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SCIENTIFIC PROGRAM <strong>•</strong> INTERACTIVE SESSIONS<br />

Tuesday, October 18, 2011 1:15 pm – 2:15 pm<br />

Interactive Session<br />

SHOULD CHROMOSOME TESTING OF THE PRODUCTS<br />

OF CONCEPTION BE ROUTINELY PERFORMED AT THE TIME<br />

OF THE SECOND MISCARRIAGE?<br />

Presented by the <strong>Reproductive</strong> Immunology Special Interest Group and<br />

the <strong>Society</strong> <strong>for</strong> <strong>Reproductive</strong> Endocrinology and Infertility<br />

Ruth B. Lathi, M.D. (Chair)<br />

Stan<strong>for</strong>d University<br />

Mary Stephenson, M.D., M.Sc.<br />

University of Chicago<br />

Lee R. Hickock, M.D.<br />

University of Washington<br />

Needs Assessment and Description<br />

Miscarriage is one of the most common complications of a<br />

pregnancy. Patients with a history of 2 or more miscarriages<br />

are at increased risk <strong>for</strong> recurrence, and often an evaluation<br />

is recommended at this point. Numeric chromosomal<br />

abnormalities account <strong>for</strong> over half of all miscarriages, yet<br />

testing miscarriages <strong>for</strong> chromosomal errors is rarely done.<br />

INFORMED CONSENT: THE ROLE OF THE REI NURSE<br />

Joint session presented by the Nurses’ Professional Group and the Legal<br />

Professional Group<br />

Margaret Swain, R.N., J.D. (Chair)<br />

Private Practice<br />

Maria M. Jackson, R.N., B.S., M.A.<br />

St. Barnabas Medical Center<br />

Needs Assessment and Description<br />

Within the context of the law, the doctrine of in<strong>for</strong>med<br />

consent reflects the legal concepts and statutory mandates<br />

governing interactions of medical providers with their<br />

patients during the in<strong>for</strong>med consent process. After<br />

reviewing the historical and conceptual aspects of this area,<br />

discussion will focus on the applied concept of in<strong>for</strong>med<br />

consent within ART nursing practice. A recent survey of<br />

ASRM members indicated an interest in this subject.<br />

Learning Objectives<br />

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

to:<br />

1. Discuss the development and purpose of the doctrine of<br />

in<strong>for</strong>med consent.<br />

2. Identify proper content and delivery of the in<strong>for</strong>med<br />

consent discussion in ART.<br />

3. Define the role of the professional nurse in the ART<br />

in<strong>for</strong>med consent process.<br />

Room 230 D<br />

88<br />

Learning Objectives<br />

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

to:<br />

1. Describe benefits of testing miscarriage tissue <strong>for</strong><br />

chromosomes.<br />

2. Identify costs, barriers and limitations of cytogenetic<br />

testing of products of conception.<br />

3. Discuss the impact on clinical management of patients<br />

with a history of 2 or more miscarriages.<br />

ACGME COMPETENCY<br />

Medical Knowledge<br />

Patient Care<br />

TEST QUESTION:<br />

For patients experiencing a miscarriage, after participating<br />

in this session, in my practice I will do chromosomal testing<br />

on products of conception:<br />

A. For every miscarriage.<br />

B. For the second (or higher number) miscarriage.<br />

C. Only if the loss occurs after 8 gestational weeks.<br />

D. Only by patient request.<br />

E. Not applicable to my area of practice.<br />

Tuesday, October 18, 2011 1:15 pm – 2:15 pm<br />

Interactive Session<br />

Room 230 C<br />

ACGME COMPETENCY<br />

Patient Care<br />

Interpersonal and Communication Skills<br />

TEST QUESTION:<br />

After participating in this session, I will do the following in my<br />

practice:<br />

A. Not use an in<strong>for</strong>med consent document.<br />

B. Use a facility-provided general consent <strong>for</strong>m.<br />

C. Provide the in<strong>for</strong>med consent document to patients <strong>for</strong><br />

their review prior to their physician-conducted in<strong>for</strong>med<br />

consent discussion.<br />

D. Never encourage the patient to question the physician<br />

about a procedure, since the nurse is available to answer<br />

all questions.<br />

E. Not applicable to my area of practice.

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