Grand Rounds - June 14, 2024  
"Impacts of Postnatal Care: Giving Babies the Best Start through the Family Connects Model"

Speaker: Benjamin Hoffman MD CPST-IFAAP. Professor of Pediatrics, Division of General Pediatrics, OHSU School of Medicine.

Objectives

1. Discuss inequity and challenges faced by Oregon families with newborns.
2. Describe the Family Connects model and its impact on families with newborns.
3. Identify the steps that pediatric providers and their staff can take to collaborate with the Family Connects program.
4. Evaluate the benefits of Family Connects for both families and providers.

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 7, 2024  
"Surgical Site Infections"

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 surgical site infection (SSI) and identify risk factors for SSI in general and Pacemaker surgery.
2. Describe the components of prevention bundles to decrease SSI.
3. Review examples of programs that successfully reduced SSI.

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 - June 6, 2024
"Psychedelics for PTSD and other Mental Health Disorders"

Speaker: Melissa Brewster, PharmD, BCPS. Director of Pharmacy Services, Mosaic Community Health. 

Objectives

1. Describe the mental conditions, with special emphasis on trauma and PTSD, that may respond to psychedelics.
2. Discuss available and pipeline treatment options with psychedelics, to include dose and method of administration.
3. Understand the limitations of psychedelic treatments and the role of the health care provider to guide patients who seek psychedelics and other non-traditional care for emotional distress.
4. Review treatments available at Mosaic, within Central Oregon, and across the state using the Oregon Health Authority Psilocybin references.

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]. 

Grand Rounds - May 31, 2024  
"Controversies in Acute Stroke - Patients Outside the Guidelines"

Speaker: Michael Hoffmann, MD. Professor of Neurology, University of Central Florida.

Objectives

1. Review evidence and treatment options for patients with medium vessel occlusions.
2. Discuss treatment strategies for patients with vessel occlusions and low NIH Stroke Scale scores.
3. Describe management of patients with large core infarcts.
4. Explain the evidence and evaluate recommended treatment options for patients with large vessel occlusions due to intracranial stenosis.

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 17, 2024  
"Biosimilar Substitution in Oregon: Emerging Policy Challenges"

Speaker: Michael Reilly, JD. Executive Director, Alliance for Safe Biologic Medicines.

Objectives

1. Define interchangeable biosimilars.
2. Describe how they differ from other biosimilars in practice.
3. Summarize emerging challenges to current biosimilar substitution policy.
4. Discuss physician and patient concerns with these policies.

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 10, 2024  
"Advances in Medical and Surgical Therapies in Parkinson's"

Speaker: Harini Sarva, MD. Movement Disorders Specialist - Cornell Medical Center.

Objectives

1. Describe the increasing burden of Essential Tremor (ET) and Parkinson’s disease (PD) and which demographic groups are most at risk.
2. Clinically recognize the spectrum of symptoms in patients with ET and PD.
3. Know current available medical treatments for ET and PD and understand their limitations.
4. Know available surgical options for ET and PD and which patients are good candidates for referral.

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 3, 2024  
"Endometriosis"

Speaker: Charlotte Pickett, MD, FACOG. Minimally Invasive Gynecologic Surgeon, UC San Diego Department of Obstetrics, Gynecology & Reproductive Sciences.

Objectives

1. Describe the pathophysiology of endometriosis.
2. List current medical treatment options available.
3. Identify surgical treatment options.
4. Review the controversy of postop care from hysterectomy and BSO - to give combined HRT or not.
5. Know how to counsel patients regarding fertility treatment options, factoring in age and other cultural considerations.

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 19, 2024  
"Gastrointestinal and Feeding considerations in the Neonate"

Speaker: Henry Lin, MD, MBA. Professor of Pediatrics, Division of Gastroenterology, OHSU School of Medicine.

Objectives

1. Review presentation and diagnostic work-up of common gastrointestinal conditions in the neonate.
2. Discuss general management approaches to gastroesophageal reflux.
3. Review pharmacologic options for select gastrointestinal conditions.

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 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].