consult - women's health - summer 2010

Summer 2010 | Women’s Health

Inside this folder:Consult

3Maternal Fetal Medicine

9Gynecologic Oncology

15The Center for Women’s Health

19News and updates from the Medical Center

New clinical research and continuing medical education opportunities

Contents

The Ohio State University Medical Center

Maternal Fetal Medicine Programw Updates on our specialized treatments and programs

w Learn about the newest perinatal research being conducted

w Latest tools to identify candidates for prenatal testing and genetics counseling

Women’s Health

ConsultOhio State’s

Ohio State’s Maternal Fetal Medicine ProgramCentral Ohio’s premier provider of comprehensive high-risk pregnancy care

Maternal Fetal Medicine PrograM at a Glance

• 12 maternal fetal medicine specialists and a genetics fellowship-trained maternal fetal medicine specialist

• Diabetes in Pregnancy Program (one of largestin the United States)

• Premature Birth Prevention Program

• Prenatal Diagnosis Clinic (risk assessment and testing)

• Genetics counseling staffed by three board-certified genetics counselors

• Fetal Treatment Program

• Cardiac Disease and Pregnancy Program

• Maternal transport service

• Neonatal Intensive Care Unit (Level III, the highest level available)

• Perinatal research, including 20-year membership in the National Institutes of Health Maternal Fetal Medicine Units Network

• Maternity center (award-winning)

When your patients experience high-risk pregnancies, you want the assurance that they are being referred to an experienced program that is well-equipped to provide every technology and type of expertise available.

The Division of Maternal Fetal Medicine at The Ohio State University Medical Center works in consultation with primary care and obstetric providers to ensure the highest caliber of care for patients with high-risk pregnancies and their babies. For a quarter-century, our program has been nationally recognized as a leader in high-risk obstetric care, perinatal research and new technologies.

Our 12 maternal fetal medicine specialists and genetics fellowship-trained maternal fetal medicine specialist are pleased to collaborate with you for the well-being of your patients.

Diabetes in Pregnancy Programdirectors: celeste durnwald, Md, and Mark landon, Md

We have the only multidisciplinary Diabetes in Pregnancy Program in central Ohio; one of the 10 largest such pro-grams in the United States. We have cared for thousands of women with pregnancies complicated by pre-existing diabe-tes and gestational diabetes. During the last academic year, approximately 200 women were enrolled in our program.

Features of our program include nutritional counseling, three dedicated Diabetes in Pregnancy educators and con-sultative services for blood sugar management, including computerized assessment and insulin pump therapy.

“Often, women who have pre-existing diabetes or who develop diabetes during pregnancy can benefit a great deal from one-on-one maternal fetal medicine consultation and guidance during their pregnancies,” says Mark Landon, MD, director of the Division of Maternal Fetal Medicine at Ohio State’s Medical Center. “They can be helped by one of our three Diabetes in Pregnancy educators and continue to see their local physicians for obstetric care. Our primary goal is to help women who have diabetes succeed in having healthy babies.”

Premature Birth Prevention Programdirector: Jay iams, Md

Our specialized Premature Birth Prevention Program for women with a history of preterm birth and those at risk dur-ing a current pregnancy is one of a few such programs in the United States devoted solely to this high-risk population.

This program, which serves 150 to 200 women per year, is staffed by Jay Iams, MD, a team of maternal fetal medicine specialists and a dedicated nurse who provides counseling and support to the patients. Our Division of Maternal Fetal Medicine is engaged with Nationwide Children’s Hospital in the Ohio Better Birth Outcomes Initiative aimed at prevent-ing prematurity throughout central Ohio and the surround-ing region. We have long been recognized as a pioneer in screening techniques and risk-factor assessment for women at risk for prematurity.

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Maternal Fetal Medicine

“Women who have a history of or who are at risk for pre-term birth are a diverse patient group that requires an indi-vidualized approach to care,” says Dr. Iams. “Our program is dedicated to assisting these patients with prepregnancy counseling and guidance in lifestyle changes, medication use, risk reduction and symptom awareness.”

Prenatal Diagnosis Clinic and Genetics Counselingdirector: Britton rink, Md, MS

Our Prenatal Diagnosis Clinic offers a full array of prenatal diagnostic testing, including first trimester risk assess-ment for aneuploidy. We were the first provider in the area to offer fetal nasal bone measurement as part of the first trimester screening protocol to detect fetal abnormalities and genetics defects.

Our team of genetics counselors assists patients who may be at increased risk for offspring with genetic abnormalities or a family history of a genetic condition.

See Practice Tool for more information.

Fetal Treatment Programdirector: richard o’Shaughnessy, Md

Led by Richard O’Shaughnessy, MD, our Fetal Treatment Program is closely linked to our genetics and prenatal diagnostic programs. The Fetal Treatment Program provides diagnostic and therapeutic options for the most complex prenatally diagnosed structural fetal abnormalities. We were the first perinatal center in Ohio to perform invasive fetal procedures, and we continue to be recognized nation-ally for the management of these complex disorders.

Cardiac Disease and Pregnancy Program director: david colombo, Md

In collaboration with cardiologists at Ohio State’s Richard M. Ross Heart Hospital, we provide comprehensive, multi-disciplinary care for pregnant women who have congenital or chronic cardiac problems. This is an important feature of our Maternal Fetal Medicine Program, as increasing numbers of women of reproductive age have survived con-genital heart disease. They represent some of the highest risk pregnancies in addition to those with acquired cardiac conditions. OSUMC’s Maternal Fetal Medicine is the only program in central Ohio to offer this level of specialized care.

OTHer FeaTures

Our Maternal Fetal Medicine Program is a leading referral center in the region for maternal transports. In the last two years, more than 800 patients were admitted in transfer from area physicians and hospitals for obstetrical complications.

The Ohio State University Medical Center also features the largest neonatal intensive care unit of any obstetric facility in central Ohio, staffed in collaboration with Nationwide Children’s Hospital.

PerinaTal researCH

Our scientists and physicians never cease in their efforts to improve the care of mothers and babies. Our Maternal Fetal Medicine Program is a leader in research studies through our 20-year membership in the highly competitive national institute of Child Health and Human Develop-ment Maternal Fetal Medicine units network and the north american Fetal Therapy network. Among the studies being conducted at OSUMC are those to:

• Determine if treatment with progesterone will reduce the risk of preterm birth in women found to have a short cervix in their first pregnancy.

• Discover if there is an association between the level of anemia in a fetus from the mother’s antibodies and levels of oxidative stress.

• Learn which fetuses of women who have lower urinary tract obstruction might benefit from treatment during pregnancy.

• Learn if a blood test or test of the amniotic fluid can predict the severity of twin-twin transfusion.

• Examine the outcomes of pregnancies treated with radiofrequency ablation.

