16
The scientific planning commit- tee and AAGL board rolled the dice, doubled our bets and hit the jackpot for the annual AAGL meeting in Las Vegas, Nevada. Countless hours of planning and preparation have led to a winning program. Several members of the planning committee were psychics. They could “read your mind.” So what did they tell us? You want cutting edge new technology and techniques dem- onstrated. Like a Las Vegas show that you have seen a couple of times, you want tradi- tional topics and themes reviewed, with new actors working alongside the masters. Lastly, you like suspense, surprise, action and debate. Most importantly, you want to take home a prize at the end of the week. Come for the whole show. You can’t win if you come at intermis- sion. Curtains open with the Pre-Congress meeting that can’t be missed. Be dazzled by the vast array of mind boggling selection of courses including: Robotic Surgery for the Oncologist, didac- tic lectures on female pelvic anatomy plus cadaver labs related to pelvic floor dysfunc- tion, Medicine Matters (can we talk about sex, breast disease and hormone therapy?). Other topics including hands on hyst- eroscopy labs, laparoscopic suturing and creating your own mini ambulatory operating center are available. New themes for this year also include vaginal sur- gery, single port laparoscopy and robotic surgery. All of which will be included in the Postgraduate choices as well as in the live-telesurgery demonstrations. You will also be updated with new data regarding outcomes, safety, and evidence based research for familiar top- ics including uterine fibroid therapies, endometrio- sis, laparoscopic surgery, advanced hysterectomy techniques, complica- tions, pelvic organ pro- lapse and imaging. Lastly, if you need just the basics or know someone who is transitioning to gyne- cology, the postgraduate course on Advancing Your Laparoscopic Skills: Tips for A-Z, is a sure winner. Buy your airline tickets now, reserve your room at Caesars Palace, and bring your gambling bud- dies with you. You may leave without money in your wallet, but you won’t leave empty headed. I wager that you will take home multiple knowledge- able prizes. I can’t wait to see you in Las Vegas. Here’s my second reminder to you. The safest way to double your money is to fold it over once and put it in your pocket. ~Kin Hubbard Linda D. Bradley, M.D., is the Vice President of the AAGL and the Scientific Program Chair for the 39th AAGL Global Congress on Minimally Invasive Gynecology. She is also Vice Chair of Ob/Gyn and Women’s Health Institute and Director, Center for Menstrual Disorders, Fibroids & Hysteroscopic Services at the Cleveland Clinic in Cleveland, Ohio. APR – JUN 2010 APR – JUN 2010 VOL. 24 NO. 2 VOL. 24 NO. 2 Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue

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Page 1: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

The scientifi c planning commit-tee and AAGL board rolled the dice, doubled our bets and hit the jackpot for the annual AAGL meeting in Las Vegas, Nevada. Countless hours of planning and preparation have led to a winning program. Several members of

the planning committee were psychics. They could “read your mind.”

So what did they tell us? You want cutting edge new technology and techniques dem-onstrated. Like a Las Vegas show that you have seen a couple of times, you want tradi-tional topics and themes reviewed, with new actors working alongside the masters. Lastly, you like suspense, surprise, action and debate. Most importantly, you want to take home a prize at the end of the week.

Come for the whole show. You can’t win if you come at intermis-sion. Curtains open with the Pre-Congress meeting that can’t be missed. Be dazzled by the vast array of mind boggling selection of courses inc lud ing : Robotic Surgery for the Oncologist, didac-tic lectures on female pelvic anatomy plus cadaver labs related to pelvic fl oor dysfunc-tion, Medicine Matters (can we talk about sex, breast disease and hormone therapy?). Other topics including hands on hyst-eroscopy labs, laparoscopic suturing and creating

your own mini ambulatory operating center are available.

New themes for this year also include vaginal sur-gery, single port laparoscopy and robotic surgery. All of which will be included in the Postgraduate choices as well as in the live-telesurgery demonstrations. You will also be updated with new data regarding outcomes, safety, and evidence based research for familiar top-ics including uterine fi broid therapies, endometrio-

sis, laparoscopic surgery, advanced hysterectomy techniques, complica-tions, pelvic organ pro-lapse and imaging. Lastly, if you need just the basics or know someone who is transitioning to gyne-cology, the postgraduate course on Advancing Your Laparoscopic Skills: Tips for A-Z, is a sure winner.

Buy your airline tickets now, reserve your room at Caesars Palace, and bring your gambling bud-dies with you. You may leave without money in your wallet, but you won’t leave empty headed. I wager that you will take home multiple knowledge-able prizes.

I can’t wait to see you in Las Vegas. Here’s my second reminder to you.

“The safest way to double your money is to fold it over once and put it in your pocket.” ~Kin Hubbard

Linda D. Bradley, M.D., is the Vice President of the AAGL and the Scientifi c Program

Chair for the 39th AAGL Global Congress on Minimally Invasive Gynecology. She is also Vice Chair of Ob/Gyn and Women’s Health Institute and Director, Center for Menstrual Disorders, Fibroids & Hysteroscopic Services at the Cleveland Clinic in Cleveland, Ohio.APR – JUN 2010APR – JUN 2010

VOL. 24 NO. 2VOL. 24 NO. 2

Jackpot in Education

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Dr. Bradley

In This Issue

Page 2: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

2 APR - JUN 2010

NewsScope

Evidence Prompts a Second LookIn the May issue of Obstetrics and Gynecology (commonly referred to as the green journal), an editorial entitled Operative Laparoscopy. A Second Look after 18 Yearsappeared. I applaud Drs. Roy Pitkins and William

Parker for this timely, insightful and scholarly courageous piece. It elicited mixed emotions for me as it brought back memories of a tumultu-ous time in my career.

How well I remember that phone call back in 1992 from laparoscopic pioneer Dr. Harry Reich after he had read Dr. Pitkins’ editorial Operative Laparoscopy: Surgical Advance or Technical Gimmick? in the green journal. We were both baffl ed as to why our general surgery colleagues could so quickly embrace operative laparoscopy while our own colleagues would not. One of the questions Dr. Pitkins raised in that early editorial was “What about fees?” At that time I was in the midst of battling Blue Cross

and Blue Shield Insurance for its refusal of reim-bursement of 32 laparoscopic hysterectomies I had performed in 1991. The company’s reason was that laparoscopic hysterectomy had not been approved by ACOG and therefore was considered an experimental procedure, despite the fact that all 32 patients had been discharged the day following surgery with subsequent smooth and quick recoveries. Eventually I was paid, but payment was made only because these surgeries were considered as diagnostic laparoscopies and not as hysterectomies!

