Grand Rounds - Mar. 10, 2023
"Non Accidental Trauma: an evidence-based clinical pathway"

Speaker: Kim Ruscher, MD, MPH. Pediatric Surgery, PeaceHealth.

Objectives

1. Diagnose patients who may have experienced NAT using evidence-based history and examination criteria.
2. Employ evidence-based decisions for medical workup and clinical management.
3. Perform medical documentation that is accurate and thorough to provide optimal legal support.

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 - Mar. 3, 2023
"Gender Discrimination and Bias in the Workplace"

Speaker: Natalie Good, MD and Mark Hallet, MD. St. Charles Health System.

Objectives

1. Distinguish the difference between bias and discrimination.
2. Describe the impact of gender discrimination in the workplace.
3. Demonstrate how to be an ally/how to address when you see an issue.

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 - Feb. 17, 2023
"Heart Failure Diagnosis and Management"

Speaker: Marc Klapholz, MD, FACC, FSCAI, FAHA. Chair, Department of Medicine, Rutgers New Jersey Medical School.

Objectives

1. Define heart failure.
2. Review expected clinical assessment findings for patients with heart failure.
3. Apply nonpharmacological therapies for the management of heart failure.
4. Examine expected outcomes for the therapeutic management of patients with heart failure.
5. Apply strategies to prevent and reduce readmissions effectively.
6. Communicate prevention strategies to patients and their families adequately, taking into consideration age, ethnicity, and comorbidities.

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 - Feb. 10, 2023
"Breast Cancer"

Speaker: Anees B. Chagpar, MD, MSc, MPH, MA, MBA, FRCS(C), FACS. Yale School of Medicine.

Objectives

1. Assess risk factors that may contribute to breast cancer increases, such as hormone replacement therapy, genetics, etc.
2. Examine the pathophysiology and epidemiology of breast cancer and identify prognostic indicators.
3. Follow AJCC clinical and pathologic TNM staging guidelines and choose appropriate evidence-based treatment and management (surgical and nonsurgical) options.
4. Summarize current and future research studies and clinical trials.

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 - Feb. 3, 2023
"Alternative Treatments and Non-traditional Approaches to Mental Health"

Speaker: Todd Zorick, MD, PhD. Associate Clinical Professor of Psychiatry; Medical Director, 8W Inpatient Ward, Harbor-UCLA Medical Center.

Objectives

1. Define Depression and describe the goals of treatment.
2. Identify new and alternate therapeutic options for depression.
3. Describe the mechanism of action of ketamine and its physiological and psychological effects.
4. Identify conventional treatments for depression and contrast them with ketamine and alternative treatments.

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 - 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].

Grand Rounds - Jan. 13, 2023
"Social Determinants of Health"

Speaker: Dennis Hsieh, MD. Chief Medical Officer, Contra Costa Health Plan Clinical Faculty; Assistant Professor, Harbor-UCLA Medical Center.

Objectives

1. Define & discuss the social determinants of health (SDOH).
2. Explore the evidence supporting addressing SDOH in the clinical setting.
3. Discuss concrete examples of how to implement programs addressing SDOH.

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 - 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].

Grand Rounds - Dec. 16, 2022
"Strong Body & Mind: Best Practices for Perioperative Care for Older Surgical Patients"

Speaker: Katie Schenning, MD, MPH, MCR. Associate Professor, Anesthesiology & Perioperative Medicine; Assistant Medical Director, Perioperative Medicine Clinic, Oregon Health & Science University.

Objectives

1. Review the definition and prevalence of frailty and pre-existing cognitive impairment.
2. Understand the importance of preoperative frailty and cognitive screening using formal tools.
3. Describe the risk factors for postoperative delirium.
4. Quantify the costs of frailty/postoperative neurocognitive disorders to a health system.
5. Introduce delirium prevention pathways.
6. Advocate for a coordinated, interdisciplinary approach to reversing frailty and preventing postoperative delirium in Central Oregon and SCHS.

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 - Dec. 2, 2022
"Anticoagulation: The New, the Old, the Reversals"

Speaker: Kazuhide Matsushima, MD. Assistant Professor of Clinical Surgery, Division of Acute Care Surgery, LAC+USC Medical Center Keck School of Medicine of USC.

Objectives

1. Cite the pros and cons of each anticoagulant drug.
2. Differentiate between the various anticoagulant drugs.
3. Follow the indications for appropriate use of reversal agents.
4. Select the proper medication for the patient’s therapeutic needs, taking into consideration any socioeconomic barriers.
5. Communicate the importance of following the medication instructions given while navigating any cultural, health literacy, and language barriers.

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].