• Evaluate a noninvasive test for fetal Rh type during pregnancy.

• Determine if prenatal surgery will improve the outcomes of babies with spina bifida.

• Determine the causes of premature labor and pre-eclampsia.

• Determine if treatment of maternal sub-clinical hypothy-roidism benefits newborns and infants.

• Determine appropriate measures for safety and quality in obstetric care.

Patients have opportunities to participate in research

studies for which they qualify.

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MaTernal feTal MedICIne | Practice Tool

Helping your patients navigate prenatal genetics testing

Prenatal genetics screening and diagnosis have evolved rapidly in the last decade. Providers are challenged to identify at-risk obstetrics patients and to discuss available screening technologies, their implications and reproductive outcomes. The Maternal Fetal Medicine Program at The Ohio State University Medical Center provides comprehen-sive prenatal testing and genetics counseling, and can help personalize risk assessment and prenatal diagnosis options for your patients.

Prenatal testing includes risk assessment for:

• Chromosome imbalances (aneuploidy)

• Ethnicity-based genetic carrier screening

• Patient-specific risk evaluation for heritable conditions and birth defects screening and diagnosis of aneuploidy

In 2007, the American College of Ob-stetricians and Gynecologists issued a Practice Bulletin recommending all pregnant women, regardless of age, should be offered screening and diag-nostic testing for aneuploidy. Screen-ing and diagnostic tests are available

in the first and second trimesters.

Between 11 and 13 weeks of gestation, risk for trisomy 21, trisomy 18 and trisomy 13 is calculated by combining a measurement of the nuchal translucency, presence or absence of the nasal bone, and two maternal biochemical analytes. The diagnostic testing option in the first trimes-ter, after 10 weeks of gestation, is chorionic villus sampling (CVS). This is used to diagnose chromosomal abnormali-ties or provide tissue for DNA testing if a specific condition is identified. Because first-trimester screening does not assess risk for neural tube defects, patients are advised to have alphafetoprotein screening in the second trimester.

In the second trimester, screening for aneuploidy and neural tube defects is traditionally done with a combination of four maternal serum biochemical markers. Advanced ultrasound techniques identify structural birth defects. Amniocentesis is the optimal diagnostic test available after 15 weeks of gestation. Women who have first-trimester risk assessment

should not be offered independent biochemical screening for aneuploidy in the second trimester. To enhance the de-tection rate for trisomy 21, it is possible to combine first- and second-semester analytes. However, this should be done with appropriate counseling and education.

Abnormal first- and second-trimester serum markers or an increased nuchal translucency measurement may indicate risk for other genetic conditions, congenital abnormalities or adverse pregnancy outcomes, such as growth restric-tion and fetal demise. Ohio State’s Maternal Fetal Medicine Program features one of the region’s only teams of high-risk prenatal specialists and high-quality maternal fetal diagnostic and fetal treatment options for your patients and their families. ethnicity-based carrier screening

Enhanced understanding of disease-causing variations in the human genome provides new opportunities to iden-tify heritable disorders that occur more frequently within certain ethnic groups. Taking a family history and inquiring about ethnicity allows a physician to identify patients who may be carriers and at higher risk of having children with a genetic condition. Heritable conditions and birth defects

Many complex disease processes, such as mental retarda-tion, autism, bleeding conditions and multiple unexplained miscarriages, may reflect an underlying genetic condition yet unknown to the family or medical providers.

Patients considering pregnancy or being seen in the prena-tal setting should be asked to identify family members with multiple miscarriages, mental retardation, birth defects and other medical complications. A referral to a medical geneti-cist may be recommended to provide accurate reproduc-tive counseling.

“Our Maternal Fetal Medicine Program offers a full complement of prenatal genetic testing, including the very important and highly sensitive counseling component to help patients interpret the information they receive,” says Britton Rink, MD. “Communicating potentially life-changing news to expectant patients can be difficult. Our team is available to help you determine when testing is recom-mended and to provide as much of that service to your patients as needed. In many cases, women can receive testing at OSUMC and continue to receive their prenatal care from their primary obstetrician.”

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MATERNAL FETAL MEDICINE FACULTy

Mark landon, MD chair, department of obstetrics and gynecology, director of the division of Maternal Fetal Medicine, Professor of obstetrics and gynecology

Fellowship/Residency: Hospital of the University of Pennsylvania Medical School: Cornell University Medical College

David Colombo, MD director, cardiac disease and Pregnancy Program, assistant Professor of obstetrics and gynecology

Fellowship/Residency: University of Chicago Medical School and The Ohio State University Medical Center Medical School: The Ohio State University Medical Center

Celeste Durnwald, MDDirector of the Diabetes and Pregnancy Program, assistant Professor of Obstetrics and Gynecology

Fellowship/Residency: Summa Health System and Case Western Reserve University Medical School: Northeastern Ohio Universities Colleges of Medicine and Pharmacy

Hugh ehrenberg, MDassociate Professor of Obstetrics and Gynecology

Fellowship/Residency: Cooper University Hospital, Danbury Hospital and MetroHealth Medical Center Medical School: New Jersey Medical School

Jay iams, MDVice Chair of Obstetrics and Gynecology, Director of the Premature Birth Prevention Program, Profes-sor of Obstetrics and Gynecology

Fellowship/Residency: University of New Mexico, Phoenix Hospitals, The Ohio State University Medical Center Medical School: University of Wisconsin Medical School

Chris lang, MDClinical assistant Professor of Obstetrics and Gynecology

Fellowship/Residency: The Ohio State University Hospitals, Riverside Methodist Hospital Medical School: University at Buffalo, The State Uni-versity of New york School of Medicine

Wanjiku Musindi, MDassistant Professor of Obstetrics and Gynecology

Fellowship/Residency: Emory University School of Medicine Medical School: Meharry Medical College School of Medicine

richard O’shaughnessy, MDProfessor of Obstetrics and Gynecology

Fellowship/Residency: Barnes-Jewish Hospital, Washington University, St. Louis School of Medicine, The Ohio State University College of Medicine - Department of Obstetrics and Gyne-cology, Northwestern University Feinberg School of Medicine Medical School: The Ohio State University Medical School

Mona Prasad, DO, MPHassistant Professor of Obstetrics and Gynecology

Fellowship/Residency: The Ohio State University Medical Center Medical School: Arizona College of Osteopathic Medicine of Midwestern University

Britton rink, MD, Ms,assistant Professor of Obstetrics and Gynecology

Fellowship/Residency: The Ohio State University College of Medicine - Department of Obstetrics and Gynecology Medical School: Indiana University School of Medicine

Philip samuels, MDassociate Professor of Obstetrics and Gynecology

Fellowship/Residency: Eastern Virginia Medical School, University of Pennsylvania Health System - Department of Obstetrics and Gynecology Medical School: Texas Tech University School of Medicine

Cynthia shellhaas, MD, MPH Clinical associate Professor of Obstetrics and Gynecology

Fellowship/Residency: Akron General Medical Center, Duke University School of Medicine Medical School: Northeastern Ohio Universities College of Medicine

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© 2010 The Ohio State University Medical Center – 08

The Ohio State University Medical CenterMaternal Fetal Medicine Program

medicalcenter.osu.edu/go/MFM

OsuMC Maternity Center

More than 4,500 babies are born each year at the fully renovat-ed labor and delivery unit at The Ohio State University Medical Center and the number grows each year. Having a Level III (the highest) Neonatal Intensive Care Unit qualifies us to handle deliveries with special circumstances. We are well experienced with high-risk, multiples and special-needs deliveries.

