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Medical Legal Issues in Obstetrics Practice
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November 2009
 
Medical Legal Issues in Obstetrics Practice
www.medical-legal.org
 
 
About the Program:
 
Medical Legal Issues in Obstetrics Practice provides current medical and legal perspectives on the most significant healthcare and medical liability concerns in Obstetrics. The target audience includes attorneys, physicians and other healthcare professionals - particularly those in obstetrics and neonatology, healthcare administrators, risk managers, insurers, and advisors in these areas. The conference is presented in an educational environment of case presentation from both medical and legal perspectives.
 
 
Course Learning Objectives:
 
At the conclusion of the conference, learners should be able to:
 
1. Know what the Board Certification in Obstetrics and Gynecology process is and what it means;
 
2. Understand the role of the American College of Obstetricians and Gynecologists in education regarding current practice;
 
3. Apply the report of the 2008 NIH workshop in Electronic Fetal Monitoring to practice;
 
4. Know the medical and legal issues in neonatal encephalopathy/cerebral palsy and shoulder dystocia;
 
5. Understand the current medical background for three other top liability issues in obstetrics practice. (Operative Vaginal Delivery, Severe Infection and Prenatal Diagnosis)
 
 
Venue and Parking:
 
Research Tower 2 - Trivisible Room, 2nd Fl
University of Colorado Denver
School of Medicine
RC1 North
12700 E. 19th Avenue, Aurora, CO 80045
 
The course will take place in the Trivisible Room, just west of the Hensel Phelps Auditorium, located in Research Tower 2 on the Anschutz Medical Campus in Aurora, Colorado.  Parking is available for $5.00 per day in the Henderson Parking Structure directly north of Research 1. A map can be found at www.medical-legal.org.
 
 
DAY ONE AGENDA - Thursday, November 19, 2009
 
 
7:30 am
Registration
 
8:15 am
Welcome & Purpose
Ronald S. Gibbs MD and Richard D. Krugman MD Dean, University of Colorado Denver School
of Medicine Vice Chancellor, Medical Affairs
 
 
SESSION ONE
 
8:30 am
The Role of Obstetrical Claims in Medical Liability
Alethia “Lee” Morgan MD
 
9:00 am
Commentary
Sue West, RN
 
9:15 am
Response
Jim Leventhal, Esq.
 
9:30 am
What is the Board Certification Process and What Does it Mean?
William Droegemueller MD
 
10:00 am
What is the Role of ACOG in Education Regarding Current Practice?
Douglas Kirkpatrick MD
 
10:30 am
Discussion
 
10:45 am
Break
 
 
SESSION TWO
 
11:00 am
2008 NICHD Workshop Report on Electronic Fetal Monitoring
Mary D'Alton MD
 
11:30 am
Commentary and Concerns from the Nursing Perspective
Michelle Murray PhD, RNC
 
12:00 pm
Discussion
 
12:15 pm
Lecture & Lunch: Civil Justice Reforms:Why Eliminating Civil Jury Trials Should Not Be An Option
Rebecca Love Kourlis, Esq.
 
 
SESSION THREE
 
1:30 – 4:30 pm
Case Study - Neonatal  Brain Injury, Neonatal Encephalopathy and Cerebral Palsy
 
 
MEDICAL PERSPECTIVE
 
1:30 pm
Obstetrician
Mary D'Alton MD
 
2:00 pm
Pediatric Neurologist
Julie Parsons MD
 
 
LEGAL PERSPECTIVE
 
2:30 pm
Plaintiff Attorney
Dov Apfel, Esq.
 
3:00 pm
Defense Attorney
Gilbert A. Dickinson, Esq.
 
3:30 pm
Discussion
 
4:00 pm
Break
 
 
SESSION FOUR - THE HEATON LECTURE
 
4:15 pm
Technology and Medicine - The Heaton Lecture on Preimplantation Genetic Diagnosis
Michelle Cedars MD
 
5:00 pm
Commentary
Lorraine Parker, Esq.
 
5:30 pm
Reception and Networking
 
 
DAY TWO - Friday, November 20, 2009
 
 
SESSION FIVE - LEGAL CONSIDERATIONS
 
8:30 am
How is Causation Established in a Medical Liability Case? How are Damages Determined?
Dov Apfel, Esq. and Judge Edward Bronfin
 
9:30 am
Expert Testimony vs. “Junk Science”
Judge Edward Bronfin
 
10:00 am
Wrongful Birth
Robert Ruddy, Esq.
 
