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"It’s a progressive organization as far as change. There’s always change going on, and that has been bittersweet. But I will always love St. Charles. I’m loyal to St. Charles, because we’re all on the same team here, trying to do the same thing, which is making sure the patient gets the best care. It’s a really good place.”

- Karen, a clinical documentation integrity specialist, who celebrated her 40th anniversary with St. Charles last fall. Karen is an RN who worked in the OR for 30 years before moving into her current role, in which she examines various documents and works with providers to ensure the clinical records of inpatients are clear, allowing coders to accurately code diagnoses. "One of my goals is for the patient's record to accurately reflect their severity of illness," she said. Karen is pictured with her dog, Moose, who brings her a lot of joy. 

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St. Charles Cancer Center’s new breast surgeon, Dr. Caitlyn Truong, brings to Central Oregon a passion for breast health, fellowship training at Stanford University, and a comprehensive, compassionate approach to patient care.

Truong – who is also the new medical director of St. Charles’ breast cancer care program – comes to the health system from the Centura Health system in Colorado, where she practiced for the past nine years. Though initially trained as a general surgeon, she now specializes in a wide range of breast health care and treatments, ranging from benign conditions to breast cancer.

“Our breast cancer program is so fortunate to add Dr. Truong as our breast surgeon and medical director of breast cancer care,” said Dr. Linyee Chang, clinical division director of St. Charles Cancer Services. “We have already benefited from her thoughtful contributions to strategic development, and I am confident she will provide the leadership to elevate our breast cancer program.”

Truong has wanted to pursue a career in cancer treatment for most of her life, she said.

“I became interested in the field after one of my cousins passed away from cancer when we were kids,” she said. “From that moment on, I knew I wanted to do something in oncology.”

At first, she planned to go into pediatrics, but then she found her calling in surgery.

“I really liked the surgical aspect of (when) you see a problem, you’re able to act on it,” she said.

Born and raised in the Bay Area of California, Truong attended medical school at the University of California San Diego. During her general surgery residency at Loma Linda University School of Medicine, she mentored under a breast surgeon who inspired her to focus on breast surgery.

“I spent more time with breast patients and really fell in love with breast health and what we can afford to give them,” she said. “I'm trained as a general surgeon, but since I specialize, I don't do any other surgeries. Breast health and breast surgery is my passion.”

In Colorado, Truong helped build up the breast surgery program at several of Centura Health’s 15 campuses, increasing accessibility to breast care in the area. She strongly encourages shared decision-making between provider and patient, with an emphasis on promoting health, fitness and improved quality of life.

She also can’t wait to get outside and enjoy some of Central Oregon’s beautiful trail runs.

“I’m so excited to be here,” Truong said, “not only for the opportunity to live in such a vibrant place, but also to serve this community and to give people the compassionate care they need in what can be a worrisome time.”

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A few stories about St. Charles caregivers going above and beyond to help people have made their way to me lately, and they serve as good reminders of why we do what we do.

These stories played out in three different towns in the area we serve – which is about the size of South Carolina, in case you weren’t aware.

They involved different types of caregivers – nurses, a surgeon, pharmacists, administrators, lab workers and so on. One of these situations involved a single caregiver, one involved a team and one required cooperation between St. Charles and multiple partner agencies.

In one case, a medical assistant on a break from work was running errands in town, discovered a person struggling and performed CPR until an ambulance arrived. She is credited with saving the person’s life.

In another, St. Charles caregivers moved swiftly and efficiently to help with a traumatic accident. They gathered necessary supplies, went to the scene of the incident and, working closely with emergency responders, provided life-saving care as quickly as possible.

In the third, a group of pharmacists became aware of a patient who was concerned about a barrier standing between her and an important medication. They worked together to help her overcome that barrier and filled her prescription the next day.

In a variety of situations, St. Charles caregivers came across a person who needed help. And in all three, our people rose to the occasion just like so many of our caregivers do day in and day out.

Quite simply, these stories have served as a reminder to me that, at its core, St. Charles is about much more than buildings and technology, policies and procedures.

St. Charles is about people.

It’s about people who need care, it’s about the people who provide that care, and it’s about the interaction between those two groups. Those interactions happen hundreds – maybe thousands – of times every single day at St. Charles, and they are overwhelmingly positive.

I am proud to lead an organization that puts people at the very center of everything we do.

Sincerely,
Steve

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St. Charles Health System announces cancer center expansion in Redmond

BEND, Ore. – More than 40% of patients treated at the St. Charles Cancer Center in Bend travel from Redmond, Madras, Prineville and other rural communities for their care. If they need radiation as part of their treatment, this can mean traveling more than 50 miles for services multiple days in a row for weeks at a time.

“We know that many of our patients travel farther than patients at other cancer centers in the country for their care,” said Dr. Linyee Chang, medical director of the St. Charles Cancer Center. “Some patients opt out of treatment because of the travel and that’s not OK.”