Our Maternity Center provides state-of-the-art facilities in the warm, home-like environment expectant mothers want from a maternity center. The labor and delivery unit of our Maternity Center received a top award for architectural design in a competition sponsored by Modern Healthcare magazine and the American Institute of Architects’ Academy of Architecture for Health. From a field of more than 200 entries, our Maternity Center was one of two facilities to receive an award. Our 32,000-square-foot unit was judged as providing “a sense of warmth and serenity.”

Did You Know…?

The Division of Maternal Fetal Medicine is part of the Department of Obstetrics and Gynecology at The Ohio State University Medical Center—one of the highest-ranked (US News & World Report) academic Obstetrics and Gynecology departments in the United States. Two of the internationally used leading textbooks in this field, Creasy and Resnik’s Maternal-Fetal Medicine: Principles and Practice and Gabbe: Obstetrics: Normal and Problem Preg-nancies, are edited by members of the Division of Maternal Fetal Medicine at The Ohio State University Medi-cal Center. This is but one way that OSUMC physicians are involved in helping educate physicians across the country.

Contact

The Ohio state university Medical Center Maternal Fetal Medicine Program 614-293-2222 High-risk Maternal Transport line | 1-800-282-6502

We appreciate your referrals and welcome the opportunity to partner with you in the care of your patients. We are committed to providing personalized, high-level care and to communicating with you about the care your patients receive at The Ohio State University Medical Center.

The Ohio State University Comprehensive Cancer Center –

arthur G. James Cancer Hospital and richard J. Solove research Institute

Gynecologic Oncologyw State-of-the-art diagnosis and treatment

w Advanced robotic treatments

w How to identify patients for genetic testing

Women’s Health


Ohio State’s Gynecologic OncologyComprehensive, compassionate care for reproductive organ cancers

The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (OSUCCC-James) is dedicated to provid-ing the best gynecologic cancer research and treatment. Having these functions under one roof enables our mul-tidisciplinary team of gynecologic cancer physicians and researchers to better translate the knowledge gained from treating and studying thousands of patients to improve clinical outcomes.

Most of the 80,000 U.S. women diagnosed with a gyne-cologic cancer each year will need a major surgery that in-cludes a hysterectomy and lymph node dissection, surgical staging, radical hysterectomy or a tumor debulking proce-dure. Our gynecologic oncology program features state-of-the-art methods to diagnose and treat tumors, including robotic surgery, a viable and much less invasive option.

We were one of the first cancer centers in the nation certified to perform minimally invasive

surgery on gynecologic cancers.

Patients have access to unparalleled experience in robotic procedures at OSUCCC-James including:

• Hysterectomy and lymphadenectomy for uterine cancer

• Radical hysterectomy and lymphadenectomy for cervical cancer

• Removal of ovary with or without hysterectomy, lymph-adenectomy and staging for ovarian cancer

• Hysterectomy and removal of ovaries as risk-reduction surgery in patients at risk for gynecologic cancer

• Removal of ovary or ovarian cyst in patients with a pelvic mass

• Hysterectomy for precancerous lesions of cervix or uterus

aBout our roBoticS PrograM

• Our Center for Advanced Robotic Surgery has thesecond-highest volume of robotic procedures in the United States.

• Our surgeons perform more gynecologic oncology robotic procedures than any hospital in Ohio.

• Ohio State has a fellowship-trained gynecologic oncolo-gist and a general gynecologic surgeon who has more than 20 years of experience.

• Our surgeons can treat many patients who are deemed unsuitable for robotic procedures elsewhere, including those who are obese, who have scar tissue from previous surgeries or who have complex cases.

• Our multidisciplinary robotic team has unparalleled experience – from the nurses and operating room staff to anesthesiologists and surgeons.

• We have offered robotic procedures in gynecology oncol-ogy since they were approved by the U.S. Food and Drug Administration (FDA) in 2006.

• We had the first da Vinci robot in the entire country.

• Our surgeons perform more robotic procedures in a day than most hospitals do in a month.

David Cohn, MD and Jeffrey Fowler, MD with the daVinci robot.

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gynecologic oncology

• Our surgeons train other surgeons in gynecologic robotic techniques and are invited to lecture and instruct around the country.

• The Ohio State University Medical Center is one of only 21 training centers for the da Vinci Surgical System in the United States.

• Our expertise is regularly sought by the FDA when select-ing sites for new robotic procedures and clinical trials.

reSearch

Our researchers lead and participate in privately and pub-licly funded clinical trials and participate in National Cancer Institute-sponsored clinical research groups. Patients have access to novel treatments not available elsewhere due to our involvement in groundbreaking research. Current ongo-ing trials include:

• Extending overall survival of advanced ovarian cancer patients by delivering drugs in two separate sites (IV and abdomen)

• Increasing the effectiveness and tolerability of paclitaxel for ovarian cancer

• Developing a vaccine to decrease ovarian cancer growth

• Investigational trials to evaluate PARP inhibitors in ovarian cancer

• Investigator initiated trials evaluating the use of targeted therapies in ovarian, uterine and cervical cancer

hoPe’S Boutique - a reSource For your PatientS

Women in all stages of cancer may require specialized clothing and body-care products. Hope’s Boutique, the only boutique of its kind in central Ohio, provides these unique resources along with a personal touch to support women who have or had cancer.

For 12 years, Hope’s Boutique has been a beloved com-munity resource. Women can shop for wigs, prostheses, clothing, scarves, hats and other products, with individual assistance and complimentary fittings in a warm, compas-sionate environment.

Proceeds from sales benefit the Hope Fund, which provides access to Hope’s Boutique products for financially disad-vantaged women.

Hope’s Boutique is located in Dublin in the Stoneridge Medical Center (West Dublin-Granville Road, just west of Sawmill Road). In the winter of 2011, Hope’s Boutique will move to a larger facility in the new JamesCare Comprehen-sive Breast Center on Olentangy River Road.