That 1992 editorial was based on the pau-city of evidence regarding the appropriateness and outcome of endoscopic gynecologic opera-tions. Now 18 years later, a substantial body of evidence has convinced Dr. Pitkins that many, if not most, gynecologic operations traditionally done by laparotomy are amenable to the laparoscopic approach. Furthermore, the evidence has shown the superiority of laparoscopy over the laparotomy in terms of less pain, fewer complications, shorter hospitalization, quicker recovery, better cosmetic

From the President

Dr. Liu

(Continued on page 8)

NewsScope [Library of Congress Cataloging in Publi-cation Data, Main entry under NewsScope, Vol. 24,

No. 2; (ISSN 1094–4672)] is published quarterly by the AAGL for ten dollars, paid from member’s dues.

Periodicals Postage Paid at Cypress, California.Copyright 2010 AAGL.

PublisherAAGL

Advancing Minimally Invasive Gynecology Worldwide6757 Katella Avenue

Cypress, California 90630-5105 USA

Tel 714.503.6200, 800.554.2245Fax 714.503.6201, 714.503.6202

E-mail: [email protected]: www.aagl.org

Th e views and opinions expressed by the authors in this publication do not necessarily refl ect those of NewsScope, its editors, and/or the AAGL.

editorial staff

the aagl v ision

The AAGL vision is to serve women by advancing the safest and most effi cacious diagnostic and therapeutic techniques that provide less invasive treatments for gynecologic conditions through integration of clinical practice, research, innovation, and dialogue.

NewsScope

Linda Michels

Franklin D. Loffer, M.D.

Lynn Bell

Barbara Hodgson

Jennifer Sanchez

C.Y. Liu, M.D.

Linda D. Bradley, M.D.

Keith B. Isaacson, M.D.

Resad P. Pasic, M.D., Ph.D.

Errico Zupi, M.D.

Mauricio S. Abrao, M.D.

Ted L. Anderson, M.D., Ph.D.

Viviane F. Connor, M.D.

Peter J. Maher, M.D.

Rosanne M. Kho, M.D.

Harry Reich, M.D.

Eugenio Solima, M.D.

Edward J. Stanford, M.D.

Franklin D. Loffer, M.D.

Linda Michels

Managing Editors

Editorial Staff

Art Director

President

Vice-President

Secretary-Treasurer

Immediate Past President

International Vice-President

Trustees

Executive Vice President,Medical Director

Executive Director

board of trustees

The AAGL Nominat ing Committee will soon select eight members of the AAGL as candidates for four trustee positions for the years 2011 and 2012.

Four of the candidates will be from the general member-

ship and four must come from specifi c regions. This year, two candidates will be from Europe, Middle East, and Africa and two from Canada and the United States. (Next year, the regional candidates will be from Pacifi c Rim, India, Asia and from South America, Mexico and Central America.).

In addition, two other members will be selected from the general membership to run as candi-dates for the position of secretary-treasurer. This position leads to vice presidency and then the presidency of the AAGL.

If you wish to be considered as a candidate for one of these positions, you should ask fi ve AAGL members to submit your name along with

a short letter or email of support. These should be sent to [email protected]. You are also encouraged to directly contact any member of the Nominating Committee to make your thoughts known. Their email addresses can be found on the AAGL membership list (go to www.aagl.org, log in as a member and click on “Membership Directory”).

The Nominating Committee will meet in early July 2010. It is time for you to voice your opinion about your future elected offi cers.

Committee Members are: Resad P. Pasic – Immediate Past President – Chair

Charles E. Miller – Past PresidentGrace M. Janik – Past PresidentLinda D. Bradley – Vice President Franklin D. Loffer – Executive Vice President/Medical Director

Linda Michels – Executive Director

Franklin D. Loff er, M.D. is the Executive Vice President/

Medical Director of the AAGL

AAGL Nominations Are Open

Focus on AAGL

Dr. Loffer

Page 3: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

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Visit Hologic at the 2010 AAGL Annual Meeting to find out more about the Total Office Solution.

Page 4: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

4 APR - JUN 2010

NewsScope

The concept of mini-mally invasive surgery in urogynecology is not new, but is character-ized by the long tradi-tion of vaginal surgery rather than laparoscopy. Some surgeons, many

who are leading and founding members of AAGL, have been able to convert open pel-vic reconstructive procedures to minimally invasive approaches utilizing laparoscopic techniques (urethropexy, paravaginal repair, and sacrocolpopexy). However, despite the efforts of these skilled, innovative surgeons, laparoscopic surgery for pelvic reconstruc-tion has not gained widespread use.

AAGL’s vision is to advance less invasive treatments for gynecologic conditions. Important factors in the pursuit of this vision include awareness, training and research concerning best use of MIS techniques. A recent survey confirmed the lack of awareness of less invasive treatments for common pelvic health conditions including stress incontinence and pelvic organ pro-lapse. [Miller NewsScope July-Sept 2008] An important factor determining the use of MIS techniques is the surgeon’s skill and comfort. Several authors have expressed concern over the state of residency train-ing in gynecologic surgery today.1-4 With fewer surgeons attaining profi ciency in MIS techniques during formal training, it is not surprising MIS techniques are underutilized in practice today. This is most evident with hysterectomy where, despite the availability of MIS approaches, the majority of cases continue to be performed abdominally.5,6 Gynecologists recognize the advantages of MIS techniques and prefer these tech-niques for themselves and loved-ones, but acknowledge skill level plays a key role in

utilizing MIS options.7 In addition to provid-ing training in MIS, it is important to develop guidelines for evaluating skills to determine profi ciency. Evaluation of surgical skills and establishing guidelines for credentialing and privileging in laparoscopic and robotic surgery have been addressed in previous NewsScope articles. [Kho NewsScope Oct-Dec 2008, Advincula NewsScope Jan-Mar 2010] It is apparent that similar issues concerning vaginal hysterectomy and vagi-nal surgery will need to be addressed.

Recent technological advances have led to a new series of questions concerning the role of MIS in urogynecology. The introduc-tion of robotics has resulted in a renewed interest in the use of laparoscopy for pelvic reconstructive procedures which would other-wise require open abdominal surgery. The introduction of vaginal mesh has resulted in increased interest in vaginal techniques and scrutiny in the use of these materials for pelvic reconstructive surgery. However, there is a lack of suffi cient research to provide evidence-based recommendations concern-ing surgical techniques and new materials.

Recognizing the arising challenges in treating pelvic floor disorders, AAGL recently developed a Special Interest Group (SIG) on Urogynecology, which has identi-fi ed three key objectives to address:

1. to increase awareness of the entire spectrum of minimally invasive gynecology, with particular emphasis on vaginal surgery as a well-established MIS option.

