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].

Special CME - Sept. 10, 2020
"Psilocybin Therapy for Relief of Refractory Anxiety and Depression in Terminally Ill Patients"

Speaker: 
Kathryn Tucker, JD, Special Counsel, Emerge Law Group

Objectives

1. Understand Measure 109 and recognize its implications for relief of non physical suffering in patients with terminal illness, PTSD and other difficult conditions.
2. Identify types of suffering of psychological, emotional, social, spiritual, or existential nature that are potential indications for supervised therapy involving psilocybin.

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].

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].

Grand Rounds - July 17, 2020
"Telemedicine"

Speaker: Jesse Pines, M.D., MBA, MSCE, Director of the Center for Healthcare Innovation & Policy Research, Professor of Emergency Medicine and Health Policy, The George Washington University School of Medicine & Health Sciences

Objectives:

1. Describe the overall landscape of telemedicine and use cases
2. Analyze the shift that has occurred in the past few months with the Covid-19 pandemic
3. Explain what the future of telemedicine will look like in the short-run and long-run

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].

Grand Rounds - July 10, 2020
"Ventilator Associated Pneumonia"

Speaker: Antonio Anzueto, M.D. Chief, Pulmonary Disease Section, The South Texas Veterans Health Care System Professor of Medicine University of Texas Health Sciences Center at San Antonio

Objectives:

1. Discuss the incidence, etiology and risk factors for ventilator-associated pneumonia

2. Describe symptoms, pathophysiology and diagnostic tests

3. Review effective strategies for prevention & treatment based on clinical guidelines

4. Recognize that preventing ventilator-associated pneumonia improves patient care outcomes & decreases healthcare costs

5. Appropriately care for patients with increased risk of VAP, such as the elderly patent and very young patient

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].

Grand Rounds - June 26, 2020
"Gut Health and Intestinal Hyperpermeability"

Speaker: Michelle Hirschy-Baker, FNP-C, Functional Medicine Nurse Practitioner

Objectives:

1) Explain the basic physiology of intestinal hyperpermeability

2) Explain how untreated intestinal hyperpermeability can lead to the development of autoimmune conditions

3) Demonstrate the basic recommendations to reverse intestinal hyperpermeability and when it may be appropriate to refer to a functional medicine provider for further evaluation

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.

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].