training: 1.5 hours
Pre-Conference B: 4 hours
Main Conference: 13.5 hours

The Continuing Education Committee of the American College of Nurse-Midwives grants reciprocity status to the Accreditation Council for Continuing Medical Education (ACCME) for Category 1 offerings, providing the program is relevant to nurse-midwifery. Nurse-Midwives may report up to the listed hours of credit.

Physician Assistants

Pre-Conference A: 6 hours
Pre-Conference A Optional Training: 1.5 hours
Pre-Conference B: 4 hours
Main Conference: 13.5 hours

The American Academy of Physician Assistants accepts Category 1 CME approval from organizations accredited by the ACCME to grant Category 1 hours toward the Physician’s Recognition Award. PAs may report up to the listed hours of credit.

Pharmacology Credit for Prescriptive Authority

Pre-Conference A: 1.25 hours
Pre-Conference B: 1.5 hours
Main Conference: 5.75 hours available

indicates pharmacology content. Because states’ requirements vary, contact your Board of Nursing for more information.

Exhibits

To enhance your educational experience, we are inviting representatives from professionally relevant companies, organizations and hospitals to exhibit equipment, supplies, services and career opportunities. The schedule provides participants time for one-on-one discussion with exhibitors. For exhibit space availability or additional information:

Call the Exhibitor Information Line: (925) 828-7100, Ext. 5260

For prospectus information

Email: exhibits@cforums.com

Location

La Jolla, CA

La Jolla, the jewel of the Pacific, sits high atop a bluff overlooking the ocean and captures the spirit of Southern California like no other place. Relax in this sunny seaside resort where you will find beautiful natural scenery and spectacular sunsets. Known as San Diego’s version of Rodeo Drive, La Jolla boasts world-class shopping, galleries and boutiques along with outstanding restaurants and clubs.

The stunning Hyatt La Jolla at Aventine offers all the comfort and amenities of a first-class resort. Located just north of San Diego with easy access to the airport and beaches, this luxury hotel is situated on 11 acres and features exquisite service, lavishly landscaped gardens, a deluxe fitness spa rated among the top 10 in the US, an Olympic-size heated outdoor pool with individual cabanas, and a variety of internationally-themed restaurants. Tennis and golf are easy to arrange with the concierge and the boutiques, galleries and sites of San Diego and La Jolla are nearby.

Less than a mile from the hotel, watch the wonders of the ocean come alive at the spectacular Stephen Birch Aquarium- Museum. The largest oceanographic museum in the country overlooks the Pacific Ocean and offers an interactive view ofundersea creatures in realistic habitats. This facility, combined with the Scripps Institution of Oceanography, provides anexciting opportunity to observe a dazzling array of marine life.

Be sure to save some time to visit San Diego’s sites -- Old Town, Seaport Village, the world famous San Diego Zoo and Wild Animal Park, and Sea World, home of the killer whale, Shamu.

Experience this area’s unique ambience that is part southern European resort and all Southern California fun. To receive more information about the conference area, contact the San Diego Convention & Visitors Bureau at (619) 232-3101 or www.sandiego.org.

San Diego Trolley Tour

Friday, May 21 • 5:00 – 9:00 p.m.
Board the San Diego Trolley for a special tour of the city. The open-air trolley will take you past the charming old and sparkling new sites of San Diego such as The Prado in beautiful Balboa Park -- home of the world-famous San Diego Zoo -- the USS Midway, downtown’s historic Gaslamp Quarter, and Old Town State Park along the harbor side. After the tour, you’ll have time to select from one of the many fine restaurants for dinner at Old Town, a great place to stroll the boardwalk, browse among the many shops and eateries, and visit the turn-of-the-century Flying Horses Carousel.

Tickets for the San Diego Trolley tour are $31.00 (which does not include cost of dinner) and should be purchased when registering for the Conference. If a minimum number of reservations is not received, this tour will be subject to cancellation. If you require special arrangements for this tour, please call (800) 377-7707, Ext. 5252 at least 30 days prior to the Conference.

Hotel/Travel

Hotel Accommodations

The Conference will be held at the Hyatt Regency La Jolla at Aventine, 3777 La Jolla Village Dr. San Diego, CA 92122A limited block of rooms is being held for you and your guests at special group rates which will be in effect, based on room availability, from May 18th to May 23rd for those wishing to extend their stay to enjoy area activities or qualify for discount airfares.

Rates: $189 single, $199 double
Rates are per room and subject to prevailing state and local taxes.

