Essentials in Endometriosis Online Course
Overview
Access to this online course is available from the date of purchase until the course expires on March 3, 2028. Credit must be claimed within that time period.
Registration required to claim CME credit.
Isabel Green, M.D. and Shannon Cohn, J.D.
Essentials of Endometriosis is a groundbreaking online course that seeks to give an accurate base of knowledge about endometriosis. Endo is a complex, highly individual condition that affects at least 10-15% or 1 in 10 reproductive age persons with uteri. Despite its prevalence, the average delay in diagnosis is 10 years. Many reasons contribute to the diagnostic delay – menstrual taboos and stigma, gender bias, racial bias, and barriers to care (financial, institutional, cultural) all play a role. Yet, one of the primary reasons for the delay is a lack of emphasis in medical education. The vast majority of healthcare providers are not properly informed in recognizing the true symptomatic profile of endometriosis and current practice models contribute to this knowledge gap. It is common for patients to go to many providers before endometriosis is mentioned.
This Mayo Clinic and Think Endo collaboration addresses the basic pathophysiology of endometriosis, how to diagnose it, current management options, its relationship to pelvic pain, and the social policy and bioethics involved with this condition. A key part of the course is ‘Below the Belt,’ a PBS documentary called “a vitally important & powerful film” by the BBC and “a heart wrenching, intimate piece of work” by The Guardian. The film powerfully shines a light on the lived experience of four people with endometriosis.
Target Audience
This course is designed for family medicine, primary care, internal medicine physicians, pediatric and adolescent medicine, OB/GYN and advanced practice providers to aid in the earlier recognition of endometriosis symptoms and improve care.
Learning Objectives
- Recognize the basic pathophysiology of endometriosis.
- Identify endometriosis through the evaluation of patient symptoms, exam findings, and imaging.
- Identify medical treatment options and appropriately refer patients for surgical consultation for endometriosis.
- Recognize unique considerations of endometriosis in patients experiencing infertility or postmenopause.
- Identify a systematic approach to the evaluation and initial management of pelvic pain.
Utilization of this Mayo Clinic online (enduring materials) course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be in this course.
Additional Information
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Program
Essentials in Endometriosis Online Course | ||
Duration | Lecture Titles and Descriptions | Speaker(s) |
0:05:00 | Welcome to Essential of Endometriosis The prevalence and human impact of endometriosis. | Shannon Cohn, J.D. |
0:22:00 | Endometriosis Basics We explore the definition of endometriosis and its epidemiology. We review basic pathophysiology, introduce the cyclic physiology of the menstrual cycle. We provide insights for diagnosing endometriosis, including the role of imaging and physical exam. We introduce you to the “myths” of Endo, to be dispelled throughout the course. | Isabel Green, M.D. |
0:19:00 | Endometriosis Imaging We describe the role of pelvic ultrasound and MRI, and how each modality can be helpful in diagnosing endometriosis and planning for surgery. We explore the limitations of imaging, and national efforts to standardize imaging for endometriosis. | Wendy VanBuren, M.D. |
0:14:00 | Management of Endometriosis We describe the existing treatment options for endometriosis and provide a framework for choosing the right starting point, reassessing treatment failures, and individualizing patient care. | Riley Young, M.D. |
0:11:00 | Role for Surgery and Expectations After Surgery We explore when surgery is the right first step, or step after medical management. We list considerations for repeat surgery, and when this can be most helpful. | Adela Cope, M.D. |
0:46:00 | Endometriosis Associated Infertility We explore endometriosis and impacts on fertility, as well as considerations of fertility in treatment planning and the role for surgery. | Zaraq Khan, M.B.B.S, MCR, FACOG, FAC |
0:22:00 | Endometriosis in the Menopausal Transition We dispel the myth that endometriosis is only a disease of the reproductive years, and discuss important considerations in patients with endometriosis postmenopause and hormone replacement. | Tatnai Burnett, M.D. |
0:22:00 | Endometriosis and Pelvic Pain We will expand your understanding of endometriosis as a possible contributor to chronic pelvic pain and provide a systematic approach to evaluating for overlapping pain conditions, considering the impact of central sensitization, and validating a patient’s experience. | Isabel Green, M.D. |
0:11:00 | Future Directions in Endometriosis We explore future directions for endometriosis research. | Kelsey Stewart, M.D. and Morgan Briggs, M.D. |
0:32:00 | Social Policy and Ethics We explore the impact of research funding, surgical compensation, and the disparities that drive challenges for endometriosis care. | Louise Perkins King, M.D., J.D. |
