5 Best Practices in Managing Iron Deficiency Anemia Associated with Abnormal Uterine Bleeding

Gynecology
Curriculum:
Moving Beyond Clinical Inertia: Motivating HCPs to Prioritize the Optimal Management of Iron Deficiency Anemia Due to Abnormal Uterine Bleeding
Credits:
0.50 AMA PRA Category 1 Credit(s)
Launch Date:
August 20, 2019
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

Gynecologists

Relevant Terms:

Abnormal Uterine Bleeding, Iron Deficiency Anemia

Steven R. Goldstein, MD

Professor, Department of Obstetrics and Gynecology
Assistant Director, Obstetrics and Gynecology Clerkship
NYU Langone Health
New York, New York

Steven R. Goldstein, MD is on the Faculty of the Department of Obstetrics and Gynecology at New York University School of Medicine, as a Professor of Obstetrics and Gynecology and Director of Gynecologic Ultrasound. He is currently President-Elect of the International Menopause Society. He is past President and Fellow of the American Institute of Ultrasound in Medicine. He is a past President of the North American Menopause Society.  He is a past Chairman of the American College of Obstetrics and Gynecology, New York Section.  

He has published seven books on women’s health topics, including menopause, perimenopause early pregnancy monitoring, abnormal uterine bleeding and gynecologic ultrasound. He has authored more than 60 chapters as well as over 80 original research articles.  

 

Michael Auerbach, MD, FACP

Auerbach Hematology and Oncology Associates, Inc.
Baltimore, Maryland
Clinical Professor of Medicine
Georgetown University School of Medicine
Washington, DC

Michael Auerbach, MD, FACP, is a hematologist/oncologist at Auerbach Hematology and Oncology Associates, Inc., in Baltimore, Maryland, and a Clinical Professor of Medicine at Georgetown University School of Medicine in Washington DC. 

Dr. Auerbach earned his medical degree from New York Medical College in Valhalla, New York. He completed his internship and residency in internal medicine at the Cleveland Clinic Foundation in Ohio. Subsequently, he completed his fellowship training in hematology and oncology at Columbia Presbyterian Medical Center and Harlem Hospital Center in New York, New York, where he went on to do a research fellowship in thrombosis and hemostasis at Columbia. He is board-certified in internal medicine and in the subspecialties of hematology and medical oncology.

Dr. Auerbach has authored or coauthored over 160 journal articles, books, chapters and meeting abstracts, most recently focusing on intravenous iron supplementation in pregnancy and in patients with RLS.  He is an author of the Treatment of Iron Deficiency in Adults, Anemia in Pregnancy, and Diagnosis and Causes of Iron Deficiency for UpToDate.  He is a member of numerous professional organizations, a Fellow of the American College of Physicians, and Honorary Emeritus member of the American Society of Hematology. He currently serves on the scientific board of the Network for Advancement of Transfusion Alternatives, advises the Society for the Advancement of Blood Management and is on the Editorial Boards of the American Journal of Hematology and Expert Review of Hematology. 

In 2010, along with three colleagues, he participated in the first educational session ever delivered on the use of intravenous iron, at the American Society of Hematology’s annual meeting and in 2016 presented another on complete replacement dosing in an initial, brief, single visit.  In December, 2017 he was the principal author of the first prospective study of intravenous iron in pregnancy performed in the United States which was published in the American Journal of Medicine.

Gretchen E.H. Makai, MD -- Content Reviewer

Director, Minimally-invasive Gynecologic Surgery, Christiana Care’s Department of Obstetrics and Gynecology, Newark, Delaware

Clinical Assistant Professor, Department of Obsterics and Gynecology
Drexel University College of Medicine, Philadephia, Pennsylvania

Clinical Assistant Professor, Department of Obsterics and Gynecology
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania

Dr. Makai is a gynecologist and, since 2009, director of minimally-invasive gynecologic surgery for Christiana Care’s Department of Obstetrics and Gynecology, in Newark, Delaware.

Dr. Makai earned her medical degree from Columbia University College of Physicians and Surgeons, where she won the Thomas F. Cook Prize for Excellence in Obstetrics and Gynecology. She completed her residency in obstetrics and gynecology at the combined program between Brigham and Women’s and Massachusetts General hospitals in Boston.

