Matthew Bulfin Educational Conference
February 25-27, 2022 | Nashville, TN | Hybrid Conference: In-person & Virtual
Joint Conference with AAPLOG & ACPeds
Thank You to Our Sponsors
About the Conference
This conference brings together prolife researchers, physicians, medical students, medical residents and policy makers for an educational seminar covering the most important topics of the year in life issues.
Featuring great speakers with experience and expertise in addressing the most difficult questions facing pro-life physicians: from maternal mortality to sex ed, from adolescent decision-making to reversing RU-486, this conference will equip you to tackle the difficult questions.
Venue & Travel Information
VENUe
Southwestern Conference Center
2451 Atrium Way
Nashville, TN 37214
Nashville Visitors Guide
HOTEL
Nashville, TN 37214
Special hotel rate & amenities available for conference attendees. Free airport shuttle. The Conference Hotel room room block is SOLD OUT.
Transportation
Free airport shuttle
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Christian Medical & Dental Associations and American Association of Pro-life Obstetricians and Gynecologists (AAPLOG). The Christian Medical & Dental Associations is accredited by the ACCME to provide continuing medical education for physicians.
AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit(s) TM by an organization accredited by the ACCME or a recognized state medical society. Physician assistants may receive up to 13.75 credits for completing this activity.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines. Nurse practitioners may receive up to 13.75 credits for completing this activity.
This educational activity has been approved by the Ohio Nurses Association (ONA), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation (OBN-001-91). Determination of credit is pending.
Caring for Both: Connecting through Dyads
Schedule
Buffet Style Dinner & Exhibits Open
5:00 PM – 6:15 PM
Welcome Remarks
Christina Francis, MD, Chairman of the Board of Directors of AAPLOG
Quentin Van Meter MD, President of the American College of Pediatricians
6:00 PM – 6:15 PM
First Session: Introduction & Pulling All Themes Together
6:15 PM – 8:00 PM
Biography
Carter Snead is Professor of Law, Concurrent Professor of Political Science, and Director of the de Nicola Center for Ethics and Culture at the University of Notre Dame. Professor Snead is one of the world’s leading experts on public bioethics – the governance of science, medicine, and biotechnology in the name of ethical goods. His research explores issues relating to neuroethics, enhancement, human embryo research, assisted reproduction, abortion, and end-of-life decision-making. He is the author of What It Means to be Human: The Case for the Body in Public Bioethics (Harvard University Press, October 2020), which was named one of the “Ten Best Books of 2020” by The Wall Street Journal. Additionally, he has written more than 50 journal articles, book chapters, and essays. His scholarly works appear in such publications as the New York University Law Review, the Harvard Law Review Forum, the Vanderbilt Law Review, Constitutional Commentary, Quaderni Costituzionali (Italy’s premier journal of constitutional law), the Yale Journal of Health Policy, Law and Ethics, the Journal of Medicine and Philosophy, and Political Science Quarterly. He is also the editor of two book series for the University of Notre Dame Press – “Catholic Ideas for a Secular World” and “Notre Dame Studies in Bioethics and Medical Ethics.” Snead teaches Law & Bioethics, Health Law, Torts, and Constitutional Criminal Procedure.
In addition to his scholarship and teaching, Snead has provided advice on the legal and public policy dimensions of bioethical questions to officials in all three branches of the U.S. government, and in several intergovernmental fora. Prior to joining the law faculty at Notre Dame, Snead served as general counsel to The President’s Council on Bioethics (Chaired by Dr. Leon R. Kass), where he was the primary drafter of the 2004 report, “Reproduction and Responsibility: The Regulation of New Biotechnologies.” He has testified in the U.S. House of Representatives on regulatory questions concerning RU-486 (the abortion pill). In 2013, he testified in the Texas state legislature on the constitutionality of a proposed fetal pain bill. Snead led the U.S. government delegation to UNESCO and served as its chief negotiator for the Universal Declaration on Bioethics and Human Rights, adopted in October 2005. He served (with President’s Council on Bioethics Chairman, Dr. Edmund Pellegrino) as the U.S. government’s Permanent Observer to the Council of Europe’s Steering Committee on Bioethics, where he assisted in its efforts to elaborate international instruments and standards for the ethical governance of science and medicine. In conjunction with the American Association for the Advancement of Science, he regularly lectures to state and federal judges on the uses of neuroimaging in the courtroom. He regularly serves as an expert witness on bioethical matters before federal courts. In 2008, he was appointed by the director-general of UNESCO to a four-year term on the International Bioethics Committee, a 36-member body of independent experts that advises member states on bioethics, law, and public policy. The IBC is the only bioethics commission in the world with a global mandate. In 2016, he was appointed to the Pontifical Academy for Life, the principal bioethics advisory body to Pope Francis. He is also an elected fellow of The Hastings Center, the oldest independent bioethics research institute in the world.
Snead received his J.D., magna cum laude, from Georgetown University, where he was elected to the Order of the Coif, and his bachelor of arts from St. John’s College in Annapolis, Maryland. He clerked for Judge Paul J. Kelly Jr. of the U.S. Court of Appeals for the Tenth Circuit.
What It Means to be Human: The Case for the Body in the Law of Assisted Reproduction
6:15 PM – 7:00 PM
Abstract
This talk will explore how the vital conflicts of American public bioethics are grounded in the false anthropology of expressive individualism, and will offer an alternative foundation for law and public policy in this domain that takes seriously our individual and shared lives as embodied, fragile, vulnerable, mutually dependent human beings. Special emphasis will be given to the law and policy concerning assisted reproduction.
Objectives
- To help the audience understand the role of “anthropology” (i.e., conceptions of human identity and flourishing) play in the making of law and policy concerning assisted reproduction.
References
- What It Means to be Human: The Case for the Body in Public Bioethics (Harvard University Press 2020).
Biography
Roger Severino is a Senior Fellow at the Ethics and Public Policy Center, where he directs EPPC’s HHS Accountability Project. He is also at work on a book on how conservatives can harness the power of the administrative state for conservative ends long sought by the American people. Mr. Severino is a national authority on civil rights, conscience and religious freedom, the administrative state, and information privacy, particularly as applied to health–care law and policy.
Before joining EPPC, Mr. Severino was the Director of the Office for Civil Rights at the U.S. Department of Health and Human Services (OCR), where he led a team of over 250 staff enforcing our nation’s civil rights, conscience and religious freedom, and health information privacy laws. He served from 2017 to 2021 and was the longest serving OCR Director of the past three decades.
Prior to joining HHS, Mr. Severino served as Director of the DeVos Center for Religion and Civil Society at the Heritage Foundation for two years, advocating for life, family, and religious-freedom policies. Before that, he was a trial attorney for seven years in the Department of Justice’s Civil Rights Division where he enforced the Fair Housing Act, the Religious Land Use and Institutionalized Persons Act, and Titles II and VI of the Civil Rights Act of 1964. Mr. Severino started his legal career at the Becket Fund for Religious Liberty, where he was Chief Operations Officer and Legal Counsel and defended the rights of people of all faiths under the First Amendment, RLUIPA, RFRA, and international law.
Mr. Severino has been profiled in The New York Times, The Atlantic, The Wall Street Journal, and The Hill and has appeared on Fox News, CNN, MSNBC, NPR, and PBS, among others.
Mr. Severino holds a J.D. from Harvard Law School, a master’s degree in public policy, with highest distinction, from Carnegie Mellon University, and a bachelor’s degree in business from the University of Southern California, where he was a National Merit Scholar. He is a presidentially appointed Council member of the Administrative Conference of the United States and a member of the District of Columbia and the Commonwealth of Virginia bars.
As OCR Director, Mr. Severino founded the federal government’s first Division dedicated exclusively to conscience and religious freedom compliance and enforcement. He enforced the Weldon Amendment for the first time against a state (California) after it coerced families and religious organizations into paying for abortion insurance coverage, leading to a $200 million federal funding disallowance. He also enforced laws protecting pro-life pregnancy resource centers from discrimination by states hostile to their message and enforced laws prohibiting forced participation in abortions by medical professionals.
With respect to civil rights, Mr. Severino protected older persons and people with disabilities, including infants born prematurely, from being denied lifesaving care due to discriminatory “quality of life” judgments, especially during the COVID-19 pandemic. He also achieved a landmark sexual harassment resolution with Michigan State University in the wake of the Larry Nassar sexual assault scandal and protected the rights of non-English speakers to have equal access to health and human services.
In the area of health privacy, he secured the largest HIPAA monetary settlement in history and achieved the largest number of enforcement resolutions both in a single year and across four years. He also facilitated the transformational use of Skype, Zoom, and Facetime for delivery of telehealth during the COVID-19 pandemic and beyond.
His regulatory reform activities resulted in a comprehensive conscience protection regulation and proposed a life-affirming disability rights regulation. He achieved regulatory savings of $3.6 billion in health care industry costs over five years and identified and proposed an additional $3.2 billion in cost savings from the repeal of ineffective and unnecessary regulatory burdens.
Mr. Severino is also a Spanish speaker who teaches salsa and swing dance in his spare time.
The law of Conscience
7:05 PM – 7:50 PM
Abstract
Where does conscience come? Why is it critical in medicine and where does the law come in? This presentation explores these topics based on the first-hand experience of the former enforcer and regulator of our nation’s conscience protection laws.
Objectives
- Identify moral and ethical basis of conscience in medicine
- Describe protections in law
- Discuss what can be done to protect further conscience in healthcare.
Announce Honeycutt Poster Contest Winners
7:50 PM – 8:00 PM
Networking Sessions
8:00 PM – 10:00 PM
Breakfast at Hotel
6:00 AM – 7:45 AM
Second Session: Mother & Baby
8:00 AM – 10:30 AM
Biography
Dr. George Mulcaire-Jones is the founder and medical director of Maternal Life International (MLI), a non-profit organization dedicated to “Building a better world through safe births and secure families.” MLI’s innovative programs have reached over 250,000 couples and health care professionals in multiple countries in Africa. MLI and its affiliates have active programs and teams in Haiti, Kenya, Uganda, Rwanda, Uganda, Tanzania and Nigeria.
Dr. Mulcaire-Jones practiced family medicine and obstetrics for 29 years in Butte Montana and developed and implemented 1st Thousand Days of Life programming as part of a Perinatal Behavioral Health Program. He is currently assisting the Montana Perinatal Quality Collaborative in developing obstetrical care bundles. As well as developing training programs in safe birth and family health, Dr. Mulcaire-Jones has developed and patented a novel system of fertility awareness (The Couple Bead Method of NFP) which is used in Africa and Haiti.
Biography
Scanlon MD, MBA, FACOG, Robert Jr is currently Clinical Director of Operating Rooms and Procedural Areas, and Director of Quality and Medical Education in the Department of Obstetrics and Gynecology at Huntington Hospital, as well as Associate Professor of Obstetrics and Gynecology. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. Bob is a physician leader with 30 years of clinical and administrative experience guided by a mission to facilitate the delivery of exceptional health care nationally and internationally. He received his BS in Civil Engineering, MD from Bowman Gray School of Medicine and MBA from Duke University School of Business. His is in active practice as a board certified Obgyn and started both the OB hospitalist service and the Midwifery service at his health system as well as serving as Chair of the Dept of Obstetrics and Gynecology. He is actively involved in numerous other leadership activities.
