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].

Grand Rounds - March 7, 2025
"The Human Touch: Enhancing Patient Experience Through a Culture of Belonging"

Speaker: Ian Jenkins, MD. SFHM Chair, Patient Safety Committee, Associate Professor of Medicine, Division of Hospital Medicine, UCSD School of Medicine.

Objectives

1. Utilize AIDET techniques to improve the patient experience and sense of belonging.
2. Implement empathetic listening rather than only focusing on tasks/problem-solving.
3. Review evidence relating patient experience with clinical outcomes.
4. Navigate barriers to communicate effectively.
5. Reflect on how patient care and outcomes is most affected by inadequate listening and communication and consider how implicit bias may impact appropriate care.

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 - February 21, 2025
"Management of Heart Failure"

Speaker: Reza Ardehali, MD, PhD. Professor and Chief of Cardiology, Baylor College of Medicine.

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 - February 14, 2025
"Delirium: Identification and Management"

Speaker: Christina Boncyk, MD. Associate Professor of Anesthesiology, Division of Anesthesiology Critical Care Medicine, Critical illness, Brain Dysfunction, and Survivorship (CIBS) Center, Vanderbilt University Medical Center.

Objectives

1. Identify which patients are at risk for delirium, including the importance of recognizing delirium in the elderly population.
2. Differentiate between delirium, dementia, and confusion.
3. Evaluate how to prevent or mitigate delirium in the ICU, and how to treat resulting behaviors to prevent violence effectively.
4. Write a treatment plan to manage delirium as a team effectively.

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 - February 7, 2025
"Illicit Drug Update: What’s Trending and What’s Pending"

Speaker: Richard Shih, MD. Professor of Clinical Biomedical Science, Director of the Division of Emergency; Medicine and Program Director of the Emergency Medicine Residency Program, Florida Atlantic University.

Objectives

1. Manage “date rape” OD/poisoning by recognizing the effects and street terminology.
2. Assess possible “designer drug” use and recognize the limitations of laboratories in identification.
3. Differentiate between the (2) primary methods illicit drugs are obtained for personal use and the common associated demographics.

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 - January 24, 2025
"Contemporary Tobacco Control Issues: Ecigarettes, Tobacco Treatment, and Lung Cancer Screening"

Speaker: Michael B. Steinberg, M.D., MPH, FACP. Medical Director, Rutgers Institute for Nicotine and Tobacco Studies; Interim Executive Vice Chair and Vice Chair for Clinical Research, Department of Medicine Professor and Chief, Division of General Internal Medicine, Rutgers Robert Wood Johnson Medical School.

Objectives

1. Describe recent health, policy, and epidemiological issues related to the use of tobacco products and electronic cigarettes/vaping devices and the concept of harm reduction.
2. Utilize the current evidence regarding tobacco dependence treatment techniques including the evidence for ENDS use in smoking cessation.
3. Review the misperceptions regarding nicotine among the general population and physicians.

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 - December 20, 2024
"The Silent Red Flags: When Benign Complaints Conceal Serious Health Risks"

Speaker: Diane M. Birnbaumer, MD. Senior Clinical Educator, Emergency Medicine, Harbor‐UCLA Medical Center; Emeritus Professor of Medicine, Division of Emergency Medicine, David Geffen School of Medicine at UCLA.

Objectives

1. List at least three chief common chief complaints that look benign but may represent serious risks for patient morbidity and/or mortality.
2. Discuss how to determine if a chief complaint may have a serious cause.
3. Explain how to diagnose and treat these disorders.

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 - December 13, 2024
"Restless Leg Syndrome: Management Updates"

Speaker: Alberto R. Ramos, MD, MSPH, FAASM. Research Director, Sleep Disorders Program Member, Sleep Disorders Research Advisory Board, NIH; Sleep Disorders Research, Advisory Board, NHLBI; NIH Professor of Clinical Neurology, University of Miami Miller School of Medicine.

Objectives

1. Define Restless Legs Syndrome (RLS).
2. List the diagnostic clinical features of RLS.
3. Describe treatment options for managing RLS, including individuals who experience treatment failures and augmentations.

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 - November 22, 2024
"Back Pain in Children and Teens"

Speaker: Robert M. Bernstein, MD. Chief of Staff, Shriners Children’s Portland; Board-Certified Pediatric Orthopedic Surgeon.

Objectives

1. Create a differential diagnosis for back pain in children and teens.
2. Determine an appropriate work up.
3. Establish a treatment plan that follows current best practice.

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].