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Mona Lisa Smile

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’Mona Lisa smile’: professional education and early diagnosis of endometriosis in adolescence

About This Course

Endometriosis diagnostic delay is estimated to be around 7 years, despite the early symptoms’ onset. Early diagnosis, in particular in adolescents, still represents a challenge for clinicians. The diagnostic delay is probably due to an inadequate knowledge of the disease among health professionals, together with the peculiar aspects of this condition in adolescent patients.

The Course is called ‘Mona Lisa smile’, since the presence of endometriosis in adolescence was compared to the mysterious innocence of Mona Lisa smile, underlying the peculiar aspect of the disease in adolescents which make the diagnosis challenging for clinicians.

The aim of the Course is to educate and train health professionals (General Practitioners and General Practioner Residents, Gynecologists and Residents in Gynecology) regarding the diagnosis and treatment of adolescents with a suspect of endometriosis. The early diagnosis would represent an opportunity to reduce the diagnostic delay.

This Course provides the participants a comprehensive overview of this complex disease, explaining the epidemiology, the etiopathogenesis of endometriosis and furthermore how to diagnose and manage endometriosis in adolescents.

The Mona Lisa smile project was conceived in Bologna (University of Bologna UNIBO, Italy; IRCCS Azienda Ospedaliero-Universitaria di Bologna, Italy) and involves other 4 European partners:

EU

  • University of Siena, Italy
  • University of Liège, Belgium
  • Universidad Autónoma de Madrid, Spain
  • Skåne University Hospital, Sweden

The MOOC is structured around three chapters, in addition to a Chapter 0 (Introduction). Each Chapter has modules and lessons consisting of texts, videos, powerpoint and quizzes.

  • CHAPTER 1: Patient medical history. This first module focuses on patient medical history and discusses the importance of an accurate anamnesis for suspicion and diagnosis of endometriosis in adolescents. The chapter provides clinicians information’s about peculiar risk factors and symptoms to be investigated
  • CHAPTER 2: Diagnosis. The second module focuses on the diagnostic process of endometriosis in adolescents and include physical and radiological examination, which is mainly based on ultrasound, and differential diagnosis.
  • CHAPTER 3: Management. This last module focuses on management of endometriosis in adolescents analyzing patient’s goals and counselling, risk and benefits of different treatments (medical therapy, surgical treatment, complementary therapies).

’Mona Lisa smile’: professional education and early diagnosis of endometriosis in adolescence, is funded by the Erasmus+ Programme of the European Union.

Requirements

This Course is addressed to Medical Doctors: General Practitioners and General Practioner Residents, Gynecologists and Residents in Gynecology.

Quizzes and scores

The course includes quizzes that will be evaluated and each correct answer is counted as 1 point.

The course is considered successfully completed if the participant answers correctly at least 60% of the questions in total.

After successfully completing the course, you can download and print out the Certificate of Accomplishment.

Certificate of Accomplishment

The Certificate of Accomplishment will be released to anyone who has successfully completed the course by answering correctly to at least 60% of the questions by the end of the edition.

You will be able to download the Certificate of Accomplishment directly on the "Progress" tab inside the course.

The Certificate of Accomplishment does not confer any academic credit, grade or degree.

FAQ

For further information, see FAQ page.

Course Professors

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Giulia Borghese

Doctor Giulia Borghese has been joining the Gynecology and Human Reproduction Physiopatology Unit directed by Professor Seracchioli since 2018, focusing on endometriosis, pelvic pain and low genital tract disease. She is especially interested in studying and treating pelvic pain in young women.

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Eugenia Degli Esposti

Dr. Degli Esposti has been part of the medical staff of the Gynecology and Human Reproduction Physiopathology Unit, directed by Professor Seracchioli since 2017, focusing on endometriosis, pelvic pain, and minimally invasive surgery. She has always been invested in researching and studying gynecologic pathologies, especially endometriosis.

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Simona Del Forno

Doctor Simona Del Forno has been joining the Gynecology and Human Reproduction Physiopathology Unit of IRCCS Azienda Ospedaliero-Universitaria, Policlinico di Sant’Orsola, since 2016, with particular interest in endometriosis and pelvic pain, ultrasound in gynecology and low genital tract disease.