The 1st Thousand Days of Life: A Pro-Life Imperative
8:00 AM – 8:45 AM
Abstract
Guided by the values, mission and vision of AAPLOG, it is our intent to stimulate curiosity in the “Journey of a Thousand Days,” the time frame from conception through two years of age. This journey, founded on the belief that life begins at fertilization, will help guide a mother, a couple and their pre-born child on a trajectory towards optimal physical, mental and relational health. As we explore this journey, it is our hope to create in you a desire to further explore this journey and its application to your practice and to health care policy.
Objectives
Upon completion of the “The 1st Thousand Days of Life: A Pro-Life Imperative ” participants should be able to:
- Given the value articulated in AAPLOG membership’s view that life begins at fertilization, we intent to establish why the first 1000 days of life are crucial the health and well-being of each human person.
- Given the stated mission of AAPLOG to equip its membership with evidence based rationale, we intend to establish the scientific basis of this 1000 day concept.
- Given the vision of AAPLOG to empower its membership to be the voice of the statement that the intentional death of a pre-born child is never a therapeutic option, we intend to show that at ever fork in the road on the 1000 day journey, the optimal direction is that which respects the life of the pre-born child.
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Given the life-affirming vision of AAPLOG and its membership, we intend to show how best to create a health care and social context leading to a safe and secure first 1000 days life through safe birth, healthy nutrition, safe intrauterine and extra-uterine environments and secure emotional and relational attachments.
References
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The First Thousand Days of Life. An Evidence Paper. Center for Community Health https://www.rch.org.au/uploadedFiles/Main/Content/ccchdev/CCCH-The-First-Thousand-Days-An-Evidence-Paper-September-2017.pdf.
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Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Health. 2014;34(4):250-265. doi:10.1179/2046905514Y.0000000158
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Skogen JC, Overland S. The fetal origins of adult disease: a narrative review of the epidemiological literature. JRSM Short Rep. 2012 Aug;3(8):59. doi: 10.1258/shorts.2012.012048. Epub 2012 Aug 22. PMID: 23301147; PMCID: PMC3434434.
Biography
Dr. Robin Pierucci is a wife, mother of three, and a practicing neonatologist. She has a master’s degree in bioethics and has also completed the National Catholic Bioethics Center ethics certificate course. In addition to her full-time clinical duties, Dr. Pierucci is the medical director of the 50 bed NICU and remains active in perinatal palliative care, and ongoing performance improvement projects, particularly care for drug exposed infants and their families. She has multiple publications in peer and non-peer reviewed journals and has spoken around the country on a number of perinatal and ethical topics. Dr. Pierucci has appeared on programs aired on EWTN including, Women of Grace, The Journey Home, EWTN Live, and her documentary about in vitro fertilization. She has been a member of the Catholic Medical Association for many years and more recently became an associate scholar with the Charlotte Lozier Institute and a board member of the American College of Pediatrics (ACPeds). She is also the chair of ACPed’s pro-life committee.
Exposure to Hope: Caring For Drug Exposed Babies
8:45 AM – 9:30 AM
Abstract
This is a presentation about our NICU’s journey through the surge in cases of neonatal abstinence syndrome and the research that has dramatically changed not only how we care for the babies, but their families too.
Objectives
- Treating NAS: where we have been.
- What we learned about treating NAS in the baby and caring for the mother.
- Models for treating: modified Finnegan versus Eat/Sleep/Console
References
- Grossman MR et al “Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome.” Hosp Pediatr. 2018 Jan;8(1): 1-6.
- Grossman et al “An Initiative to Improve the Quality of Care of Infants With Neonatal Abstinence Syndrome. Pediatrics June 2017 139(6)
Breakout Session 1 – Pick One
9:45 AM – 10:30 AM
Biography
Dr. Stephen Sammut received a B.Pharm from Monash University in Victoria, Australia and a Ph.D. in neuroscience from the University of Malta in Malta, Europe. His research interests lie in the utilization of behavioral models and combined experimental techniques to investigate the interaction between the endocrine, immune and nervous systems and their role in CNS development, functioning and psychopathology. His scientific career experience has been broad and has included experience in a number of animal models of psychiatric disorders including depression, schizophrenia, Parkinson’s disease and psychostimulant-induced drug sensitization. Moreover, he has utilized various in vivo and in vitro techniques including electrophysiology, electrochemistry, reverse-microdialysis, individually or in combination with each other, in order to investigate questions related to behavior, cellular activity, neurotransmitter release, and how these are altered in psychiatric diseases in brain regions of interest. He has authored and co-authored several papers in leading scientific journals related to the research he has conducted, including his groundbreaking study describing an animal model which addresses the behavioral and physiological impact of drug-induced abortion. He has also presented his work at various conferences and institutions nationally and internationally. His scientific career has also given him the unique experience of having a leading role in the original setting up and management of laboratories. Dr. Sammut is currently a Full Professor of Psychology at Franciscan University of Steubenville, OH, where he teaches and is also actively involved in research. His research efforts currently are focused on three primary areas: 1) research geared at investigating the neurological, biological and behavioral consequences of drug-induced abortion in an animal model, 2) research seeking to establish a pre-clinical model addressing the abortion-pill-reversal, and 3) research addressing the development of an animal model for embryo transfer in ectopic pregnancy.
A Progesterone-mediated Reversal of Mifepristone-induced Abortion in a Rat Model
9:45 AM – 10:30 AM
Abstract
Our previous work (Camilleri et al., 2019) reported negative behavioral (anxiety- and depression-like) consequences as well as long-term physiological changes associated with drug-induced pregnancy termination at first-trimester human equivalent in a rat model. Given (a) the nature (duress) under which many induced abortions take place, (b) clinical reports (Delgado and Davenport, 2012; Delgado et al., 2018) confirming the possibility of utilizing progesterone to reverse an abortion following the administration of mifepristone, as well as (c) the extraordinary efforts that are made with human studies of questionable ethical standards seeking to discredit such a procedure (Creinin et al., 2019), in addition to (d) the potential for improving the current reversal methodology, require that this procedure be addressed at the pre-clinical level. Previous work by Yamabe et al (1989) has indicated that in rats, during the early days of gestation (D7), progesterone co-administered with mifepristone prevented abortion. These observations, however, were also made through measurements conducted on the collected pregnant uteri. The presentation will seek to address the relevant literature and current experimental progress in the pre-clinical investigation (in a rat model) of progesterone-mediated reversal of mifepristone-induced abortion.
Objectives
Participants should be able to:
- Understand the role of animal models in providing some understanding into human psychopathology & pathophysiology
- Understand the outcome of progesterone administration following mifepristone treatment to induce abortion
- Understand the pathways that will be potentially targeted to enhance the efficacy of progesterone-mediated reversal of mifepristone-induced abortion
- Understand the necessity for further investigation/research
References
- Camilleri, C., Beiter, R.M., Puentes, L., Aracena-Sherck, P., and Sammut, S. (2019). Biological, Behavioral and Physiological Consequences of Drug-Induced Pregnancy Termination at First-Trimester Human Equivalent in an Animal Model. Front Neurosci 13(544), 544. doi: 10.3389/fnins.2019.00544.
- Creinin, M.D., Hou, M.Y., Dalton, L., Steward, R., and Chen, M.J. (2019). Mifepristone Antagonization With Progesterone to Prevent Medical Abortion: A Randomized Controlled Trial. Obstet Gynecol. doi: 10.1097/AOG.0000000000003620.
- Csapo, A.I., and Resch, B.A. (1979). Induction of preterm labor in the rat by antiprogesterone. American Journal of Obstetrics and Gynecology 134(7), 823-827. doi: 10.1016/0002-9378(79)90954-2.
- Delgado, G., Condly, S.J., Davenport, M., Tinnakornsrisuphap, T., Mack, J., Khauv, V., et al. (2018). A Case Series Detailing the Successful Reversal of the Effects of Mifepristone Using Progesterone. Issues in Law & Medicine 33(1), 3-14.
- Delgado, G., and Davenport, M.L. (2012). Progesterone use to reverse the effects of mifepristone. Ann Pharmacother 46(12), e36. doi: 10.1345/aph.1R252.
- Elovitz, M.A., and Mrinalini, C. (2004). Animal models of preterm birth. Trends Endocrinol Metab 15(10), 479-487. doi: 10.1016/j.tem.2004.10.009.
- Garfield, R.E., Gasc, J.M., and Baulieu, E.E. (1987). Effects of the antiprogesterone RU 486 on preterm birth in the rat. American Journal of Obstetrics and Gynecology 157(5), 1281-1285. doi: 10.1016/s0002-9378(87)80315-0.
- Yamabe, S., Katayama, K., and Mochizuki, M. (1989). [The effect of RU486 and progesterone on luteal function during pregnancy]. Nihon Naibunpi Gakkai Zasshi 65(5), 497-511.
Zakar, T., and Hertelendy, F. (2007). Progesterone withdrawal: key to parturition. Am J Obstet Gynecol 196(4), 289-296. doi: 10.1016/j.ajog.2006.09.005.
Biography
Dr. Jane Anderson was graduated from the University of California, Los Angeles School of Medicine and obtained her pediatric internship at the University of Southern California. Her pediatric residency was at Stanford University, and she practiced for 33 years in general pediatrics at the University of California, San Francisco as a Clinical Professor of Pediatrics until her retirement in November, 2012. She continued there as a volunteer clinical faculty until June 2021. Dr. Anderson has authored numerous articles on general pediatric topics, has presented lectures on adolescent brain development and parenting in both the U.S. and China, and has received teaching awards from medical students and pediatric residents, including the Faculty Teaching Award from the UCSF Department of pediatrics in 2000, the Excellence in Teaching Award from the UCSF Medical School class of 2011, and the Volunteer Faculty Teaching Award from the UCSF Pediatric residents in 2014.
She has been married to her husband, Karl since 1975, and has four children and nine grandchildren. She participated annually in short-term medical missions trips with Medical Servants International until 2019, teaches children in her local Awana chapter, and is a member of the American College of Pediatricians, having served on their Board of Directors in the past. She currently serves on the Board of Directors of Medical Servants International and the National Physicians Center.
The Importance of the Mother Baby Dyad
9:45 AM – 10:30 AM
Abstract
The mother and unborn child impact each other’s physiology and brain restructuring to help assure adaptation and bonding. The unborn child causes changes in the mother’s nutritional status, in her immune system, and in the functioning of her brain that help assure optimal health for mother and child both before and after delivery. Conversely, the mother impacts her growing baby, in particular the baby’s brain development, through her emotional state, sleep cycles, voice, and nutritional state.
Unfortunately, adverse childhood experiences are known to negatively affect the physical and emotional health of adults. Now scientific research shows that adverse childhood experiences can actually begin in utero as the unborn child is exposed to the chemical influences of maternal stress hormones. Mothers who experience anxiety, depression, or intimate partner violence while pregnant may unknowingly adversely impact the development of their unborn child. However, early recognition and prenatal intervention can help mitigate these negative consequences, so it is important for providers to recognize affected patients and provide appropriate resources. One of those resources involves teaching parenting skills. Parenting style has both short-term and long-term effects upon child development. The benefits of authoritative parenting have been documented for many years, and now research demonstrates that responsive parenting, a crucial component of authoritative parenting, may actually help alleviate the effects of toxic stress experienced in utero and during childhood. Other documented benefits range from improved language development in toddlers to a decreased risk of metabolic syndrome in young adults.