2. to improve education and training in MIS techniques for pelvic fl oor disorders and develop guidelines to assist with evalu-ation of surgical skills in urogynecology

3. to promote research studies with adequate design and power to provide evidence-based decisions concerning treat-ment of pelvic fl oor disorders.

This is an exciting time for AAGL and Urogynecology. The establishment of the AAGL SIG on Urogynecology will help to promote the ability of physicians to increase the use of MIS techniques in providing quality care for women with pelvic fl oor disorders.

References:1. Einarsson JI, Young A, Tsien L, et al. Perceived

profi ciency in endoscopic techniques among senior

obstetric and gynecology residents. J Am Assoc

Gynecol Laparosc 2002; 9:158-64.

2. Fenner DE. Training of a gynecologic surgeon.

Obstet Gynecol 2005; 105:193-6.

3. Schimpf MO, Feldman DM, OSullivan DM, et

al. Resident education and training in urogynecology

and pelvic reconstructive surgery. Int Urogynecol J

2006;18:613-17.

4. Kenton K, Sultana C, Rogers R, et al. How well

are we training residents in female pelvic medicine and

reconstructive surgery? Am J Obstet Gynecol 2008;

189:567.e1-567.e4.

5. Wu JM, Wechter ME, Geller EJ, et al.

Hysterectomy rates in the United States, 2003. Obstet

Gynecol 2007; 110:1091-95.

6. Jacoby VL, Autry A, Jacobson G, et al. Nationwide

use of laparoscopic hysterectomy compared with

abdominal and vaginal approaches. Obstet Gynecol

2009; 114:1041-47.

7. Einarsson JI, Matteson KA, Schulkin J, et al.

Minimally-invasive hysterectomies-a survey on attitudes

and barriers among practicing gynecologists. JMIG

2010; 17:167-175.

Michael M. Moen is in private practice at Illinois Urogynecology, LTD in Park Ridge, Illinois.Th is article is presented on behalf of the AAGL’s Special Interest Group on Urogynecology.Board: Rosanne Kho, M.D., Michael Moen, M.D., Cheryl Iglesia, M.D., Andrew Sokol, M.D.

Promoting Minimally Invasive Surgery in Urogynecology

Perspective on Urogynecology

Dr. Moen

Page 5: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

The ways in which our Key Partners support the mission of the AAGL include:

• Committing year round support through our Corporate Sponsorship program.

• Funding our fellowship sites. • Giving unrestricted educational grants

to enhance our programs. • Supporting our hands-on seminars

with workstations. • Providing prizes for scholarly activities. • Funding unrestricted grants for the

Patient Education Program. • Advertising in The Journal of Minimally

Invasive Gynecology, the offi cial journal of the AAGL and ordering reprints of articles

to disseminate to physicians.

The support from our Key Partners is in accordance with the Accreditation

Council for Continuing Medical Education guidelines for commercial support.

DIAMOND(Up to $500,000)

KEY PARTNERS

SAPPHIRE($100,000-$200,000)

EMERALD($50,000-$100,000)

RUBY($25,000-$50,000)

Keeping the Doors to Education Open

A partner is defi ned as “someone who shares an activity.” The

AAGL acknowledges the corporations who partner with the

AAGL to keep open the doors to educating the next generation

of minimally invasive gynecologists. With their support the AAGL

can provide more programs that will educate physicians and

provide better patient care.

AAGLPresented by the

AAGLAdvancing Minimally Invasive Gynecology Worldwide

TM

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6 APR - JUN 2010

NewsScope

Offi ce Hysteroscopy Should Be a Standard Partof the Infertility Evaluation

Today’s infertility evalua-tion includes an assess-ment of ovarian reserve, semen analysis, assess-ment of fallopian tube patency and evaluation of the uterine cavity. Obtaining an accurate

view of the uterine cavity is important to rule out the presence of pathology that can adversely impact implantation including endometrial polyps, adhesions, fibroids, and congenital anomalies. The uterine cavity can be evaluated via hysterosalpin-gography (HSG), vaginal probe ultrasound, saline infusion sonography (SIS) and offi ce hysteroscopy (OH).

When determining which modality is opti-mal for uterine cavity evaluation, one should consider the ability to detect an abnormality (sensitivity), the ability to distinguish normal from abnormal (specifi city), ease of use, patient comfort and the ability to treat when an abnormality is found.

Numerous studies have demonstrated that the specifi city and sensitivity of hys-teroscopy is superior to the HSG and vaginal probe ultrasound while most stud-ies suggest that SIS and hysteroscopy are similar in this regard. SIS has the added benefi t of assessing the myometrium and adnexa. These structures can adequately be assessed by standard vaginal probe sonography. Offi ce hysteroscopy has sev-eral advantages over SIS. Offi ce hysteros-

copy provides a direct view (as seen in the OR) without the need for image interpreta-tion. Additional offi ce hysteroscopy benefi ts include evaluation of surface myoma vas-cularity, fl uctuation of distention pressures which is helpful when typing myomata, visualization for those patients who want to see their cavity and assessment of the cervical canal in patients with a history of diffi cult embryo transfer.

Office hysteroscopy is well tolerated by the patient and is easy to perform by inexperienced surgeons. In the mid-1990’s, Linda Bradley published minimal patient dis-comfort using 3.2 mm fl exible hysteroscope without anesthesia1 and Stefano Bettochi published similar results using a vagino-scopic rigid hysteroscope approach.2 This report was followed by Ettore Cicinelli et al publishing a series of over 6,000 cases of offi ce vaginoscopic hysteroscopy.3 In the most recent issue of JMIG, Nicola Pluchino et al reported a randomized clinical trial of offi ce hysteroscopy in patients with primary infertility. Using the visual analog scale from 0-10 to assess pain, they reported the pain between 2 and 3.3 when the procedure was done by inexperienced or experienced surgeons with no anesthetic used.4

Using continuous fl ow hysteroscopes, numerous fertility enhancing procedures can be performed in the offi ce safely. These include polypectomy, adhesiolysis, myo-mectomy and metroplasty. The advantage of performing these procedures in the

offi ce with no or minimal anesthesia are obvious. Technology and instrumentation are currently being developed that will make these procedures easier, safer and more comfortable for the surgeon and the patient. These include simple technologies such as leak proof hysteroscopic seals, disposable procedure packs designed for the offi ce, disposable side opening lighted specula as well as advanced tools such as small hyst-eroscopic morcellators and hystersocopes that combine the advantageous features of fl exible and rigid hysteroscopy.

The future of offi ce hysteroscopy is excit-ing. The ability to diagnose and treat in a single visit will result in more rapid concep-tion in our patients suffering with infertility.

1. Bradley L, et al. J Am Assoc Gynecol Laparosc

1995;263.

2. Betocchi S, Salvaggi L. J Am Assoc Gynecol

Laparosc. 1997;4:255-258.