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Alessandro Ginetti

Dr. Alessandro Ginetti is a Gynecology and Obstetrics resident at the University of Siena. He is especially interested in the fields of minimally invasive gynecological and pelvic surgery and diagnostic ultrasound, focusing on endometriosis and pelvic pain.

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Matteo Giorgi

Matteo Giorgi MD, specialised in Gynecology and Obstetrics at the University of Siena in 2023. He is currently employed at the Ospedale del Valdarno, Montevarchi, Italy. His fields of interest are mainly endometriosis and adenomyosis in every facet, ranging from early diagnosis to treatment. His expertise encompasses minimally invasive surgery, including laparoscopy for benign disease, and hysteroscopy.

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Alicia Hernaìndez Gutierrez

Prof Alicia Hernaìndez Gutierrez is the Chief of Gynaecology Department at La Paz University Hospital (Madrid, Spain) and associated Professor at Universidad Autónoma de Madrid.

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Ligita Jokubkiene

Associate Professor Dr. Ligita Jokubkiene, is Senior Consultant at the Department of Obstetrics and Gynecology at Skåne University Hospital in Malmö, Sweden. She is MD, PhD, Senior Consultant Skånes Universitetssjukhus, Department of Obstetrics and Gynecology.

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Lucia Lazzeri

Professor Lucia Lazzeri is an associate professor of Ob/Gyn at the University of Siena, Italy, she is known worldwide for her expertise in the diagnosis and management of endometriosis and adenomyosis.

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Ana López Carrasco

Professor Ana López Carrasco is Professor “ad honorem” of the Universidad Autónoma de Madrid, from the 2017 and Professor of the Master in Gynecological Endoscopic Surgery, Universidad Autónoma de Madrid (all editions).

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Michelle Nisolle

Dr Michelle Nisolle is President (at ULiege) and Head (at CHU Liege) of OBGYN Dpt in Belgium, her clinical activity focuses on endoscopic management of benign pathologies (esp. endometriosis).

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Roberto Palermo

Dr. Roberto Palermo is a resident doctor at the Gynecology and Human Reproduction Physiopatology Unit directed by Professor Seracchioli. He is interested in the diagnosis and treatment of endometriosis, with focus on the application of new technologies in medicine. His fields of research include also fertility sparing and hysteroscopy.

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Arianna Raspollini

Dr. Arianna Raspollini specialized in Obstetrics and Gynecology in Bologna University in 2023 and she followed the Gynecology and Human Reproduction Physiopatology Unit directed by Professor Seracchioli since 2020. Dr Raspollini showed great interest in scientific research on endometriosis and minimal invasive surgery during and after residency.

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Cristina Redondo Guisasola

Dr Cristina Redondo Guisasola is consultant gynecologist at La Paz University Hospital (Madrid, Spain) she is specialized in minimally invasive surgery and in the comprehensive treatment of endometriosis, both medical and surgical.

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Renato Seracchioli

Prof. Renato Seracchioli is Full Professor of Gynecology and Obstetrics at the University of Bologna and director of the Gynecology and Physiopathology of Human Reproduction Unit of the Sant’Orsola Hospital (IT)

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Emanuela Spagnolo

Doctor Emanuela Spagnolo is consultant gynecologist at La Paz University Hospital (Madrid, Spain), she is expert in pelvic surgery and laparoscopy, and in the comprehensive treatment of endometriosis.

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Lil Valentin

Professor Lil Valentin is a Professor in Obstetrics and Gynecology, Lund University, Sweden, since 2002 and she has more than 40 years of experience in the field of Obstetrics and Gynecology. Her major research interest is in Obstetric and Gynecologic Ultrasound, Gynecological Ultrasound and Doppler in particular.

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Errico Zupi

Professor Errico Zupi is a well-established expert in the management and treatment of endometriosis and adenomyosis, is a full professor of Ob/Gyn at the University of Siena, Italy, and owns the directorship of the Gynecological Unit in Siena.