Learning Objectives and CME/Disclosure Information
This activity is intended for healthcare providers delivering care to women and their families.
After completing this activity, the participant should be better able to:
1. Identify a question most likely to elicit a productive response from your patients 2. Choose an appropriate referral when indicated
Estimated time to complete activity: 0.25 hours
Susan J. Gross, MD, FRCSC, FACOG, FACMG
President and CEO, The ObG Project
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies. All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to PIM policy. PIM is committed to providing its learners with high quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.
The PIM planners and others have nothing to disclose. The OBG Project planners and others have nothing to disclose.
Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.
Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.
Method of Participation and Request for Credit
Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from Dec 31 2017 through Jan 25 2023, participants must read the learning objectives and faculty disclosures and study the educational activity.
If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation. Upon registering and successfully completing the post-test with a score of 100% and the activity evaluation, your certificate will be made available immediately.
For Pharmacists: Upon successfully completing the post-test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Medical Education
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.
Every patient, no matter their age, gender, health status, including disabilities or chronic illness, or relationship status should be asked about their sexual health. The following two questions can begin the conversation:
Are you currently sexually active?
Are there any concerns you currently have about your sex life that you would like to discuss?
Reiterate, before asking about sexual activity, that any information given will be held in strict confidence
Repeat back the concern, exactly as described by the patient, to ensure the patient was correctly understood
Keep responses as ‘matter-of-fact’ as possible to avoid giving a judgmental, alarming or dismissive impression
Reacting with surprise or concern can be counterproductive as it may dissuade the patient from continuing the conversation
“Legitimate” concerns and sexual values differ significantly
Sexual health and regular sexual activity have been correlated with lower morbidity and higher scores of happiness, saving patients years of pain, anxiety and personal distress. Furthermore, a proper sexual history is mandatory for sexual risk reduction counseling and is effective in preventing STDs.
The Women’s Sexual Health Foundation administered an online survey of 3,807 healthy female volunteers to gather feedback regarding discussions pertaining to sexual health and reported that:
40% of women who participated did not talk to a clinician about a sexual problem, but more than 50% would have chosen to if the issue had been raised by their provider
Over 70 % of respondents would be comfortable talking to their clinician about sexual problems, however they preferred that the health care provider initiate the discussion
Once a patient has expressed their concern, the healthcare provider needs to make a determination as to whether they can help the patient or if they should refer her to another professional. Consideration for referral may include the following:
History of sexual abuse – a referral should be made to a therapist who specifically deals with sexual abuse
Low desire, problems with arousal, anorgasmia or sexual health issues may benefit from a referral to a sexual medicine expert if complex or beyond the scope of the provider
Relationship issues -Refer to couples therapist
Body Dysmorphia – Refer to individual therapist who specializes in body dysmorphia
Questioning Sexual Identity or Orientation – Refer to an individual counselor who specializes in these areas
A side effect from another medication – Refer patient to prescribing physician
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Jointly provided by
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