During her training she received the student teaching award from Harvard Medical School, and she was named Outstanding Resident by the Society of Laparoendoscopic Surgeons. After residency, Dr. Makai completed a fellowship in gynecologic endoscopy at Newton-Wellesley Hospital in Newton, Massachusetts. During this time, she was also a clinical instructor in obstetrics, gynecology and reproductive biology at Brigham and Women’s Hospital. In addition to her training, Dr. Makai worked as a staff physician in obstetrics and gynecology at Mount Auburn Hospital in Cambridge, Massachusetts.

Dr. Makai’s professional interests include providing fertility-sparing and minimally-invasive treatment options to patients with abnormal bleeding, pelvic pain, fibroids and endometriosis. She strives to promote innovation and technology to benefit the care of women. Her research interests include evaluating the benefit of robotic-assisted laparoscopy for hysterectomy, hysteroscopic surgery and determining how to identify and provide the highest quality and best value of care for women.

Dr. Makai actively participates in Christiana Care’s residency in obstetrics and gynecology as a faculty member and educator. She also serves on departmental committees representing gynecology to perioperative services, establishing gynecological surgeon performance reporting and promoting value improvement.

1. Describe the prevalence, natural history, and morbid impact of IDA in women suffering from AUB, and associated quality of life implications
2. Analyze current challenges impacting the appropriate care of women with IDA secondary to AUB
3. Apply current standards of care and available guidelines addressing IDA to the diagnosis and management of IDA in women with AUB
4. Utilize an effective therapeutic approach to address iron replacement in patients with AUB.

LAUNCH DATE/EXPIRATION DATE
This activity was launched on August 20, 2019 and will expire on August 20, 2020.

TARGET AUDIENCE
Content and educational strategies have been designed to facilitate behavior change in gynecologists, primary care physicians, residents and fellows, physician assistants, nurse practitioners, and all health care providers (HCPs) who care for women with iron-deficiency anemia (IDA) resulting from abnormal uterine bleedcing (AUB).

ACCREDITATION STATEMENT
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 providership of MEDICUSCME. MEDICUSCME is accredited by the ACCME to provide continuing medical education for physicians.

DESIGNATION STATEMENT
MEDICUSCME designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 

MEDICUSCME’s POLICY ON CONFLICT OF INTEREST
It is the policy of MEDICUSCME to identify and resolve any potential conflicts of interest of anyyone who may be in a position to influence or control the content of an education activity, to assure balance, independence, objectivity and scientific rigor in all of its accredited activities. All faculty and planners are expected to disclose all financial relationships with a commercial interest within the past twelve months.

CONFLICT OF INTEREST DISCLOSURES
Dr. Goldstein acknowledges receipt of honoraria from AbbVie, AMAG, and Therapeutics MD for his participation on their respective scientific advisory boards. He acknowledges receipt of consulting fees from Cook Ob/Gyn, Cooper Surgical, and IBSA, and an equipment loan from GE Ultrasound.

All other planners, faculty, authors and presenters of this accredited activity deny any personal or financial relationships with ACCME-defined commercial entities that may constitute any real or perceived conflict of interest.
 

HOW TO CLAIM CREDIT
By participating in all course content and learning strategies, and successfully completing the post-test and evaluation, physicians are entitled to receive 0.5 AMA PRA category 1 credits™.

  • Read the learning objectives and faculty disclosures.
  • Participate in the activity.
  • Complete the post-test and activity evaluation.
  • Physicians who successfully complete the post-test and evaluation will receive CME
  • credit. You must score with an 75% or higher on the post-test to receive credit for this activity.
  • All other participants who successfully complete the post-test and evaluation will receive a certificate of participation
     

COURSE FORMAT/MEDIUM
Internet Activity (Enduring Material)

ESTIMATED TIME TO COMPLETE
30 minutes

ACKNOWLEDGEMENT
This activity is a collaborative educational endeavor of RealCME, Steven Haimowitz, MD, President; MedicusCME, Carol Pashman, MS, RN, President; and Thomas Garry, Scientific Writer.

This activity is supported by an independent educational grant from AMAG Pharmaceuticals.

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.

Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

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