Pearls of Exxcellence

Pearls of Exxcellence

The Pearls of Exxcellence are the most challenging topics for Ob/Gyn certification.

in Conjunction with SASGOG

The Society for Acedemic Specialists in General Obstetrics and Gynecology_

The Foundation forĀ Exxcellence will review the data from the three oral Board certification exams, and compile a list of the ten to twelve most challenging topics. A short review and references will periodically be posted.

** The Foundation forĀ Exxcellence is committed to accuracy and will review and validate all Pearls on an ongoing basis to reflect current practice.

This document is designed to aid practitioners in providing appropriate obstetric and gynecologic care. Recommendations are derived from major society guidelines and high quality evidence when available, supplemented by the opinion of the author and editorial board when necessary. It should not be construed as dictating an exclusive course of treatment or procedure to be followed.

Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice.

  Date Title Category Author
3/1/2017 Contraception for Women with Migraines Office Practice Abbey Hardy-Fairbanks, MD
2/1/2017 Overactive Bladder Office Practice Julie Zemaitis DeCesare, MD
1/18/2017 Contraception in Women with Cardiovascular Risk Factors Office Practice Margaret M. Boozer, MD
1/18/2017 Contraception in Women with Lupus Office Practice Jennifer M. Keller, MD
1/18/2017 Hormonal Contraception in Women Taking Medications with Potential Drug Interactions Office Practice Camaryn Chrisman-Robbins, MD
1/1/2017 Surgical Management of Women with Hypertension Gynecology Mostafa Borahay, MBBS
12/1/2016 Clostridium Difficile Colitis Gynecology Larry J. Copeland, MD
11/1/2016 Surgical Management of Women with Diabetes Gynecology Joseph E. Peterson, MD
10/1/2016 Management of Symptomatic Polyhydramnios Obstetrics Jane S. Limmer, MD
9/1/2016 Minor Red Cell Antigens and Fetal Hemolytic Anemia Obstetrics Patricia A. Smith, MD
8/1/2016 Cytomegalovirus Infection in Pregnancy Obstetrics Michael Adler, MD
7/1/2016 Monochorionic Twins Office Practice Sharon L. Seidel, MD
6/1/2016 Pertussis in Pregnancy Office Practice Sarah Shaffer, DO
6/1/2016 Hyperthyroidism in Pregnancy Office Practice Helen R. Dunnington, MD
5/4/2016 Antepartum Management of Dichorionic/Diamniotic Twins Obstetrics Marygrace Elson, MD
5/4/2016 Management of the Breech Presenting at the Introitus Obstetrics Joseph E. Peterson, MD
5/4/2016 Management of Twin Delivery Obstetrics Holly-Marie Bolger, DO
4/1/2016 Management of Vaginal Cysts Office Practice Sarah Shaffer, DO
4/1/2016 Common Problems after Pessary Placement Office Practice Rana Snipe Berry, MD
3/1/2016 Management of Second Trimester Fetal Loss Obstetrics Vanessa Torbenson, MD
3/1/2016 Management of Large Rectoceles in Geriatric Patients Gynecology Anne Garrison, MD
2/1/2016 Management of Fetal Demise caused by Abruption at Term Obstetrics Shari M. Lawson, MD
2/1/2016 Post-pill Amenorrhea Office Practice A. Nguyen, MD
1/1/2016 Evaluation of Stress Urinary Incontinence Office Practice William D. Po, MD
1/1/2016 Surgical Management of Stress Urinary Incontinence Gynecology Anitra Beasley MD, MPH