OSU Gynecologic Oncology at Mill RunThe Lane Family Women’s Cancer CenterIn the last year the division of Gynecologic Oncology moved to a new home in the Mill

Run shopping center in Hilliard. Conveniently located off interstate 270, the facility is

easy to get to and provides ample free parking. This 17,000 square-foot state-of-the-art

facility provides many resources for patients and their family and friends including a

library with internet access and a survivorship clinic.

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GyneCOlOGIC OnCOlOGy | Practice Tool

identifying Patients for Our Clinical Cancer Genetics Program

It’s no secret that cancer runs in some families. Some of your patients may believe they have an inherited cancer risk or you may suspect a genetic component. In those cases, you may want to refer them for genetic testing from a reputable resource. This information can help you deter-mine which patients may benefit from genetic testing.

Individuals who may want to consider genetic counseling and testing include those who:

• have a strong family history of cancer – two or more close family members on the same side of the family with the same or related cancers

• had cancer at an early age, had more than one kind of primary cancer or had a close family member with these features

• come from a family that is known to have an inherited cancer syndrome

• have a rare cancer, such as breast cancer in men or an adrenal gland tumor

The Ohio State University Medical Center and OSUCCC-James’ Clinical Cancer Genetics Program provides cancer risk assessment, including explaining the role of genes in causing cancer, predicting the likelihood the individual will develop cancer or have a recurrence, and estimating the chance that a risk for cancer might be passed along through the genes in the family. Patients meet with a ge-netic counselor and a physician who specializes in cancer genetics to complete a family medical history, learn ways to lower their risk of cancer and detect it early when it is most easily treated.

Program staff members assist patients in tracking down medical records and death certificates of family members to complete a three-generation family tree, and provide a letter that can be sent to family members who may be af-fected by genetic test findings.

“It is important that genetic testing is comprehensive and includes counseling to ensure the patient fully understands the results, the ramifications and the limitations,” says Heather Hampel, a genetic counselor at The Ohio State University Medical Center.

“Today, insurance coverage for genetic testing is much better and the criteria are reasonable,” says Hampel. “The good news is that most people do not have a hereditary

cause of their cancer. However, breast, ovarian and uterine cancers can have a hereditary component. If a patient is diagnosed with one of those cancers, genetic testing may be appropriate.”

Persons interested in learning more about their family history of cancer can visit https://familyhealthlink.osumc.edu, The Ohio State University Medical Center’s Family HealthLink interactive tool, to estimate risk by reviewing disease patterns in a family. If the personalized risk assess-ment indicates high risk, a genetic consultation may be in order. If the assessment indicates moderate risk, increased cancer screening may be in order.

ohio State university Medical center and oSuccc-James’ clinical cancer genetics Program information and appointments:

614-293-6694/888-329-1654 cancer.osu.edu/go/genetics

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CLINICAL TEAM

Jeffrey Fowler, MD Board certified in gynecologic oncology director, division of gynecologic oncology co-director, ohio State’s center for advanced robotic Surgery Professor of obstetrics and gynecology John g. Boutselis, Md, chair in gynecology

Fellowship: Gynecologic Oncology, UCLA School of Medicine and Cedars-Sinai Residency: The Ohio State University Medical CenterMedical School: Northwestern University

David Cohn, MD Board certified in gynecologic oncology donald g. Jones, Md, and Patsy P. Jones designated Professorship in oB/gynecology Professor of obstetrics and gynecology

Fellowship: Washington University School of Medicine Residency: University of Washington Medical Center Medical School: Georgetown University School of Medicine

larry Copeland, MDBoard certified in gynecologic oncologyProfessor of obstetrics and gynecology William greenville Pace iii and Joan norris collins-Pace chair of obstetrics and gynecologyFellowship: University of Texas-MD AndersonResidency: McMaster UniversityMedical School: University of Western Ontario

ContactThe OsuCCC-James Gynecologic Cancer Program

We often can see your patient who has been diagnosed with cancer the next day. Prompt access to specialty care can help alleviate the emotional duress that accompanies a cancer diagnosis.

new Patient referral line | 800-293-5066

We appreciate your referrals and welcome the opportunity to partner with you. We are committed to maintaining consistent communication with you about the patients you refer, so you stay well informed about the care they receive at OSUCCC-James.

eric l eisenhauer, MDBoard eligible obstetrician/gynecologistassistant Professor of obstetrics and gynecology

Fellowship: Memorial Sloan-Kettering Cancer CenterResidency: Brigham & Woman’s HospitalMedical School: University of California, San Diego School of Medicine

David O’Malley, MDBoard certified in gynecologic oncologyassistant Professor of obstetrics and gynecology

Fellowship: yale University School of MedicineResidency: Case Western Reserve UniversityMedical School: Wayne State University School of Medicine

ritu salani, MD, MBa Board eligible obstetrician/gynecologist assistant Professor of obstetrics and gynecology

Fellowship: Johns Hopkins Medical InstituteResidency: Emory University HospitalMedical School: Northeastern Ohio Universities College of Medicine

Judith Westman, MD Board certified medical genetics and pediatrics Professor of clinical Medicine director, division of human genetics

Fellowship and Residency: The Ohio State University Medical Center Medical School: The Ohio State University College of Medicine

GENETICS

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Gynecologic Oncology

cancer.osu.edu

The Ohio State University Medical Center

Center for Women’s Health

w Comprehensive, coordinated care in a single facility

w Services for routine to complex care

w Advanced robotic surgery capabilities

Women’s Health


Women’s healthcare needs consist of more than just repro-ductive health. While women may get many of the same diseases and conditions as men, women are often affected differently and treatments can vary. “Increasing awareness of gender-related health differences is important for provid-ers to personalize treatment plans and for the public to better understand their personal health,” says Laxmi Mehta, MD, assistant program director for Educational Outreach at the Center for Women’s Health. With women comprising more than half of our inpatient and outpatient populations, The Ohio State University Medical Center created a Center for Women’s Health to address women’s health needs in a multidisciplinary environment dedicated to clinical care, research and education.

says Michael Blumenfeld, MD, clinical director of the Center for Women’s Health. “Women can benefit from easy access to the many areas of excellence at our University, including seamless referral from one specialist to another within the Center for Women’s Health. Whether a patient’s need is routine or complex, this spacious new clinic provides multi-disciplinary care under one roof.”

clinical care

The Center for Women’s Health was officially established in 2007, and our clinical center opened in 2009. In a single setting, patients can see providers specializing in:

• Primary Care

• Integrative Medicine

• Gynecology

• Menopause

• Minimally Invasive Gynecologic Surgery

• Cardiology

• Endocrinology

• Osteoporosis

“The Center for Women’s Health focuses on all health con-cerns experienced by women across their lifespan – health services used solely by women, more commonly by women than men, or in a unique way by women compared to men,” says Dr. Blumenfeld.

