Grand Rounds - April 12, 2024  
"Hyper/Hypoglycemia in the Hospital Setting and Post Discharge Management"

Speaker: John A. Tayek, MD. Professor of Medicine‐In Residence, Metabolism, Clinical Nutrition, Lipidology and Diabetes Mellitus, David Geffen School of Medicine at UCLA Harbor‐UCLA Medical Center.

Objectives

1. Recognize when insulin therapy should be initiated for treatment of persistent hyperglycemia.
2. Describe a target glucose range recommended for the majority of critically ill and non-critically ill patients.
3. Apply to practice the use of basal insulin or a basal plus bolus correction insulin regimen as the preferred treatment for non-critically ill hospitalized patients with poor oral intake or those who are taking nothing by mouth.
4. Review the treatment regimen and make changes as necessary to prevent hypoglycemia when blood glucose values are less than 70.
5. Employ a structured discharge plan tailored to the individual patient with diabetes.
6. Identify health disparities among outpatient population and how to identify and mitigate biases that contribute to the disparities.

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 5, 2024  
"Primary Care Treatment for Depression"

Speaker: Matthew Macaluso, DO. Clinical Director, Depression and Suicide Center, Department of Psychiatry and Behavioral Neurobiology, UAB School of Medicine.

Objectives

1. Apply guidelines for screening and diagnosing depression in primary care.
2. Apply practice guidelines for the treatment of patients with depression.
3. Identify new and alternate therapeutic options for depression.

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 22, 2024  
"Diet and Disease Connections"

Speaker: Carolyn Newberry, MD, PNS. Assistant Professor of Medicine, Co-Director, Innovative Center for Health and Nutrition in Gastroenterology, Weill Cornell Medical College, Cornell University.

Objectives

1. Evaluate the history of nutrition recommendations, dietary patterns, and chronic disease.
2. Describe the connection between weight, metabolic syndrome, and chronic disease.
3. Identify the role of the microbiome in disease.
4. Recognize the effects of nutrition on the microbiome and specific disease states (CVD, NAFLD, diabetes, cancer, etc.).

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 15, 2024  
"Advances in Autism Spectrum Diagnosis and Treatment"

Speaker: Yana Jane Tavyev Asher, MD. Director- Division of Child Neurology and Neurodevelopmental Disabilities; Assistant Professor, Depts of Pediatrics and Neurology, Cedars-Sinai Medical Center; Assistant Professor, Depts of Pediatrics and Biobehavioral Sciences, UCLA David Geffen School of Medicine at UCLA.

Objectives

1. Follow current screening, diagnosis, and treatment guidelines for Autism Spectrum Disorders (ASD).
2. Provide appropriate treatment and therapy based on the ASD.
3. Communicate effectively with patients and parents about ASD screening, diagnosis, treatment, and management.
4. Recognize the importance of various therapy approaches, such as music, art, and pet therapy, and utilize to promote social and language development associated with ASD.
5. Consider age and co‐morbidities (such as low birth weight, preterm birth, and a parent or sibling having ASD) when screening 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 - March 8, 2024  
"Suicide: Losing a Patient or Colleague"

Speaker: Michael F. Myers, MD. Professor of Clinical Psychiatry, Department of Psychiatry & Behavioral Sciences, SUNY Downstate Medical Center.

Objectives

1. Delineate up-to-date facts about suicide in America.
2. Discuss common emotional and behavioral reactions after losing a patient or healthcare colleague to suicide.
3. Describe approaches to take in reaching out to grieving families and others.
4. Itemize steps and actions that are helpful to regain equilibrium and promote growth in the aftermath of suicide.

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].

Enduring Materials - March 6, 2024
"ADHD in Primary Care"

Speaker: Eleasa Sokolski, MD.

Objectives

1. Review ADHD diagnostic criteria and differential diagnosis.
2. Compare treatment strategies with stimulants and non-stimulants medications based on patient risk factors and comorbidities.
3. Discuss Case examples of Adults with ADHD and treatment options.
4. Outline a monitoring strategy for patients on long term treatment with stimulant medications.