Objectives
Participants should be able to:
- Identify important ways the mother and unborn child impact each other’s physical and mental well being
- Recognize the importance of maternal adverse events on the unborn child
- Identify helpful resources that will ameloriate effects of adverse childhood events
References
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Glynn LM and Sandman CA. Prenatal Origins of Neurological Development: A Critical Period for Fetus and Mother” Current Directions in Psychological Science. 2011; 20(6): 384-389
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Kinsella MT and Monk C. Impact of Maternal Stress, Depression & Anxiety on Fetal Neurobehavioral Development. Clinical Obstetric Gynecology. 2009; 52(3):425-440.Eshel N, Daelmans B, de Mello AC, Martines J. Responsive parenting: interventions and outcomes. Bull World Health Organ. 2006; 84(12):991 – 998.
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Landry SH, Smith KE, Swank PR. Responsive parenting: establishing early foundations for social, communication, and independent problem-solving skills. Dev Psychol. 2006; 42(4):627-42.
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Bergman K, Sarkar P, Glover V, O’Conner TG. Maternal prenatal cortisol and infant cognitive development; moderation by infant-mother attachment. Biological Psychiatry. 2010; 67(11) :1026-1032.
Biography
Timothy Allen was raised in Texas, went to high school, college, and graduate school in California, then moved to Wisconsin for medical school. There her met his wife, Nikki. They both attended family medicine residencies in the Milwaukee area. He went on to become board certified in Addiction Medicine and to complete a fellowship in primary care psychiatry. They have two children and run a small independent clinic South of Milwaukee. He and his wife both work closely with Care Net crisis pregnancy center and he focuses on providing addiction care to pregnant women and their children.
Finding Joy in Caring for Women who Struggle with Addiction and their Children
9:45 AM – 10:30 AM
Abstract
I have been caring for pregnant women who struggle with addiction for 9 years. In that time I have never had any women or children die in my program and 95% of the women who have gone through my program have been able to keep custody their children.
Objectives
- Gain a better understanding of addiction treatment in pregnancy.
- Learn how to partner with women who struggle with addiction.
- Learn how to care for the family after the child was born.
References
- Fudala PJ, Bridge TP, Herbert S, Willeford WO, Chiang CN, Jones K, et al. Office-based treatment of opiate addiction with a sublingual-tablet formulation of buprenorphine and naloxone. N Engl J Med. 2003;349(10):949–58.
- Mintzer IL, Eisenberg M, Terra M, MacVane C, Himmelstein DU, Woolhandler S. Treating opioid addiction with buprenorphine-naloxone in community-based primary care settings. Ann Fam Med. 2007;5(2):146–50.
- Lee JD, Grossman E, DiRocco D, Gourevitch MN. Home buprenorphine/naloxone induction in primary care. J Gen Intern Med. 2009;24(2):226–32.
- Sohler NL, Li X, Kunins HV, Sacajiu G, Giovanniello A, Whitley S, et al. Home-versus office-based buprenorphine inductions for opioid-dependent patients. J Subst Abuse Treat. 2010;38(2):153–9. Epub 2009 Oct 3.
- Doolittle B, Becker W. A case series of buprenorphine/naloxone treatment in a primary care practice. Subst Abus. 2011;32(4):262–5.
- Poon S, Pupco A, Koren G, Bozzo P. Safety of the newer class of opioid antagonists in pregnancy. Can Fam Physician. 2014;60:631–2. (Eng), e348–9 (Fr).
- Jones HE, Finnegan LP, Kaltenbach K. Methadone and buprenorphine for the management of opioid dependence in pregnancy. Drugs. 2012;72(6):747–57.
- Gordon J, Dooley J, Balfour-Boehm J, Rea S, Robinson A, Kelly L. The evolving nature of narcotic use in northwest Ontario. Can J Rural Med. 2014;19(4):158–60.
- Kanate D, Folk D, Cirone S, Rea S, Gordon J, Bocking N, et al. Community-wide measures of wellness in a remote First Nations community experiencing opioid dependence. Evaluating buprenorphine-naloxone substitution therapy in the context of a First Nations healing program. Can Fam Physician. 2015;61:160–5.
- Katt M, Chase C, Samokhvalov A, Argento E, Rehm J, Fischer B. Feasibility and outcomes of a community-based taper-to-low-dose-maintenance Suboxone treatment program for prescription opioid dependence in a remote First Nations community in northern Ontario. J Aborig Health. 2012;9(1):52–9.
- Suboxone (buprenorphine and naloxone) sublingual film. Silver Spring, MD: US Food and Drug Administration; 2014. Available from: www.fda.gov/Safety/MedWatch/SafetyInformation/ucm396801.htm. Accessed 2015 Mar 5.
- Dooley R, Dooley J, Gerber-Finn L, Antone I, Guilfoyle J, Cromarty H, et al. Narcotic tapering in pregnancy using long-acting morphine. An 18-month prospective study in northwestern Ontario. Can Fam Physician. 2015;61:e88–95. Available from: www.cfp.ca/content/61/2/e88.full.pdf+html. Accessed 2016 Mar 14.
- Jones HE, Kaltenbach K, Heil SH, Stine SM, Coyle MG, Arria AM, et al. Neonatal abstinence syndrome after methadone or buprenorphine exposure. N Engl J Med. 2010;363(24):2320–31.
- Brogly SB, Saia KA, Walley AY, Du HM, Sebastiani P. Prenatal buprenorphine versus methadone exposure and neonatal outcomes: systematic review and meta-analysis. Am J Epidemiol. 2014;180(7):673–86. Epub 2014 Aug 22.
- Preston KL, Bigelow GE, Liebsin IA. Effects of sublingually given naloxone in opioid dependent human volunteers. Drug Alcohol Depend. 1990;25(1):27–34.
- Suboxone [product monograph] Richmond, VA: Reckitt Benckiser Pharmaceuticals; 2014.
- Dashe JS, Jackson GL, Olscher DA, Zane EH, Wendel GD., Jr Opioid detoxification in pregnancy. Obstet Gynecol. 1998;92(5):854–8.
- McCarthy JJ. Intrauterine abstinence syndrome (IAS) during buprenorphine inductions and methadone tapers: can we assure the safety of the fetus? J Matern Fetal Neonatal Med. 2012;25(2):109–12. Epub 2011 Aug 25.
- Walker R, Cromarty H, Kelly L, St Pierre-Hansen N. Achieving cultural safety in aboriginal health services: implementation of a cross-cultural safety model in a hospital setting. Divers Health Care. 2009;6(1):11–22.
- Debelak K, Morrone WR, O’Grady KE, Jones HE. Buprenorphine + naloxone in the treatment of opioid dependence during pregnancy—initial patient care and outcome data. Am J Addict. 2013;22(3):252–4.
- Lund IO, Fischer G, Welle-Strand GK, O’Grady KE, Debelak K, Morrone WR, et al. A comparison of buprenorphine + naloxone to buprenorphine and methadone in the treatment of opioid dependence during pregnancy: maternal and neonatal outcomes. Subst Abuse. 2013;7:61–74. Epub 2013 Mar 14.
- Wiegand SL, Stringer EM, Stuebe AM, Hones J, Seashore C, Thorp J. Buprenorphine and naloxone compared with methadone treatment in pregnancy. Obstet Gynecol. 2015;125(2):363–8.
- Statistics Canada . Births 2009. Ottawa, ON: Statistics Canada; 2012. Health Statistics Division. Catalogue no.84F0210X. Available from: www.statcan.gc.ca/pub/84f0210x/84f0210x2009000-eng.pdf. Accessed 2015 Mar 23.
- Ordean A, Kahan M, Graves L, Abrahams R, Kim T. Obstetrical and neonatal outcomes of methadone-maintained pregnant women: a Canadian multisite cohort study. J Obstet Gynaecol Can. 2015;37(3):252–7.
- Kelly L, Dooley J, Gerber-Finn L, Antone I, Dooley R, Muileboom J, et al. Incidence of narcotic abuse during pregnancy in northwestern Ontario. Three-year prospective study of an increasing challenge. Can Fam Physician. 2014;60:e493–8. Available from: www.cfp.ca/content/60/10/e493.full.pdf+html. Accessed 2016 Mar 14.
- Kelly L, Cromarty H, Minty B, Morgan A, Madden S, Hopman W, et al. Narcotic-exposed neonates in a First Nations population in northwestern Ontario. Incidence and implications. Can Fam Physician. 2011;57:e441–7. Available from: www.cfp.ca/content/57/11/e441.long. Accessed 2016 Mar 14.
Break & Exhibits
10:30 AM – 10:45 AM
Third Session: Parent & Child
10:45 AM – 12:15 PM
Biography
Sandler, M.D. Richard practices Gastroenterology, Hepatology and Nutrition at Nemours Children’s Hospital in Orlando, FL, where he is a Professor of Pediatrics, and Professor of Mechanical and Aerospace Engineering University of Central Florida. Dr. Sandler did his Med Peds residency at Michigan State University, and fellowship training at Boston Children’s Hospital. He is Board Certified in Pediatrics and Subspecialty certified in Pediatric Gastroenterology and Nutrition, with 180 publications, including 40 as first author, 60 as senior author in both medical and engineering literature. Dr. Sandler has multiple medical professorial appointments and founding directorships. His medical volunteer activities include the Pol Pot killing fields for one year, and caring for Iraqi refugees fleeing Saddam Hussein after the first Iraq war. Prior to medical school, Dr. Sandler’s undergrad training was in Nuclear Engineering, followed by service as professional staff on the US Senate Environment subcommittee.
Reflections on the Unborn Child / Father
10:45 AM – 11:30 AM
Abstract
Men are not superfluous to the abortion process: Men’s role and responsibility as fathers start before the very act leading to conception right through the pregnancy, birth and children’s lives. We will review evidence for these roles, and suggest direct approaches physicians might take to encourage male constructive engagement and responsibility.
Objectives
- Identify roles men play in elective abortion decision making.
- Describe approaches physicians might take with fathers of unborn babies
- Discuss importance of paternal-infant and paternal mother bond to unborn babies.
References
- Biggs MA, Gould H, Foster DG. Understanding why women seek abortions in the US. BMC Women’s Health 2013;29: https://doi.org/10.1186/1472-6874-13-29
- Reich JA, Brindis CD. The Role of Intimate Partners in Women’s Reasons for Seeking Abortion. Intl J Mens Health 2006;5:133-52
- Nelson ES, Coleman PK, Swager MJ. Attitudes Toward the Level of Men’s Involvement in Abortion Decisions. J Humanistic Edu Dev 1997;35:217-24.
Biography
Joseph Zanga, M.D., a past president of the American Academy of Pediatrics (AAP) and the American College of Pediatricians (ACPeds), now living in Sanford, North Carolina, is a specialist in pediatrics, and the retired Chief of Pediatrics for Columbus Regional Health/Columbus Children’s Hospital in Columbus, Georgia.
Prior to coming to Columbus in 2009, he was the Catherine and Max Ray Joyner Distinguished Chair, and Assistant Dean, in Primary Care, at Brody School of Medicine, East Carolina University. Until 2002 he was Chair of Pediatrics at Loyola in Chicago, having previously served as Vice Chair at Louisiana State University (LSU) Medical Center, and as Professor of Pediatrics and Emergency Medicine at both LSU and Tulane University.
