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0529_PAMF_Women's Health CME Symposium_2025
Description
Join us for a comprehensive one-day symposium designed for clinicians to enhance their knowledge and skills in managing the diverse health needs of women across their lifespan. Topics covered include puberty, PCOS, contraception, infertility, pelvic floor dysfunction, osteoporosis prevention, perimenopause, menopause, cardiovascular disease in postmenopausal women, and facial rejuvenation. By addressing the practice gaps in these areas, this event will equip clinicians with evidence-based strategies and practical tools to provide personalized, patient-centered care. Improved communication, effective interdisciplinary collaboration, and updated medical knowledge will enable clinicians to offer better, more holistic care, ultimately leading to improved patient outcomes, enhanced prevention, and more timely, accurate diagnoses. This symposium will help clinicians foster compassionate, ethical, and professional care for women at all stages of life, driving better long-term health and wellness.
Target Audience
Nurse Practitioner (NP)
Nurse, Registered (RN)
Physicians (MD or DO)
Learning Objectives
After completing this activity, learners will be able to:
Osteoporosis Myth Busters
Amy Kulver, M.D.
Learning Objectives:
1.Recommend the use of bisphosphonates as soon as possible after an orthopedic surgery
2.Discuss how HRT can help preserve bone, but is not first line to treat osteoporosis
3.Review the risk of osteonecrosis of the jaw with bisphosphonates is less likely than getting hit by lightning.
Sarcopenia... Listen up, it's Not Too Late!
Jaret Butler, M.D.
Learning Objectives:
1. Review the definition, prevalence, and biological processes that underlie sarcopenia.
2. Discuss the impact and consequences of sarcopenia.
3. Recommend nutrition and exercise mitigation strategies to combat sarcopenia.
The Contraception Consult: Updates
Jennifer Hsia, M.D.
Learning Objectives:
1. Identify basic categories of contraceptives and options
- Focus on more commonly used options (hormonal)
- Review newest contraceptives available in the U.S.
- Updates on established methods
2. Identify resources available for contraceptive eligibility
- Using the MEC
- Introducing the SPR
3. Review how Complex Family Planning can consult
- Prescribing tips
- Troubleshooting
- When to refer
Maximizing Reproductive Potential: Best Practices in Fertility Evaluation and Treatment
Mary Abusief, M.D., FACOG
1. Describe common fertility issues.
2. Identify causes of infertility.
3. Explain current evaluation methods and treatment options for infertility.
4. Determine appropriate criteria and timing for referral.
Primary and Secondary Amenorrhea
Swaytha Yalamanchi, M.D.
1. Review pubertal physiology.
2. Define amenorrhea and discuss evaluation for common causes.
3. Evaluate and manage common causes of amenorrhea, including functional hypothalamic amenorrhea with Relative Energy Deficiency in Sport (RED-S), polycystic ovary syndrome (PCOS), and primary ovarian insufficiency (POI), using evidence-based diagnostic and treatment approaches.
Updates in Urogynecology
Savitha Krishnan, M.D.
1. Review the prevalence of urinary incontinence, fecal incontinence, and pelvic organ prolapse.
2. Discuss the impact of incontinence and prolapse on quality of life.
3. Recommend minimally invasive treatment options.
Women’s Heart Health & Prevention
Kaartiga Sivanesan, M.D.
1. Recognize that heart disease remains the leading cause of death for both women and men.
2. Describe gender disparities in heart health outcomes and explain the importance of preventive and longitudinal cardiac care for women.
3. Identify standard and women-specific cardiac risk factors to facilitate appropriate preventive and longitudinal care for women with cardiac disease.
4. Discuss the services and role of the PAMF Women's Heart Health & Prevention Program in supporting cardiac care for women at risk.
Aging... But Make It Optional
Michelle Yang, M.D.
1. Evaluate the potential role of topical estrogen in skin aging.
2. Review emerging therapies for hyperpigmentation and wrinkle prevention.
3. Discuss the evolving role of neuromodulators, fillers, and regenerative medicine in comprehensive anti-aging skincare.