0:10:00 | Below The Belt Film Watch this groundbreaking documentary exploring endometriosis through the patient lens. | Shannon Cohn, J.D. |
0:06:00 | Wrap Up & Myths | Isabel Green, M.D. |
03:40:00 Content Hours | ||
3.50 Credit Hours |
Faculty
Faculty Bios |
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Isabel C Green, M.D., MEHP is an Associate Professor of Obstetrics and Gynecology at the Mayo Clinic, in Rochester, Minnesota. She completed her residency in Obstetrics and Gynecology at Johns Hopkins Hospital and went on to fellowship in Minimally Invasive Gynecology at MedStar Washington Hospital Center/Georgetown University, graduating in 2008. She has been passionate about medical education since residency, and active in curriculum development and course development her entire career. She is the inaugural Fellowship Director for the Minimally Invasive Gynecologic Surgery fellowship. In 2017 she completed a Master of Education in the Health Professions from Johns Hopkins University. With a multi-institutional team, she developed a national curriculum and certification in the Essentials of Minimally Invasive Gynecology through the AAGL. Her clinical areas of interest include the evaluation and management of endometriosis and pelvic pain, while striving to provide patient centered, holistic care. She serves on the executive board of the International Pelvic Pain Society (IPPS at www.pelvicpain.org), which has been instrumental in developing tools for her to care for patients with endometriosis and chronic pain. Through the Essentials of Endometriosis, she is bringing her two worlds together – education and endometriosis care – with the goal of getting patients to an earlier diagnosis. |
Shannon Cohn, J.D. is a filmmaker, lawyer and social impact producer whose films have aired on PBS, Nat Geo, Discovery Channel, Amazon and Netflix in over 100 countries. Her latest PBS film, Below the Belt, executive produced by Hillary Rodham Clinton and Rosario Dawson, has screened on six continents, including over 20 US medical schools, at the NIH’s 27 Institutes for its 20,000+ employees and on Capitol Hill for members of Congress co-hosted by Senator Elizabeth Warren and Senator Mitt Romney. Before Shannon was a filmmaker, she practiced international law and was part of the team that prosecuted Enron Corp. in the largest white collar crime investigation in FBI history. Shannon has appeared on Good Morning America, The View, PBS NewsHour and spoken on women’s health at the United Nations, the Gates Foundation, the Clinton Global Initiative and more. She is a member of the NIH NACHHD Advisory Council, WEF Global Alliance on Women’s Health, the SWHR Endometriosis Working Group and a recent two-term member of the Foundation Board of the AAGL. |
Morgan Briggs, M.D. is a Minimally Invasive Gynecology Fellow at Mayo Clinic in Rochester, Minnesota. She completed her medical degree and residency at the Medical College of Wisconsin. Her primary research interest is understanding the clinical care and surgical experience in endometriosis and pelvic pain from the patient lens; exploring the patient experience in decision making and navigation of the healthcare system. |
Tatnai Burnett, M.D. is an Assistant Professor in Obstetrics and Gynecology at the Mayo Clinic in Rochester, Minnesota. Following medical school and residency at the University of Michigan, he completed a 2-year fellowship in minimally invasive gynecologic surgery at Southern Illinois University before joining the faculty in his current position. Clinically, Dr. Burnett specializes in Minimally Invasive Gynecologic Surgery with a focus on endometriosis and pelvic pain. He coordinates a complex endometriosis program, the center of which is an interdisciplinary endometriosis conference which has advanced endometriosis care at Mayo Clinic. Research interests include endometriosis and its relationship to varying patient phenotypes and its coexistence with other pelvic pain generating diseases such as adenomyosis. |
Adela Cope, M.D., M.S. is an Assistant Professor in Obstetrics and Gynecology at the Mayo Clinic in Rochester, Minnesota. She completed a residency in Obstetrics and Gynecology and fellowship in Minimally Invasive Gynecologic Surgery at Mayo Clinic Rochester during which time she also received a Postdoctoral Masters of Biomedical Science in Clinical and Translational Science. She is a complex minimally invasive gynecologic surgeon and specializes in medical and surgical management of endometriosis, chronic pelvic pain, adenomyosis, and uterine fibroids. She is the Associate Program Director for the Obstetrics and Gynecology Residency Program at the Mayo Clinic Rochester and was selected as a World Endometriosis Society Early Career Ambassador in 2024. |
