*Important Notice*

This activity consists of 3 “bundled” courses from SMA’s online library, and includes: Vaccines in Women: A Look at HPV and Zoster; The Well Woman Visit: Do Asymptomatic Women Need Annual Gyn Exams?; and Breast and Cervical Cancer Screening In Woman: An Update. The activity concludes with a series of case studies, highlighting the content.

If you select this bundle, please do not purchase the courses individually.

Goals and Objectives


Vaccines in Women: A Look at HPV and Zoster
32% of Americans will experience a Zoster outbreak during their lifetime, and 1 out of 5 patient with Zoster experience post herpetic neuralgia. Zostavax, a live attenuated vaccine, reduced incidence of shingles outbreaks by 51% and post-herpetic neuralgia by 67%.The most recent 9 valent HPV vaccine incorporates 7 oncogenic subtypes and HPV subtypes 6 and 11. These later two are responsible for 90% of all genital warts. The 7 oncogenic subtypes targeted in this vaccine are responsible for approximately 90% of HPV related cancers -- cervical, vaginal, vulvar, anal and oropharyngeal.
Better awareness and promotion of both of these vaccines will help prevent significant morbidity and mortality in both young and older women. Upon Completion, learners should be better prepared to:

  • Comply with the Advisory Committee on Immunization Practices (ACIP) guidelines for both Zoster vaccination and HPV vaccination.

The Well Woman Visit:  Do Asymptomatic Women Need Annual Gyn Exams?
Multiple organizations have differing guidelines on the use of routine pelvic exams, and the content/need of "well woman" visits for asymptomatic women. This activity will address how these guidelines came about, how to interpret them, and how to discuss them with patients to come to a shared decision on the need for routine gynecology screening. Upon Completion, learners should be better prepared to:

  • Develop individual practice plans for routine well woman screening in asymptomatic women, based on available evidence and shared decision making.

Breast and Cervical Cancer Screening In Woman: An Update
There are several differing breast cancer screening recommendations for average risk women. Presenting these guidelines to patients and counseling them on which set of guidelines and specific mammographic tests best fit their personal screening risk/benefit equation can be challenging. Understanding the risk/benefit trade offs can help facilitate this shared decision between physician and patient.
The persistence of oncogenic subtypes of human papillomavirus as the cause cervical cancer is huge breakthrough in cancer prevention. Understanding why screening guidelines have changed, and implementing the current screening recommendations will help decrease unnecessary intervention/morbidity, while ensuring patients with persistent viral infection are followed closely and treated more aggressively.

Upon Completion, learners should be better prepared to:

  • Review current breast screening guidelines from US Preventive Services Task Force (USPSTF) American Cancer Society (ACS), American College of Ob/Gyn (ACOG) and others. Understand why the guidelines differ, and with that understanding help patient make more informed person screening decisions.
  • Review the 2012 American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines for pap smear screening, understanding that the algorithms are more complex than in past guidelines, and interventions rely more heavily on the presence or absence of high risk HPV virus testing.
  • Recognize the differences in screening recommendations from USPSTF, ACS, and ACOG.
  • Know where to find ASCCP pap screening algorithms, and follow them in clinical practice.

Cases in Women's Health for the Primary Care Clinician
After hearing didactic lectures on women’s health issues including vaccines, the role of routine female gyn exam, and breast and cervical cancer screening, it is the intention of this lecture to guide the learners through actual cases relating to these same topics. Initial history will be shown, and the audience will be asked, in an interactive fashion, to develop a differential diagnosis, diagnostic plan, and therapeutic strategy. This lecture will reinforce material already presented in previous days. Upon completion, learners should be better prepared to:

  • Develop a differential diagnosis for real cases presented related to women’s health.
  • Develop a diagnostic plan to determine the correct etiology of the disorder illustrated.
  • Develop a therapeutic strategy appropriate for the diagnosis.

Course Information


CME Release Date: December 27th, 2017
Valid for credit through:  December 27th, 2018
Course type:  Video lecture
Sponsored in part by:  SMA Services, Inc.

Credits Available


Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this enduring material for a maximum of  3.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit


This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Study the educational content and references.
  • Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
  • Complete the activity evaluation and attestation.

Upon completion of the evaluation and attestation, your certificate will be processed and emailed within 2 weeks.  Credits will be archived for 6 years; at any point within this time period you can contact Southern Medical Association for a duplicate copy of your credit.

Course Materials

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