“The Ohio State University Medical Center, part of a thriv-ing university campus, is uniquely suited to draw upon the expertise, experience and diversity of many aspects of women’s health – not only medicine but also public health, early childhood education, sociology and psychiatry,” says Dr. Blumenfeld. “We strive to engage faculty, staff, students and patients in a common vision for women’s health.”

reSearch

Researchers in the Center for Women’s Health are com-mitted to furthering women’s health issues to meet their evolving needs. At present, researchers have received pilot funding to study:

• Premenstrual asthma

• Endocrine resistant breast cancer

• Effects of aspirin on HDL in postmenopausal women

education

The Center for Women’s Health is committed to furthering education about women’s health. We provide continuing medical education (CME) courses for providers and also pro-grams for members of the community. Recent programs have addressed coronary artery disease, supplements and vitamins, and robotics and minimally invasive gynecologic procedures. For information about CME courses, visit ccme.osu.edu.

Ohio State’s Center for Women’s HealthCommitted to meeting the unique health and wellness needs of women through innovative research, education, and patient care.

ContactCenter for Women’s Health at The Ohio state university Medical Center | 614-293-2076

The Center for Women’s Health is conveniently located close

to the Medical Center at 915 Olentangy River Road. This

4,700-square-foot clinic is the only multidisciplinary women’s

health center in Columbus. The clinic offers ample free parking

and is easily accessed off of State Route 315, between Third

Avenue and Goodale Boulevard.

“Women are busy, working, volunteering and caring for everyone

else in the family so we have united a wide array of healthcare

services just for women in a single setting for their convenience,”

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center For WoMen’S health

roBotic Surgery caPaBility

The Center for Women’s Health has a close affiliation with our Center for Advanced Robotic Surgery, allowing us to offer full-spectrum care from benign conditions to urogyne-cology and oncology. Women who need surgery for benign gynecologic conditions including hysterectomy can be evaluated for their suitability for minimally invasive robotic procedures at our center. Our surgeons are experienced in complex procedures, including ovarian and uterine masses and benign tumors. Patients who have robotic surgery benefit from less blood loss, pain and scarring, and less risk of infection.

Ohio State’s Center for Advanced Robotic Surgery has the second-highest volume of robotic procedures in the United States. We have offered robotic procedures since they were approved by the Food and Drug Administration (FDA) in 2006. In fact, we had the first robot for these procedures in the entire country.

our center for advanced robotic Surgery provides gyne-cologic procedures for:

• Hysterectomy for benign gynecologic abnormalities

• Hysterectomy for risk-reduction for patients with BRCA genetic mutations who are at high risk for ovarian cancer

• Myomectomy for removal of uterine fibroids

• Benign ovarian tumor removal

• Sacral colpopexy and other procedures for pelvic organ prolapse

• Gynecologic oncology

“Our robotic team is large and multidisciplinary and has unparalleled experience, from the nurses and operating room staff to anesthesiologists and surgeons,” says Dr. Blu-menfeld. “Robotics has revolutionized gynecologic surgery. Today, many procedures can be performed through small incisions with robotic techniques. However, robotic surgery is only a tool. It is optimally effective only in the hands of experienced surgeons. Ohio State’s team of robotic surgeons includes a urogynecologist, gynecologic oncolo-gist and general gynecologic surgeons. you will not find this depth elsewhere.”

Priscilla Bresler, MDgeneral internal Medicine - Primary care

CENTER FOR WOMEN’S HEALTH TEAM

laxmi Mehta, MD cardiology

Michael Blumenfeld, MD gynecology and Minimally invasive gynecologic Surgery

rebecca Jackson, MD endocrinology and osteoporosis

Cynthia evans, MD gynecology and Menopause

ruslana Kurpita, MDintegrative Medicine and Family Medicine – Primary care

Jennifer Dush, CnPgynecology and general internal Medicine – Primary care

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center For WoMen’S health

The Ohio State University Medical CenterCenter for Women’s Health

cwh.osu.edu

ranKeD aMOnG THe BesT

The Ohio State University Medical Center’s gynecology program has earned a spot as one of the nation’s top 20 programs in the latest rankings by U.S. News & World Report. The rankings, contained in the magazine’s “America’s Best Hospitals” edition, are based on several criteria including patient safety and mortality.

In addition to gynecology, 10 other Ohio State medical specialties are recognized for excellence in the magazine, deemed one of the country’s leading consumer guides to top-performing hospitals. OSU Medical Center is the only central Ohio hospital listed in the rankings. For nearly two decades, U.S. News & World Report has consistently named OSU Medical Center as one of the nation’s best hospitals.


Ohio State’s Division of Plastic Surgery has expanded to keep pace with the growing demand for its advanced surgi-cal procedures. Outpatient surgeries are performed in a new state-of-the-art facility at 915 Olentangy River Road, just off State Route 315, in addition to a facility at Easton, where the primary focus is on cosmetic surgery and body contouring.

The Most Comprehensive Breast reconstruction in the region

With four microsurgeons trained at the renowned MD Ander-son Cancer Center, Ohio State offers the most comprehensive breast reconstruction services in central Ohio for:

• TRAM flap (microsurgical and non-microsurgical)• DIEP flap• GAP flap• TUG flap

“Our plastic surgery team is an integral part of breast cancer consultations at The James. We work collaboratively with physicians to create a complete treatment plan for each pa-tient, so they have all of their options up-front and can make informed decisions about their care,” says Michael Miller, MD, director of the Division of Plastic Surgery. “With breast reconstruction, we arrange to have a plastic surgeon involved in the original surgery, reducing recovery time and risk of infection for the patient, who would be required to undergo a second surgery at many other institutions.”

James Boehmler, MD, assistant professor in the Department of Plastic Surgery, performs a variety of secondary breast reconstruction surgeries. For some women who had radiation therapy to treat breast cancer, it may be best to allow time for healing prior to performing breast reconstruction. For oth-ers, the original surgery may have been overly complex for the doctor or there could have been complications from the original reconstructive surgery. “With a team of surgeons as well-trained and experienced as we have here at Ohio State, a patient will never be turned away or referred elsewhere.

We have everything right here.”

With thirteen surgeons, Ohio State Plastic Surgery is the largest plastic surgery group in the state. The plastic surgery team also provides sophis-ticated reconstructive surgery for defects involving the head and neck, torso and extremities.

the plastic surgery team provides the following services:

Reconstruction for: • Breast• Head and neck• Torso• Upper extremities, including hand• Lower extremities• Pediatric congenital deformities• Cancer• Trauma• Chronic wounds• Burns, including late scar deformities

Cosmetic Surgeries for:• Facial rejuvenation• Rhinopasty• Breast enhancement• Abdominoplasty• Post-bariatric body contouring

Advanced Plastic Surgeries Offered at New Facility


| Summer 2010 |

To refer patients or to learn more about our plastic surgery offerings, call 293-8566 or visit

www.surgery.osu.edu/plastic.

