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Continuing Medical Education College of Medicine
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Health Equity and Diversity Day 2024

Activity
Post Test

SESSION 1

Screening & Management of Perinatal Depression

Presented by:
Dikea Roussos-Ross, MD
Associate Professor

Director, Women’s Health at Shands Medical Plaza
Department of Obstetrics & Gynecology
Department of Psychiatry

Faculty Disclosure:

Dr. Roussos-Ross has disclosed that she has no relevant financial relationships. No one else in a position to control content has any financial relationships to disclose. Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/. All relevant financial relationships have been mitigated.

Release Date: February 9, 2024
Expiration Date:  February 8, 2026

Target Audience: All physicians

Learning Objectives:

As a result of participation in this activity, participants should be able to:

  1. Cite the incidence and risk factors for perinatal depression.
  2. Indicate appropriate screening and management of perinatal depression.
  3. Identify risk factors associated with use of psychotropic medications in pregnancy and lactation.
  4. Discuss sequelae of untreated mood disorders in the postpartum period.

Requirements for successful completion: Certificates are awarded upon successful completion (80% proficiency) of the post-test.

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Resource(s) for further study:

  1. Evans J, et al. Cohort study of depressed mood during pregnancy and after childbirth. BMJ. 2001; 323(7307):257-60. PMID: 11485953. Doi: 10.1136/bmj.323.7307.257.  
  2. Appleby L. Suicide during pregnancy and in the first postnatal year. BMJ. 1991; 302(6769):137-40. PMID: 1995132. Doi: 10.1136/bmj.302.6769.137.
  3. Screening and Diagnosis of Mental Health Conditions During Pregnancy and Postpartum. The American College of Obstetrics and Gynecology. 2023;4. https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline/articles/2023/06/screening-and-diagnosis-of-mental-health-conditions-during-pregnancy-and-postpartum
  4. Treatment and Management of Mental Health Conditions During Pregnancy and Postpartum. The American College of Obstetrics and Gynecology. 2023;5. https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline/articles/2023/06/treatment-and-management-of-mental-health-conditions-during-pregnancy-and-postpartum
  5. Cox JL, Holden JM, and Sagovsky R. 1987. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 150:782-6. PMID: 3651732. Doi: 10.1192/bjp.150.6.782.
  6. Hirschfeld RM, Williams JB, Spitzer RL, et al. Development and validation of a screening instrument for bipolar spectrum disorder: the Mood Disorder Questionnaire. Am J Psychiatry. 2000; 157(11):1873-5. PMID: 11058490. Doi: 10.1176/appi.ajp.157.11.1873.
  7. Chambers CD, et al. Birth outcomes in pregnant women taking fluoxetine. N Engl J Med. 1996; 335(14):1010-5. PMID: 8793924. Doi: 10.1059/NEJM199610033351402.
  8. Malm H, Klaukka T, Neuvonen P. Risks Associated with Selective Serotonin Reuptake Inhibitors in Pregnancy. Obstetrics & Gynecology. 106(6):1289-1296. 2005. Doi: 10.1097/01.AOG.0000187302.61812.53.
  9. Wichman CL, et al. Congenital Heart Disease Associated with Selective Serotonin Reuptake Inhibitor Use During Pregnancy. Mayo Clin Proc. 2009; 84(1):23-27. PMID: 19121250. Doi: 10.4065/84.1.23.
  10. Nulman I, Rovet J, et al. Neurodevelopment of children exposed in utero to antidepressant drugs. N Engl J Med. 1997; 336(4):258-62. PMID: 8995088. Doi: 10.1056/NEJM199701233360404.
  11. Nulman I, Rovet J, et al. Child development following exposure to tricyclic antidepressants or fluoxetine throughout fetal life: a prospective, controlled study. Am J Psychiatry. 2002; 159(11):1889-95. PMID: 12411224. Doi: 10.1176/appi.ajp.159.11.1889.
  12. Chambers CD, Johnson KA, et al. Birth outcomes in pregnant women taking fluoxetine. N Engl J Med. 1996; 335(14):1010-5. PMID: 8793924. Doi: 10.1056/NEJM199610033351402.
  13. Levinson-Castiel R, Merlob P, et al. Neonatal abstinence syndrome after in utero exposure to selective serotonin reuptake inhibitors in term infants. Arch Pediatr Adolesc Med. 2006; 160(2):173-6. PMID: 16461873. Doi: 10.1001/archpedi.160.2.173.
  14. Chambers CD, Hernandez-Diaz S, et al. Selective serotonin-reuptake inhibitors and risk of persistent pulmonary hypertension of the newborn. N Engl J Med. 2006; 354(6):579-87. PMID: 16467545. Doi: 10.1056/NEJMoa052744.
  15. Presidential Task Force on Redefining the Postpartum Visit Committee on Obstetric Practice. The American College of Obstetricians and Gynecologists. 2018;736. https://ndlegis.gov/assembly/67-2021/testimony/HHUMSER-4002-20210317-9353-F-ROERS_KRISTIN.pdf

SESSION 2

Women, Leadership, and Intelligent Teams in Healthcare

Presented by:
Amalia Cochran, MD, FACS, FCCM
Professor, Clinical Surgery

Vice Chair, Professional Development
Interim Chief, Division of Plastic Surgery
Associate Program Director, Leadership and Mentoring

Faculty Disclosure:

Dr. Cochran has disclosed that she has no relevant financial relationships. No one else in a position to control content has any financial relationships to disclose. Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/. All relevant financial relationships have been mitigated.

Release Date: February 9, 2024
Expiration Date:  February 8, 2026

Target Audience: All physicians

Learning Objectives:

As a result of participation in this activity, participants should be able to:

  1. Recognize gendered leadership norms and their impact.
  2. Implement solutions to repair biased systems of leadership selection.
  3. Identify relationships between leadership equity and intelligent teams.

