PAG over Pastries

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PAG over Pastries

Camille Imbo & Susan Kaufman, NASPAG

13 episodes

2 weeks ago

Dr. Susan Kaufman and Dr. Yossie Ahmadieh, an adolescent medicine doctor with Physicians for Reproductive Health, explore the vital topic of gender-affirming care for transgender and gender-diverse adolescents, discussing how appropriate medical interventions can be life-saving for these vulnerable youth. Outline Introduction to Transgender Healthcare BasicsBarriers and Mental Health ConsiderationsCreating Safe Spaces in Clinical SettingsPuberty Blockers and Treatment OptionsGender-Affirming ...

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Episodes (13/13)

PAG over Pastries

13 - Care for the Transgender Adolescent

2 weeks ago

32 minutes

PAG over Pastries

12 - Labial Concerns in Adolescents

Dr. Vrunda Patel, a PAG physician at Nemours Children's Hospital in Wilmington, Delaware, and Dr. Camille Imbo PGY6 PAG fellow discuss the increasing trend of teenage patients seeking evaluation for labial concerns, often driven by appearance rather than medical issues. Many teens and parents lack understanding about what constitutes normal genital appearance. Outline Normal Vulvar Development in PubertyCommon Labial Concerns and InfluencesDefining Labial Hypertrophy and AsymmetryPsychologi...

1 month ago

27 minutes

PAG over Pastries

11 - Fertility Preservation

Fertility preservation options have dramatically expanded for children and adolescents in recent decades, offering hope to patients undergoing gonadotoxic therapies for cancer and other conditions. Dr. Stephanie DuFour, PAG and REI attending at CHEO in Ottawa, Canada, joins Dr. Susan Kaufman to discuss the latest advances in preserving reproductive potential for young patients facing treatments that may compromise their fertility. Outline Case Presentation: 7-Year-Old with LeukemiaIntroductio...

2 months ago

27 minutes

PAG over Pastries

10 - Primary Ovarian Insufficiency & Turner's Syndrome

Dr. Jane Su, a PGY4 OBGYN resident at university of Ottawa, joins Dr. Susan Kaufman to discuss POI with a special emphasis on Turner's syndrome. Both important and life changing diagnoses that cannot be missed! Outline Case PresentationIntroduction to POI Defining POI: Causes and PrevalenceClinical Presentation and Diagnostic ApproachTreatment Strategies for POITurner Syndrome: Characteristics and ManagementCase Conclusion and Key TakeawaysReferences: NASPAG Essentials of Ped...

3 months ago

21 minutes

PAG over Pastries

9 - Primary & Secondary Amenorrhea

Dr. Julie Cron, an OBGYN with PAG certification at Presbytarian and Cornell, joins Dr. Camille Imbo PGY6 to explore amenorrhea - the absence of menstruation - breaking down how to evaluate and diagnose this important vital sign in adolescent patients. Outline Introduction to Amenorrhea TypesPhysical Exam ImportanceHormonal Evaluation & CausesUnderstanding Lab ResultsGenetics and Structural CausesSecondary Amenorrhea & PCOSCase Discussion and ConclusionReferences: NASPAG Es...

4 months ago

27 minutes

PAG over Pastries

8 - Sexually Transmitted Infections

This episode, we are joined by Dr. Aliah Fonteh, a PGY2 resident, and Dr. Alla Vash-Margita a PAG attending at Yale to break down what every provider should know about sexually transmitted infections. Outline Introducing STIs in Adolescent CareConfidential Interviews with Teen PatientsCommon STIs: Chlamydia, Gonorrhea, TrichomonasSyphilis: Screening and Diagnostic ChallengesHPV and Vaccination: Preventing CancerHSV and HIV PrEP ManagementSTI Testing Recommendations and PIDCase Discussio...

5 months ago

28 minutes

PAG over Pastries

7 - What is PAG?

Dive into the fascinating world of Pediatric and Adolescent Gynecology (PAG) with this week's guest, Dr. Lissa Yu from Seattle Children's Hospital. This conversation shatters common misconceptions about what PAG specialists actually do - far beyond just teen pregnancy and contraception. Outline What is PAG? History and ScopeWhy Choose PAG as a Specialty?Common Conditions and Patient CareResearch Opportunities and Typical DayBecoming a PAG: Training PathwaysProfessional Resources and Organizat...

6 months ago

22 minutes

PAG over Pastries

6 - Relative Energy Deficiency in Sports (RED-S)

Dr. Susan Kaufman is joined by Dr. Mary Romano, a PAG physician from Vanderbilt and the current president of NASPAG, to discuss Relative Energy Deficiency in Sports (RED-S) previously knows as the Female Athlete Triad. Outline: • Highlights of a case study involving a 17-year-old athlete • Identifying high-risk sports for developing energy deficiency • Psychological and physiological impacts of inadequate energy • Importance of early detection and intervention strategies • Key roles of ...

7 months ago

29 minutes

PAG over Pastries

5 - Prepubertal Bleeding

Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about how to work up and examine prepubertal bleeding, as well as differential diagnoses. Outline Patient and Family HistoryExamination techniques and consentpositioning and observation techniquesdifferential diagnoses of prepubertal bleedingCommon CausesRare CausesCase reviewCheck out the episode visuals on YouTube. References: Clinical Review: Prepubertal Bleeding, Valerie Bloomfield, MD, FRCSC, Abigail Iseyemi, MD,FRCSC, Sari Kives, MD, M...

8 months ago

21 minutes

PAG over Pastries

4 - Puberty (Part 3): Delayed Puberty

Camille Imbo, MD PGY6 and Susan Kaufman, MD discuss delayed puberty, the last in their series on puberty. The episode provides an in-depth exploration of delayed puberty, discussing key signs and the clinical evaluation process for young teens facing this challenge. It addresses common causes, the importance of physical exams, and appropriate treatments while offering reassurance and guidance for families. Check out the video on YouTube. Outline • Defining delayed puberty by breast develop...

9 months ago

18 minutes

PAG over Pastries

3 - Puberty (Part 2): Precocious Puberty

In this next part of the puberty series, Camille Imbo, MD and Susan Kaufman, MD discuss precocious puberty including isolated, peripheral, and central precocious puberty. They also discuss treatment and management goals. Outline - Understanding Abnormal Puberty - Types of precocious puberty - Peripheral precocious Puberty - McCune Albright Syndrome - Central Precocious Puberty - Treatment - Case discussion and management Check out the visual post on YouTube. References: Essentials of...

9 months ago

22 minutes

PAG over Pastries

1 - Welcome to PAG over Pastries!

A short introduction to what is PAG over Pastries, its format, and what we hope you get out of it. Check out the visual post on YouTube. Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching! What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing on reproductive healthcare for children and young adults. It fills the overlap between general gynecologists...

9 months ago

3 minutes

PAG over Pastries

2- Puberty (Part 1): Normal puberty

Camille Imbo, MD PGY6 and Susan Kaufman, MD talk about normal puberty, the many axes involved, the milestones, and expected timing of each. References: Essentials of Pediatric and Adolescent Gynecology: Chapter 5Check out the visual post on YouTube. Help us with education research! Please fill out this 4-question survey so we can gather unidentified data on who our podcast is reaching! What is PAG? Pediatric and Adolescent Gynecology is a subspecialty of OBGYN (2 year fellowship) focusing o...

9 months ago

24 minutes