19

Our Regional Outreach team is here to assist you in accessing the resources, education and patient referral information you need most from OSU Medical Center. Call on your Regional Outreach Coordinator at any time for information such as:

• Help with referring patients

• Requests for visits/calls withOSU physicians

• Requests for patient materials

• Access to CME and clinical research opportunities

Franklin County:Noreen Palmer | 614-366-6680

east/southeast Ohio:Karen Mitchell | 614-293-4352

north/West Ohio:Bill Cox | 614-293-2824

reGiOnal

OuTreaCH TeaM...

Here to Serve You

The Ohio State University Medical Center is purchasing a 136,000 square-foot building near University Hospital East. Expected to open

in 2011, the new facility will provide expansion for the Medical Center’s orthopaedic surgery program and alternate sites for several other medical services including cardiology and pulmonary medicine.

The facility, named OSU Medical Center CarePoint East, is two blocks from Ohio State University Hospital East at the Leonard Avenue exit of I-670, providing easy access for patients traveling from all areas around Ohio.

“CarePoint East will allow us to grow many key programs, including ortho-paedics, and it’s a great location – adjacent to a major highway corridor and in a neighborhood that we have called home since 1999 when we opened OSU Hospital East,” said Elizabeth Seely, executive director of University Hospital East.

Other programs expected to expand into the new facility include the spine center, imaging, physical therapy, endocrinol-ogy, infectious diseases, nephrology and rheumatology among others.

The Ohio State University Medical Center’s heart program jumped 17 places – from 37 to 20 – to earn

a spot as one of the nation’s best in the latest rankings by U.S. News & World Report. The rankings, contained in the magazine’s “America’s Best Hospitals” edition, are based on several criteria including patient safety and mortality.

In addition, 10 other Ohio State medical specialties are recognized for excellence in the magazine, deemed one of the country’s leading consumer guides to top-performing hospitals. OSU Medical Center is the only central Ohio hospital listed in the rankings.

The magazine also recognized Ohio State programs in cancer, diabetes & endocrinology, gynecology, kidney disorders, neurology & neurosurgery, orthopaedics, pulm-

onology, rehabilitation, urology, and ear, nose and throat as being among the best in the country.

Earlier this year, Ohio State’s Department of Pediatrics, housed at Nationwide Children’s Hospital, was ranked 19th by U.S. News & World Report among the top pediatric pro-grams at medical schools in the United States.

For nearly two decades, U.S. News & World Report has consistently named OSU Medical Center as one of the na-tion’s best hospitals. The “America’s Best Hospitals” issue, considered by many consumers and health care industry analysts as a leading indicator of quality care and perfor-mance, is compiled using data collected annually from more than 5,000 U.S. hospitals.

Medical Center Earns 11 Spots on U.S. News “America’s Best” List

New 136,000 Square-Foot Outpatient Facility Coming to Ohio State

20

Benefits at a Glance:

• Training offered for lifestyle, devices, diet and glucose management

• Ideal for educating pre-diabetics, diabetics and caretakers

The Ohio State University Medical Center Division of Endo-crinology is offering “The Scarlet and Gray Way to Diabetes Management” classes aimed at training patients with dia-betes to successfully self-manage their disease. People with pre-diabetes will also find the classes beneficial, reducing the progression to diabetes. Family members and friends are encouraged to attend. Physician referral is required.

General Management ClassesThis class is ideal for people who have been diagnosed with pre-diabetes or are newly diagnosed with diabetes. Concepts covered in Class One include blood glucose monitoring and target levels, carbohydrate counting and meal planning, medications and exercise. Class Two concepts include making a day-to-day plan for living with diabetes, avoiding long-term complications, treat-ing short-term complications, eating heart-healthy and evaluating current diabetes management.

intensive Management ClassesIntensive classes are for people who are managing their diabetes by monitoring blood glucose levels and taking rapid-acting insulin prior to each meal. Class One con-cepts include monitoring and recording blood glucose levels, carbohydrate counting and dosing insulin based on insulin: carbohydrate ratio and a sensitivity factor. Class Two concepts include evaluating blood glucose trends, medication, eating heart-healthy, avoiding long-term complications and treating acute complications.

1:1 nutrition ClassesThese limited spots are for individuals who are current on their diabetes management but need to fine-tune the nutritional aspects of their diabetes management.

GeT sTarTeD:To refer a patient, please call 614-292-3800.• Classes take place on the campus of Ohio State Uni-

versity Medical Center and University Hospital East. • A new series of classes start at the beginning of

each month.


• Expedited physician referral

• The only clinic of its kind in the area

• Rapid, same-day appointments in most cases

Ohio State’s Richard M. Ross Heart Hospital created the Rapid Response Chest Pain Clinic to provide prompt care to patients experiencing chest pain or potential coronary ischemic symptoms not requiring immediate emergency department assessment. An expedited referral process makes it faster and easier to refer your patients.

referral GuidelinesLocated in the Ambulatory Care Center (ACC) at the Ross Heart Hospital, the clinic provides consultative assessment for higher risk patients with:

• Chest pain or possible acute coronary syndrome

• New onset angina or angina equivalent

• Known coronary disease with change in symptoms

GeT sTarTeD: To refer a patient, call 614-366-1279 with the patient’s name and date of birth.

• Patients will be seen the same day as the referral if they can arrive before 3:30 p.m. All other patients will be seen on the next clinic day.

• After 4:30 p.m., on holidays or on weekends, please leave a message with pertinent patient information and the patient will be seen at 9 a.m. the next busi-ness day at Ohio State’s Ross Heart Hospital ACC.

• To help expedite referrals, after calling the Chest Pain Clinic, please fax referral to 614-293-7285.

New Specialty Clinic for Patients with Non-Emergent Chest Pain

Diabetes Self-Management Training Offered

21

Attend the Personalized Health Care National Conference


• New outlet for treatment-resistant psychiatric disorders

• Treatment options for obsessive-compulsive disorder and major depression

• Pioneering techniques include deep-brain stimulation

The Medical Center’s new Treatment-Resistant Mood and Anxiety Disorders Program, led by Radu Saveanu, MD; Stephen Pariser, MD; and Ali Rezai, MD, provides consultation and diagnostic services for patients with complex, treatment-resistant psychiatric disorders.

Qualified patients will be evaluated by team special-ists over the course of several appointments who will then collaborate on a personalized recommendation for continued care. Treatment options include pharmaco-therapy, cognitive behavioral therapy, electroconvulsive therapy and now deep brain stimulation for obsessive-compulsive disorder.

