Grand Rounds - June 13, 2025
"Measles in the 21st Century: Why It Still Matters"

Speaker: Deschutes County Health Communicable Diseases, Immunizations, Access to clinical Services Team.

Objectives

1. Describe the clinical presentation of measles, including key signs, symptoms, and differential diagnoses.
2. Summarize current recommendations for measles diagnosis, treatment, and post-exposure management.
3. Interpret recent epidemiological trends and surveillance data related to measles at the local, state, and national levels.
4. Explain the role of local public health during a measles outbreak, including communication containment, and community guidance efforts.
5. Outline the key components of a measles case investigation, including notification, testing, isolation, and contact tracing.
6. Recognize the importance of interagency collaboration in outbreak response, including partnerships with OHA, schools, healthcare providers, and laboratories.

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 - June 6, 2025
"It’s Getting Hot in Here: Dehydration and Heat-Related Illnesses"

Speaker: Alan L. Nager, MD, MHA. Director, Emergency & Transport Medicine, Children's Hospital Los Angeles; Associate Professor of Pediatrics, Keck School of Medicine of USC.

Objectives

1. To understand the spectrum of heat-related illnesses (HRI) from benign to life-threatening.
2. To understand HRI and the importance of dehydration and vital treatment regimens.
3. To determine, based on signs and symptoms, appropriate treatment modalities for heat stroke.

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 - May 23, 2025
"Polycystic Ovary Syndrome: It's Not That Complicated"

Speaker: Nancy A. Phillips, MD. Primary Investigator, IMA Clinical Research, Voluntary Faculty‐ Professor of Department Obstetrics, Gynecology & Reproductive Sciences,Rutgers New Jersey Medical School.

Objectives

1. Define the criteria for the diagnosis of PCOS.
2. Distinguish the different phenotypes of PCOS and describe their different long‐term health risks.
3. Explain how to develop patient‐centered treatments for women with different manifestations of PCOS.

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 - May 16, 2025
"GLP‐1s: Miracle Drugs or Hype. Understanding the Science and Therapeutic Indications Behind"

Speaker: Adrienne Youdim, M.D., FACP. Associate Clinical Professor of Medicine, UCLA; David Geffen School of Medicine, Cedars Sinai Medical Center.

Objectives

1. Understand the mechanisms of action behind GLP-1 and GLP1/GIP agonists.
2. Assess clinical indications whereby GLP-1 agonist have been shown to confer benefits in clinical trials.
3. Appreciate the importance of selecting the proper patient population for consideration of GLP-1 agonist therapy.
4. Monitoring the safety and efficacy of GLP-1 therapy.

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 - May 9, 2025
"When False Beliefs Undermine Healthcare: Medical Mistrust, Disinformation, and Motivated Reasoning in 2025 and Beyond"

Speaker: Joseph M. Pierre, MD. Unit Chief, Langley Porter Psychiatric Hospital Inpatient Program; Health Sciences Clinical Professor of Psychiatry and Behavioral Sciences Weill Institute for Neurosciences.

Objectives

1. Learners will be able to identify three widely held misbeliefs about medicine.
2. Learners will be able to describe how mistrust, misinformation, and motivated reasoning can explain false beliefs about medicine.
3. Learners will be able to integrate at least one key practice strategy to minimize the harmful effects of medical misbelief.

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 - May 2, 2025
"Navigating Care: The Impact of Implicit Bias and Cultural Competence on the Patient Experience"

Speaker: Neil J. Farber, MD, FACP. Director, Clinical Medicine, Professor Emeritus of Clinical Medicine, UCSD School of Medicine.

Objectives

1. Define cultural competence; implicit bias in healthcare; and health equity, inequity, and equality.
2. Recall challenges in healthcare encountered by patients of different cultural backgrounds and identity.
3. Propose culturally competent strategies to address challenges experienced by patients of different backgrounds.

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 - April 18, 2025
"Eating Disorders"

Speaker: Cora Collette Breuner, MD, MPH. Physician in the Division of Adolescent Medicine and the Orthopedics and Sports Medicine Department, Seattle Children’s Hospital; Professor of Pediatrics, Adjunct Professor of Orthopedics and Sports Medicine, University of Washington School of Medicine.

Objectives

1. Identify the most common eating disorders and how to screen for these disorders.
2. Recognize treatment options.
3. Increase awareness of the medical complications of eating disorders and the long-term health risks.
4. Explain how interventions can improve body imaging and the overall relationship with food.

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 - April 11, 2025
"MS Pathways to Cures-Research Update"

Speaker: Bruce Bebo, MD. Executive Vice President, Research for the National MS Society.

Objectives

1. Recognizing that MS research has reshaped life for people with MS over the past 75 years and understanding the three interconnected pathways: Stop, Restore, and End.
2. Understanding the significance of the Pathways to Cures Research Roadmap and what it aims to achieve for MS research.
3. Analyzing the interconnections between the Stop, Restore, and End pathways and how they relate to each other in the context of overall progress toward MS cures.
4. Evaluating the success of the MS Society’s efforts in collaboration with over 30 MS organizations in driving forward the Pathways to Cures Roadmap.

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 - April 4, 2025
"It Takes Guts! Connecting the Brain, Gut, Diet & Microbiome"

Speaker: Joseph B. Weiss, MD. Clinical Professor of Medicine, Division of Gastroenterology,UCSD School of Medicine.

Objectives

1. Recognize that humans are complex superorganisms with close interactions between the brain, gut microbiome, and diet.
2. Define the human microbiome and recognize that genes are often transferred between organisms and influenced by epigenetic factors.
3. Describe the healthy human gastrointestinal tract as hosting trillions of microorganisms, most of which are commensal and beneficial.
4. Understand how the microbiome can be dramatically influenced by antibiotics, pharmaceuticals, and epigenetic factors.
5. Describe the multi-directional pathways between brain, gut microbes, and diet.
6. Recognize that recent advances in genomics, metabolomics, proteomics, transcriptomics, epigenetics, and technology have revolutionized the understanding of the role of the microbiome, diet, and gut in human health and disease.
7. Review that the information concerning probiotics is preliminary and has the potential to cause harm as well as benefit.
8. Advise patients to use probiotics as they would antibiotics, with caution and to monitor changes in 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 - March 14, 2025
"Heads Up: Update on Headaches and Migraine"

Speaker: Stewart J. Tepper, MD. Professor of Neurology, Dartmouth Geisel School of Medicine.

Objectives

1. Utilize specific questions when obtaining a headache history.
2. Become familiar with the wide array of pill, nasal, and injection acute migraine therapies.
3. Become familiar with various headache prophylaxis options, including new CGRP Inhibitors.

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].