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2018 Gap Analysis and Educational Needs (Annual Meeting 2017) 2018 Gap Analysis and Educational Needs (Annual Meeting 2017) Developed by the ASRM Continuing Medical Education Committee TOPIC GAP(S) IDENTIFIED EDUCATIONAL NEED(S) Access to care Ethnic, cultural and language barriers in Strategies to provide culturally competent fertility care care Financial hardship in uptake of fertility Strategies to improve access of these technologies from endometrial technologies evaluations to PGT-A Communication with community and Ways to “lobby” for insurance coverage. insurance companies Use of philanthropy for those without insurance coverage and inability to pay Influence insurance and payer coverage Learn how to advocate for expansion of which limits patient access to care services covered by payers, particularly infertility treatment and fertility preservation Awareness of disparity in care patterns Standardization of care for leiomyoma for leiomyoma patients patients Andrology / Male When is testicular sperm indicated in Evidence on using testicular vs. ejaculated Infertility the presence of sperm in the ejaculate sperm in the absence of azoospermia? Adoption and approach to care with Implementation strategies for appropriate new technology in male infertility workup and for new technology treatment options for male infertility Whether to pursue concomitant male Considerations in simultaneous urology and and female partner fertility consults REI evaluations for the infertile couple with urology and RE ART Counseling about freeze all cycles Fresh transfer versus freeze all cycles. Optimal FET protocols Which is better: mild versus standard Ovarian stimulation strategies ovarian stimulation? Risks and benefits of dual hCG/GnRHa Which is better: GnRHa versus GnRHa triggers and hCG trigger ? Retain sperm and oocyte donors Discussion among mental health throughout the process of medical and professionals and dissemination of this counseling sessions. information to staff dealing with donors Endometrial scratch test Education/Consensus on the usefulness of the test Batch cycles are difficult to manage for Discussion of the pros and cons of managing dynamic responses to poor responses ‘batched’ patients in regard to ability to make due to previous ovarian suppression changes to stimulation Evaluation of the endometrium after Best practice for post loss testing pregnancy loss Implementation of endometrial Review of clinical results and the science receptivity assay behind the assay Use of freeze-all for elevated When to employ cryopreserved embryos progesterone Role of Endometrial Receptivity Analysis Use Endometrial Receptivity Analysis (ERA) to (ERA) improve patient outcomes 2018 Gap Analysis and Educational Needs (Annual Meeting 2017) Developed by the ASRM Continuing Medical Education Committee Techniques for embryo transfer Transfer tips (slower syringe depression etc) Optimizing patient outcomes in clinics Mechanisms for quality and outcome measurement ART Laboratory Optimization of oocyte freezing What are optimal oocyte and embryo protocols freezing protocols? Single versus sequential culture media Considerations in selecting embryo culture media Discern reliable, unbiased information Review of clinical study literature about commercial culture media. Reporting data is burdensome Workshop on data entry and best practices Humid versus dry incubators for embryo Fact/fiction—review of available studies culture Importance of pH in embryo Educational session development Adoption and implementation of new Interactive session to take advantage of technologies; how and when to make a others experiences change, and how to revise current protocols to stay on top of patient and laboratory needs Communication between MDs and the Dialog to improve individual patient care ART lab; conversations about treatment regiments and laboratory strategies Is time lapse imaging a reliable way to Current state of the art, hear from experts in diagnose aneuploidy? the field Lab design for outcome improvement; Education on the state of the art products air quality, toxin detection, available to create an optimum lab environment, lab design environment Risk and disaster management: lab Educational session and interactive sharing safety, alarm systems, disaster preparedness Training a new generation of clinical Discussion of best practices, evolving laboratory technologists; paradigm shift, methodology available educational tools, and new learning technologies and trends Status of embryo quality assessment Review, lecture, interactive discussion on OTHER THAN morphology and PGT-A. Is best practices and evolving recommendations there a way to cryopreserve and PGT-A fewer embryos? What to do with abandoned embryos? Frank discussions on not only And how can we implement ASRM