Resident Research Days

HPV Vaccination and Lower Genital Tract Dysplasia: The Promise and The Reality

Ilana Cass, MD
Chair, Obstetrics and Gynecology
Geisel School of Medicine
Dartmouth-Hitchcock-Medical Center

Abstract: HPV infection is responsible for the majority of lower genital tract neoplasia in women. An effective and safe vaccine has been available for almost 18 years in the US to prevent HPV infection of the dominant high risk subtypes associated with cervical, vulvar and vaginal cancer, and yet the uptake of HPV vaccination have lagged behind almost all other childhood vaccines, and vaccination rates in many other countries around the world. The trends in vaccination over time in the US can be examined through the lens of how the vaccine was presented to patients and providers, politics, the impact of the COVID-19 pandemic on public health interventions to promote healthy behaviors.

Bio:

Dr. Ilana Cass is Chair of Obstetrics and Gynecology at Dartmouth Hitchcock Medical Center and Professor of Obstetrics and Gynecology at Geisel School of Medicine. She graduated from the Icahn School of Medicine at Mount Sinai and completed her residency in obstetrics and gynecology at Yale New Haven Hospital School of Medicine and her fellowship in gynecologic oncology at Albert Einstein College of Medicine. Her research is focused on hereditary gynecologic cancer syndromes and the identification of their phenotypic characteristics. The goal of this work has been to optimize the treatment of women with genetic mutation associated gynecologic cancers and to identify early, precursor lesions in these high-risk women that may lead to improved detection. She was chosen to be an ELAM scholar, and has worked to cultivate women’s leadership within her institution and among women in Obstetrics and Gynecology. Dr. Cass has a Master’s in Health Care Delivery Science from Tuck School of Business which she pursued to study how health care systems can improve health care resources and dissemination to telemedicine and address the social determinants of health that impact the rural, underserved women in Northern New England.  

Dr. Cass has over 100 publications and has received grant funding from the American Cancer Society, the Foundation for Women’s Cancers, and the Ovarian Cancer Coalition of Greater California. Dr. Cass has been active in numerous societies and boards including the NCI Physician Desk Query Hereditary Breast and Ovarian Cancer Working Group, Contemporary Obstetrics and Gynecology, the Society of Gynecologic Oncology and the Council of University Chairs of Obstetrics and Gynecology. 

Alexandra Andes, MD
Does the Real World Match the Randomized Trial? Reach and Effectiveness of a Community-Based Incontinence Program

India Anderson-Carter, MD
The Impact of Cesarean Incision Bupivacaine Injection on Opioid Use and Pain After Cesarean Delivery

Maggie Harrison, MD
Impact of Race on Pregnancy Complications in Women with Polycystic Ovary Syndrome

Modern Management of the Placenta Accreta Spectrum and Complex Cesarean

Abstract: Placenta Accreta Spectrum is associated with increased risk of severe maternal morbidity, which can be reduced with early detection and multidisciplinary planning. In this talk, practical screening strategies, multidisciplinary planning tips and the importance of multidisciplinary teamwork will be highlighted, with tips for all healthcare providers who care for families affected by placenta accreta spectrum.

Bio:

Karin Fox, MD, M.Ed, is a Maternal-Fetal Medicine specialist who has just returned to the University of Texas Medical Branch at Galveston, where she completed residency and fellowship, after spending just over a decade at Baylor College of Medicine. Dr. Fox's clinical and research interests are in the Placenta Accreta Spectrum and complex surgical deliveries, postpartum hemorrhage, maternal transport and the management of pregnancy in women with diabetes and obesity. She serves on the SMFM Education Committee and co-coordinates the SMFM Fellows Lecture Series. Prior to becoming a physician, she served in active duty in the U.S. Army as a medic and ambulance driver. Whenever she can, she swims, skates or paddleboards with her three kids and spends time with her spouse.

Gabrielle Avery, MD
Reach and Teach: Pilot-Testing a Continence Self-Management Website

Kaley Gyorfi, MD
Barriers for Genetic Counseling Referrals: A Quality Improvement Project

Jennifer Janik, MD
Implementation of Expected Management for Prelabor Rupture of Membranes Beyond 34 Weeks

Awa Sanneh, MD
Understanding Fluid Shifts in Hypertension: Postpartum Point-of-Care Ultrasound of the Inferior Vena Cava and Aorta