To obtain the special group rates, make your reservation early and before the “hotel room block release date” which is April 27th. Rooms may sell out before this date so be sure to make your reservation now. After the release date, rooms and group rates may no longer be available so call the hotel regarding availability.

To reserve your room online, please click here.

For room reservations, call (800) 233-1234 and inform them that you are attending the Contemporary Forums’ Advances in Health Care for Women Over 40 Conference. Request a confirmation number and written confirmation of your reservation. Reservations must include a first night’s deposit.

Contact the hotel regarding cancellation policy. For arrivals after 3 p.m., call the hotel on the day of travel to reconfirm reservations.

For additional hotel information, call the Hyatt Regency La Jolla at Aventine at (858) 552-1234

For assistance in locating a roommate, please call Contemporary Forums at (800) 377-7707, Ext. 0.

Travel Discounts

Contemporary Forums has a special discount agreement with United Airlines unavailable to the general public. To obtain these special Conference fares visit www.united.com or call the Special Meeting Desk at (800) 521-4041, Account Code 510CW.

Hertz is the official car rental agency for the conference. Special rates will be in effect throughout the Conference as well as one week before and after. For special rates, call HERTZ at (800) 654-2240 and refer to Contemporary Forums plus the Conference discount code CV# 03000239.

Fees

Registrations must include full tuition payment to be accepted. Registrations faxed without payment will not be processed. Confirmation is sent by email if your completed registration form and payment are received two weeks before the Conference begins. Since Conference registration and hotel rooms are limited, early registration is advised.

Out of consideration to registrants, children of any age and spouses may not attend the sessions.

Tuition Fee (U.S. Funds)
				Main Conference
	Pre-Conference A May 20 – All Day (All Attendees)	Optional Training	Pre-Conference B May 20 – Morning (All Attendees)	Physicians	Nurses, Residents**, PA’s, Other
Early Registration Fee* (On/Before April 8)	$225	$95	$115	$495	$425
Regular Registration Fee (After April 8)	$265	$95	$145	$545	$475

* Postmarked or phone/fax/online registration and fees received on/before April 8th.
** Residents: To qualify, submit facility verification of status with registration.

Your tuition includes Certificate of Attendance, refreshment breaks and access to the Online CE Library for the Pre-Conference and/or Main Conference for which you registered. Main Conference registrants have access to all Concurrent Sessions that were recorded.

Group Discounts

Tuition discounts are given to groups of 3 or more registering for the complete Main Conference. Discounts do not apply to the Pre-Conference and groups may not be formed after individual registrations have been received. To qualify for the group discount, all registration information must be complete for all group members, payment included and forms mailed or called in together. If faxing, list all group members on cover sheet. If registering online, all registrations must be entered consecutively and total payment must be made with the same credit card.

• $25 per person discount for 3 or 4 in a group
  $45 per person discount for 5 or more in a group

Method of Tuition Payment

Make payment by check (payable to Contemporary Forums and enclose with Registration Form), Visa, MasterCard, Discover Card, American Express or Purchase Order. A $30 fee is charged for any returned check. Personal checks are NOT accepted at the Conference. Purchase Orders must be received with registration by the Conference date and include the P.O. number, invoice address, tuition, approval signature, and contact name, email address and phone number.

Register Online, by Phone, Mail or Fax (Payment required to register)

Register only ONCE, online, by phone (800) 377-7707, Ext. 5252, by mail, or by fax (800) 329-9923, Monday-Friday, 8 a.m. - 5 p.m. (Pacific Time). Before calling, complete all registration information.

Tax Deductibility

Expenses of training, tuition, travel, lodging and meals to maintain or improve professional skills may be TAX DEDUCTIBLE. Consult your tax advisor.

Partial Attendance (Online Registration Unavailable)

To register, call Contemporary Forums for tuition and CE credit for individual days. Group discounts do not apply. Registrations may not be shared.

Cancellations

Cancellations may be made by phone or in writing. Cancellations received on/before the April 8th receive a full tuition refund. Cancellations received after April 8th are assessed a $20 processing fee. No refunds for cancellations received after the Conference begins or for “no shows.” If this meeting is cancelled for any reason, including labor strikes or acts of God, liability is limited to a full refund of registration fees.

Program Changes

Contemporary Forums reserves the right to make necessary changes in speakers, topics or schedule.

Questions?

Contact Contemporary Forums at (800) 377-7707, Ext. 0, Monday - Friday, 8 a.m. - 5 p.m. (Pacific Time) or email info@cforums.com. If you require special arrangements at this Conference, call (800) 377-7707, Ext. 5252, at least 30 days prior to the Conference.