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SCIENTIFIC PROGRAM <strong>•</strong> SYMPOSIA<br />

Monday, October 17, 2011 11:15 am – 1:00 pm<br />

Symposium<br />

Room 222<br />

BUSINESS DEVELOPMENT IN AN UNCERTAIN MARKET<br />

Presented by the Assisted <strong>Reproductive</strong> Managers<br />

Rita Gruber, B.A. (Chair)<br />

<strong>Reproductive</strong> Medicine Associates of New Jersey<br />

Lisa A. Rinehart, R.N, B.S.N., J.D.<br />

<strong>Reproductive</strong> Medicine Institute, Illinois<br />

Joseph J. Travia, B.A., M.B.A., C.P.A.<br />

IntegraMed<br />

Needs Assessment and Description<br />

With the global economic meltdown in 2008 and 2009<br />

along with the current fiscal crisis around the world, how are<br />

practices in reproductive endocrinology and fertility going<br />

to be able to survive and prosper during this difficult time. In<br />

the age of social media and rapidly changing technology<br />

what can practices do to meet the challenges and<br />

opportunities in a new world order focused on the patient<br />

experience?<br />

REI specialists and their staff must work to become the<br />

destination of choice <strong>for</strong> patients in their market. The<br />

patient assumes that your practice is medically and<br />

clinically solid – this is a given. However the patient is<br />

looking <strong>for</strong> and demanding a practice that focuses on the<br />

patient experience from the moment of first contact to<br />

the convenience of office locations, the day-to-day staff<br />

interactions and the handling of the final bill. Discussions will<br />

include all facets of the patient experience, from referring<br />

physicians, education and payers up to and including<br />

their final visit with the fertility center. The components of a<br />

Monday, October 17, 2011 1:00 pm – 2:30 pm<br />

Menopause Day Luncheon Symposium (Ticketed)<br />

TODAY’S APPROACHES TO TREATING THE MENOPAUSE:<br />

RISKS AND BENEFITS OF VARIOUS THERAPIES<br />

Cynthia K. Sites, M.D.<br />

Tufts University<br />

Lubna Pal, M.B.B.S., M.S.<br />

Yale University<br />

Genevieve Neal-Perry, M.D., Ph.D.<br />

Albert Einstein College of Medicine<br />

Needs Assessment and Description<br />

Women and their health care providers are increasingly<br />

confused as to the actual risks/benefits of therapeutic<br />

options available to treat menopausal symptoms and<br />

osteoporosis. Women continue to seek reliable in<strong>for</strong>mation<br />

while also exploring alternative therapies. Despite<br />

considering healthcare providers the most reliable source<br />

of in<strong>for</strong>mation, women expressed low confidence in their<br />

provider’s ability to give sufficient in<strong>for</strong>mation and to<br />

describe alternative therapies. Large gaps exist between<br />

patient expectations and provider preparedness to guide<br />

patient decision making. Selective estrogen reuptake<br />

modulators (SERMs), bisphosphonates, teriparatide,<br />

calcitonin and denosumab are recognized alternatives<br />

to hormone therapy <strong>for</strong> the treatment of osteoporosis.<br />

Tissue selective estrogen complexes (TSECs) that exhibit<br />

tissue specific estrogen agonist/antagonist activity are<br />

emerging as a promising alternative to traditional hormone<br />

therapy <strong>for</strong> the treatment of menopausal osteoporosis.<br />

For menopausal hot flash symptoms, treatments such as<br />

gabapentin, selective serotonin reuptake inhibitors (SSRIs),<br />

and selective norepinephrine reuptake inhibitors (SNRIs)<br />

are considered alternatives to hormone therapy, and<br />

TSECs again represent an emerging option <strong>for</strong> managing<br />

Valencia Ballroom<br />

Supported by an independent educational grant from Pfizer.<br />

66<br />

strategic plan will also be discussed with a focus on practice<br />

development.<br />

Learning Objectives<br />

At the conclusion of this session, participants should be able<br />

to:<br />

1. Identify several external factors that drive the current<br />

models of fertility practices.<br />

2. Develop a comprehensive plan focused on the patient<br />

experience.<br />

3. Discuss a framework <strong>for</strong> strategic planning at a fertility<br />

center.<br />

ACGME COMPETENCY<br />

Systems-Based Practice<br />

TEST QUESTION:<br />

REI practices are becoming increasingly aware that<br />

outstanding medical and clinical care is not enough to<br />

operate a financially successful fertility practice. Designing<br />

a practice around the patient experience and utilizing the<br />

tools available to help you exceed their expectations is<br />

paramount during these difficult times. After participating<br />

in this session, in my practice I will develop a Strategic Plan<br />

that includes each of the following except:<br />

A. Executive Summary<br />

B. Marketing Plan<br />

C. Financial Projections<br />

D. Number of members in AARP by state<br />

E. SART Data<br />

menopausal vaginal atrophy. The decision to use any<br />

therapy depends on a patient’s clinical presentation and<br />

a thorough evaluation of the risks and benefits. In a survey<br />

conducted by ASRM in 2009 and 2011, members identified<br />

personal practice gaps involving the treatment of various<br />

menopausal symptoms and osteoporosis. Physicians<br />

requested educational activities to specifically address their<br />

understanding of individualized treatment approaches.<br />

Learning Objectives<br />

At the conclusion of this session, participants should be able<br />

to:<br />

1. Compare and contrast estrogen therapies versus mixed<br />

agonist/antagonist treatment therapies (SERMs and tissue<br />

selective estrogen complexes,TSECs) in treating<br />

menopausal symptoms<br />

2. Discuss the efficacy, risks, and benefits of mixed agonist/<br />

antagonist agents in the treatment of menopausal<br />

osteoporosis<br />

3. Design treatment plans <strong>for</strong> women of different ages with<br />

menopausal symptoms<br />

ACGME COMPETENCY<br />

Medical Knowledge<br />

Patient Care<br />

TEST QUESTION:<br />

After participating in this session, in my practice I will:<br />

A. Prescribe denosumab <strong>for</strong> perimenopausal women diagnosed<br />

with osteopenia.<br />

B. Prescribe parathyroid hormone to women deemed at high risk <strong>for</strong><br />

fracture.<br />

C. Prescribe TSECs <strong>for</strong> control of vasomotor symptoms.<br />

D. Prescribe SERMs <strong>for</strong> symptomatic women at risk <strong>for</strong> fracture.<br />

E. Not applicable to my area of practice.

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