Grand Rounds - Jan. 8, 2021
"Not the Same Rodeo: A well-being Survival Guide for today, tomorrow, and what’s to come"

Speakers:

• Joan Fleishman Psy.D. Assistant Professor of Family Medicine. School of Medicine; Founder. Tend Health.
• Tina Runyan PhD, ABPP. Associate Clinical Professor. Department of Family Medicine and Community Health, University of Massachusetts Medical School; Founder. Tend Health.

Objectives

1. Describe common mental health concerns secondary to chronic stress
2. Name underlying causes of psychological impact of chronic stress
3. Understand the specific risks for healthcare professionals and strategies to mitigate burnout
4. Describe high yield strategies for mitigating the risk of mental health issues
5. Name one strategy to implement in every day life to maximize well-being

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. 18, 2020
"Compassionate Conversations"

Speakers:

• Laura Heesacker, MSW, LCSW. Behavioral Health Consultant. Center for Health & Wellbeing
• Michelle Marikos, BS. Certified Peer, Support Specialist. Oregon Pain Guidance

Objectives

1. Understand what makes these conversations difficult on providers/teams as well as patients and families
2. Learn the role of anxiety for both providers/teams as well as patients and their families
3. Learn the five Foundational Components of Difficult Conversations for providers and their teams as well as for patients and their families

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. 11, 2020
"Adrenal Insufficiency"

Speaker: Nairi Berner, MD, Assistant Clinical Professor, Endocrinology Chairperson, Inpatient Diabetes Management Committee University of California, Irvine

Objectives

1. Explain with insight regarding the pathophysiology, diagnostic elements, testing algorithms and sometimes conflicting guidelines for therapy in the care of patients with adrenal insufficiency.
2. Review the symptoms of cortisol and adrenal androgen deficiencies in the setting of both primary and secondary AI, symptoms only seen in primary AI, guidelines for laboratory testing, and to review the various treatment options, including systemic steroid, and how to use laboratory test and symptom assessment to guide titration of treatments.
3. Explain management of associated hypothyroidism and the management of secondary diabetes insipidus will be reviewed.
4. Explain consideration of special circumstances: management in the presence of pregnancy or in the perioperative setting.

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. 4, 2020
"Human Trafficking: Hiding in Plain Sight"

Speakers: 

• Mellissa Withers, PhD, MHS, Director, APRU Global Health Program; Associate Professor USC, Institute on Inequalities in Global Health (Keck School of Medicine of USC)
• Nita Belles, MTh, Executive Director, In Our Backyard; Regional Director, Oregonians Against Trafficking Humans (OATH)

Objectives

1. Define types of human trafficking
2. Explain the role of the healthcare provider in recognizing and responding to trafficking victims and survivor
3. Specify how to report cases or suspected cases of human trafficking
4. Outline the various types of cultural diversities (gender, age, race, religion, ethnicity, language, sexual orientation, socio-economic, etc.) that may relate human trafficking

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 [email protected].

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

Grand Rounds - Nov. 20, 2020
"COVID-19 Update"

Speaker: 
Shira Shafir, PhD, MPH, Director, MPH for Health Professionals Department of Community Health Sciences Director of Field Internships Department of Epidemiology UCLA Fielding School of Public Health

Objectives

1. Describe the current state of the COVID-19 Coronavirus outbreak
2. Describe current best practices concerning personal protective equipment (PPE)
3. Understand the importance of social distancing measures and what they mean for health care professionals in practice
4. Understand the implications of a PHEIC (Public Health Emergency of International Concern)and a locally declared Public Health Emergency
5. Understand where to find additional information and resources as this outbreak continues to evolve

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 - Nov. 13, 2020
"Emerging Infectious Disease and Pandemics"

Speaker: 
Andrew Milsten, MD, MS, Associate Professor of Emergency Medicine, Fellowship Director Disaster Medicine and Emergency Management

Objectives

1. Review of the scope, epidemiology, background, and types of emerging infectious diseases
2. Discuss past pandemics and their implications for the future
3. Analyze how COVID-19 fits into the overall schema of disaster medicine and human populations

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 - 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].