1/1/2016 Non-surgical Management of Stress Urinary Incontinence Office Practice Natalie Bowersox, MD
12/1/2015 Management of Postoperative Ileus Gynecology Sarah M. Appleton, MD
12/1/2015 Perioperative Management of Anticoagulation in Gynecologic Patients Gynecology Christopher Zahn, MD
12/1/2015 Postmenopausal Bleeding in a Woman with a Stenotic Cervix Gynecology Rebecca Jackson, MD
12/1/2015 Sepsis Obstetrics Anita P. Tamirisa, MD
11/1/2015 Complications of TVT and TOT Gynecology Aaron E. Goldberg, MD
11/1/2015 Trichomonas, Gonorrhea, and Chlamydia in Pregnancy Obstetrics Meredith J. Alston, MD
11/1/2015 Postpartum Eclampsia Obstetrics Maryam Siddiqui, MD
11/1/2015 Management of Primary and Recurrent HSV 2 Vulvar Infections Office Practice Rajiv B. Gala, MD
10/1/2015 Contraception in Women with Thromboembolism and Thrombophilia Office Practice Frances Casey, MD
10/1/2015 Metabolic Syndrome Office Practice Anitra D. Beasley, MD
10/1/2015 Fecal Incontinence Office Practice Catherine A. Matthews, MD
10/1/2015 Evaluation of the Adnexal Mass in an Older Woman Office Practice Todd R. Griffin, MD
9/2/2015 Management of Adnexal Masses in Pregnancy Obstetrics Patricia S. Huguelet, MD
9/1/2015 Management of Persistent and Recurrent Trichomonas Office Practice Christine R. Isaacs, MD
9/1/2015 Management of Women on Hormonal Therapy or Contraception in Women Undergoing Surgery Gynecology Angela Muchison, MD
8/28/2015 Postmenopausal Vulvar Disorders Gynecology Elizabeth A. Ferries-Rowe, MD
8/1/2015 Cystic Breast Masses in Young Women Office Practice Ashley Wright, MD
7/1/2015 Neonatal Encephalopathy and Cerebral Palsy Obstetrics Moune Jabre, MD
6/1/2015 Pre-gestational Diabetes Diagnosed in Early Pregnancy Obstetrics Tiffany A. Moore Simas, MD
1/1/2015 Management of a Patient who has Suffered Domestic Violence Office Practice Marygrace Elson, MD and Julie K. DeCesare, MD
12/1/2014 Evaluation and Management of a 4th Degree Laceration Obstetrics Camaryn Chrisman-Robbins, MD
11/1/2014 Evaluation of Dyspnea and Management of Pulmonary Embolism after Surgery Gynecology Sabrina N. Wyatt, MD
10/1/2014 Management when a Hysteroscopic or D&C Biopsy is Reported as Grade 1 AC of the Endometrium Gynecology Anitra D. Beasley, MD
9/1/2014 Surgery in Morbidly Obese Patients Gynecology Philip J. DiSaia, MD
8/1/2014 Evaluation of Postmenopausal Vaginal Bleeding Office Practice A. Savage, MD
7/1/2014 Management of Wound Complications of Cesarean Delivery Obstetrics William D. Po, MD
6/1/2014 Intrapartum and Postpartum Fever Obstetrics C. Morosky, MD
5/1/2014 Management of Evisceration of the Vaginal Cuff Gynecology Aaron Goldberg, MD
4/1/2014 Management of Women with Multiple Fibroids who are Attempting Pregnancy Office Practice D. Breitkopf, MD
3/1/2014 Fetal Heart Rate Baseline Abnormalities: Bradycardia Obstetrics Adam Sandlin, MD and Paul Wendel, MD
2/1/2014 Perforation with Uterine Sound and Suction Cannula during a D&C Gynecology E. Toy, MD
1/1/2014 Diagnosis and Management of Cervical Ectopic Pregnancy Obstetrics P. Amato, MD
11/1/2013 Proximal Tubal Occlusion Office Practice Daniel R. Grow, MD
