• Fertilization by natural means vs. micromaniputlation will be discussed
• Mitochondrial augmentation will be discussed
• Genetic enhancement topic will be discussed

2. Ethical Issues Surrounding Egg Donors- Catherine Tucker
Egg donation is an important fertility treatment option that offers couples and individuals the opportunity to become parents.  This roundtable will address some of the ethical issues unique to the voluntary participation of egg donors in this process.  Some of the  topics we will cover: What ethical obligations does the medical team have toward the egg donor?  Are egg donors covered by HIPAA?  Are egg donors entitled to their own treatment records?  Are there ethical concerns regarding shared cycles, where the eggs are split among two (or more) recipients?  How is the balance drawn between obtaining sufficient eggs and protecting the donor’s own health?  To what extent should a donor’s desire for anonymity and privacy outweigh the resulting child’s need for medical or other information from the donor?

• Understand the balance of the donor’s interests against the interests of the recipients and the resulting child.
• Understand how HIPAA  applies to egg donors.

3. Emerging Approaches to Rejuvinate Ovaries in Aging Women - Emre Seli, MD

• learn the molecular techniques used in ovarian rejuvenation research
• formulate potential reason to use and avoid these techniques in women of of advanced reproductive age undergoing ivf treatmtents
• Compare and contrast different practice strategies regarding the techniques discussed

4. How does oocyte development establish the embryos developmental potential? - David Albertini, PhD
How the ovarian follicle dictates the differentiation of a high quality oocyte is now recognized to depend on a timely series of cell communication events taking place between the oocyte and surrounding cumulus cells. These will be discussed in the context of COH, developmental competence acquisition and the role of mitochondria during maturation and fertilization.

• To Define the essential steps in oogenesis that require cumulus cell input
• To review the 3 basic mechanisms that mediate oocyte-cumulus cross talk
• To consider how current ARTs influence oocyte quality

5. Managing Multiple Priorities in Embryology- Barry Behr, PhD
Will discuss the increasing demands on embryologists with the changes in practice.

• Learn about staffing ratios.
• Learn about the effects of new technology implementation.
• Understand the benefit of using scientific method.

6. How Embryology Laboratories have evolved in complexity and intensity- Kathryn Go, PhD
The continual evolution of the discipline of embryology will be reviewed to provide the attendee with an appreciation for how this profession has evolved and the challenges it has met and will continue to meet for the provision of the most current methods for patient care.

• Understand how the earliest embryologists were recruited for clinical IVF and the trajectory of their professional evolution.
• Obtain a description of an embryologist's typical day at work in the 21st century laboratory.
• Consider the embryologist's role in patient care and the important partnership the Embryology Laboratory has with the nurses and physicians in providing information and education to patients.

7. Religious Ethics v. Secular Ethics- Kate Parke, MD
Does religion deserve a place in medicine? Can we be ethical without religion? How can one balance their personal values with professional practice? professional evolution.

• Explore medical ethics informed by religion - patients and providers
• Religious refusals and religious exemptions
• Ethical/Religious questions in ART

8. NEFS Advocacy in Action: Change is Now- Melissa Thompson and Lee Collins
NEFS members have an unprecedented opportunity to use their subject-matter expertise to shape the future of access to fertility treatments. This roundtable will be an active discussion on how we can collaborate to lead efforts to expand access for patients.

• Learn about the legislative process to enable policy change
• Discuss the roles each member can play in this process
• Understand the support network available to foster future collaboration

9. Embryonic Mosaicism- Jenna Miller, MS
Next-generation preimplantation genetic testing technologies are identifying chromosomal mosaicism in a substantial proportion of human embryos. The best practices for use of mosaic embryos has yet to be determined. This roundtable discussion will explore the participants' opinions and practices regarding mosaic embryos.

• Understand the ways in which embryonic mosaicism is and is not new
• Discuss existing guidelines for transfer of mosaic embryos
• Explore different opinions about assessment and transfer of mosaic embryos

10. Fresh or Freeze all embryo transfers: Pitfalls and Benefits - Denny Sakkas, PhD

• To discuss success rates using Fresh and Frozen embryo transfer
• Benefits of using a freeze all embryos policy in relation to outcomes
• Which patients benefit

11. Stem Cells in Reproduction - Hugh Taylor, MD

• Understand the role of stem cells in endometrium and endometriosis 
• Discuss prospect of stem cell therapy for endometrial defects 
• Prepare for non-invasive stem cell recruitment. 

12. Errors in the Lab- C. Brent Barrett, PhD

13. Eggs Over Easy… Or Not So Easy for Some:  Donor Eggs as a Reproductive Solution – Paula Dwan, RNC, WHNP

• Explain the indications for egg donation
• Discuss the issues to consider in counseling different types of patients.
• Describe the role of the fertility program in helping patients transition to an egg donor.