A Fordham University (FCO ’66) and Loyola Medical School graduate, Dr. Zanga completed a pediatric residency at the Medical College of Virginia, where he also served as Chief Resident. He then journeyed to Strong Memorial Hospital of the University of Rochester, Rochester, NY, for a Primary Care Pediatric Fellowship. His next appointment was to the faculty of the University of Virginia School of Medicine as Assistant Professor and Director of Community Pediatrics. For a major portion of his career (19 years), Dr. Zanga served as an Associate Professor, then Professor of Pediatrics and Emergency Medicine, at Virginia Commonwealth University/Medical College of Virginia. During that time he was Chair of the Division of General Pediatrics and Emergency Care, Director of the Central Virginia Injury Prevention Center (including the Virginia Poison Center), Director of the Child Protection Committee, and Project Director for several grant funded programs.
Dr. Zanga has also served at other institutions as principal investigator for several federal and other grants and is author or co-author of over 30 articles, 15 AAP publications, 20 book chapters and monographs, and numerous abstracts, reports and Letters to medical journals. Until recently he served as a reviewer for Pediatrics, Journal of Pediatrics, Ambulatory Pediatrics, Journal of Medical Ethics, and Journal of Palliative Care Medicine, and still serves as reviewer for The Linacre Quarterly. He was a member of the Board of the Medical Institute for Sexual Health and served an extended term on the National Advisory Council of the National Center for Primary Care at Morehouse Medical School. His most recent completed appointment outside the Columbus community was to the National Advisory Council of the National Institutes of Child Health and Human Development of the NIH.
In Columbus, Dr. Zanga served as an Adjunct Professor of Pediatrics at Mercer University SOM, a Court Appointed Special Advocate (CASA), Chair of the Columbus Rotary sponsored Community Coalition to End Human Trafficking Now (EHTN), Vice Chair of his Parish Council, a member of the Symphony Orchestra Board, the Columbus State University (CSU) College of Letters and Science Advisory Council, the School Based Health Center Advisory Council. and the Young Child Wellness Coordinating Committee. He also taught Residents, Medical and pre-medical students in the hospital and at the College and was a delegate to the State Medical Association from the local Medical Society among other activities. Retirement in NC has allowed him to join the Sanford Rotary and to also join several community advocacy projects.
During his term as President of the AAP, Dr. Zanga focused on several major issues, including preprofessional education, workforce, child abuse and other violence prevention, substance abuse prevention, children and the media, sexually transmitted infections/adolescent health, and financial access to health care for all children. He also promoted the importance of family for the health and well-being of children. Prior to election to the Presidency he had served as a member of the Board of Directors of the Academy, a position to which he was first elected in 1989. He held many other AAP posts including, founding Chair of the Section on School Health, and Chair of the Section on Bioethics. He continued with many of these activities as founding President of the American College of Pediatricians.
Married to Christine (Fordham University ’69) for 51 years, Dr. and Mrs. Zanga are parents to Catherine, a Charlotte, NC, Attorney (deceased 2014), and Joseph, Jr., a Medicine/Psychiatry faculty member at Duke and the Durham VA. They are also grandparents to Anna and Alexander, children of Catherine and her husband, Hyong, and Kaitlyn, Charlotte, and Natalie, daughters of Joseph and his wife, Karen.
Biography
Sharon Slater is the president of Family Watch International (FWI) and the chair of the UN Family Rights Caucus. She is a consultant to multiple UN member states on life, human sexuality, and family policy issues and the author the book “Stand for the Family: A Call to Responsible Citizens Everywhere,” also known as the “Family Defense Handbook.” Sharon also serves on the Board of Directors for the Political Network for Values, a global platform and resource for legislators and politicians across the globe defending human life, marriage, family or religious freedom and conscience. Sharon co-chair the US-based Protect Child Health Coalition (ProtectChildHealth.org)
Sharon has directed multiple widely-acclaimed documentaries including “The War on Children: The Comprehensive Sexuality Education Agenda,” “Cultural Imperialism: The Sexual Rights Agenda” and “Porn Pandemic: The Devastating Impact on Marriage, Children and Families, Sharon is currently the executive director of a series of videos on transgender issues (See at familywatch.org). She and her husband Greg reside in Arizona and have seven children (three of whom are sibling adopted from Mozambique) and fourteen grandchildren.
The New Sexual Revolution: Protecting Our Children From the Hedonistic Dangers of “Comprehensive Sex Education”
11:30 AM – 12:15 PM
Abstract
Children currently comprise less than 23% of our population but remain 100% of our future. It is therefore incumbent on us to ensure the most healthful future possible for them. We have just heard the realistic concerns about Comprehensive Sex Education (CSE) and how it is making that future bleak. I come to the podium to bring some renewed hope for our children. Over the past two years a large group of Medical and Mental Health Professionals, experts in their field on this issue, working with guidance from the Medical Institute for Sexual Health, as the New Sexual Revolution (NSR) Coalition, developed, and has now published, the “K-12 Standard for Optimal Sexual Development”. It is that Standard which I’m here to present to you today.
Objectives
At the conclusion of this presentation participants will:
- Understand the important and new direction that Sex Education must take in our schools to empower our youth to follow the safest and mot healthful course, and
- Will have the necessary materials to take to their State Legislators, State Superintendents of Public Instruction, and their local Schools Boards, urging the adoption of this new research proven K-12 sex education curriculum.
References
- Kugler KC, Vasilenko SA, Butera NM, Coffman Dl. Long-term Consequences of Early Sexual Initiation on Young Adult Health: A Causal Inference Approach. J Early Adolesc. 2017;37(5):662-676.
Abstract
There is a war raging across the globe, not a physical war, but a war over the hearts and minds of the rising generation. Human rights have been distorted to encompass human wrongs and children are being sexualized and indoctrinated prematurely into a radical world view of gender and sexual chaos. This war is well-funded by Western donor countries and UN agencies and and by the US government. Global and national organizations are working to undermine values and to destroy life and the family with comprehensive sexuality education. the distorted human rights approach to sex education. Federally funded sexuality education programs are the main delivery tool of this sexual agenda in the U.S. and Planned Parenthood is its driving force. Yet that is something each of us can do to protect children from this harmful agenda.
Objectives
At the conclusion of this presentation participants will:
- Understand the global war on children, the players, strategies, tactics and plans including their number one tool which is harmful comprehensive sexuality education (CSE) which is designed to change the values and sexual and gender norms of society.
- Be connected to proven tools, strategies and plans for stopping the CSE agenda.
References
- Re-Examining the Evidence for Comprehensive Sex Education in Schools:A Global Research Review December 2019, The Institute for Research & Evaluation
Stan E. Weed, Ph.D. & Irene H. Ericksen, M.S.
Lunch & Exhibits
12:15 PM – 1:00 PM
Breakout Session 2 – Pick One
1:00 PM – 1:45 PM
Biography
John G. Pierce Jr., MD, is Chairman of Women’s Health at Liberty University College of Osteopathic Medicine (LUCOM) and practices Obstetrics and Gynecology at Women’s Health Services of Central Virginia.
Dr. Pierce completed his internal medicine residency at Carolinas Medical Center, then completed his obstetrics and gynecology residency at the University of Florida Health Science Center, Jacksonville. He was a faculty member at the Medical College of Virginia at Virginia Commonwealth University for 16 years, serving as the Ob/Gyn Clerkship Director for nine years and Program Director for the Ob/Gyn residency for three years. He moved to Lynchburg, VA in 2015 to be part of the founding faculty for Liberty University College of Osteopathic Medicine where he designed the women’s health curriculum, serves as the Clerkship Director, and has been the Chairman of Surgical Services and Women’s Health. He continues to practice general obstetrics and gynecology in a busy private practice. He has been married to his wife Nicole for 27 years and they have four children ages 15 to 25 years old.
Mentorship within Obstetrics and Gynecology
1:00 PM – 1:45 PM
Abstract
Pursuing a career in women’s health and applying to residency programs has changed rapidly over the last several years becoming increasingly complex and competitive. There is an array of stressors, social issues, requirements, and personal growth required to navigate the stages in training successfully. This talk will encourage and empower mentors to build solid relationships with young learners while giving reliable, honest, and accurate advice. the speaker will provide a guide for advising and developing the next generation of leaders.
Objectives
- To build confidence in the mentee for medical training.
- To explore topics of interest for mentor and mentee
- To guide mentee through the medical education and career planning / implementation
- To prepare mentee for expanded opportunities within education, within the institution, within our nation, and beyond our borders internationally
- To build a strong relationship for the mentor and mentee
References
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Celeste S. Royce, MD, et al. To the Point: advising students applying to Obstetrics and Gynecology residency in 2020 and beyond. AJOG Volume 224, Issue 2, February 2021, Pages 148-157.
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DeFlesco, Lindsay, et al. How My Ob-gyn Mentor Influenced Me. Obstetrics & Gynecology, May 2006, Volume 107 (5), p 1187-94.
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Louie, Michelle, et al. Mentoring Millennials in Surgical Education. Current Opinion in Obstetrics & Gynecology, August 2019, Volume 31 (4), p 279–284.
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Speert, Harold. Memorable Medical Mentors: XIV: Howard C. Taylor, Jr. (1900–1985). Obstetrical & Gynecological Survey, December 2005, Volume 60 (12), p 771–776.
Biography
Dr. Stephen J. Hilgers is a member of the Department of Ob/Gyn at the Houston Methodist Hospital.
He received his economics degree from Baylor University in Waco, Texas; his law degree from the SMU Law School in Dallas, Texas; and his medical degree from The University of Texas Medical School at Houston.
Dr. Hilgers completed his residency in Ob/Gyn at Houston Methodist where he was named the Chief Resident of the Year.
He completed his fellowship training in medical and surgical NaProTechnology at the Pope Paul VI Institute and the Creighton University School of Medicine in Omaha, Nebraska – where he received training in advanced pelvic surgery involving the robotic da Vinci surgical system.
Dr. Hilgers’ practice focuses on gynecology, reproductive medicine, and surgery; including NaProTechnology – a unique women’s health science focusing on treatments designed to work cooperatively with a woman’s menstrual cycle to treat a wide range of gynecologic issues including – abnormal uterine bleeding; PCOS; ovarian cysts; PMS; pelvic pain; endometriosis; and the evaluation and treatment of recurrent miscarriage and infertility.
As the Director of the Houston Methodist Reproductive Robotic Surgery Program, Dr. Hilgers specializes in advanced, minimally-invasive, laparoscopic and robotic surgical treatments for pelvic diseases including – abnormal uterine bleeding, adenomyosis, endometriosis, fallopian tube dysfunction, ovarian cysts, pelvic adhesive disease, polycystic ovaries, and uterine fibroids.
He is active in the American Academy of FertilityCare Professionals, American Association of Gynecologic Laparoscopists, and the Society of Procreative Surgeons.
He is a Diplomate of the American Board of Obstetrics and Gynecology, a Certified FertilityCare Medical Consultant, and a member of the State Bar of Texas.
Dr. Hilgers holds academic appointments with Weill Cornell Medical College, and Texas A&M Medical College.
Endometriosis and Unexplained Infertility – A Natural, Procreative Review
1:00 PM – 1:45 PM
Abstract
Endometriosis is a gynecologic disorder that has been shown to be crucial to human fertility. Yet, the evaluation and management of endopmetriosis is often overlooked in couples seeking medical evaluation for infertility and associated reproductive issues.
This lecture will explore in detail endometriosis and its impact on human reproductive – including infertility. Topics covered will include a review of endometriosis and its impact on infertility; the specific role endometriosis has in unexplained infertility; and the impact endometriosis has on the reproductive system as a whole. Finally, recent NaProTECHNOLOGY research pertaining to endometriosis will be featured.