Requirements for successful completion: Certificates are awarded upon successful completion (80% proficiency) of the post-test.

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Resource(s) for further study:

  1. Li B, Jacob-Brassard J, et al. Gender differences in faculty rank among academic physicians: a systemic review and meta-analysis. BMJ Open. 2021; 11:e050322. Doi: 10.1136/bmjopen-2021-050322.
  2. Jagsi R, Griffith KA, et al. Factors Associated with Success of Clinician-Researchers Receiving Career Development Awards from the National Institutes of Health: A Longitudinal Cohort Study. Acad Med. 2017; 92(10):1429-1439. PMID: 28537950. Doi: 10.1097/ACM.0000000000001728.
  3. Schwartz R, Williams MF, Feldman MD. Does Sponsorship Promote Equity in Career Advancement in Academic Medicine? A Scoping Review. Journal of General Internal Medicine. 2023; https://doi.org/10.1007/s11606-023-08542-4
  4. Patton EW, Griffith KA, Jones RD, Stewart A, Ubel PA, Jagsi R. Differences in Mentor-Mentee Sponsorship in Male vs Female Recipients of National Institutes of Health Grants. JAMA Intern Med. 2017; 177(4):580-582. PMID: 28241219. Doi: 10.1001/jamainternmed.2016.9391.
  5. Tsugawa Y, Jena AB, Figueroa JF, et al. Comparison of Hospital Mortality and Readmission Rates for Medicare Patients Treated by Male vs Female Physicians. JAMA Intern Med. 2017;177(2):206-213. Doi: 10.1001/jamainternmed.2016.7875.
  6. Wallis CJD, Jerath A, Aminoltejari K, et al. Surgeon Sex and Long-Term Postoperative Outcomes Among Patients Undergoing Common Surgeries. JAMA Surg. 2023; 158(11):1185-1194. Doi: 10.1001/jamasurg.2023.3744.
  7. Woolley AW, Chabris CF, Pentland A, Hashmi N, Malone TW. Evidence for a collective intelligence factor in the performance of human groups. Science. 2010; 330(6004):686-8. PMID: 20929725. Doi: 10.1126/science.1193147.
  8. Williams JC. The 5 Biases Pushing Women Out of STEM. Harvard Business Review. 2015. https://hbr.org/2015/03/the-5-biases-pushing-women-out-of-stem
  9. Trzebiatpwski T, McCluney C, Hernandez M. Managing the Double Bind: Women Directors’ Participation Tactics in the Gendered Boardroom. Organization Science. 2022; 34(2):509-986. https://doi.org/10.1287/orsc.2022.1599
  10. Doldor E, Wyatt M, Silvester J. Research: Men Get More Actionable Feedback Than Women. Harvard Business Review. 2021. https://hbr.org/2021/02/research-men-get-more-actionable-feedback-than-women
  11. Correll SJ and Simard C. Research: Vague Feedback is Holding Women Back. Harvard Business Review. 2016. https://hbr.org/2016/04/research-vague-feedback-is-holding-women-back
  12. Crocker J, Voelkl K, Testa M, and Major B. Social stigma: The affective consequences of attributional ambiguity. Journal of Personality and Social Psychology. 1991; 60(2):218-228. https://psycnet.apa.org/doi/10.1037/0022-3514.60.2.218
  13. Jagsi R, Griffith KA, Jones R, et al. Sexual Harrassment and Discrimination Experiences of Academic Medical Faculty. JAMA. 2016;315(19):2120-2121. Doi: 10.1001/jama.2016.2188.
  14. https://www.pbs.org/video/adam-grant-ia3ass/
  15. Felps W, Mitchell TR, Byington E, et al. How, When, and Why Bad Apples Spoil the Barrel: Negative Group Members and Dysfunctional Groups. Research in Organizational Behavior. 2006; 27:175-222. https://doi.org/10.1016/S0191-3085(06)27005-9
  16. Valcea S, Hamdani M, Bradley B. Weakest Link Goal Orientations and Team Expertise: Implications for Team Performance. Small Group Research. 2019; 50(3):315-347. https://doi.org/10.1177/1046496418825302
  17. Delizonna L. High-Performing Teams Need Psychological Safety: Here’s How to Create It. Harvard Business Review. 2017. https://hbr.org/2017/08/high-performing-teams-need-psychological-safety-heres-how-to-create-it
  18. Edmondson AC. The Three Pillars of a Teaming Culture. Harvard Business Review. 2013. https://hbr.org/2013/12/the-three-pillars-of-a-teaming-culture#:~:text=Curiosity%2C%20passion%2C%20empathy
  19. Rider CI, Wade JB, Swaminathan A, and Schwab A. Racial Disparity in Leadership: Evidence of Valuative Bias in the Promotions of National Football League Coaches. American Journal of Sociology. 2023; 129(1). https://doi.org/10.1086/725389
  20. Garcia-Roberts G. The failed NFL diversity ‘rule’ corporate America loves. The Washington Post. 2022. https://www.washingtonpost.com/sports/interactive/2022/rooney-rule-nfl-black-coaches/
  21. Mangurian C, Linos E, Sarkar U, Rodriguez C, and Jagsi R. What’s Holding Women in Medicine Back from Leadership. Harvard Business Review. 2018. https://hbr.org/2018/06/whats-holding-women-in-medicine-back-from-leadership
  22. https://www.rtulshyan.com/inclusion-on-purpose

If you have any questions please feel free to contact Nancy Boyd at (352) 594-4298 or at nancy.boyd@ufl.edu