3. Cicinelli E, et al. Fertil Steril. 2003:4 199-202.

4. Pluchino N, et al. JMIG 2010;17 344-350.

Keith B. Isaacson is an Associate Professor of Ob/Gyn at Harvard Medical School and the Director of Partners Center for Reproductive Medicine and Surgery at Newton Wellesley Hospital MIGS Center in Newton, Massachesetts. Th is article is presented on behalf of the AAGL’s Special Interest Group on Reproductive Surgery.Board: Keith Isaacson, M.D., William Hurd, M.D., Roy Mashiach, M.D., Michael Sprague. M.D.

Perspective on Reproductive Surgery

Dr. Isaacson

Adding Offi ce Hysteroscopy to Your Practice

Hands-on Workshop with Live Case PresentationsThe Advanced Gynecologic Surgery Institute • Chicago, Illinois

Saturday, September 25, 2010Charles E. Miller, M.D. – Scientifi c Program Chair

For more information or to register contact Gerardo Galindo at [email protected] or visit www.aagl.org.

Page 7: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

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Page 8: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

8 APR - JUN 2010

NewsScope

Thirty-Four and CountingThe Fellowship Board has been very active since the AAGL Annual Meeting. At present there are 34 approved programs. The period of training, depending on the program, is 1 or 2

years duration. Each program is site visited, the curriculum and faculty carefully evalu-ated and a decision is made regarding grant-ing a specifi ed period of approval; maximum is 5 years. Cases performed by fellows (Preceptee) and overall mentor-Fellowship (Preceptor) as well as faculty supervision is assessed. Each fellow is polled regarding his/her educational experience.

Over the current academic year the MIS Fellowship Board is completing development of a system for monitoring of Procedures. Procedures fall into one of three categories:

• Understand• Understand and perform• Subspecialty delegatedExamples of case types include:

Retroperitoneal dissection which is sub-

categorized into: Ureterolysis, Pelvic and aortic lymph node dissection, hypogastric artery ligation and presacral neurectomy. The mentor evaluates each procedure focusing on the fellow’s status: “under-standing”, performance or, if in the specifi c program, this is delegated to a subspecialty it is so noted.

Other case types include: Pelvic Floor Reconstruction, here again there are sub-categories that include: sacrocolpopexy, sacrospinous ligament suspension as well as mesh for utero-vaginal prolapse. The precep-tor identifi es level of either understanding, performs or delegates to a subspecialist.

Approaching fellow education from this perspective provides a framework for the fel-low and preceptor and a basis for structural program development. Other major categories addressed include: Ovarian surgery, Tubal surgery, Cytourethroscopy/Proctoscopy, Hysteroscopy, diagnostic and operative, other aspects of Operative Laparoscopy, Endometriosis surgery as well as Myomectomy and Hysterectomy, all of which are comple-mented by knowledge and expertise in Vaginal

surgery and Urogyn procedures.The Board has also developed a “Fellow

Case Log” facilitating case collection. The log records whether the fellow served as primary surgeon, assistant or was present in an “observational” capacity only.

We are currently exploring methods to streamline program annual update/renewal. An Annual match facilitates coordination of Fellows with a specifi c program. The Board remains very active; we are currently look-ing at “Educational Objectives” for each program. At present all programs under the prevue of the Board are in North America. We are actively exploring international pro-grams. If you are interested in learning more about Minimally Invasive Gynecologic Training, I direct you to www.aagl.org.

Joseph Sanfi lippo, M.D. is President of the Fellowship in Minimally Invasive Gynecologic Surgery, Professor in the Department of Ob-Gyn & Reproductive Sciences, Vice Chair of Reproductive Sciences and Director of the Division of Reproductive Endocrinology & Infertility at Magee Womens Hospital in Pittsburgh, Pennsylvania.

Fellowship Update

Dr. Sanfi lippo

results, and reduced costs.1 In light of such evidence, this superior surgical technique should be promoted and taught.

Mastery of endoscopic surgical compe-tence and profi ciency is not easy. A fun-damental shift in residency training is past due. It is disappointing to see the most recent CREOG’s educational objectives still identifying “laparoscopy, diagnostic and/or operative” as an “understand” objective rather than an “understand and perform” expectation.2 Consequently, those residents completing training in 2009 averaged only 23 laparoscopic hysterectomies in comparison to 74 abdominal and 20 vaginal hysterecto-mies. Such a low number of laparoscopic hysterectomies cannot ensure endoscopic competence for the neophyte physician.

I recently visited two major hospitals in China and was surprised to discover that very rarely are gynecological laparotomies or vagi-nal procedures performed. Over 80% of their hysterectomies are performed laparoscopi-cally as compared to only 12% in the U.S.3

The editorial also noted that gynecology lags behind general surgery in residency requirements in this area. General surgery has developed a detailed didactic and clinical “Fundamentals of Laparoscopic Surgery” program required of every resident prior to graduation. The AAGL has long seen the need of establishing physician competency assessment in gynecologic endoscopic sur-gery. Hence AAGL has embarked on the development of “Essentials of Minimally Invasive Gynecology” which will include didac-tic and clinical skill assessment. This can be used as standard measurement for compe-tence in gynecologic endoscopic surgery.

For the past 40 years, AAGL has been the primary society for gynecologic endoscopy in the U.S. and now worldwide. AAGL provides numerous educational postgraduate training courses in endoscopy every year for practic-ing gynecologists as well as for residents. Additionally, it offers 34 advanced fellowship training programs in minimally invasive gyne-cology. As president of AAGL, I look forward

to the collaboration of leaders in our specialty in advancing the gynecologists’ endoscopic knowledge, skill, and profi ciency for the ulti-mate benefi t of our patients.

References1. Nieboer TE, Johnson N, Lethaby A, Tavender E,

Curr E, Garry R, et al. Surgical approach to hysterectomy

for benign gynecological disease. Cochrane Datebase of

Systematic Reviews 2009, Issue 3. Art. No: CD003677.

DOI: 10.1002/14651858.CD003677.pub4.

2. Council on Resident Education in Obstetrics

and Gynecology. CREOG’s educational objectives, a

core curriculum in obstetrics and gynecology. 9th ed.

Washington, DC: American College of Obstetricians

and Gynecologists; 2009.

3. Wu JM, Wechter ME, Geller EJ, Nguyen TV, Visco

AG. Hysterectomy rates in the United States, 2003.

Obstet Gynecol 2007;110:1091-5.

C.Y. Liu, M.D., is the current President of the AAGL and also serves on the faculty for the Fellowship in Minimally Invasive Gynecologic Surgery located at the Women’s Surgery Center in Chattanooga, Tennessee.