Objectives
- Review correlation between endometriosis and infertility
- Describe the specific ways in which endometriosis impact infertility
- Explore the impact endometriosis has on other reproductive issues
- Present research on endometriosis and infertility from a NaProTechnology Program in reproductive medicine and surgery
References
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Practice Committee of the American Society for Reproductive Medicine. Endometriosis and infertility: a committee opinion. Fertil Steril. 2012 Sep;98(3):591-8. doi: 10.1016/j.fertnstert.2012.05.031. Epub 2012 Jun 15. PMID: 22704630.
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Miller JE, Ahn SH, Monsanto SP, Khalaj K, Koti M, Tayade C. Implications of immune dysfunction on endometriosis associated infertility. Oncotarget. 2017;8(4):7138-7147. doi:10.18632/oncotarget.12577.
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Vigano P, Corti L, Berlanda N. Beyond infertility: obstetrical and postpartum complications associated with endometriosis and adenomyosis. Fertil Steril. 2015 Oct;104(4):802-812. doi: 10.1016/j.fertnstert.2015.08.030. Epub 2015 Sep 5. PMID: 26348274.
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Kissler S, Hamscho N, Zangos S, Gätje R, Müller A, Rody A, Döbert N, Menzel C, Grünwald F, Siebzehnrübl E, Kaufmann M. Diminished pregnancy rates in endometriosis due to impaired uterotubal transport assessed by hysterosalpingoscintigraphy. BJOG. 2005 Oct;112(10):1391-6. doi: 10.1111/j.1471-0528.2005.00676.x. PMID: 16167942.
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Thomas W. Hilgers, MD. The Medical & Surgical Practice of NaProTechnology. Pope Paul VI Institute Press; 1St Edition (January 1, 2004).
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Pietro Santulli, Louis Marcellin, Sophie Menard, Thibault Thubert, Babak Khoshnood, Vanessa Gayet, Francois Goffinet, Pierre-Yves Ancel, Charles Chapron, Increased rate of spontaneous miscarriages in endometriosis-affected women, Human Reproduction, Volume 31, Issue 5, May 2016, Pages 1014–1023, https://doi.org/10.1093/humrep/dew035
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Kohl Schwartz AS, Wölfler MM, Mitter V, Rauchfuss M, Haeberlin F, Eberhard M, von Orelli S, Imthurn B, Imesch P, Fink D, Leeners B. Endometriosis, especially mild disease: a risk factor for miscarriages. Fertil Steril. 2017 Nov;108(5):806-814.e2. doi: 10.1016/j.fertnstert.2017.08.025. PMID: 29079275.
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Minebois H, De Souza A, Mezan de Malartic C, Agopiantz M, Guillet May F, Morel O, Callec R. Endométriose et fausse couche spontanée. Méta-analyse et revue systématique de la littérature [Endometriosis and miscarriage: Systematic review]. Gynecol Obstet Fertil Senol. 2017 Jul-Aug;45(7-8):393-399. French. doi: 10.1016/j.gofs.2017.06.003. Epub 2017 Jul 13. PMID: 28712793.
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Hilgers, The Medical and Surgical Practice of NaProTechnology, Chapter 57: Recurrent Spontaneous Abortion: Evaluation and Treatment, p. 784. Citing Daya S: Endometriosis and Spontaneous Abortion. Inf Reprod Med Clini North Am 7:759-773, 1996.
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Takebayashi A, Kimura F, Kishi Y, et al. The association between endometriosis and chronic endometritis. PLoS One. 2014;9(2):e88354. Published 2014 Feb 18. doi:10.1371/journal.pone.0088354
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Cicinelli E, De Ziegler D, Nicoletti R, Colafiglio G, Saliani N, Resta L, Rizzi D, De Vito D. Chronic endometritis: correlation among hysteroscopic, histologic, and bacteriologic findings in a prospective trial with 2190 consecutive office hysteroscopies. Fertil Steril. 2008 Mar;89(3):677-84. doi: 10.1016/j.fertnstert.2007.03.074. Epub 2007 May 25. PMID: 17531993.
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Cicinelli E, Matteo M, Trojano G, Mitola PC, Tinelli R, Vitagliano A, Crupano FM, Lepera A, Miragliotta G, Resta L. Chronic endometritis in patients with unexplained infertility: Prevalence and effects of antibiotic treatment on spontaneous conception. Am J Reprod Immunol. 2018 Jan;79(1). doi: 10.1111/aji.12782. Epub 2017 Nov 14. PMID: 29135053.
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Ettore Cicinelli, Maria Matteo, Raffaele Tinelli, Achiropita Lepera, Raffaello Alfonso, Ugo Indraccolo, Sonia Marrocchella, Pantaleo Greco, Leonardo Resta, Prevalence of chronic endometritis in repeated unexplained implantation failure and the IVF success rate after antibiotic therapy, Human Reproduction, Volume 30, Issue 2, February 2015, Pages 323–330, https://doi.org/10.1093/humrep/deu292
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Sharkey AM, Smith SK. The endometrium as a cause of implantation failure. Best Pract Res Clin Obstet Gynaecol. 2003 Apr;17(2):289-307. doi: 10.1016/s1521-6934(02)00130-x. PMID: 12758101.
Biography
Ruth Ritzema is a graduate of Michigan State University with a degree in Teaching and Child Development. After Rebecca’s NICU journey, Ruth’s full-time profession became Rebecca’s mom and advocate. Ruth is currently the Parent Liaison for the NICU at Bronson Children’s Hospital in Kalamazoo, Michigan where she supports parents with their NICU journey.
“Graduating” from the NICU – The Journey of a Lifetime
1:00 PM – 1:45 PM
Abstract
This presentation will describe the trials and successes of a NICU journey and beyond as a surviving 23 week twin grew, developed to become a successful college student. The NICU is definitely the journey of a lifetime. This presentation will discuss the community resources used to support growth, development and success.
Objectives
- Compare and contrast key modifiable aspects of the NICU experience and beyond through the eyes of a mother.
References
Possible references:
- Baglaneas, Christen. “Moms on a Mission for Rare Disease Advocacy”. FDNA, 2018. http://www.fdna.com/blog/moms-on-a-mission-for-rare-disease-advocacy-part-1/
- Bronson Children’s Hospital NICU – https://www.youtube.com/watch?v=KFhA4-yAbyw
- Fortney, C. “Confronting SMA Head On: Meet the Cambonis”.(2020, October). Noteworthy Professional News. Advances in Neonatal Care, 20(5), 349-351. https://doi.org/10.1097/ANC.0000000000000783
- National Organization for Education Program, Module XIII. “Families in Crisis”, © 2014 AWHONN.
- Zimmermann, Anna MD, MPH. “The Lessons I have Learned from NICU Families”. https://dandlelion-webinars.com/dec-webinar-resources-2020/
Break & Exhibits
1:45 PM – 2:00 PM
Fourth Session: Physician & Parent
2:00 PM – 3:30 PM
Biography
Atkins, LMHC, Robin is owner and practitioner of Charis et Veritas, LLC. She is one of the primary counselors for reproductive health in Northeast Indiana and the tri-state region. Ms. Atkins received her B.A. In Philosophy and B.S. In Psychology from Middle Tennessee State University. She received her MA in Professional Counseling from Liberty University. Ms. Atkins combines several years of training regarding perinatal hospice, infant loss, adoption, infertility, high-risk pregnancy, post-abortive complications, infant mortality, maternal mortality, and severe maternal morbidity with her personal walk through abortion trauma, high-risk pregnancy, NICU, miscarriage, and post-partum depression to assist clients experiencing suffering during their reproductive journeys. In the past 4 years, Robin has given several seminars regarding perinatal hospice and palliative care, mental health complications of abortion, and the lack of true informed consent in the abortion industry as well as testified at the Indiana State legislature to the mental health consequences of abortion and the lack of informed consent. Robin’s views regarding abortion fall within her advocacy for a consistent life ethic. In order
to meet her oath of “Do No Harm” as well as her personal ethic to bring respect and integrity for all humans, Robin is vigilant across social media and in print regarding the harm done to the unborn, women, children, and men via abortion, euthanasia, death penalty, unethical IVF processes, and unethical adoption processes. Robin states, “I am consistently in awe and humbled by a client’s willingness to share emotions, thoughts, and experiences with me. I am honored to be given the opportunity to work with amazing women, men, and families who go through some of life’s hardest challenges. The gift of being able to share the information I have gathered and learned with others through speeches, workshops, and seminars is such a blessing. Thank you for partnering with me to empower others to be informed and heal.”
Trauma Informed Care in Reproductive Losses
2:00 PM – 2:45 PM
Abstract
As our awareness of experiences that create the potential for trauma based responses increases; our ability to offer well rounded, whole healthcare that encompasses compassionate management of trauma informed care also increases. Reproductive experiences are not only physical but also emotional, mental, spiritual, relational, and social experiences. While tragedies will occur that both affect and are created in some reproductive experiences, trauma can be minimized and managed effectively. We will explore what trauma is and how it is expressed. While identifying what it means to be trauma-informed, we will identify practices that heighten trauma or retraumatize patients and practices that minimize the likelihood of trauma or even heal a history of trauma. Diagnoses can be helpful to identify when additional support is needed and they can be a hinderance to providing trauma-informed care. We will explore commonly misdiagnoses for patients with a history of trauma as well as how accurate diagnoses can play out in reproductive settings. Finally, we will identify sources of support for both patients and providers when a history of trauma or a new tragedy occurs.
Objectives
- Describe Trauma-Informed Care
- Identify experiences affiliated with reproductive trauma.
- List common diagnoses and misdiagnoses associated with reproductive mental health complications.
- Identify best practices for implementing trauma-informed care.
References
- Becker-Blease, Kathryn A. (2017) As the world becomes trauma–informed, work to do. Journal of Trauma & Dissociation, 18:2, 131-138, DOI: 10.1080/15299732.2017.1253401
- Raja, Sheela; Hasnain, Memoona; Hoersch, Michelle; Gove-Yin, Stephanie; Rajagopalan, Chelsea (2015) Trauma informed care in medicine. Family & Community Health, 8:3, 216-226(11).
- Adams Hillard, Paula J. (2019) Why and how to perform trauma-informed care. Contemporary OB/GYN, 64:8, p15-17.
- Ely, Gretchen E. et al. (2017) A trauma-informed examination of the hardships experienced by abortion fund patients in the United States. Healthcare for Women International, 38:11, 1133-1151.
- Reeves, Elizabeth. (2015) A Synthesis of the Literature on Trauma-Informed Care. Issues in Mental Health Nursing, 36:9, 698-709.
- Gerber M.R. (2019) Trauma-Informed Maternity Care. In: Gerber M. (eds) Trauma-Informed Healthcare Approaches. Springer, Cham. https://doi.org/10.1007/978-3-030-04342-1_8
Biography
Dr. Singleton is a board-certified anesthesiologist and past president of the Association of American Physicians and Surgeons. She graduated from Stanford and earned her MD at UCSF Medical School. Dr. Singleton completed 2 years of Surgery residency at University of California at San Francisco Medical Center, and her Anesthesia residency at Harvard’s Beth Israel Hospital. She was on the faculty at Johns Hopkins Hospital in Baltimore, Maryland before returning to California for private practice at Cedars-Sinai Medical Center in Los Angeles and Alta Bates Medical Center in Berkeley. While still working in the operating room, she attended UC Berkeley Law School focusing on constitutional and administrative law. She interned at the National Health Law Project, and practiced insurance and health law. Dr. Singleton has published numerous articles, given presentations on health policy, and had many radio and television appearances. She teaches classes in the recognition of elder abuse and constitutional law for non-lawyers. Dr. Singleton started a blood pressure screening clinic at her church and make-shift clinics in two rural villages in El Salvador. Dr. Singleton ran for Congress in 2012.