recommendations, but logistics, ethical recommendations? A difficult position. concerns, psychological effect on lab technologists Safety of stored specimens Best practices Embryo evaluation PGT Hands on training for embryo evaluation and PGT 2018 Gap Analysis and Educational Needs (Annual Meeting 2017) Developed by the ASRM Continuing Medical Education Committee Patient awareness and knowledge of Strategies on how to inform patients of latest new laboratory techniques lab developments Gamete and embryo selection which In vitro maturation techniques for oocytes correlates to successful outcomes Non-invasive preimplantation embryo testing techniques Culture fluid biomarkers to assess embryo health Skill development for ART Laboratory Work shops for embryo biopsy, ICSI, techniques and training a new hatching, and skill development generation Biology of Uterine receptivity/embryo implantation Emerging technologies, scientific Reproduction advancements Origins of aneuploidy and mosaicism Basic science presentation Extended embryo culture Review of Days 0-7, discussion of experimental technologies past D7, applications, ethical concerns Discuss individualized patient care with Performance and utilization of endometrial assessment of endometrial receptivity receptivity testing Evaluate the impact of hormonal Discussion of the hormonal physiology contraction on reproductive aging involved in future development of gyn malignancy Comprehensive understanding of male Review of male reproductive physiology reproductive biology Complementary/ Better communicate with patients about Compile guidelines, communicate to Alternative ways to optimize reproductive and providers and patients Medicine overall health by improving diet and environmental risk factors Complementary medicine techniques Integrating complementary/alternative that may enhance infertility outcomes medicine practices into allopathic infertility treatment plans Cost Cost effectiveness of PGS and time lapse Session with debate regarding the cost Effectiveness embryo assessment effectiveness of these procedures Most cost efficient care Evidence-based data on less high-tech better or more high tech for patient outcomes Contraception Lack of understanding of contraceptive Impact on prevention given contraceptive method as a preventive choice Counseling Counseling of donors and gestational Information on counseling techniques carriers Counseling for appropriate genetic Session on deployment of genetic testing in screening of donors gamete donors Mental health professionals and genetic Strategies to assist health care personnel on counseling counseling patients on results of genetic testing 2018 Gap Analysis and Educational Needs (Annual Meeting 2017) Developed by the ASRM Continuing Medical Education Committee Endometriosis New developments in endometriosis Best practices (evidence-based) education in diagnosis and treatment endometriosis care and role in infertility Earlier diagnosis of endometriosis Algorithmic approach to endometriosis Ethics/ Legal Informed consent in transfer of mosaic Strategies and considerations in transfer of embryos. mosaic embryos Legal considerations surrounding Best practices in transfer of mosaic embryos transfer of mosaic embryos Achieving informed consent in ART Best practices and considerations in informed consent process Unclear legal protections/ramifications Communication between legal professionals of transferring a mosaic embryo and doctors, strategies for good medical resulting in birth of an affected child practice and legal protection Discuss the most appropriate thing to do Ethical implications, responsibilities, toll on with PGT-A abnormal embryos/Mosaics lab personnel. Best practices, psychological and ethical advice Safety of stored specimens Liability Consents for third party reproduction Session on third party reproduction consents Consents for Genetic Counselors and Techniques to inform and consent patients donors Ethics of using new technologies Information on ethics of using CRISPR and mitochondrial replacement Psychological support for donors Instruction on counseling techniques Environmental Delivery of information on Approaches to counseling on environmental environmental and nutrition on fertility and nutritional impact on fertility Environmental impact on epigenetics Update on influence of environment on infertility -particularly epigenetics Fertility Fertility preservation patients Counseling, informed consent of patients Preservation psychosocial and long-term needs undergoing fertility preservation Insurance coverage Indications for ovarian tissue Update on ovarian tissue cryopreservation cryopreservation (OTC) and uterine (OTC) and uterine transplant transplant Approach for patients desiring fertility Algorithmic approach to fertility preservation
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