From the President (Continued from Page 2)

Page 9: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

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Page 10: Jackpot in Education - AAGL€¦ · Jackpot in Education NewsScope AAGL Advancing Minimally Invasive Gynecology Worldwide Dr. Bradley In This Issue. 2 APR - JUN 2010 NewsScope Evidence

10 APR - JUN 2010

NewsScope

More For You: Videos, Dialogue, News

Dear Members:

It is a pleasure to inform you of still more devel-opments at SurgeryU. SurgeryU’s focus con-tinues to be media-based shared education

in the fi eld of minimally invasive gynecologic surgery.

In the last NewsScope article we described the concepts behind the forma-tion of the Professional Network Systemand Special Interest Group developments at SurgeryU; shared with you the imple-mentation of SurgeryUTube as well as the advancements in the Permanent Video Library of SurgeryU; informed you of the ini-tiation of SurgeryU’s collaboration with The Journal of Minimally Invasive Gynecology (JMIG) and and Ob.Gyn.News; and notifi ed you of upcoming live events. All of these opportunities can be accessed and experi-enced at SurgeryU as a part of the AAGL membership’s benefi ts, accessible through your AAGL log-in.

The Professional Network System is an effective and safe way to exchange ideas with the other members, discuss ongoing events, publications, or any of the items in the vast materials published on SurgeryU. Currently you can create your portfolio, engage in online discussions, and present your own surgical work.

Importantly, in an effort to support safe and comfortable interaction among our members, we ensured that the information placed on the Professional Network System of SurgeryU is not accessible through gen-eral online searches, and is restricted to AAGL members only.

Our Permanent Co l lect ion and SurgeryUTube library combined now include over 600 videos. Dr. John Marlow wrote in his address to SurgeryU, “This library is a very effective and unique way to improve

gynecologic surgery throughout the world. The visual image is still critical in transfer-ring surgical techniques from expert to student.”

SurgeryU celebrates the great works of the past and the innovations of the present.

It is with special joy that I announce individual contribu-tions of entire video collections to SurgeryU. Recently we received the video libraries of Dr. Kurt Semm and Dr. Liselotte Mettler, professors whose pioneering work in minimally invasive gynecologic surgery and devotion to discovery are fundamental and exemplary. In recognition of their gifts and their professional journeys, the surgical videos of Dr. Kurt Semm and Dr. Liselotte Mettler will be streamed through pages especially designed for them.

In an effort to expose our mem-bers to events at international meetings affi liated with the AAGL, we’ve collected video materials of the most recent interna-tional congresses.

Flawless streaming of the telesurgical events was initiated to SurgeryU from the XXIII International Congress “New Technologies for Diagnosis and Treatment of Gynecologic Diseases,” held in Moscow, Russia in June 2010. This meet-ing was endorsed by the Russian Federal Government and included essentially all fi elds of gynecologic surgery.

The vast surgical video materials from the 12th International Meeting on Gynecological Surgery, held in Avellino, Italy, in May 2010, was prepared for your viewing by the orga-nizing team, Malzoni Medical Center. Both these materials and those of the congress in Moscow will be published from the Affi liated Meetings tab on SurgeryU.

Please look for announcements as we continue to present live telesurgical events. The first, scheduled for July 13, 2010, is the series of pelvic floor reconstruc-tive procedures, including laparoscopic and newest vaginal approaches by Dr. John Miklos and Dr. Robert Moore. In

September, please watch extensive gynecologic oncologic surgeries by Dr. Mario Malzoni. Educational live events organized by the manufactur-ing companies are forthcoming. We look forward to your comments and questions regarding these events in the Professional Network System.

Moving on to the JMIG Todayseries, please note the release of the fi rst interview that features Dr. Shozo Matsuoka, the author of Strategy for Laparoscopic Cervical Myomectomy, published in the May/June issue of JMIG.

We would like to make your edu-cational experience as lively and interactive as possible, and look for-

ward to your participation in our Professional Network System, which can be accessed through the SurgeryU Social tab on the homepage of www.surgeryu.com.

Assia A. Stepanian, M.D. is Editor-in-Chief of SurgeryU and on the Advisory Committee of the AAGL. Dr. Stepanian is in private practice at the Center for Women’s Care & Reproductive Surgery in Atlanta, Georgia.

SurgeryU

Dr. Stepanian

Dr. Semm

Dr. Mettler

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1Payne T, Dauterive F. A Comparison of Total Laparoscopic Hysterectomy to Robotically Assisted Hysterectomy: Surgical Outcomes in a Community Practice. The Journal of Minimally Invasive Gynecology. May/June 2008; 15:3:286-291.2Statement from Dr. Arnold Advincula (University of Michigan, Ann Arbor, MI), PN 87111843Gehrig PA et al. Gynecologic Oncology. 2008 (108): S2-S31. Abstract. 4Statement from Dr. John Boggess (University of North Carolina at Chapel Hill), PN 871391

The presentations described are for general information only and are not intended to substitute for formal medical training or certification. Independent surgeons, who are not Intuitive Surgical employees, provide procedure descriptions. Intuitive Surgical trains only on the use of its

products and is not responsible for surgical credentialing or for training in surgical procedure or technique. As a result, Intuitive is not responsible for procedural content. While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery,

individual results may vary. ©2010 Intuitive Surgical, Inc. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, InSite, and EndoWrist are trademarks or registered trademarks of Intuitive Surgical, Inc. PN 870561 Rev. B 5/10

Contact Intuitive Surgical to learn more about da Vinci Surgery:Inside U.S.: +1 888 409 4774 or Outside U.S.: +41 21 821 20 00

To learn more about da Vinci Surgery, visit:www.davincisurgery.com

Compared to conventional laparoscopy, the unsurpassed visualization, dexterity and control of the da Vinci Surgical System allows surgeons to:

• Treat more pathology minimally invasively, including patients with: • Pelvic adhesive disease1,2

• Large uteri1,2

• High BMI3

• Larger, more numerous, and more difficult to access myomas

• Reduce conversions1 and minimize total abdominal hysterectomy (TAH)1,2

• Control the camera and all three operative arms for the ultimate in surgical autonomy and efficiency

• Translate open surgical technique to minimally invasive surgery

Eliminate Abdominal Hysterectomy From Your Practice

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NewsScope

IAGE - Indian Association of Gynaecological Endoscopists

It is with a great deal of pleasure to have the Indian Association of Gynaecological Endoscopists rejoin the AAGL as one of our Affi liated Societies. The IAGE was one of the fi rst societies in the world to join the AAGL in promoting endoscopy for the bet-terment of patients. Through the years their members have made many important con-tributions to the advancement of minimally invasive gynecology.