Balancing the Needs of Society and the Individual Patient
2:45 PM – 3:30 PM
Abstract
In line with the Oath of Hippocrates, the American Medical Association (AMA) code of ethics states that the duty to advocate for the patient is paramount. I believe that when there is a perceived conflict between the needs of the individual patient and society, one’s personal physician is uniquely qualified to devise solutions that can resolve that conflict. Realistically, society is merely a collection of individuals. The AMA explicitly recognized physicians right of free speech and that innovative practice is ethical and necessary. I will discuss proposals to serve the greater good at the expense of the individual patient, confidentiality concerns, and patient choice in the era of Covid-19 medial authoritarianism.
Objectives
- Define public and population health.
- Discuss a brief history of failed medical social engineering
- Discuss the tension between the Hippocratic commitment of physicians to their patients as individuals rather than members of a group.
- Provide solutions to maintain autonomy in a “value-based,” consensus-driven environment.
References
- Jha, AK, Population Health Management: Saving Lives and Saving Money, The JAMA Forum, August 6, 2019, https://jamanetwork.com/
journals/jama/fullarticle/ 2740704. - Swain, GR, Burns, KA, Etkind, P. Preparedness: Medical Ethics versus Public Health Ethics, J Public Health Manag Pract. Jul-Aug 2008;14(4):354-7.
Break & Exhibits
3:30 PM – 3:45 PM
Fifth Session: Physician to Physician (Mentoring students & residents)
3:45 PM – 5:15 PM
Biography
Dr. Steve Sartori is a physician life and leadership coach, who helps doctors and other healthcare professionals optimize well-being and maximize influence. A graduate of The Medical College of Wisconsin, he was the founder of a group practice in rural Kentucky, and served as chief of staff at two hospitals, faculty member for a family medicine residency program, chief medical officer for a community health center, and Director of the Center for Well-being at The Christian Medical & Dental Associations. He is married, with two adult children, and enjoys traveling and sports. An avid fan of the Green Bay Packers, he can sometimes be seen wearing a cheesehead.
Mentoring in Medicine – Making It Matter
3:45 PM – 4:30 PM
Abstract
Mentors are instrumental in the professional and personal growth of healthcare professionals. However, there is often reluctance to serve as a mentor due to a variety of perceived barriers. Attendees will be encouraged and empowered to engage in mentoring relationships that provide both mentor and mentee with a rewarding experience.
Objectives
- Define mentoring
- Discuss mentoring competencies
- Describe the mentoring process
References
- Bauchner H. On Mentoring. JAMA. 2021;325(14):1393.
- Detsky A, Baerlocher M. Academic Mentoring – How to Give It and How to Get It. JAMA. 2007;297(19):2134-2136.
- Aylor M, Cruz M, Narayan A, et al. Optimizing your mentoring relationship: a toolkit for mentors and mentees. MedEdPORTAL. 2016;12:10459. https://doi.org/10.15766/mep_
2374-8265.10459 - Sambunjak D, Straus SE, Marusic A. Mentoring in academic medicine: a systematic review. JAMA. 2006;296(9):1103–1115.
- Patel D, Windish D, Hay S. A mentor, advisor, and coach (MAC) program to enhance the resident and mentor experience. MedEdPORTAL. 2020;16:11005. https://doi.org/10.15766/mep_
2374-8265.11005
Biography
Dr. Buskmiller is the Secretary of the AAPLOG Board of Directors and chairs AAPLOG’s research committee. She completed a bachelors in liberal arts from Thomas Aquinas College and earned her medical degree at Texas A&M Health Science Center. She completed her residency in obstetrics and gynecology at St. Louis University and is now in her final semester of a masters in bioethics at the University of Mary. She is currently a third-year fellow in maternal-fetal medicine at the University of Texas Health Science Center, and has accepted an offer as a fetal intervention fellow. She has experience in multiple designs of clinical trials and is currently supervising three trials related to perinatal palliative care.
Biography
Calhoun, MD, FACOG, FACS, FASAM, MBA, Byron is a Professor and Vice-Chair of Obstetrics and Gynecology in the College of Medicine at the West Virginia University, Charleston, West Virginia. He is a diplomate of the American Board of Obstetrics and Gynecology with board certification in general Obstetrics and Gynecology and in the sub-specialty of Maternal-Fetal Medicine. He also is also board certified in Addictions Medicine. He is a member of the American College of Obstetricians and Gynecologists and the Society of Maternal Fetal Medicine. Dr. Calhoun received his BS in as a1979 Distinguished Graduate of the United States Air Force Academy, graduated from the University of Iowa Medical School with an MD in 1983, completed his residency in OB/GYN at the University of Missouri-Columbia in 1987 and finished a Fellowship in Maternal-Fetal Medicine at the Oregon Health Sciences University in 1989. Dr. Calhoun has authored 90 peer review articles in the obstetric and gynecologic literature, presented over 100 scientific papers, participated in over 40 research projects, and has published numerous articles on medical aspects of obstetrics and gynecology. He edited and published a monograph (March, 2016) dealing with addictions in women’s health titled; Tobacco Cessation and Substance Abuse Treatment in Women’s Healthcare with Springer publications. He is married to his wife Kathryn of 41 years and has 6 children and 2 grandchildren.
Biography
Dr Calum Miller BA Hons (Oxon), MA, BMBCh (Oxon) graduated from the University of Oxford Medical School in 2015, and currently works as a medical doctor in the UK. He is currently also a Research Associate at the University of Oxford, where his research focuses on abortion ethics and policy.
Dr Miller has given over 40 academic presentations internationally, and taken part in debates against senior academics and the CEO of the UK’s largest private abortion provider, BPAS. He has 18 academic publications on topics including maternal mortality, mental health, probability theory, the ethics of abortion, and philosophy of religion. He has received prizes from the University of Oxford and the Royal College of Psychiatrists for his work on Bioethics.
Dr Miller has spoken on abortion across the world to professional audiences and parliamentarians. He most recently appeared on the BBC to defend Texas’ new abortion law.
Evidence Based Medicine – Whose evidence?
4:30 PM – 5:15 PM
Abstract
Peer-reviewed literature is rife with studies that are designed with bias that affects their results, and with studies that misinterpret data to fit authors’ biases. This talk reviews examples of such papers, including studies of mental health after abortion, medication abortion, and long-acting reversible contraception. Following this talk, attendees will be equipped to pose a well-educated challenge to such papers in letters to editors, conversations with patients and colleagues, and engagement on social media.
Objectives
Participants will be able to:
- Name major types of clinical studies and their built-in weaknesses
- Describe how to read a paper in order to understand the data, how the data was studied, and what the authors concluded
- Cite examples of studies that made conclusions that did not match their data
- Use innovative ways of counteracting misinformation
References
- Buskmiller C, Harrison D, Ruppersberger LA, Yeung PP Jr. Systematic Review of Postfertilization Effects and Potential for Embryo Formation and Loss during the Use of Intrauterine Devices. Linacre Q. 2020 Feb;87(1):60-77. doi: 10.1177/0024363919854289. Epub 2019 Jun 27. PMID: 32431449; PMCID: PMC7016440.
- Harrison D, Buskmiller C, Chireau M, Ruppersberger LA, Yeung PP Jr. Systematic Review of Ovarian Activity and Potential for Embryo Formation and Loss during the Use of Hormonal Contraception. Linacre Q. 2018 Nov;85(4):453-469. doi: 10.1177/0024363918815611. Epub 2019 Jan 3. PMID: 32431378; PMCID: PMC6322118.
- Mauldon, J., Foster, D.G. and Roberts, S.C.M. (2015), Effect of Abortion vs. Carrying to Term on a Woman’s Relationship with the Man Involved in the Pregnancy. Perspect Sex Repro H, 47: 11-18. https://doi.org/10.1363/
47e2315
Sixth Session: Buffet Style Dinner, Speakers
5:45 PM – 8:30 PM
Biography
Dr. Dermot Kearney is a Consultant Cardiologist and Internal Medicine Physician working in the North-East of England since 2003. He obtained his medical degree from UCD (Dublin) in 1989. Following General Medical and Cardiology specialist training in Ireland, Dr. Kearney completed a Fellowship in Interventional Cardiology in Leiden and Amsterdam, Netherlands.
He is the immediate past-President of the Catholic Medical Association (UK), having joined the organisation in 2008. The Catholic Medical Association supports Catholics working and studying in the healthcare professions and is committed to defending the sanctity of life from conception to natural death.
In recent years, he has published papers and delivered presentations at national and international conferences on a wide variety of life issues including “The Beginning of Life”, “Management of High Risk Pregnancy”, “Decriminalisation of Abortion” and “Offering Women a Second Chance: Abortion Pill Reversal”.
He helped to establish an Abortion Pill Rescue program in the UK in 2020 and in a 10-month period he personally counselled 90 women who regretted taking Mifepristone and who wanted to preserve their pregnancies.
Experiencing Joy & Heartache: APR Services in the UK 2020-21
6:30 PM – 7:00 PM
Abstract
Following requests from a number of Pro-life organisations within the UK, the Catholic Medical Association (UK) [CMA] decided to establish and promote an abortion pill reversal (APR) service as reports were being received that many women were requesting this service after regretting taking Mifepristone, the first pill used in medically-induced abortions, and wishing to preserve their pregnancies. After requests to a number of regulatory bodies and medical colleges to lend support to this proposed service were rejected, two members of the CMA successfully managed to established the service between April and June 2020. Within a 12 month period, approximately 140 mothers made contact with the two doctors who provided the APR service. The majority of these women commenced Progesterone rescue therapy. There were varying degrees of success, with a large number of unique factors contributing to outcomes. The service, however, precipitated an angry backlash from abortion providers in the UK and strenuous efforts were made by a powerful coalition of pro-abortion groups and opponents of APR in 2021 to prevent doctors from continuing to provide the APR service.
Objectives
- Review the science and practical applications associated with establishing an effective and safe abortion pill reversal service at a national level.
- Describe the major differences in providing an effective abortion pill reversal service in a National Health Service system very different from the US experience.
- Discuss the tremendous difficulties encountered in attempting to maintain a service requested by mothers in need.