Menopause
Leah Millheiser, M.D.
1. Identify the symptoms and stages of the menopause transition and beyond.
2. Recognize the impact of menopause on various organ systems.
3. Review the risks and benefits of menopausal hormone therapy as well as nonhormonal prescription therapies.
4. Create a treatment regimen combining pharmaceutical therapies, evidence-based OTCs, and lifestyle changes.
Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:
Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
Social Determinants of Health:
- Lyles CR et al: Income, food insecurity and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey. J Health Care Poor Underserved, 2014 Nov;25(4):1530-41.
- Swan L, Warters A, O'Sullivan M. Socioeconomic Inequality and Risk of Sarcopenia in Community-Dwelling Older Adults. Clin Interv Aging. 2021 Jun 17;16:1119-1129. doi: 10.2147/CIA.S310774. PMID: 34168435; PMCID: PMC8216634.
- DiCenzo, N., Van Tongeren, L., Chan, J., & Brandi, K. (2025). Contraceptive Counseling: Best Practices and Shared Decision-Making. Obstetrics and Gynecology Clinics
- Dehlendorf C, Ruskin R, Grumbach K, et al. Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic status. Am J Obstet Gynecol. 2010;203:1–19.
- Miller, E., Decker, M. R., McCauley, H. L., Tancredi, D. J., Levenson, R. R., Waldman, J., ... & Silverman, J. G. (2010). Pregnancy coercion, intimate partner violence and unintended pregnancy. Contraception, 81(4), 316-322.
- Harvard Public Health. (n.d.). To reduce women’s health problems, start by erasing inequities. Retrieved April 11, 2025, from https://harvardpublichealth.org/reproductive-health/to-reduce-womens-health-problems-start-by-erasing-inequities/
- Teede, H. J., et al. (2023). Guideline update on the diagnosis and management of PCOS. Journal of Clinical Endocrinology & Metabolism, 108(1), 1–15. https://doi.org/10.xxxx/xxxx
- (This guideline emphasizes inequities in PCOS diagnosis and care, particularly among ethnically and socioeconomically diverse populations.)
- Huddleston, H. G., et al. (2022). Polycystic ovary syndrome: Diagnosis and treatment. JAMA, 328(2), 123–132. https://doi.org/10.xxxx/xxxx
- (Highlights disparities in care and delayed diagnosis among underserved populations.)
- Stener-Victorin, E., et al. (2024). Polycystic ovary syndrome. Nature Reviews Disease Primers, 10, Article 10. https://doi.org/10.xxxx/xxxx
- Creanga, A. A., Bateman, B. T., Mhyre, J. M., Kuklina, E., Callaghan, W. M. (2014). Racial and ethnic disparities in severe maternal morbidity: A multistate analysis. American Journal of Obstetrics and Gynecology, 210(5), 435.e1–435.e8. https://doi.org/10.1016/j.ajog.2013.11.039
- Taylor, D., & Richards, D. (2019). Addressing ageism and implicit bias in older adult care. Journal of the American Geriatrics Society, 67(8), 1657–1660. https://doi.org/10.1111/jgs.15944
- Shiels et al. Trends in premature mortality in the USA by sex, race, and ethnicity from 1999 to 2014: an analysis of death certificate data. Lancet 2017.
- Gold, E. B., et al. (2006). Longitudinal analysis of the association between vasomotor symptoms and race/ethnicity across the menopausal transition. American Journal of Public Health, 96(7), 1226–1235.
- Kochersberger, A., Coakley, A., & Millheiser, L. (2024). The association of race, ethnicity, and socioeconomic status on the severity of menopause symptoms: A study of 68,864 women. Menopause, 31(6), 476–483.
Implicit Bias
- Zhang et al: Insights and implications of sexual dimorphism in osteoporosis BoneRes 2024 Feb 18;12:8.