Their founder Dr. Nargesh D. Motashaw attended most of the AAGL annual meet-ings and teaching programs. In 1995 the AAGL Board of Trustees recognized her many contributions by electing her the 5th Honorary Member of the AAGL.

As can be seen the IAGE has an active teaching program which is well supported by their members. Visit their web site at www.iageonline.com to gain a better appre-ciation of their activities.

Franklin D. Loffer, M.D.Executive Vice President/

Medical Director, AAGL

The IAGE ( I nd i an Association of Gyn ae-cological Endo scopists) is one of the oldest endoscopy soc iety in the world and was founded in 1978.The founder president of the

association was Dr. N.D. Motashaw. A group of active members including Dr. V.N. Purandare, Dr. S.N. Daftary, Dr. M.N. Parikh,

Dr. R.D. Pandit, Dr. Adi Dastur, Dr. S.S. Thakur, Dr. M.Y. Raval, Dr. Shirish Sheth, late Dr. D.N. Pai, the late Dr. C.L. Zaveri, the late Dr. Siddarth Khandwala, and the late Dr. B.N. Purandare promoted laparoscopy in India and this bloomed into a national organization with over 1500 gynecologists.

The acquisition of Laparoscopic skills requires formal training, dedication, commit-ment and constant practice. In our endeavor to shorten the learning curve we overlook the safety in laparoscopic surgery. Today, the IAGE under the tenure of President Dr. Rakesh Sinha is looking at “Safe Endoscopy” as the mission statement. We propose to create a safety checklist for all endoscopic procedures which can be implemented by everyone.

The IAGE holds an annual national con-ference which is attended by over 400 endo-scopic surgeons. There are four regional meetings held every year in the west, south, east and north zones. Additional workshops are held in various cities all over the coun-try. All these conferences and workshops have themes and have live demonstrations besides didactic sessions. A number of centres all over India have been accredited by the IAGE for training gynaecologists to do advanced laparoscopy. These cen-ters would offer fellowship programs with hands-on training for aspiring endoscopic surgeons.

The IAGE also has a semi-annual jour-nal with contributions from experts in the respective fi elds. We also have a semi-annual newsletter featuring the activities of

the IAGE. Some of our society members have contributed articles to The Journal of Minimally invasive Gynecology.

Dr. Rakesh Sinha feels with proper train-ing and education all gynecologists should practice safe endoscopy.

On 9th-11th July 2010 we have our annual conference with the theme of “Safe Endoscopy” in Manesar, Gurgaon, India.

Dr.Rakesh Sinha is President of the Indian Association of Gynaecological Endoscopists.

Offi cers of the Indian Association of Gynaecological Endoscopists

President: Dr. Rakesh Sinha

Immediate Past President: Dr. Hrishikesh Pai

Vice President: Dr. P.K. Shah

Hon. Gen. Secretary:Dr. Prakash Trivedi

Jt. Secretary:Dr. Rajesh Modi

Treasurer:Dr. Rajendra Sankpal

Affiliated Societies Spotlight

Dr. Sinha

Our relationship with Elsevier as the pub-lisher of The Journal of Minimally Invasive Gynecology may help you get your book published. As our partner in publishing we want you to know what they’re all about.

Elsevier is a global health sciences pub-

lisher that’s been contributing to advanc-ing the professions since 1880. Their rich history and long-standing reputation are the result of thousands of successful part-nerships between talented and dedicated authors and Elsevier staff members.

To learn more about how to submit a pro-posal, please go to www.us.elsevierhealth.com/article. Once your proposal is ready, it may be submitted to Luane Guyton at Elsevier via e-mail at [email protected]. She will ensure it gets into the right hands!

Looking to Publish a Book?

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Excellent Education in a Classic SettingPremier gynecologists will meet in the grandeur of Caesars Palace in Las Vegas, Nevada this November 8-12, 2010. Excellent education will be off ered in:

Jordan M. Phillips, M.D., Keynote Speaker: Michael F. Roizen, M.D., a New York Times #1 bestselling co-author of the YOU books along with Dr. Mehmet Oz. He is the chief wellness offi cer and chair of the Wellness Institute at the Cleveland Clinic and health expert on Th e Oprah Winfrey Show. Th e title of his speech is, “Doctor, Heal Th yself.”

Registration opens on July 1, 2010 at www.aagl.org. Register early for the postgraduate courses you want before they are full.

Scientifi c Program Chair – Linda D. Bradley, M.D.Honorary Chair – Liselotte Mettler, M.D.

President – C.Y. Liu, M.D.November 8-12, 2010 • Caesars Palace • Las Vegas, Nevada

39th AAGLGlobal

Congress of

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GynecologyNovember 8-12, 2010

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• 6 telesurgeries• 8 surgical tutorials• 3 New Frontiers in MIG panels• 3 debates• 27 Postgraduate courses including: 4 hands-on cadaver labs 3 hands-on simulator labs 4 hands-on suturing labs

• 80+ exhibitors displaying the latest in technology• 8 industry-sponsored symposia• 1600+ of your peers• 28.75 hours of continuing education

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NewsScope

All in the FamilyAs the AAGL approaches its 40th anni-versary in 2011, it is rewarding to notice the number of relatives who are members of the AAGL. In 2011, we would like to highlight the many family relationships among AAGL members. While we know of some, we are asking for your help in identifying all the family connections. It is an endearing aspect of the AAGL membership, and probably not one that was anticipated in 1971 when the AAGL was started.

Member News

Kudos

Welcome New MembersMarch 13, 2010 - June 11, 2010

Khaled Aba-Oub, M.D., MRCOG Adio I. Abdu, M.D. Leslie A. Ablard, M.D. Ann E. Adams, M.D. Kelly Albrecht, M.D., BSc Jaime Alcocer, M.D. Hussain Ali, M.D. Devon J. Ambrose, M.D. Charles Kellogg Anderson, M.D. Miriam Ang, M.D. Courtney Ann Angell, M.D. Ellen Arendt, M.D. Brian Ashford, M.D. Mehmet Aral Atalay, M.D. Matthew Aungst, M.D. Hilary A. Baikie, M.D. Fabrizio Barbieri, M.D. Joyce N. Barlin, M.D. Codi Beam, M.D.

