Grand Rounds - Nov. 6, 2020
"Social Determinants of Health: Native-American Health During COVID-19"

Speaker: 
Erik Brodt, M.D., OHSU. Associate Professor of Family Medicine, School of Medicine.

Objectives

1. Define the social determinants of health.
2. Explain how inequities in neighborhood conditions, education, income and wealth, and sociopolitical climate affect health outcomes and health disparities.
3. Understand how differential access to wealth-building policies and structures (beyond income) creates unequal conditions for good health in communities across the United States.
4. Identify examples of effective local, regional, and national strategies for improving systems and policies that affect the social determinants of health.

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].

Grand Rounds - Oct. 23, 2020
"Creating and Sustaining a Highly-Reliable Health System for the Identification and Treatment of Severe Sepsis and Septic Shock"

Speaker: 
Russell B. Kerbel, MD, MBA, Medical Director, Sepsis Prevention for UCLA Health Assistant Professor of Medicine Division of Hospital Medicine David Geffen School of Medicine at UCLA.

Objectives

1. Describe the most recent concepts surrounding the pathophysiology of sepsis
2. Recognize the difference between the various existing sepsis definitions
3. Provide an overview of the landmark Sepsis Clinical Trials
4. List some tools used to recognize sepsis in the hospital
5. Identify the steps to create a high-reliability system to identify and treat sepsis

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].

Grand Rounds - Oct. 23, 2020
"Stress Management and Physician Wellness"

Speaker: 
Alan Rosenstein, MD, MBA, Private Practice, Internal Medicine ‐ Medical Consultant, Health Care Management

Objectives

1. Define and describe burnout and resilience among physicians.
2. Identify “red flags” that may indicate when a physician or colleague is at higher risk for burnout.
3. Implement methods to control and manage stress while treating patients and interacting with team members.
4. Prevent or manage physician stress and related disruption and impairment.
5. Utilize available resources, when needed.
6. Recognize the varying levels of stress and burnout among different sub-specialties and identify cultural considerations in stress management.

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].

Grand Rounds - Oct. 16, 2020
"Acute Pain Prescribing Guidelines - Emergency and Immediate Care"

Speaker: 
Stephen Leffler, MD, FACEP, President & Chief Operating Officer, The University of Vermont Medical Center

Objectives

1. Learn techniques to manage opiate prescribing.
2. Understand how data affects prescriber behavior.
3. Develop techniques to develop local best practices around prescribing opiates.

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].

Grand Rounds - October 9, 2020
"Alcohol Use Disorder"

Speaker: Michael Levine MD, FACEP, FACMT. Director of Toxicology, Department of Emergency Medicine, University of California Los Angeles

Objectives

• Describe the epidemiology of Alcohol Use Disorder (AUD) and outline current and evolving diagnostic criteria.
• Describe challenges to the successful identification of patients with AUD.
• Identify the treatment modalities currently available for management of AUD and apply them to patient cases using evidence-based medicine.
• Develop strategies for recognizing and improving therapeutic adherence in patients treated for AUD.

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].

Grand Rounds - Oct. 2, 2020
"Implicit Bias in Medicine"

Speaker: Clinton Coil, MD, MPH, FACEP, Chief Quality Officer, Associate Medical Director for Quality and Safety, LA County Harbor‐UCLA Medical Center; Assistant Clinical Professor of Medicine, Division of Emergency Medicine, David Geffen School of Medicine at UCLA

Objectives:

1. Define implicit bias and the evidence supporting its existence

2. Identify Implicit bias in healthcare and how it affects quality and safety

3. Implement strategies to provide safe, high quality care to all patients, despite biases

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].

Grand Rounds - Sept. 25, 2020
"Sexology 2020: beyond PLISSIT: addressing client/patient sexual concerns in the era of porn, polyamory and #metoo"

Speaker: 
Jane Guyn, PhD, RN, President/Founder of Pleasure Plan, Inc.; relationship/sex coach

Objectives

1. Recognize the multiple barriers to healthy and satisfying sexual relationships including but not limited to: body image disorders, erectile dysfunction, early ejaculation, “spectatoring” during sexual experiences.
2. Recognize the problem of vaginal pain during sex, environmental barriers to intimacy, uneven desire between partners, sexually related power struggles, conflict about porn use, “sexual addiction”.
3. Recognize the impact of a history of sexual abuse, emotional conflict exhaustion, orgasmic dysfunction, faking it, distraction during sex, and conflict about request to open monogamous relationships to other partners.

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].

Grand Rounds - Sept. 18, 2020
"Social Determinants of Physical and Mental Health: Black/African-American Physical and Mental Health in the 2020 COVID-19 and Racial Justice Era"

Speaker: 
Gena Cox, PhD, President, Feels Human, Inc. and Senior Consultant and Lead Researcher, Perceptyx, Inc.

Objectives

1. Define the primary patterns of physical and mental health outcomes for Black/African-Americans in 2020 regarding COVID-19 and racially-defined stressors.

2. Define the systemic patterns in income, nutrition, education, housing, health service access and socio-political factors that explain these outcomes.

3. Share examples of effective local, regional, and national strategies for improving systems and policies that affect the social determinants of physical and mental health.

4. Discuss research-based behaviors healthcare providers can use to understand the unique needs of Black/African-American patients.

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].

Grand Rounds - Sept. 11, 2020
"Collateral morbidity and mortality of the COVID-19 Pandemic"

Speakers: 
Archie Bleyer, MD, Clinical Research Professor, Radiation Medicine, The Knight Cancer Institute, OHSU
Dan Weinberger, PhD, Associate Professor, Epidemiology of Microbial Diseases and Public Health Modeling Unit, Yale School of Public Health
Whitney Schumacher, MPH, Suicide Prevention Coordinator, Deschutes County

Objectives

1. To realize to what extent the pandemic is causing other morbidities and deaths

2. To deliberate the causes of the excess mortality and disease burden

3. To recognize that the age of those dying of Covid-19 is decreasing

4. To anticipate an even shorter life expectancy in the U.S.

5. To consider what should be done to reverse these all-time ominous trends

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].

Grand Rounds - July 31, 2020
"COVID Update" and "Contact Tracing Strategies: Oregon and COVID-19"

Speakers: 

Shira C. Shafir, Ph.D., MPH, Director, MPH for Health Professionals Department of Community Health Sciences, Director of Field Internships Department of Epidemiology, UCLA Fielding School of Public Health

Jill Johnson, RN, Deschutes County Health Services Communicable, Disease Programs Supervisor

Video begins at approximately 0:14.

Objectives (COVID-19 update):

1. Describe the current state of the COVID-19 Coronavirus outbreak
2. Understand what is currently known and unknown from the rapidly evolving literature on SARS-CoV-19
3. Explain updated understanding on the pathophysiology of the virus and how it affects multiple body systems
4. Describe updates on drug and vaccine testing

Objectives (COVID-19 Contact Tracing Strategies in Oregon):

1. Discuss the Public Health role in preventing the spread of COVID-19 through case investigation and contact tracing.
2. Understand COVID-19 prevalence in the Central Oregon Region and contributing factors.
3. Describe how syndromic surveillance may provide an early indicator of changes in COVID-19 infections

Accreditation: St. Charles Health System is accredited by the Oregon Medical Association 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.

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 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].