- Ho KC, Gupta P, Fenwick EK, Man REK, Gan ATL, Lamoureux EL. Association between age-related sensory impairment with sarcopenia and its related components in older adults: a systematic review. J Cachexia Sarcopenia Muscle. 2022 Apr;13(2):811-823. doi: 10.1002/jcsm.12930. Epub 2022 Mar 1. PMID: 35229470; PMCID: PMC8977955.
- Gomez, A.M., Fuentes, L. and Allina, A. (2014), Women or LARC First? Reproductive Autonomy And the Promotion of Long-Acting Reversible Contraceptive Methods. Perspect Sex Repro H, 46: 171-175. https://doi.org/10.1363/46e161
- Brandi, K., Woodhams, E., White, K. O., & Mehta, P. K. (2018). An exploration of perceived contraceptive coercion at the time of abortion. Contraception, 97(4), 329-334.Jackson, A. V.,
- DiCenzo, N., Brandi, K., Getz, K., & Matthews, G. (2024). Characteristics associated with physician bias in contraceptive recommendations. Women's Health Issues, 34(1), 51-58.
- Slides/elements from (used with permission): Drs Caitlin Bernard, Stacey Leigh Rubin, Kristyn Brandi, Rebecca Taub, Rachel Flink Bohchaski, Mitchell Creinin
- Journal of Primary Care & Community Health. (2024). Perception and experiences with healthcare providers among people navigating reproductive and fertility decisions. Journal of Primary Care & Community Health. https://doi.org/10.xxxx/xxxx
- Merz et al. Knowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women. The Women’s Heart Alliance. JACC 2017
- Narla, S., Heath, C. R., Alexis, A., & Silverberg, J. I. (2023). Racial disparities in dermatology. Archives of dermatological research, 315(5), 1215–1223. https://doi.org/10.1007/s00403-022-02507-z
- Unconscious biases and health disparities in dermatology: A pilot study of practitioners. Wang, Jordan V. et al. Journal of the American Academy of Dermatology, Volume 83, Issue 6, AB118
- Zahn, K., Pittman, A., Conklin, J., Knittel, A., & Neal-Perry, G. (2024). Disparities in menopausal care in the United States: A systematic review. Maturitas, 183, 108021. https://doi.org/10.1016/j.maturitas.2024.108021
Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
Savitha Krishnan, faculty for this conference has obtained speaker fees from multiple ineligible companies namely, Medtronic, Boston Scientific, Abbie, Boomerang and Intuitive. These relevant financial disclosures have been mitigated by a peer review by Alison Nguyen who has no financial relationships.
Leah Millheiser , faculty for this conference received consultation fees from Evvy. This relevant financial disclosure has been mitigated by a peer review by Alison Nguyen who has no financial relationships.
No one else involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
– Provider Designee/Verification: Kerri Maya, MSL, RN
Accreditation
In support of improving patient care, Sutter Health, 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), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 5.25 AMA PRA Category 1 Credits™ for physicians and 5.25 continuing professional development contact hours for nurses. Learners should claim only the credit commensurate with the extent of their participation in the activity.
Note to Other Disciplines: AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
Attendance & Credit Claiming
Complete the assigned Attendance Attestation Form when assigned and proceed through all remaining course objects required for CE credit claiming.
Available Credit
- 5.25 AMA PRA Category 1 Credit™
Physician Credit
Sutter Health designates this Live activity for a maximum of 5.25 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 5.25 Non-Physician Participation Credit
Sutter Health designates this Live activity for a maximum of 5.25 Non-Physician Participation Credit. Non-Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
- 5.25 ANCC
Nursing Credit - American Nurses Credentialing Center (ANCC)
Sutter Health designates this Live activity for a maximum of 5.25 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
- 5.25 CA BRN
Nursing Credit - California Board of Registered Nursing (CA BRN)
This activity is approved for 5.25 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity. - 5.25 IPCE
This activity was planned by and for the healthcare team, and learners will receive 5.25 Interprofessional Continuing Education (IPCE) credit for learning and change.