Cynthia M. Bear, M.D. William Bence Belsom, M.D, FACOG Tommaso Bignardi, M.D. Kwabena Appenteng Boateng, M.D. Sandra Bogota Angel, M.D. Erin A. Brennand, M.D. Paula Brignoni, M.D. Christina Elizabeth Broadwell, M.D. Kathryn Rose Brown, M.D. Alma Bustamante Dayanghirang, M.D. Olivia Butt, M.D. Lindsey M. Cafferata, M.D. Adriana M. Canas Polesel, M.D. Christy Capet, M.D. Joel Cardenas-Golcoechea, M.D. Nicole S. Carroll, M.D. Cranston Jay Cederlind, M.D., FACOG

Rick T. Chac, M.D. Alana Michelle Chakrabarti, M.D. Shao Chun R. Chang, M.D. Ioannis Komninos Chatzipapas, M.D.Christina M. Chirico, M.D. Mindy S. Christianson, M.D. Lucio M.A. Cipullo, M.D., Ph.D. Jessica Dawn Close, D.O. Lindsay Coda, D.O. Angela Sue Collier, M.D. Scott Connaughton, M.D. Erica C. Contreras, M.D. Brenna M. Corbett, D.O. Juan Adrian Cornejo, M.D. Michele Marie Cowling, M.D. Charles A. Cunningham, M.D. Steven Dalati, M.D. Anh-Tai Vinh Dang, M.D.

Megan Daw, M.D. Ashley De Witt, D.O. Marc M. Dean, M.D. Jagat Prasad Deep, Jr., M.D. Sarah Nichole Deighton-Collins, M.D.Larrain De la Cerda Demetrio, M.D Bilge Demir, M.D. William Nicholas Denson, M.D. Paula A. DeYoung, M.D. Chris Downer, M.D. James Harley Dozier, M.D. Carreen Elizabeth Drake, M.D. Valentin Drezaliu, M.D. Stephen Ehiremen, M.D. Maria M. Enriquez, M.D. Christina Catherine Enzmann, M.D. Sonya Ephraim, M.D. Evrim Erdemoglu, M.D.

Dr. Philip Brooks Assumes New Role

Effective July 1, 2010, Dr. Philip Brooks will serve as Interim Chair for the Department of Obstetrics and Gynecology at Cedars-Sinai Medical Center in Los Angeles, California. The announcement stated: “Dr. Brooks’ tenure and extensive knowledge of Cedars-Sinai Medical Center, and specifi cally the Department of Obstetrics and Gynecology, will ensure that there will be continuity to the administrative unit.”

(Continued on page 15)

We know of the Drs. Luciano father-daughter pair, the Drs. Sokol twin brothers, the three Drs. Nezhat brothers and a niece, the Drs. Adamyan and Stepanian mother-daughter pair, and the Drs. McClausland father-son pair. Are there any husband-wife pairs, sisters, cousins, aunts, uncles, neph-ews—possibly grandparent-grandchild!?

Please take a moment and let us know how you may be related to other members of AAGL. Simply email [email protected] with your family story.

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Ramy N. Eskander, M.D. Jose Daniel Eugenio C., M.D. Monique Renee Farrow, M.D. Rodrigo Pinto Fernandes, M.D. David Finke, M.D. Desiree Patricia Fofi e, M.D. Jennifer Heer Ford, M.D. Tracy Salisbury Forrest, M.D. Amanda French, M.D. Esther Fuchs, M.D. Lise C. Gagnon, M.D. Paul Gaither, M.D. Diana Garretto, M.D. John Robert Gelinas, D.O. Kamran Ghodsian, M.D., FACOGVijay Gangadhar Ghorpade, III, MBBS, M.D. Joseph M. Gobern, M.D. Katherine R. Goetzinger, M.D. Mona Gomaa, Jr., M.D. Nadia A. Gomez, M.D. Robert Bennett Gore, M.D., FACOG Claire H. Gould, M.D. Dominique Kristina Grant, M.D. Marquia Tyree Grier, M.D., M.B.A. Daniel W. Griffi n, M.D. Nicole J. Grossenburg, M.D. Larissa Guerrero, M.D. Sherrie Anne Hald, M.D., FACOG Carolyn Joan Harrington, M.D. Ali Mahmoud Hassan, M.D. Emily M. Hawes-Van Pelt, M.D. Brian Richard Heaps, M.D. Autumn Lynn Hensley, M.D. Manuel L. Herrera, M.D. Ericka Hersh, D.O., MPH Deslyn Hobson, M.D. Shanna Holcomb, M.D. Zena Homan, M.D. Dae Gy Hong, M.D. Linda Hong, M.D. Karen Horne, M.D. Diane Joy Horvath-Cosper, M.D. Lennox Hoyte, M.D. Katherine Hsiao, M.D., FACOG Phoebe M. Hughes, M.D. Tseh-Lee Charles Hwang, M.D. Corrine Jabs, M.D. Amanda Lynn Jackson, M.D. Michael Gerard Jackson, M.D. Amber Jarvis, M.D. Jose F. Jimenez, M.D. Nikolina Jonah, M.D. Katherine Jorda, M.D. Anne Hosley Kalter, M.D. Kristy Kazemfar, D.O. Anisha Kenny, M.D. Lindsay R. Kern, M.D. Danielle S. Kiko, M.D.

Kristine A. Knapp, M.D. Dawn Knight, M.D. Michelle Knight, M.D. Angela Michelle Kondrat, M.D. Nicholas Kongoasa, M.D. Dorothy A. Kora, M.D. Daniel H. Kort, M.D. Jamie Kroft, M.D. Paul E. Kross, M.D. Brooke Kyle, M.D., FACOG David Lang, M.D. Todd Robert Lantz, M.D. Dwaine Larose, M.D. Erron Laskin Kinsler, M.D. Caroline Le Jour, M.D. Lan Na Lee, M.D. Andrea Leishman-Barb, D.O. Yvonne Leong, M.D. Alzira Leques, M.D. Juraj Letko, M.D. Ben C. Li, M.D. Chao Li, M.D. Eav K. Lim, D.O. Katherine A. Lo, M.D. Brandon Edward Locklear, M.D. Lacy Marie Long, M.D. Li Er Loo, M.D. Sandra Lopez, M.D. Angelina Lukwinski, M.D. Suvarna L. Mahadasyam, M.D. Fernando Mahmoud, M.D. Mandana Mahmoudi, M.D. Sumiya Majeed, M.D. Rima Makhiawala, M.D. Roslyn V. Mallory, M.D. Daniel Mandel, M.D. Cristina Maniu, M.D. Jeff Manley, M.D., MBA Daniel Marancenbaum, M.D. Kathleen M. Marc, M.D. Kathryn I. Marko, M.D. Rebecca L. McCaffrey, M.D. Joel B. McCuaig, M.D. Amy McDuffi e McCoy, M.D. Leslie McLemore, M.D. Sukrant Mehta, M.D. Jeannine Marine Miranne, M.D. Carmen Nicoleta Mircea, M.D. Margaret Mlynarczyk, M.D., Ph.D. Jasmine Mohd, M.D. Rosa Mojdehi, M.D. Evelyn Mok-Lin, M.D. Samantha Montgomery, M.D. Carolyn Marie Moyers, D.O. Lukas A. Mueller, M.D. Nathan Herman Mullins, M.D. Rebecca Bachman Munro, M.D. Cynthia Nair, M.D. Jang-Hyeon Nam, M.D.