Patients eligible for consideration by the team must have treatment-resistant obsessive-compulsive disorder or major depression with the following criteria:

• Failure to respond to three well-documented trials with selective serotonin reuptake inhibitors (SSRI) for at least three months at maximum tolerated dose (one of the three can include clomipramine)

• One failed trial of SSRI with clomipramine

• One failed trial of SSRI with an atypical antipsychotic

• Well-documented evidence of 20 cognitive behavior therapy sessions with exposure and response prevention

Referring physicians will receive a comprehensive report, detailing the team’s findings and recommendations for the patient’s continued care under the supervision of the referring physician.

GeT sTarTeD:For more information or to schedule an evaluation for a patient, contact Megan Swart, Psychiatry coordi-nator, at 614-366-4600 or [email protected] or Jenna Stump, Neurosurgery coordinator, at 614-366-6952 or [email protected].

New Program Addresses Mood, Anxiety Disorders

WHAT yOU’LL LEARN:

• Transforming medicine from sick care to wellness care

• How personalized healthcare will change the way you treat and interact with your patients

• How genomic testing will aid in the prediction of clinical events

The Ohio State University Medical Center will host its Third Annual Personalized Health Care National Conference: Advancing Predictive, Preventive, Personalized and Partici-patory (P4) Medicine October 14 - 15, 2010, in Columbus. A special discount on registration is offered to readers of Consult. See details below.

Now in its third year, the Ohio State conference is one of the most dynamic and interactive annual discussions among healthcare leaders, government policy-makers, healthcare providers, researchers, industry experts, academic leaders, and consumer-advocacy groups on the subject of personal-ized health care (PHC).

rooted in genetics and Dna analysis, personalized health care is a form of care in which disease prevention and treatment are customized to each individual based on his or her unique biology, behaviors and environment.

Sponsored by the Institute for Systems Biology, the OSU Center for Personalized Health Care, and the Personalized Medicine Coalition, a keynote address will be provided by Dr. Leroy Hood, president and founder of the Institute for Systems Biology and inventor of the technologies for DNA gene sequencing and synthesis, and protein sequencing and synthesis.

Discounted registration for Consult readers:

We are offering a 20% discount on your registration to

the conference. Visit cphc.osu.edu to register and enter

the code “member” to receive your 20% discount.

22

New Program Addresses Psychiatric Stress and Trauma


• One-of-a-kind program offering much-needed access to help victims of trauma

• Evidence-based trauma-informed practices and ap-proaches to improve patient outcomes

• Ongoing education for mental health care providers

The Department of Psychiatry’s Stress Trauma and Resilience (STAR) Program is an innovative and excit-ing initiative that advances the mission of personalized health care.

The STAR Program recognizes the importance of ad-dressing experiences of trauma both prior to and as a result of an injury or illness, utilizing evidence-based trauma-informed practices and approaches to care.

Specifically the STAR Program will:

• Serve as a resource for psychological trauma education and training for students, faculty and professionals from The Ohio State University and the central Ohio region.

• Conduct interdisciplinary research on the biological causes, and behavioral markers, prevention and treat-ment approaches of psychological trauma.

• Provide trauma-informed personalized health care.

Comprehensive Community educationThe STAR Program is committed to providing ongoing education for care providers in the hospital, campus and public mental health communities. The program brings nationally recognized leaders in the field of trauma to Columbus to share innovative research and evidence-based best practices.

learn MOre:For more information about the STAR Program, please contact Jessica Auslander, program coordinator, at 614-293-1415 or [email protected] or at psychiatry.osu.edu/12973.cfm.

The recently opened CarePoint at Gahan-na outpatient facility is fully staffed and

ready to accept new patient referrals.

CarePoint at Gahanna gives your patients access to services they might normally find at the Medical Center in a more convenient community setting. Many talented special-ists have transferred their practices from the Medical Center’s main campus to this new location. Services offered include:

• Digital mammography• 3T MRI • Non-invasive vascular testing• Cardiology testing• Athletic asthma care• Concussion management• Reconstructive foot and ankle surgery• Treatment of diabetic ulcers

For more information on specific services available and patient referrals, please use the phone numbers below:

Cardiovascular Medicine | 614-293-1965 Imaging | 614-293-4333 Neurology | 614-293-4969 Orthopaedics | 614-366-4332 Physical Therapy | 614-293-7600 Podiatry | 614-293-3668 Rheumatology | 614-293-1965 Sports Medicine | 614-366-4332 Wound Care Clinic | 614-293-1965

CarePoint at Gahanna920 N. Hamilton Road Gahanna, Ohio 43230 medicalcenter.osu.edu/go/Gahanna

Patients Being Accepted at New Outpatient Facility

23

Mark Landon, MD, will chair the OSU Depart-ment of Obstetrics and Gynecology pending OSU Board of Trustees approval. Dr. Landon has led the Department as Interim Chair since June 2009. He has also served as Director of the Division of Maternal-Fetal Medicine since 2002 and as Vice Chair of the Department of Obstetrics and Gynecology since 1997.

Dr. Landon is a widely published researcher and an internationally recognized authority on diabetes in pregnancy and on vaginal birth after cesarean delivery. He built Ohio State’s Diabetes in Pregnancy program into one of the largest in the United States, serving more than 200 new patients annually. He has also served as principal investigator for two studies in the Maternal-Fetal Medicine Units Network of the National Institute of Child Health and Human Development (NICHD), focused on gestational diabetes and cesarean delivery.

Dr. Landon was principal investigator of the largest prospective study ever performed on vaginal birth following cesarean delivery, which was published in the New England Journal of Medicine. He also chairs the cesarean delivery registry subcommittee of the NICHD Maternal Fetal-Medicine Units Network. Dr. Landon has published more than 200 articles and book chapters.

Dr. Landon joined our faculty in 1987. He completed his medical degree at Cornell University Medical College, and his residency in obstetrics and gynecology and a fellowship in maternal-fetal medicine at the Hospital of the University of Pennsylvania.

Ohio State’s Department of Obstetrics and Gynecology faculty continue to be nationally recognized for their contributions to the advancement of women’s health, and the department is ranked among the top 20 programs in the country.

Mark Landon, MD, to Chair Obstetrics and Gynecology

Mark landon, MD

In the most recent edition of Consult, Pat Ross, MD, was not listed among the surgical team for Cardiac and Cardiotho-racic surgery. We

apologize for the omission. Dr. Ross is the division chief of Thoracic Surgery with clinical and research interests in thoracic oncology, photodynamic therapy, lung volume reduction surgery and lung transplant.

referrals to Dr. ross can be made by calling 614-293-9059.

Omission

Pat ross, MD

Contact your regional Outreach Coordinator

to request your copy of our Physician Directory

or Physician referral Guide.