To better meet the needs of these patients, St. Charles Health System is excited to announce plans to expand cancer services in Redmond.   

Using $90 million secured through bonds in the fall of 2020 that are restricted and must be used for new construction, St. Charles will build a new cancer center on the St. Charles Redmond campus at the corner of Canal Boulevard and Kingwood Avenue.

“The announcement of a world-class cancer center to be constructed here at the St. Charles hospital in Redmond is a milestone event in the history of our community,” said Redmond Mayor Ed Fitch. “I want to express our deep appreciation to the St. Charles Board of Directors for its commitment to the health care needs of Redmond as well as the other communities this center will serve. The city and the community will do all we can to help facilitate this project and the future expansion of health care services here in Redmond.” 

The facility will include a linear accelerator to provide radiation oncology treatments, along with space for chemotherapy treatments, nutrition, massage, acupuncture and other support services. It will also include space for additional outpatient services and medical office building needs.

“As the health care industry continues to face significant challenges, we are looking to maximize the efficiency of the services we provide to ensure we continue meeting the most critical needs of our Central Oregon communities,” said Dr. Steve Gordon, interim president and CEO of St. Charles. “We are making a significant investment in ambulatory services on the Redmond campus that will ultimately provide better access to care for patients.”

Building design is underway and ground was broken on the project in the summer of 2024. Currently, the facility is slated to open in 2026.

View preliminary site plan

About St. Charles Health System

St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond, La Pine and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,500 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

 

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Residency Programs at St. Charles

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Rural Medicine

The Three Sisters Rural Track Program is the first Graduate Medical Education Program and Rural Track Program in Central Oregon.

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Pharmacy Residency

St. Charles Health System is pleased to offer a pharmacy residency program and welcomes applications from self-directed learners who are interested in developing competent clinical generalist skills.

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Nursing Residency

St. Charles Health System has partnered with the Vizient/AACN Nurse Residency ProgramTM to support newly licensed registered nurses in their transition into clinical practice.

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Residency Program in Rural Oregon

The Three Sisters Rural Track Program is the first Graduate Medical Education Program and Rural Track Program in Central Oregon. As a 1-2 program, this residency will recruit up to six residents per class.

Residents will spend their first year in Portland, followed by two years in Central Oregon at our Madras hospital and Family Care Clinic. In partnership with Oregon Health & Science University, this program brings together educational teams within various clinical models to help meet the needs of rural parts of Oregon.

Caring for our rural communities

Why Central Oregon?

In Central Oregon, mountains, rivers, forests and high lakes abound, offering amazing recreational opportunities for adventurous souls. Plus countless craft beer pubs, cozy local restaurants and fun events every weekend only add to the charm of this place we call home.

Visit Central Oregon

Program Contacts

Dr. Jinnell Lewis, Program Director (St. Charles Health System)
Jessica Latham, Program Coordinator (OHSU)
[email protected]

Visit OHSU's Three Sisters Rural Track Program page to learn more.

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Grand Rounds - Jan. 20, 2023
"Fatty Liver: The Emerging Healthcare Giant"

Speaker: Paul Martin, MD, FRCP, FRCPI. Division of Digestive Health and Liver Diseases, University of Miami.

 

 

Objectives

  1. Review epidemiology, risk factors and differentiating features of simple steatosis and non-alcoholic steatohepatitis.
  2. Understand pathogenesis and potential targets for the treatment of non-alcoholic steatohepatitis.
  3. Identify both hepatic and non-hepatic complications of fatty liver.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

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* NOTE: Attached is a photo of the honorees. Identification, from left to right: Kirsten Chavez, Hillary Dunbar, Labree Tolman, Samantha Martin.

St. Charles nurses honored with DAISY Award for outstanding, compassionate care

The following St. Charles Health System nurses have been honored with The DAISY Award for Extraordinary Nurses®, recognizing the outstanding, compassionate nursing care they provide patients and families every day:

  • Bend: Kirsten Chavez, Neonatal Intensive Care Unit
  • Madras: Labree Tolman, Emergency Department
  • Prineville: Samantha Martin, Medical Services
  • Redmond: Hillary Dunbar, Medical Services

Nominated by patients, families and colleagues, the award recipients were chosen by a committee at St. Charles.

The nurses—who represent all four St. Charles hospitals in Bend, Redmond, Madras and Prineville—were recognized with a ceremony on their respective units and presented with a certificate, a pin and a "healer's touch" sculpture by their hospital’s chief nursing officer. The DAISY honorees will also receive ongoing benefits, such as special rates for tuition and ANCC certification.

The DAISY Foundation is a not-for-profit organization that was established in memory of J. Patrick Barnes by members of his family. Patrick died at the age of 33 in late 1999 from complications of Idiopathic Thrombocytopenic Purpura (ITP), a little known but not uncommon auto-immune disease. (DAISY is an acronym for Diseases Attacking the Immune System.) The care Patrick and his family received from nurses while he was ill inspired this unique means of thanking nurses for making a profound difference in the lives of their patients and patient families.