References
- Delgado G, Condly SJ, Davenport M et al. A Case Series Detailing the Successful Reversal of the Effects of Mifepristone Using Progesterone. Issues in Law & Medicine. Volume 3 (1) 2018:3-14
- Creinin MD, Hou MY, Dalton L et al. Mifepristone Antagonization with Progesterone to Prevent Medical Abortion. A Randomized Controlled Trial. Obstet Gynecol 2020;135:158-65
Biography
Walter B. Hoye II is both Founder and President of the Issues4Life Foundation, the California Civil Rights Foundation, Founder of the Frederick Douglass Foundation of California, an Executive Member of the National Black Pro-Life Coalition, a Board Member of The Morning Center, which was founded to provide free full-service maternity care for women in urban and under-served areas, a published author of the book Leadership from the IN|SIDE Out and serves as a leadership consultant. In 1984, God used the premature birth (six months, 2.1 pounds) of his son to teach him that the fetus is a person, a living, breathing human being. As a young man Walter played football (here are the stats in pdf) at Michigan State University where he graduated with a Bachelor’s and Master’s degree in Sociology in 1980. On Tuesday, January 12th, 1982 Walter was licensed to preach the gospel by the Calvary Baptist Church in San Diego, California, which at the time was under the leadership of Pastor Dr. S.M. Lockridge. Encouraged by his “Father in the Gospel”, Dr. S.M. Lockridge, Walter graduated from the United States International University, now Alliant International University, with a Master’s degree in Business Administration in 1983. On Sunday, April 23rd, 1989 Walter was ordained a Baptist preacher by the late Pastor Dr. S.M. Lockridge, then Pastor of the Calvary Baptist Church. From 1984 to 1987 Walter served as Minister of Christian Education at the St. John Missionary Baptist Church in Oceanside, California under the leadership of the late T. W. Davis. Here’s a copy of a sermon Walter preached in 1987 entitled: “A Good Church“. From 1987 to 1991 Walter served as Assistant to the Pastor and Director of the Youth Department at the Greater Faith Baptist Church in Stockton, California under the leadership of Joseph L. Slade. From 1991 to 2010, Walter served as the Executive Elder of the Progressive Missionary Baptist Church of Berkeley under the leadership of Dr. Earl C. Stuckey, Sr. in Berkeley, California. In May of 2010, Walter resigned to work full-time in the Pro-Life movement. Walter competes in the San Francisco Marathon and catches an NFL, NBA, NHL and MLB game whenever he can.
Irreversibility
7:20 PM – 7:50 PM
Abstract
According to the Population Reference Bureau (https://bit.ly/3zHX3tq), which is dedicated to informing people around the world about population, health, and the environment, long periods of low fertility rates have an irreversible consequence. Cecil Moore was right. “In 1965, Cecil Moore, president of the of the local Philadelphia NAACP chapter said. Planned Parenthood’s plan is ‘replete with everything to help the Negroes commit race suicide.’”
Objectives
- In science, a process that is not reversible is called irreversible. The educational objective of this presentation is to reveal the fact, that as a result of being the abortion industry’s largest target base, and percentage wise, their largest and most loyal voting block, Black America is now facing the reality of irreversibility.
References
- “In 171 Years the Total Black Fertility Rate Dropped 78% — Yes!! There is such a thing as ‘Too Late’” (https://bit.ly/2WBLBB4).
- “Black pro-life leader on the crisis of abortion: ‘If you can’t get out of the womb, nothing matters’” (https://bit.ly/3ju6E1t)
- “Black American Life Versus Black American Death In New York City” (https://bit.ly/3gLgj1X)
- “Abortion Kills 109% More People in Black America than All Thirteen (13) Other Leading Causes of Death!” (https://bit.ly/3kwjawA)
Biography
Kevin McGary is an entrepreneur, author, and public speaker. In the arena of civic engagement, Kevin serves as Chairman of the Frederick Douglass Foundation of California, and is an executive with the Douglass Leadership Institute and the Northstar Leadership Pac. As a professional, Kevin has worked the past 35 years in Information Technology. He has been designated a “Top Performer” throughout his sales career in the arenas of Cybersecurity, Enterprise Applications, Application Development Automation and Enterprise Job Scheduling/Utilities. He has entrepreneurial skills as he has started and participated in a number of “start-ups!” Kevin leads a collection of proactive individuals committed to developing innovative and new approaches to today’s socio/political issues, and with the assistance of elected officials and myriad of community activists, he lectures and provides workshops about todays most perplexing issues. In 2020, Kevin founded Every Black Life Matters (EveryBLM.com) to counter-act emerging violence and plight within under-served, urban communities. EBLM is seen as a “moral-based” and “Faith-based” alternative to Black Lives Matter.
Systemic Injustice and Systemic Racism Mitigated Through Hippocratic Oath!
7:50 PM – 8:20 PM
Abstract
Historically, medical practitioners have used the Hippocratic Oath to glean a base understanding of the good to be proffered from their respective practice. But, based on the history to medicine related to eugenics, and ethnic-based & sex-selective genocide, it is clear far too many view the Hippocratic Oath as an “idealistic” concept, not a core principle that helps establish and promote a healthy, holistic and unbiased approach to medicine! The fact is, the Hippocratic Oath, is the equalizer that provides “systemic justice” and racial equality in medicine!
Objectives
- Participants will become more aware and sensitized to unjust disproportional plight of systemic injustices and racism borne out of lack discipline and commitment to “first do no harm!”
References
- Book: Just, Justly, Justice~ McGary 2015
- Book: The Wa on Women From the Root to The Fruit~ McGary 2020
Student & Resident Networking Session
8:30 PM – 10:00 PM
Breakfast at Hotel for Those Not Attentending Religious Service
6:00 AM – 8:00 AM
Roman Catholic Service
6:30 AM – 7:30 AM
Evangelical Service
6:30 AM – 7:30 AM
Breakfast at Hotel
6:00 AM – 8:00 AM
Seventh Session: Physician & the Public Square
8:00 AM – 12:00 PM
Biography
Grace-Marie Turner is president of the Galen Institute, a public policy research organization that she founded in 1995 to promote an informed debate over free-market ideas for health reform. She has been instrumental in developing and promoting ideas for reform to transfer power over health care decisions to doctors and patients. She speaks and writes extensively about incentives to promote a more competitive, patient-centered marketplace in the health sector.
- She testifies regularly before Congress and advises senior government officials, governors, and state legislators on health policy.
- She was named by the Speaker of the House in 2013 to serve as a member of the Long Term Care Commission.
- Previously, Grace-Marie served for a three-year term on the National Advisory Board for the Agency for Healthcare Research and Quality, and she served as a member of the Medicaid Commission, making recommendations to modernize and improve Medicaid.
She has been published in hundreds of major newspapers, including The Wall Street Journal, The New York Times, and USA Today, and has appeared on hundreds of radio and television programs. She edited Empowering Health Care Consumers through Tax Reform and has contributed to numerous other books. Grace-Marie speaks extensively in the U.S. and abroad, including Harvard University, the London School of Economics, Oxford University, and the Gregorian University at the Vatican.
Grace-Marie is founder and facilitator of the Health Policy Consensus Group which serves as a forum for analysts from market-oriented think tanks around the country to analyze and develop policy recommendations. She serves on the board of the Steamboat Institute and is a volunteer advisor to the Catholic Medical Association, Docs4PatientCare, and other organizations.
She received the 2007 Outstanding Achievement Award for Promotion of Consumer Driven Health Care from Consumer Health World. In the mid-1990s, Grace-Marie served as executive director of the National Commission on Economic Growth and Tax Reform. For 12 years, she was president of Arnett & Co., a health policy analysis and communications firm. Her early
career was in politics and journalism where she received numerous awards for her writings on politics and economics.
“The Physician and the Public Square” – The Role of Health Care Policy
8:00 AM – 8:45 AM
Abstract
The practice of medicine currently is under threat on many fronts from those who are determined to subjugate physician conscience protection and the protection of life itself with government intervention, mandates, and penalties. This presentation will help physicians understand the threats, learn more about allied organizations that share the goals of life and conscience protection, and understand how they can work together to preserve life, conscience, and the doctor-patient relationship.
Objectives
Participants will be able to:
- Learn the latest developments in health policy.
- Understand how it relates to their patients and their practices.
- Learn how policy decisions affect the sanity of life and protection of conscience, and
- Learn what they can do to help shape policy to preserve the doctor-patient relationship.
References
-
Grace-Marie Turner, “Collaboration and Consensus are Key to Success,” The Pulse, [the journal of the Catholic Medical Association], July 2021.
https://www.cathmed.org/pulse/2021-summer/collaboration-and-consensus-are-central-to-success/ -
Health Policy Consensus Group, “Health Care Choices 20/20,” most recently published September 2021.
Biography
Christina A. Cirucci M.D. is a board-certified OB/GYN and long-time member of AAPLOG. She earned a B.S in Mechanical Engineering from Virginia Tech and worked in the engineering field for seven years before pursuing a medical career. She received her medical degree from Thomas Jefferson University in Philadelphia and completed her OB/GYN residency at the Medical College of Virginia. Dr. Cirucci then joined a private OB/GYN practice in Pittsburgh, where she worked for twenty years. Dr. Cirucci has volunteered her medical skills in various third-world countries in Africa and Asia and has made multiple trips to volunteer at Memorial Christian Hospital in Bangladesh. Dr. Cirucci has a heart for the life of the unborn and joined the board of AAPLOG in 2021.
The Patient as the Abortion Provider: What Unrestricted Access to Medication Abortion Means for Clinical Practice
8:45 AM – 9:30 AM
Abstract
Significant adverse events have occurred with the use of mifepristone and misoprostol for medication abortion. Specific prescribing guidelines were instituted when medication abortion was approved in 2000, including required office visits, physician prescribing, and reporting of adverse events. The restrictions were significantly reduced in 2016. It is expected that all restrictions will soon be removed, essentially eliminating medical supervision of medication abortion. The increase in access with minimal to no physician involvement is expected to have significant adverse effects on the life of women. This talk will describe the history of medication abortion and removal of REMS, review the research on the complications of medication abortion, and discuss the implications of restriction removal for clinical practice
Objectives
- Describe the history of REMS restrictions on Mifepristone Abortion
- Review the current research on adverse events and complications from Mifepristone abortion
- Understand the recent changes removing all restrictions and what this means for clinical practice
References
- Aultman, Kathi, Cirucci Christina, Harrison, Donna, et. al. “Deaths and Severe Adverse Events after the Use of Mifepristone as an Abortifacient from September 2000 to February 2019.” Issues Law Med 36, no. 1 (Spring 2021 2021): 3-26.
- Chen, M. J., and M. D. Creinin. “Mifepristone with Buccal Misoprostol for Medical Abortion: A Systematic Review.” Obstet Gynecol 126, no. 1 (Jul 2015): 12-21.
- Gary, M. M., and D. J. Harrison. “Analysis of Severe Adverse Events Related to the Use of Mifepristone as an Abortifacient.” Ann Pharmacother 40, no. 2 (Feb 2006): 191-7.
- Gatter, M., K. Cleland, and D. L. Nucatola. “Efficacy and Safety of Medical Abortion Using Mifepristone and Buccal Misoprostol through 63 Days.” Contraception 91, no. 4 (Apr 2015): 269-73.
- Goldstone, P., J. Michelson, and E. Williamson. “Early Medical Abortion Using Low-Dose Mifepristone Followed by Buccal Misoprostol: A Large Australian Observational Study.” Med J Aust 197, no. 5 (Sep 3 2012): 282-6.
- Niinimaki, M., S. Suhonen, M. Mentula, E. Hemminki, O. Heikinheimo, and M. Gissler. “Comparison of Rates of Adverse Events in Adolescent and Adult Women Undergoing Medical Abortion:
“Committee Opinion No 700: Methods for Estimating the Due Date.” Obstet Gynecol 129, no. 5 (May 2017): e150-e54. - Population Register Based Study.” BMJ 342 (Apr 19 2011): d2111.
- Upadhyay, U. D., S. Desai, V. Zlidar, T. A. Weitz, D. Grossman, P. Anderson, and D. Taylor. “Incidence of Emergency Department Visits and Complications after Abortion.” Obstet Gynecol 125, no. 1 (Jan 2015): 175-83.
- Raymond, E. G., C. Shannon, M. A. Weaver, and B. Winikoff. “First-Trimester Medical Abortion with Mifepristone 200 Mg and Misoprostol: A Systematic Review.” Contraception 87, no. 1 (Jan 2013): 26-37.