Do you have a copy?

24

Thomas Best, MD, co-director of Ohio State’s Sports Medicine Center, has been named president of the American College of Sports Medicine (ACSM). Best pre-viously served as president-elect of ACSM, vice presi-dent and associate editor-in-chief of the organization’s journal, Medicine and Science in Sports and Exercise.

Carlo Croce, MD, who leads the Human Cancer Genet-ics Program at Ohio State, is among 229 leaders in the sciences, social sciences, humanities, the arts, business and public affairs who have been elected to the 2010 class of the American Society of Arts and Sciences. Established in 1780 by John Adams and other found-ers of the nation, the Academy undertakes studies of complex and emerging problems.

Timothy Hewett, PhD, has accepted the newly created position, Director of Research of The Ohio State Univer-sity Sports Medicine Center. He will also be a tenured Professor in the Department of Physiology and Cell Biology. This appointment is effective January 1, 2011. Dr. Hewett currently directs the Sports Medicine Biodynam-ics Center at the Cincinnati Children’s Hospital.

Robert Higgins, MD, has been appointed as profes-sor of Surgery, and director of the Comprehensive Transplant Center, the Medical Center’s Transplant Signature Program and the Division of Cardiac Surgery. Prior to joining our team at the Medical Center, Dr. Higgins led the department of cardiovascular-thoracic surgery at Rush University in Chicago and served as chair of cardiothoracic surgery at the Medical College

of Virginia. Dr. Higgins earned his medical degree at yale University School of Medicine. He performed his residency in general surgery at the Hospitals of the University Health Center in Pittsburgh, where he served as chief resident. He completed a transplant fellowship at Papworth Hospital, an affiliate of the University of Cambridge, England, and continued his training at yale University School of Medicine, where he was a Win-chester Scholar and a fellow in cardiothoracic surgery.

Donald LeMay, DO, of OSU Sports Medicine, has been selected Team Physician of the year by the Ohio Ath-letic Trainers Association.

Sidney F. Miller, MD, professor of surgery, director, Burn Center, Division of Critical Care, Trauma, and Burn, has been elected the president of the American Burn Association.

Steven M. Steinberg, MD, professor of surgery; chief, Division of Critical Care, Trauma, and Burn; vice chair-man for Clinical Affairs, has been selected as the recipi-ent of the American College of Surgeons/American Surgical Association Health Policy Scholarship for the year of 2010.

Marc J. Tassé, director of The Ohio State University’s Nisonger Center, has been elected to a four-year lead-ership term with the American Association on Intel-lectual and Developmental Disabilities. In his first year, Tassé will serve as vice president, followed by each subsequent year as president-elect, president and past president.

Ohio State Physicians In The News

The Ohio State University Medical Center’s emergency departments at University Hospital and University Hospi-tal East have been named recipients of the HealthGrades 2010 Emergency Medicine Excellence Award™. Recipients of the award represent the top five percent of hospitals in

emergency medicine in the nation. This study found that a typical patient is much more likely to survive an emergency hospitalization at a top-performing hospital than at all other hospitals. Ohio State’s Medical Center is one of 255 nationally and one of only 37 in Ohio to receive this award.

HealthGrades Ranks Ohio State’s Emergency Departments Among the Best

25

Doclinkhealthsystem.osu.edu Web-based program allowing referring physicians access to their patients’ OSU Medical Center visit-specific treatment results

referring Physicians medicalcenter.osu.edu/referringphysicians Referring physician information, links, downloads and forms, patient education materials, maps and directions

The Ohio state university Comprehensive Cancer Center– arthur G. James Cancer Hospital and richard J. solove research institute The James Line: 614-293-5066 cancer.osu.edu Patient referral center, clinical trials and research information, patient education materials

Continuing Medical education ccme.osu.edu Continuing Medical Education programs, including Category I CME offerings online through OSU MedNet21, traditional lecture series and Grand Rounds

Physician-to-Physician Consultation line 800-293-5123, option 1 Consult with an OSU Medical Center physician, discuss specific patient-related cases, appointment referral, transfer a patient

Physician relations 800-293-4326 or [email protected] Relations supports the needs of community physi-cians and their staff as they interact with OSU Medical Center

Osu regional Outreach Program Franklin County, Noreen Palmer ...................614-366-6680East/Southeast Ohio, Karen Mitchell .........614-293-4352North/West Ohio, Bill Cox .............................614-293-2824Outreach provides access to OSU Medical Center services, specialty physicians, continuing medical education and other Medical Center programs

Physician DirectoriesTo request a copy of our physician directory or to request updated sections for your existing directory, please call your Regional Outreach Coordinator (above).

Physician referral GuideTo request a copy of the Physician Referral Guide, call your Regional Outreach Coordinator or visit medicalcenter.osu.edu/referringphysicians to access an online version.

yOUR Resources

We’re making it easier than ever before to get the informa-tion you need to refer patients to Ohio State’s Medical Center. We have recently created our Physician Refer-ral Guide in a mobile format for your Smartphone. Now you can find listings of our medical services and patient referral information right on your phone. you’ll also be able to search our physician database.

access it by visiting: www.medicalcenter.osu.edu from your smartphone and it will auto-display.

MOBile PHYsiCian reFerral GuiDe

Tools You Can Use:

26UHOS20100089-07

Physician Resources Contact

Doclink healthsystem.osu.edu Web-based program allowing referring physicians access to their patients’ OSU Medical Center visit-specific treatment results

Osu Medical Center medicalcenter.osu.edu Referring physician information, patient education materials, maps and directions

The arthur G. James Cancer Hospital and www.cancer.osu.edu Patient referral center, clinical trials andrichard J. solove research institute information, patient education materials

Osu Medical Center http://ccme.osu.edu Web site featuring Continuing Medical Center for Continuing Medical education Education programs including: Category I CME offerings online through OSU MedNet21, traditional lecture series and Grand Rounds

Physician-to-Physician 1-800-293-5123; option 1 Consult with an OSU Medical Center Consultation line physician, discuss specific patient-related cases, appointment referral, transfer a patient

Physician relations 1-800-293-4326 Physician Relations supports the needs of community or [email protected] physicians and their staff as they interact with OSU Medical Center

Osu regional Outreach Program Franklin County: 614-366-6680 Outreach provides referring physicians East/Southeast Ohio: 614-293-4352 with access to OSU Medical Center services, North/West Ohio: 614-293-2824 specialty physicians, continuing medical education and other medical center programs

www.medicalcenter.osu.edu/referringphysicians

consult - women's health - summer 2010

Documents

experienced program

pregnancy educators

preexisting diabetes

ohio states medical

pregnancy programdirectors

multidisciplinary diabetes

dedicated diabetes

gestational diabetes