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CFPC SCHOLARSHIPS IN WOMEN’S HEALTH The CFPC Scholarships in Women’s Health are supported by the Foundation Sexual and Reproductive Health of the Society of Obstetricians and Gynaecologists of Canada (SOGC) and The College of Family Physicians of Canada’s Research and Education Foundation. Dr. Fay Sliwin, CCFP, FCFP, Toronto, ON 2010 Scholarship in Women’s Health Menopause Treatment Training Program: Menopause Clinic at Women’s College Hospital from April 2010 until September 2010, half day weekly Share Clinic – Sexual Health and Rehabilitation Clinic, Odette Center at Sunnybrook Hospital, half day biweekly from July 2010 until present (ongoing) o Clinic for women with gynecologic, GI or breast cancer who are experiencing sexual difficulties or menopausal symptoms as a result of their surgery, chemotherapy or radiation therapy The above clinics were both supervised by Dr. Jenny Blake, Chief of Obstetrics and Gynecology at Sunnybrook Hospital. As well I spent one clinical day with Dr. Wendy Wolfman at the Mt. Sinai Menopause Clinic to observe the different approaches in the clinics. North American Menopause Society (NAMS) certification exam May 2010, obtained NCMP ( NAMS Certified Menopause Practitioner) NAMS conference, Washington DC, September 21-23, 2011 Learning Objectives: Different formulations of HRT, how to individualize the approach for each patient New recommendations for HRT post Women’s Health Initiative study counselling patients on approaches to menopause treatment and options available Treating menopause across the spectrum of age (premature ovarian failure vs natural onset vs iatrogenic) Treating menopausal symptoms in women with cancer Treating sexuality issues in women with cancer Improve my comfort level and understanding underlying issues when prescribing HRT in women with cancer Bioidenticals- ability to counsel patients on the use/misuse of bioidenticals The learning objectives were met by attending the Menopause and Share clinics with my Mentor, Dr. Jenny Blake through observation and clinical practice. As well, I have subscribed to the NAMS menopause journal and review this when it arrives monthly. I studied for the Certified Menopause Practitioner exam from the Menopause Practice, Clinical Guide and obtained my NCMP certification in May 2010. I have presented a menopause and sexuality seminar for a community group which required research. Benefits of the Traineeship: Opened up new avenues of professional practice, I now work in the SHARE Clinic on an ongoing basis as well as working as a GPO/Clinical Associate in the Gynecology Oncology Clinic at the Odette Center at Sunnybrook Hospital. I am currently being trained to assist in colposcopy by the gyne oncologists at Sunnybrook Having a family doctor on the gyne oncology team has added a new dimension to the care the patients receive with a more “whole patient” approach to their care. Because of my involvement in the SHARE Clinic, we now have a multidisciplinary clinic including myself (family medicine), Dr. Blake (gynecologist) as well as two nurses. We have been able to expand our intake from solely gyne cancer patients to those with GI and breast cancers. I have become the HRT “expert” within the Gyne-oncology clinic as the surgeons did not consistently prescribe HRT or discuss menopause or sexuality with their patients prior to my involvement with the clinic. I am the “go to” person for HRT/menopause/sexuality issues for the surgical oncologists and radiation oncologists, thereby adding another layer of care for the patients. The surgeons often come to me with questions about the patients other underlying medical issues and medications for clarification. As a family doctor on the team, I have broader experience with chronic conditions. I have given a presentation on menopause and sexuality to a community group as the invited speaker for a fund raising event and plan to continue with more community presentations