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of St. Charles Health System and Mosaic Community Health. St. Charles Health System is accredited by the ACCME to provide continuing medical education for physicians. St. Charles Health System designates this live virtual activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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]. 

Enduring Materials - March 1, 2024      
"Addressing Firearm Safety with Patients at Risk of Suicide"

Speaker: Christopher Wolsko, PhD, Elizabeth Marino.

Access the Course Materials

Objectives

1. Recognize key elements of rural culture that impact conversations about firearms.
2. Identify communication skills to use when speaking with patients at risk of suicide about firearm safety.
3. Create a suicide prevention safety plan specific to firearms.
4. Identify skills specific to working with a patient who becomes defensive.
5. Identify actions steps when a patient becomes hostile and won’t engage with the provider.
6. Understanding the contributions to suicide risk.
7. Awareness of emerging trends in suicide risk and prevention.

Accreditation: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of St. Charles Health System and OSU. St. Charles Health System is accredited by the ACCME to provide continuing medical education for physicians. St. Charles Health System designates this live virtual activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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

Starting July 26, 2024, the course is approved to meet Oregon Health Authority Cultural Competence Continuing Education (CCCE) training requirements for the following groups: Chiropractor, Counselor/Therapist, Dietitian, Emergency Medical Service Provider, Home Care Worker, Long Term Care Administrator, Massage Therapist, Midwife, Naturopathic Doctor, Nurse, Occupational Therapist, Pharmacist, Physical Therapist, Physician, Psychologist, Social Worker, Speech-Language Pathologist/Audiologist

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]. 

Grand Rounds - March 1, 2024  
"Advances in Acute and Chronic DVT Management"

Speaker: Edward Boyle, MD. Inovia Vein Specialty Center, St. Charles Healthcare System.

Objectives

1. Understand risks for Deep Venous Thrombosis (DVT) and Pulmonary Embolism (PE).
2. Clinical presentation and diagnosis of DVT.
3. Discuss recommendations for using an evidence-based algorithm to diagnose DVT/PE, taking into account the stability of the patient.
4. Provide recommendations for prescribing appropriate anticoagulant agents, according to the most recent clinical guidelines, to treat and help prevent recurrence of thrombotic events in patients.
5. Provide strategies and resources for developing collaborative care plans with patients; emphasizing adherence to prescribed therapies, and monitoring with follow-up.
6. Understand the differences in approach between acute and chronic interventions.
7. Understand risks of and treatment options for Post thrombotic syndrome including chronic venous stasis and venous stasis ulceration.

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 16, 2024  
"Controlled Substance Prescribing Guidelines and Pain Management"

Speaker: Michael Bottros, MD. Chief Clinical Operations and Medical Director for Pain Services, Associate Professor of Anesthesiology, Department of Anesthesiology, Keck School of Medicine of USC.

Objectives

1. Review how the current epidemic of opioid abuse developed.
2. Consider current pain management guidelines and how well they are achieving the goal of reducing overdose deaths.
3. Discuss the various methods of diversion.
4. Recommend techniques to minimize non‐ medicinal medication use.
5. Review which socioeconomic groups are at higher risk of non‐medicinal opioid use.
6. Review local resources for non-medical pain 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 - February 9, 2024  
"GE Update: GERD, Hiatal Hernia, Gastric / Esophageal Cancer"

Speaker: Anisa Shaker, MD. Assistant Professor of Medicine, Division of Gastrointestinal and Liver Diseases, Keck School of Medicine of USC.

Objectives

1. Follow current, evidence‐based guidelines for common gastroesophageal (GE) issues.
2. Choose the most effective treatment options for hiatal hernia and GERD to aid in the prevention of gastric/esophageal cancer.
3. Distinguish dyspepsia from GERD.
4. Recognize that helicobacter infection reduces acid production and reflux symptomology.
5. Recognize the side effects of PPI use and choose as a treatment option, when appropriate.
6. Address the cultural factors that may increase the risk of, or impact treatment options for, the patient with GI issues.

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].