Clinical Pathways: How to be a Pelvic Floor Detective - When to Refer and Who to Treat

Friday, October 23, 2026, 7:30 AM - 2:20 PM, Volney Richmond Auditorium, Seattle, WA

Join us for this comprehensive, multidisciplinary symposium designed to empower Primary Care Providers, Nurse Practitioners, PAs, and RNs with the diagnostic "detective" skills needed to navigate pelvic floor dysfunction effectively.

This 2026 course moves beyond the basics, offering a deep dive into the clinical pathways that improve patient outcomes. Our expert faculty—representing Urology, Gynecology, Gastroenterology, Colorectal Surgery, and Pelvic Floor Physical Therapy—will provide you with practical, evidence-based tools to streamline care.

• Master the "Pelvic Detective" Skills: Gain proficiency in performing accurate pelvic and rectal exams in a primary care setting, including how to set up, chaperone, and utilize essential equipment.
  

• Streamline Your Referrals: Learn the clear clinical pathways for when to manage conservative care in-office (including bowel regimens and initial medical management) and when to trigger a timely referral to a specialist or Physical Therapy.
  

• Stay Current with Guidelines: Receive updates on the latest AUA/SUFU/AUGS and ACG guidelines for:
  

  • Recurrent UTIs and Genitourinary Syndrome of Menopause (GUSM).

  • Management of overactive bladder, BPH, and male pelvic floor presentations.

  • Fecal incontinence, obstructive defecation, and anorectal lesion screening.

• Interactive Learning: Engage in 15-20 minute focused didactic presentations, point-counterpoint discussions, and collaborative panel case studies.
  

• Emerging Topics: Expand your practice knowledge with updates on hormone replacement therapy (post-black box warning), LGBTQ-affirming care, and advanced anal cancer screening.

This course is specifically tailored for Primary Care Physicians, Specialty Physicians, Physician Assistants, Nurse Practitioners, Residents/Fellows, and RNs seeking to bridge the gap between initial patient presentation and definitive care.

Join us as we leverage our multidisciplinary expertise to provide you with the actionable "take-home" knowledge that transforms pelvic floor care for your patients.

1. Discuss the principles, indications, procedures, and advanced technologies for anorectal biofeedback therapy
2. Identify common urogynecologic disorders from a pelvic exam
3. Differentiate between normal anatomic variations and common pelvic pathologies
4. Review guidelines for preventive and conservative management of UTI's as well as when to refer
5. Discuss indications and timing for surgical referral and intervention for Benign Prostatic Hyperplasia (BPH)
6. Diagnose Pelvic Organ Prolapse (POP )

egister to attend this course in person or participate via livestream:

$160.00 - Attend in person, includes box lunch.

$135.00 - Attend via Livestream - link will be provided.

For assistance with registration, email the CME department at [email protected].

The Virginia Mason Medical Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Virginia Mason Medical Center designates this live activity for a maximum of 5.25  AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine (ABIM):  Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 5.25 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Surgery (ABS): Successful completion of this CME activity, enables the learner to earn credit toward the CME requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

AAFP: Application for CME credit has been filed with the American Academy of Family Physicians (AAFP). Determination of credit is pending.

Parking: Parking is not included with registration. Virginia Mason's downtown parking facilities are limited and reserved for patients, therefore we offer this map of public lots with walking routes to the Lindeman Pavilion.

Seattle Public transportation: Metro Bus routes serving the First Hill neighborhood include 2, 10, 12, 60, 193, and 303. Please consult the Metro Trip Planner for route information and schedules.

AMA PRA Category 1 Credit(s)™ (5.25 hours), AAFP Prescribed Credits (0.00 hours), ABIM MOC Part 2 (5.25 hours), ABS CC (5.25 hours), Non-Physician Attendance (5.25 hours)

Mitigation of Relevant Financial Relationships

Virginia Mason Medical Center adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Friday, October 23, 2026