8/1/2013 Management of Brow, Face, and Compound Malpresentations Obstetrics Thomas J. Bader, MD
7/1/2013 Evaluation of Anemia in Pregnancy Obstetrics Julie L. Hansen, MD
6/1/2013 Ongoing Care of a Woman with Breast Cancer on an Aromatase Inhibitor Office Practice Stephanie V. Blank, MD
5/1/2013 Management of Broad Ligament Extension and Hematoma during a Cesarean Delivery Obstetrics Paul J. Wendel, MD
4/1/2013 Amniotic Fluid Embolism Obstetrics Mari-Paule Thiet, MD
3/1/2013 Management of Bilateral Tubo-Ovarian Abscesses in Young Nulligravida Gynecology Anita K. Blanchard, MD
2/1/2013 Management of a Lost Pedicle At the Time of a Vaginal Hysterectomy Gynecology Eugene C. Toy, MD
1/1/2013 Management of Atypical Glandular Cells Gynecology Andrew W. Menzin, MD
12/1/2012 Hematoma after Delivery Obstetrics Theodore Barrett, MD
10/1/2012 Management of Breakdown of Obstetrical Anal Sphincter Repairs Obstetrics Rebecca G. Rogers, MD
9/1/2012 Complications of Varicella Infection in the Third Trimester Obstetrics Deborah A. Driscoll, MD
7/1/2012 Management of Lateral Uterine Perforation at the Time of Hysteroscopy Gynecology Jeffrey M. Rothenberg, MD
6/1/2012 Management of Ureteral Injuries Gynecology Larry J. Copeland, MD
5/1/2012 Etiology and Treatment of Clostridium Difficile Colitis Gynecology L. Copeland, MD
4/1/2012 Hyperprolactinemia Office Practice Paula J. Hillard, MD
2/1/2012 Avoiding Trocar Injuries Associated with Laparoscopic Surgery Gynecology David E. Soper, MD
1/1/2012 Surgical Management of Endometriosis Gynecology Robert S. Schenken, MD
12/1/2011 Breech Presentation Obstetrics Amy Burkett, MD
10/1/2011 Antepartum Management of Vasa Previa Obstetrics L. Chesney Thompson, MD
9/1/2011 Management of Pregnancy with ABO Incompatibility Obstetrics Michael T. Mennuti, MD
8/1/2011 Desired Pregnancy after Essure Placement Obstetrics Roger Smith, MD
7/1/2011 Management of Placenta Accreta Diagnosed at 20 Weeks Obstetrics Roger Smith, MD
5/1/2011 Hypothyroidism Office Practice Frank W. Ling, MD
3/1/2011 Primary Amenorrhea in a Teenager Office Practice Priya B. Maseelall, MD
2/1/2011 Management of Urethral Diverticula Gynecology Philip J. DiSaia, MD
9/1/2010 Management of Adnexal Cysts Office Practice Vivian E. von Gruenigen, MD
6/1/2010 Elevated Maternal Serum AFP (MSAFP) at 16 Weeks Obstetrics Michael T. Mennuti, MD
5/1/2010 Management of Paget Disease of the Vulva Office Practice Philip J. DiSaia, MD
4/1/2010 Anemia in Pregnancy with Normal Iron Studies Obstetrics Michael T. Mennuti, MD
1/1/2010 Management of a Thyroid Nodule Office Practice Nanette F. Santoro, MD
12/1/2009 Postoperative Urinary Fistulae Gynecology Larry J. Copeland, MD
10/1/2009 Postpartum Perineal Pain Obstetrics Frank W. Ling, MD
9/1/2009 Complications of Gynecologic Laparoscopic Surgery Gynecology Robert S. Schenken, MD
5/1/2009 Adnexal Masses in Adolescents Gynecology Robert S. Schenken, MD
3/1/2009 Fetal Ventral Abdominal Wall Defects Obstetrics Ralph K. Tamura, MD
1/1/2009 Nonimmune Hydrops Fetalis Obstetrics Ralph K. Tamura, MD
10/1/2008 Toxoplasmosis Obstetrics Michael L. Socol, MD
10/1/2008 Parvovirus Obstetrics Michael L. Socol, MD