"When Patrick was critically ill, our family experienced first-hand the remarkable skill and care nurses provide patients every day and night,” said Bonnie Barnes, FAAN, president and co-founder of The DAISY Foundation. “Yet these unsung heroes are seldom recognized for the super-human, extraordinary, compassionate work they do. The kind of work the nurses at St. Charles are called on to do every day epitomizes the purpose of The DAISY Award.”

This is one initiative of The DAISY Foundation to express gratitude to the nursing profession. Additionally, DAISY offers J. Patrick Barnes Grants for Nursing Research and Evidence-Based Practice Projects, The DAISY Faculty Award to honor inspiring faculty members in schools and colleges of nursing and The DAISY in Training Award for nursing students. More information is available at http://DAISYfoundation.org.

About St. Charles Health System

St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, La Pine, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

 

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PubMed

Many caregivers use PubMed to identify relevant medical literature. It's a free resource offered by the National Library of Medicine that includes more than 35 million references (January 2023) and allows searching in three different databases: 

  • Medline. Indexes journal articles. Most of them are only available under subscription, although an increasing number of papers are free under an open-access license. St. Charles caregivers can also directly access the full text of those resources the library subscribes to; for other sources, please place a request, and we'll be happy to help. 
  • PubMed Central (PMC). All the articles indexed on PMC are available for free (see the list of included journals). 
  • Bookshelf. Indexes and gives access to books and book chapters. Some of the available content is in the public domain, but some are subject to copyright. 

MeSH

PubMed allows keyword (free text) searching, in the form of a simple search or in a more advanced way using specific fields, operators, and filters. But it also includes a powerful controlled vocabulary tool called Medical Subject Headings (MeSH) that will help any researcher to take their literature research a step forward:

The Medical Subject Headings (MeSH) thesaurus is a controlled and hierarchically-organized vocabulary produced by the National Library of Medicine. It is used for indexing, cataloging, and searching of biomedical and health-related information. MeSH includes the subject headings appearing in MEDLINE/PubMed, the NLM Catalog, and other NLM databases.

If you want to use MeSH, access the search page and type a topic you are interested in. For example, child obesity. This is not a MeSH term, but the resource is able to take us to the accepted term: pediatric obesity. That page describes the term and gives us some other helpful information. Specially: 

  • Subheadings or scope terms: if selected, they allow us to look into a specific subset of the term we are exploring. In this case, for example, we could only be interested in literature about genetic factors linked to pediatric obesity. 
  • Entry terms or cross-references: these are not accepted as subject headings but that the system recognizes them as synonyms or very close in significate.
  • Hierarchy: shows where our concept lies within a list of broader and more specific terms. In this case, pediatric obesity does not have any more specific heading that connects to it, but it is connected broadly to two different disease branches where the main categories are Nutritional and metabolic diseases and Pathological conditions: signs and symptoms. We can navigate those links if we want to refocus our approach to be more broad or more specific. 

Once we have a clear idea of what we want to include in the search, we can select it and press the "Add to search builder" button on the right part of the screen. This will add our concepts to the search field. In this case, if we look for genetic factors in pediatric obesity, the result would be this: "Pediatric Obesity/genetics"[Mesh].

If we want to include more subject headings, we can repeat the process and add the new terms to the search builder using the boolean operators that better suit our needs. After that, we will click "Search PubMed," and the system will take us there, where we will have a results page that we can then improve by applying filters.

Let's say we want to retrieve a recent systematic review in our example. We would select the relevant options in the left sidebar: "Systematic Review" and "5 years". Here is the result, and here a document that seems very relevant to us: 

  • Campbell ET, Franks AT, Joseph PV. Adolescent obesity in the past decade: A systematic review of genetics and determinants of food choice. J Am Assoc Nurse Pract. 2019;31(6):344-351. doi:10.1097/JXX.0000000000000154

It turns out that the Journal of the American Association of Nurse Practitioners is included in PMC, so lucky us... we can get the full text for free!

If you need helps using PubMed or MeSH, please contact the Medical Library.

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Grand Rounds - Jan. 6, 2023
"Epidemiology Update: RSV, COVID‐19, Monkey pox, Polio"

Speaker: Shira C. Shafir, PhD, MPH. Associate Professor, Department of Epidemiology, UCLA Fielding School of Public Health.

 

 

Objectives

  1. Describe current epidemiologic characteristics of the COVID-19 pandemic, including transmissibility and severity of illness.
  2. Detail effectiveness of available vaccines in protecting against the Omicron variant.
  3. Describe the epidemiologic characteristics of the Monkeypox outbreak.
  4. Explain the current polio situation in New York.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

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