- WHO. Safe Abortion: Technical and Policy Guidance for Health Systems. Safe Abortion: Technical and Policy Guidance for Health Systems. Edited by nd. Geneva, 2012.
Biography
David A. Prentice is Vice President and Research Director for the Charlotte Lozier Institute. He is also Adjunct Professor of Molecular Genetics at the John Paul II Institute, The Catholic University of America and was a Founding Advisory Board Member for the Midwest Stem Cell Therapy Center, a unique comprehensive stem cell center in Kansas that he was instrumental in creating. In 2020, he was appointed by the Secretary of HHS to the federal Human Fetal Tissue Ethics Advisory Board. Dr. Prentice has over 40 years’ experience as a scientific researcher and professor, including previous service as senior fellow for life sciences at the Family Research Council, Professor of Life Sciences at Indiana State University, and Adjunct Professor of Medical and Molecular Genetics, Indiana University School of Medicine.
He established Stem Cell Research Facts, an educational website providing scientific facts and patient-centered videos about adult stem cells, and is a founding member of Do No Harm: The Coalition of Americans for Research Ethics, and an advisory board member for the Center for Bioethics and Human Dignity. He has provided scientific advice for numerous medical professionals, legislators, policymakers and organizations at the state, federal, and international levels.
Dr. Prentice received his Ph.D. in biochemistry from the University of Kansas, and was at Los Alamos National Laboratory and the University of Texas Medical School-Houston before joining Indiana State University where in addition to his research and teaching, he served as Acting Associate Dean of Arts and Sciences and Assistant Chair of Life Sciences. He was recognized with the University’s Caleb Mills Distinguished Teaching Award and Faculty Distinguished Service Award. He has taught courses ranging from non-majors biology to advanced and graduate courses including developmental biology, embryology, cell and tissue culture, history of biology, science and politics, pathophysiology, medical genetics, and medical biochemistry. Several of his courses were also taught on-line.
He received the 2007 Walter C. Randall Award in Biomedical Ethics from the American Physiological Society, given for promoting the honor and integrity of biomedical science through example and mentoring in the classroom and laboratory. Dr. Prentice’s research interests encompass various aspects of cell growth control, cell and developmental biology; one major focus is adult stem cells. He has reviewed for various professional publications including The Journal of the American Medical Association.
He is an internationally-recognized expert on stem cell research, cell biology and bioethics, and has provided scientific lectures and policy briefings in 40 states and 21 countries, including testimony before the U.S. Congress and numerous state legislatures, the U.S. National Academy of Sciences, the President’s Council on Bioethics, European Parliament, British Parliament, Canadian Parliament, Australian Parliament, German Bundestag, French Senate, Swedish Parliament, the United Nations, and the Vatican. He was selected by President George W. Bush’s U.S. President’s Council on Bioethics to write the comprehensive review of adult stem cell research for the Council’s 2004 publication “Monitoring Stem Cell Research.”
Dr. Prentice has published numerous scientific and bioethics articles, including a recent review of stem cell science and adult stem cell treatments published in Circulation Research. He has also published numerous commentaries and op-eds, and travels nationally and internationally to give frequent invited lectures regarding stem cell research, fetal tissue research, gene editing, cloning, embryology, cell culture and vaccines, bioethics, and public policy. He has been interviewed in virtually all major electronic and print media outlets, including CNN, ABC, NBC, CBS, Fox, CSPAN, Reuters, AP, NPR, USA Today, BBC, The Washington Post, The Los Angeles Times, and The New York Times.
Wide World of Science: Update on Stem Cells, Fetal Tissue and Vaccines
9:30 AM – 10:15 AM
Abstract
The rapid pace of scientific and medical innovation can bring exciting new applications, but can make it difficult to remain current with available and prospective medical interventions. This is especially true regarding cell-based and molecular therapies. Moreover, claims made about some cellular and molecular methodologies can cloud the actual facts regarding these applications. We will discuss three areas where there have been recent developments: stem cell-based therapies, fetal tissue research, and vaccines with special reference to COVID-19 vaccines. For each area we will describe recent advances in the science, development of new interventions that might be applicable to your medical practice, and the current regulatory environment. We will also explore the bioethical dimensions of these medical topics, and help discern myth versus truth for various claims about these areas of science.
Objectives
- List several of the new cell-based therapies using adult stem cells showing published success.
- Describe the current status of the science as well as federal regulation of fetal tissue research, including non-fetal alternatives.
- Describe five methods to create viral vaccines and discuss the science as well as ethical aspects of each, with reference to COVID-19 vaccines.
References
- Tara Sander Lee, Maria B. Feeney, Kathleen M. Schmainda, James L. Sherley and David A. Prentice, Human Fetal Tissue from Elective Abortions in Research and Medicine: Science, Ethics, and the Law, Issues in Law & Medicine 35(1), 3-61, 2020; accessed at: https://www.sba-list.org/wp-content/uploads/2020/09/SanderLeeetal-2020-Human-Fetal-Tissue-from-Elective-Abortions-in-Research-and-Medicine-Science-Ethics-and-the-Law-ILM-Spring2020.pdf
- Prentice DA, Adult Stem Cells: Successful Standard for Regenerative Medicine, Circulation Research 124, 837-839, 15 March 2019; DOI: 10.1161/CIRCRESAHA.118.313664
- Bock C et al., The Organoid Cell Atlas, Nature Biotechnology 39, 13-17, January 2021; doi: 10.1038/s41587-020-00762-x
- David Prentice, “Real Regulation of Human Embryo Experiments, “ CMDA The Point Blog, July 8, 2021; accessed at: https://cmda.org/real-regulation-of-human-embryo-experiments/
- David Prentice and Tara Sander Lee, What you need to know about the COVID-19 vaccines, Charlotte Lozier Institute, last updated June 2, 2021; accessed at: https://lozierinstitute.org/what-you-need-to-know-about-the-covid-19-vaccine/
- Report of the Human Fetal Tissue Research Ethics Advisory Board- FY2020, August 18, 2020; available at: https://osp.od.nih.gov/wp-content/uploads/HFT_EAB_FY2020_Report_08182020.pdf
Final Break & Exhibits
10:15 AM – 10:30 AM
Biography
Sue Liebel hails from Indianapolis, Indiana where she has worked for 30 years in policy development, lobbying, and political strategy.
Sue serves as the State Director for Susan B. Anthony List. As states prepare for the end of Roe v. Wade, Sue works with pro-life lawmakers and advocates in state legislatures across the country to advance pro-life laws and programs to help women, children and families.
Sue also serves as the Coordinator of Susan B. Anthony List’s National Pro-Life Women’s Caucus, which seeks to advance women lawmakers who are dedicated to ending abortion by passing laws that save lives. The Women’s Caucus equips state elected women across the country with policy, legal and communications tools.
For over a decade in her home state of Indiana, Sue was the Vice President for Public Affairs for Indiana Right to Life, a statewide pro-life advocacy organization, where she developed policy and lobbying strategies and served as its media spokesperson on issues of human life.
Previously, Sue served as the Communications Director for the Indiana Professional Licensing Agency. She served the Indiana Family Institute by overseeing its Hoosier Congressional Policy Leadership Series, a leadership program aimed at training conservatives for community service and policy leadership initiatives. She also coordinated its program to provide marriage and relationship education programs, for which she is also a facilitator, primarily in prisons.
Specializing in planning and management, Sue has a master’s degree in Social Work from Indiana University.
Most importantly, however, Sue pledges her life’s work to her Lord and Savior, Jesus Christ.
Biography
Katie Glenn serves as Government Affairs Counsel at Americans United for Life. She works with legislators, pro-life and pro-family groups to enact pro-life laws at the state and federal level.
Katie writes and testifies on all of AUL’s issue areas across the United States. She is an associate editor of Defending Life, and plays an integral role in AUL’s growing advocacy in Latin America. She contributes to AUL’s active amicus brief practice, including the brief AUL filed on behalf of 228 Members of Congress in Dobbs v. Jackson Women’s Health. Katie is a frequent guest on radio and tv news programs, and writes op-eds on life issues, religious freedom, and free speech. Katie presents at conferences and trains advocates to effectively communicate with lawmakers.
Katie is admitted to the bars of Iowa and the District of Columbia. She earned her Juris Doctor with Pro Bono Certificate from the University of Florida Levin College of Law. She graduated with honors from Tulane University, majoring in Political Science and minoring in Latin American Studies. Katie externed for the General Counsel’s office at Santa Fe College in Gainesville, Florida, and interned for Congressman Tom Latham (IA-03).
Find online at: https://aul.org/author/katie-glenn/
Expert Witness Panel
10:30 AM – 11:30 AM
Abstract
Expert Witness Panel. My section will offer an overview of how state legislative committees work and tips on how to effectively testify before state legislatures. I will also discuss the role of local advocacy groups in passing pro-life laws, what to expect of them, and how to work with them.
Objectives
Participants will learn
- Nuances of state legislative committees hold hearings
- How to effectively testify in state legislative committee hearings
- Realistic expectations of the state legislative process and
- How to effectively work with local advocacy organizations in states
References
Abstract
The greatest barrier to healthcare professionals participating in public hearings is not knowing where to begin. This presentation will demystify that process, providing the information and tools every witness needs to be successful in their local statehouse. Lawmakers want to hear from you–they NEED to hear from you–and together we can make that happen.
Objectives
- Identify opportunities to provide expert testimony
- Connect with local activists and elected officials to share medical expertise
- Write and deliver successful testimony
References
Biography
Cathie is a native of Columbus, Indiana and currently resides in Fort Wayne with her husband Rick. She is the mother of three children and has 14 grandchildren.
In her role as VP of Policy Enforcement for Indiana Right to Life, she has organized a team of Indiana Right to Life affiliates with free standing abortion facilities to enforce administrative code and laws to bring about the closure of three abortion facilities in Indiana. This statewide coalition has also gathered evidence, filed complaints and provided information to authorities that resulted in disciplinary action against three abortionists and the indefinite suspension of the medical license of an abortionist responsible for over 50,000. She was given the opportunity to take the enforcement project across the nation when she was invited to join Strategy III, a group of national pro-life leaders. The first strategy meeting for enforcement nationwide was convened in June of 2017.
Cathie also serves as the Executive Director of Allen County Right to Life. The pro-life focus in Allen County is preparing students and young adults to be gracious and persuasive advocates for life, taking the pro-life message to the minority community, being vigilant to prevent an abortion business from reopening and being a voice for the unborn in the political arena.
Cathie became active in the pro-life fight when a friend shared her abortion story over 30 years ago, and she had the blessing of walking through the healing process with her. She was also privileged to serve on the founding Board of A Hope Center, the first pregnancy resource center in Fort Wayne. Cathie has been motived over the past 30 years to save as many babies as possible, remembering that the Lord reached her through the broken heart of a young woman who chose abortion in her crisis pregnancy.
How To Close Dangerous Abortion Clinics
11:30 AM – 12:00 PM
Abstract
Expert Witness Panel. My section will offer an overview of how state legislative committees work and tips on how to effectively testify before state legislatures. I will also discuss the role of local advocacy groups in passing pro-life laws, what to expect of them, and how to work with them.
Objectives
Participants will learn
- Nuances of state legislative committees hold hearings
- How to effectively testify in state legislative committee hearings
- Realistic expectations of the state legislative process and
- How to effectively work with local advocacy organizations in states
References
Call to Action – Christina Francis, MD
12:00 PM – 12:10 PM
Box Lunch Available
12:15 PM
Exhibitors Close
1:00 PM
Conference Ends
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