Cecile A. Ferrando, MD, MPH

 
Course Faculty: Marie Fidela R. Paraiso, MD, Katie Propst, MD, Risal Djohan, MD, Sandip Vasavada, MD, Sarah Vogler, MD

Many gynecologists and gynecologic specialists are hesitant to do combination surgery or offer their patients multidisciplinary care because they have not established an efficient way for their patients to get seen by other specialists or for them to be scheduled in the operating room with multiple surgeons. But, sometimes, this option may be the best for the patient given their co-morbidities and surgical risk as well as degree of bother from their presenting symptoms. Furthermore, some specialists may be unaware of the data that currently exist showing both safety and efficacy of performing combination surgery.

During this session, we would like to share our multidisciplinary approach to care and our experiences from our tertiary referral center. Specialists from urogynecology, urology, plastic surgery and colorectal surgery at Cleveland Clinic will share their insight about combining their clinical efforts to render stellar care to patients seeking concurrent procedures and evaluation for their multiple surgical and non-surgical conditions. Participants will leave the session with tools to start building relationships with other specialists outside of their respective departments.

We will also describe our experience working as a multispecialty team within our own Ob/Gyn department, and show how easy it can be, and beneficial for patients to combine this type of care.  Participants will also learn how to streamline this multidisciplinary approach so that it is complementary to their practice rather than cumbersome or time consuming. Pearls about co-billing will be shared so that surgeons learn to maximize this aspect of shared patient care. Last, we will provide tips and tricks for how to make the surgical experience smooth and optimal for the patient

Course Objectives:

• Participants will leave the workshop with tools to start building relationships with other specialists outside of their respective departments
• Participants will also learn how to streamline this multidisciplinary approach so that it is complementary to their practice rather than cumbersome or time consuming.
• We will offer pearls about co-billing so that surgeons learn to maximize this aspect of shared patient care.
• We will provide tips and tricks for how to make the surgical experience smooth and optimal for the patients undergoing combined surgery.

Course Outline:

• 2:00 pm - 2:05 pm: Intro– Cecile A. Ferrando, MD, MPH
• 2:05 pm - 2:25 pm: Prolapse and Anti-incontinence Procedures at the Time of Minimally Invasive Gynecology and Gynecology Oncology Surgery Procedures– Katie Propst, MD
• 2:25 pm - 3:10 pm: Colorectal and Urogynecology Pelvic Floor Reconstruction: Combining Office and Surgical Practice – Marie Fidela R. Paraiso, MD & Sarah Vogler, MD
• 3:10 pm - 3:45 pm: Pelvic Reconstructive Procedures at the Time of Plastic and Cosmetic Surgery: Concurrent Procedures to Collaborative Neovaginal Surgery – Risal Djohan, MD
• 3:45 pm - 4:00 pm: Break
• 4:00 pm - 4:30 pm: Uro and Gynecology, Not Just a Subspecialty: How to Work Together with Urology and Optimize Patient Care – Sandip Vasavada, MD
• 4:30 – 4:55 Management of Rectovaginal Fistulae, A Combined Approach: The Good, The Bad, and the Ugly – Cecile A. Ferrando, MD, MPH
• 4:55 pm - 5:15 pm: Vulvar and Vaginal Surgical Referrals: How to Streamline Consults Between Gynecologists and Gynecologic Subspecialists – Marie Fidela R. Paraiso, MD
• 5:15 pm - 5:45 pm: Setting Up a Postpartum and Perineal Clinic: A Space for Obstetrics and Urogynecology Providers to Collaborate and Care for Patients– Katie Propst, MD
• 5:45 pm - 6:00 pm: Questions