Zaraq Khan, M.B.B.S., MCR, FACOG, FAC is double board certified in Obstetrics and Gynecology & Reproductive Endocrinology and Infertility, with additional training in endometriosis excision surgery, minimally invasive gynecologic surgery and reproductive organ transplant. Dr. Khan joined the Mayo Clinic in 2007 where he completed a residency in Obstetrics & Gynecology. He completed an NIH funded Masters in Clinical Research and then went on to start his first fellowship in Reproductive Endocrinology & Infertility also at the Mayo Clinic in Rochester, Minnesota. In 2015 Dr. Khan was awarded the prestigious Mayo Clinic Scholar which allowed him to complete a second travelling fellowship in Minimally Invasive Gynecologic surgery/ Reproductive organ transplantation and endometriosis excision surgery. Through this program, he worked in Kiel Germany at the Kiel School of Endoscopy, Kantosspital Aarau in Switzerland and at the Center of Endometriosis Care in Atlanta, Georgia. He received additional reproductive surgery training at Rigshospitalet in Copenhagen, Denmark, University of Gothenburg in Sweden and at the Cleveland Clinic in Ohio. Dr. Khan works full time as a reproductive surgeon at the Mayo Clinic in Rochester, Minnesota, where he sees patients with infertility and advanced endometriosis, fibroids, adenomyosis, complex Müllerian anomalies and tubal disease. His passion lies in helping women with advanced endometriosis who are eagerly seeking fertility. |
Louise P. King, M.D., J.D., is an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and a Surgeon within the Division of Minimally Invasive Gynecologic Surgery at Brigham and Women's. Dr. King completed her juris doctorate at Tulane Law School before attending medical school at University of Texas Southwestern Medical Center. She completed her residency in Obstetrics and Gynecology at Parkland Hospital in Dallas Texas and her fellowship in Minimally Invasive Surgery with Dr. Camran Nezhat at Stanford University. Her areas of interest in medical ethics focus on questions of informed decision making and assisted reproduction as well as equitable access to advanced gynecologic surgery. |
Kelsey Stewart, M.D. is a Minimally Invasive Gynecology Fellow at Mayo Clinic in Rochester, Minnesota. She completed her medical degree at Baylor College of Medicine and her Obstetrics & Gynecology residency at the University of Minnesota. Her primary research interests include clinical outcomes in endometriosis and chronic pelvic pain. |
Wendaline VanBuren, M.D. is a board-certified radiologist, Associate Professor and Chair of the Gynecological imaging section at the Mayo Clinic in Rochester, Minnesota, where she established the Endometriosis imaging practice and has assisted in planning over 3,500 complex surgeries. Dr. VanBuren is the founder and Course Director for the 1st International Endometriosis Imaging Congress and is one of the founding Course Directors for the Mayo Clinic Gynecological and Breast Imaging course. On a national level, she co-founded the Disease Focused Panel on Endometriosis for the Society of Abdominal Radiology and was the invited guest editor for the Journal of Abdominal Radiology Special Edition on Endometriosis in addition to over 55 peer reviewed publications in leading medical journals. Her ongoing work has been highlighted at a variety of national and international radiology, gynecology and pelvic pain conferences. Above all else, Dr. VanBuren is a passionate advocate for endometriosis! |
Riley Young, M.D. is an Assistant Professor in Obstetrics and Gynecology at the Mayo Clinic in Rochester, Minnesota. She completed a residency in Obstetrics and Gynecology Mayo Clinic Rochester, and a fellowship in Minimally Invasive Gynecology at University of Texas Southwestern Medical Center. Her professional interests include the surgical and non-surgical management of pelvic pain, including complex endometriosis, and the implementation of novel techniques for the treatment of uterine fibroids. |
Accreditation
Accreditation Statement
In support of improving patient care, Mayo Clinic College of Medicine and Science 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.
Credit Statement(s):
AMA
Mayo Clinic College of Medicine and Science designates this enduring material for a maximum of 3.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AOA
This program has been accredited by the American Osteopathic Association for 3.50 credits of AOA Category 2-A.
ANCC
Mayo Clinic College of Medicine and Science designates this activity for a maximum of 3.50 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.AAPA
Mayo Clinic College of Medicine and Science has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 3.50 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.
ABS
Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.
Other Healthcare Professionals
A record of attendance will be provided to all registrants for requesting credits in accordance with state nursing boards, specialty societies or other professional associations.
For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures.
Available Credit
- 3.50 AAPA Category 1
- 3.50 ABS
- 3.50 AMA PRA Category 1 Credit™
- 3.50 ANCC
- 3.50 AOA
- 3.50 Attendance
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Price
Access to this online course is available from the date of purchase until the course expires on March 3, 2028. Credit must be claimed within that time period.
Registration required to claim CME credit.
Commitment to Equity, Diversity and Inclusion
Mayo Clinic School of Continuous Professional Development (MCSCPD) strives to foster a learning environment in which individual differences are valued, allowing all to achieve their fullest potential.
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