Atanas Nedelchev, M.D. Danae Netteburg, M.D. Brandi M. Nichols, M.D. Vanessa Nicolau Toulouse, M.D. Margaret T. O’Connell, M.D. Monika Oktaba, M.D. Vanessa N. Olsen, M.D. Jacob D. Ornelas, M.D. Kelly S. Ott, M.D. Dawn Palaszewski, M.D. Kimberly Ann Palmer, D.O. Leigh Anne Papadimitriou, M.D., FACOGRene Pareja, M.D. Sun Hee Park, M.D. Mohamad Ali Parsa, M.D. Yafi t Partouche, M.D. Hiren Patel, D.O. Nicole D. Paterson, M.D. J. Paul Payne, M.D. Melissa Pendergrass, MB BCh BaO Brenda Pereda, M.D. Kristen Peske, D.O. Megan Pierce, M.D. Gamilah N. Pierre, M.D. Jamie Lynn Plett, M.D. Marylin Powers, M.D. Meghan Elizabeth Pratts Darren Preuninger, M.D. Anne Marie Radley, M.D. Hilary Rainbolt, M.D. Susan Patricia Raine, M.D. Varuna Raizada, M.D. Michael Stephen Reel, M.D., MBA Brooke Ann Reich, M.D. Mulan Ren, M.D. George Anthony Resta, III, M.D., FACOGJason Douglas Retzke, M.D. Kevin Richardson, M.D. Farah Rivera, M.D. Hillary A. Robinowitz-Elins, M.D., FACOGEnglish Rockholt, M.D. Laurren Rodgers, BA, M.D. Jesse J. Rohloff, M.D. Meaghan Rolland Bowling, M.D. Jennifer Roney, M.D. Marc Rosenthal, M.D. Shalandra Ross, M.D. Erica P. Ruger, M.D. Robert Salk, D.O. Emily Laura Sammons, M.D. Sumit S. Saraf, M.D. Guy M. Schropp, M.D., MBA, FACOGJaffet Seda, M.D. Suneeta Senapati, M.D. Donna Nicole Senciboy, D.O.

Dara Shalom, M.D. Karin R. Shaw, MMS, PA C Yuhong She, M.D. Candice E. Shea, M.D. Stuart James Sherry, M.D., FACOG, FABOG Eric Siegel, M.D. Suzanne Kessler Silverman, M.D. Stacy Slat, M.D. Justine B. Somoza, M.D. Serena A. Sposato, M.D., FACOG Jason Aaron Sternchos, M.D. Jamie G. Straub, M.D. Mehul Vasantlal Sukhadiya, MBDGO Rachana P. Sutaria, M.D.Donna J. Sweetland, M.D. Toni Sylvester, M.D., FACOG Luciano Sztulman, M.D. Padmapriya T Sundaram, MBBS Udele Joyce Tagoe, M.D. Teresa Tam, M.D. Nicole Tate, M.D. Mili Thakur, M.D. Jasser Thiara, M.D. Julia Timofeev, M.D. Nicole J. Todd, M.D. Faraj Touchan, M.D. Karen Toujouse, M.D. Thomas Toussaint, M.D. Carol H. Tran Cao, M.D. Mireille Truong, M.D. Soujanya R. Tummuru, D.O. Andrea M. Vallejos, M.D. Jane Van Dis, M.D. Juan Carlos Vargas, M.D., FACOG Madhuri Verma, M.D. Jose Vicens-Villafana, M.D. Wendy S. Vitek, M.D. Astrid Ruth von-Walter, M.D. Shaza Abdulmalik Waggass, M.D. Corey Wagner, M.D. Wendy Wagner, M.D. Christopher Wayock, M.D. Peter Weeks, M.D., FACOG Bernadette Wheeler, M.D. Dena Elaine White, M.D. David Nicholas Wilson, M.D. Amy Wong, M.D. Julie A. Wood, M.D. Stacey Allen Wood, Jr., M.D., FACOGTricia M. Wright, M.D.John P.Y. Yam, M.D. Akira Yasue, M.D. Holly Kristin Yettaw, M.D. José Vitor Cabral Zanardi, M.D. Rhonda Zwingerman, M.D

Welcome New Members (Continued from Page 14)

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PERIODICALS

U.S. POSTAGE PAID

CYPRESS, CA

6757 Katella AvenueCypress, California 90630-5105Tel 714.503.6200 Fax 714.503.6201E-mail [email protected] • Web site www.aagl.org

NewsScope

The following educational meetings are sponsored by, in affi liation with, or endorsed by the AAGL.

September 25, 2010Hysteroscopy Workshop

Scientifi c Program Chair: Charles E. MillerThe Advanced Gynecologic Surgery Institute

Chicago, Illinois

October 22-24, 2010International Pelvic Pain Society

18th Annual Scientifi c Meeting on Chronic Pelvic Pain

Scientifi c Program Chair: Frank TuThe Palmer House • Chicago, Illinois

April 201120th Annual Comprehensive Workshop

on Minimally Invasive Gynecology for Residents & Fellows

Scientifi c Program Chair: Resad P. PasicDallas, Texas

May 201113th Annual Advanced Workshop on

Gynecologic Laparoscopic Anatomy & Surgery on Unembalmed Cadavers

Scientifi c Program Chair: Resad P. PasicUniversity of Louisville • Louisville, Kentucky

April 6-10, 2011Vth AAGL International Congress on Minimally

Invasive Gynecology in conjunction with the Turkish Society of Gynecological Endoscopy

Scientifi c Program Chair: Fatih SendagIstanbul, Turkey

April 25-28, 2012VIth AAGL International Congress on Minimally

Invasive Gynecology in conjunction with the Argentine Society of Laparoscopic Surgery (SACiL)

Scientifi c Program Chair: Rafael ValleBuenos Aires, Argentina

Education Calendar

November 8-12, 201039th AAGL Global Congress of Minimally Invasive Gynecology

Scientifi c Program Chair: Linda D. BradleyCaesars Palace • Las Vegas, Nevada

November 6-10, 201140th AAGL Global Congress of Minimally Invasive Gynecology

Scientifi c Program Chair: Keith B. IsaacsonThe Westin Diplomat • Hollywood, Florida

November 5-9, 201241st AAGL Global Congress of Minimally Invasive Gynecology

Caesars Palace • Las Vegas, Nevada

Registration Opens Soon www.aagl.org

AAGL Annual Meetings

39th AAGL Global

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GynecologyNovember 8-12, 2010

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