10:30 am
Break
 
 
SESSION SIX - MEDICAL APPROACH TO COMMON HIGH RISK OBSTETRIC AREAS
 
10:45 am
Operative Vaginal Delivery
Henry Galan MD
 
11:15 am
Life Threatening Maternal and Perinatal Infection
Ronald S. Gibbs, MD
 
11:45 am
Prenatal Diagnosis - What Should We Detect?
Marsha Wheeler MD
 
12:15 pm
Lunch
 
 
SESSION SEVEN
 
1:15 pm
Case Study - Shoulder Dystocia
 
 
MEDICAL PERSPECTIVE
 
1:15 pm
Obstetrical Approach
Henry Galan MD
 
1:45 pm
Neonatal Approach
Adam Rosenberg MD
 
LEGAL PERSPECTIVE
 
2:15 pm
Plaintiff Attorney
James Puga, Esq.
 
2:45 pm
Defense Attorney
Kevin J. Kuhn, Esq.
 
3:15 pm
Discussion
 
3:45 pm
Break
 
SESSION EIGHT
 
4:00 pm
Creating a Culture of Collaboration for Patient Safety
J. Christopher Carey MD
 
4:20 pm
Medical - Legal Panel Perspective
Sally Garcia RN
Eliza Johnson, CNM
Harvey Cohen MD
James Puga, Esq.
Steve Zweck-Bronner, Esq.
 
5:00 pm
Adjourn
 
 
Faculty
 
Dov Apfel Esq.
Shareholder
Joseph, Greenwald & Laake
Greenbelt, Maryland
 
Judge Edward Bronfin
District Court Judge
Denver, Colorado
 
J. Christopher Carey MD
Professor, Department of OB/GYN
University of Colorado
Denver School of Medicine
Director, OB/GYN, Denver
Health Medical Center
 
Marcelle Cedars MD
Professor and Director
Division of Reproductive
Endocrinology and Infertility
Dept. of OB/GYN
University of California San Francisco
 
Harvey Cohen MD
Clinical Professor, Dept of OB/GYN
University of Colorado Denver
Director of Women's Service at St. Anthony's Hospital
Chair, Dept. of CME at St.Anthony's Hospital, Denver
 
Mary D'Alton MD
Willard C. Rappleye
Professor of OB/GYN
Chair, Dept. of OB/GYN
Columbia University
New York, New York
 
Gilbert A. Dickinson, Esq.
Senior Partner
Dickinson, Prud'Homme, Adams & Ingram LLP
Denver, Colorado
 
William Droegemueller MD
Former Director of Evaluation
American Board of Obstetrics and Gynecology
Distinguished Clinical
Professor, Dept of OB/GYN
University of Colorado
Denver School of Medicine
Denver, Colorado
 
Henry Galan MD
Professor and Chief
Division of Maternal Fetal
Medicine, Dept. of OB/GYN
University of Colorado
Denver School of Medicine
 
Sally Garcia RN
Care Team Manager
Women's Care Center
University of Colorado Hospital
 
Ronald S. Gibbs MD
Professor and Chair
E. Stewart Taylor Professor,
Dept. of OB/GYN
Associate Dean, Continuing Medical Education
University of Colorado
Denver School of Medicine
 
Eliza Johnson CNM
Certified Nurse Midwife
Service Director
Denver Health Medical Center
 
Douglas Kirkpatrick MD
Immediate Past President,
American College of OB/GYN
Asst Clinical Professor, Dept of OB/GYN
University of Colorado
Denver School of Medicine
 
Rebecca Love Kourlis, Esq.
Executive Director
Institute for the Advancement of the American Legal
System, Denver
Former Colorado Supreme
Court Justice
 
Kevin J. Kuhn Esq.
Partner
Wheeler Trigg Kennedy LLP
Denver, Colorado
 
Jim Leventhal Esq.
Senior Partner
Leventhal, Brown & Puga PC
Denver, Colorado
 
Alethia "Lee" Morgan MD
Risk Management Physician
COPIC Insurance
Denver, Colorado
 
Michelle Murray PhD, RNC
Clinical Associate Professor of Nursing,
University of New Mexico
Perinatal Educator and Consultant
Albuquerque, New Mexico  
Lorraine Parker Esq.
Of Counsel
Leventhal, Brown & Puga PC
Denver, Colorado
 
Julie Parsons MD
Assistant Professor
Pediatric Neurology, Dept of Pediatrics
University of Colorado
Denver School of Medicine
 
James Puga Esq.
Of Counsel
Leventhal, Brown & Puga PC
Denver, Colorado
 
Adam Rosenberg MD
Professor and Director
Pediatric Residency Program,
Dept. of Pediatrics
University of Colorado
Denver School of Medicine
 
Bob Ruddy Esq.
Principal
Robert Ruddy PC
Denver, Colorado
 
Sue West, RN
Assistant Vice Chancellor,
Professional Risk Management
Director, Clinical Excellence & Patient Safety, Infection Control
University of Colorado Hospital
 
Marsha Wheeler MD
Associate Professor
Division of Maternal Fetal
Medicine, Dept. of OB/GYN
University of Colorado
Denver School of Medicine
 
Steve Zweck-Bronner Esq.
Managing Senior Associate
University Counsel
University of Colorado
Denver