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Select videos of the Grand Rounds are currently not available. A resolution is being implemented and videos will be posted as they become available. We apologize for the inconvenience.

October 11, 2019 - "Update on Hypertension"
Speaker: Mark Backus M.D. FACP, Cascade Internal Medicine Specialists

Objectives: 1) Review the new guidelines proposed by the American Heart Association in November 2017 and the rational for their development 2) Review proper ways to measure blood pressure and helpful hints for managing blood pressure measurement in the clinic 3) Identify pharmacological and non-pharmacological options for blood pressure control 4) Review case based examples of blood pressure management 5) Illustrate helpful ways to organize a clinic to ensure effective blood pressure management

Handouts: CME101119Backus

October 04, 2019 - "Emerging Practice Guidelines for Dementia and Delirium in Acute Care"
Speaker: Clifford Milo Singer, MD, DFAPA, AGSF Chief, Division of Geriatric Mental Health and Neuropsychiatry Acadia Hospital and Eastern Maine Medical Center

Objectives: 1) List at least five elements of a care plan for a patient with dementia in the hospital to reduce risk of delirium or injury 2) Discuss three arguments both pro and con for use of psychotropic medication in treating neurobehavioral symptoms in acute care setting in patients with dementia or delirium 3) Develop a discharge plan that incorporates appropriate compromises of patient wishes, family-caregiver abilities, resources and realistic prognosis for desirable quality of life.

Handouts: CME100419Singer

September 27, 2019 - "Attention-Deficit Hyperactivity Disorder"
Speaker: Michael J. Enenbach, M.D..Associate Clinical Professor of Psychiatry & Biobehavioral Sciences David Geffen School of Medicine at UCLA

Objectives: 1) Define the diagnostic criteria for ADHD and its 3 subtypes 2) Review common misperceptions about Adult ADHD, its course and its treatment options 3) Identify common comorbidities of ADHD and how to address them 4) Explain the Laws and Legal Protections afforded Children and Adults with ADHD under the Americans with Disabilities Acts 5) Review the range of FDA-approved medications and non-medicinal options for the treatment of Adult ADHD

Handouts: CME092719_Enenbach

September 20, 2019 - “Primary Care Management of End-Stage Renal Disease"
Speaker: Margaret K. Yu, M.D., M.S., Clinical Assistant Professor of Nephrology Department of Internal Medicine Stanford University School of Medicine

Objectives: 1) Manage end-stage kidney disease appropriately 2) Choose appropriate treatment/medication options 3) Identify complications of end-stage kidney disease in a timely manner, in order to prevent further (avoidable) complications 4) Recognize patients at higher risk for kidney disease, such as women and certain ethnic groups

Handouts: CME092019Yu

September 13, 2019 - “Enhanced Recovery After Surgery (ERAS) Update in Perioperative Care and Efficiency Measures"
Speaker: Kyle G. Cologne, M.D. Associate Program Director, Colorectal Residency, Assistant Professor of Surgery, Keck School of Medicine of USC

Objectives: 1) Define the ERAS (Enhanced Recovery After Surgery) Protocol 2) Provide enhanced patient care appropriately 3) Educate patients preoperatively and postoperatively in order to obtain best results after surgery

Handouts: CME091319Cologne

September 06, 2019 - “Fasting and Fasting Mimicking: Science behind Treatment of Metabolic Syndrome and Inflammation”
Speaker: Eric Ravussin, PhD, Associate Executive Director for Clinical Science, Pennington Biomedical Research Center, Baton Rouge, LA

Objectives: 1) Discuss aging, health span, and the biological pathways linked to the development of chronic diseases 2) Appreciate the role of diet, nutrition, and lifestyle in healthy aging 3) Evaluate the impact of fasting and fasting-mimicking diet on longevity, cellular regeneration, autophagy, metabolic profile, and reversal of autoimmunity.

August 01, 2019 - No Grand Rounds - Summer Break

July 26, 2019 - No Grand Rounds due to Medical Staff Meeting

July 19, 2019 - “Migraine 2019: Understanding and Management”
Speaker: Peter Goadsby, MD, Professor of Neurology, Department of Neurology, University of California, San Francisco

Objectives: 1) Review diagnosis and management of migraine 2) Identify treatment principles and specific issues in women and pediatric populations 3) Discuss risk factors and trigger management

Handouts: CME071919Goadsby

July 12, 2019 - “Ending Medical Reversal”
Speaker: Vinay Prasad, MD MPH; Associate Professor Hematology & Medical Oncology, Center for Hematologic Malignancies, Oregon Health and Sciences University

Objectives: 1) What is medical reversal? 2) How much of medical science is trustworthy? 3) What are ways in which healthcare professionals can differentiate reliable medical science from poor medical science?

Handouts: CME071219_Prasad

July 05, 2019 - No Grand Rounds - Independence Day weekend
Objectives: No Grand Rounds - Happy 4th of July!

June 28, 2019 - “CRISPR for Clinicians”
Speaker: Wayne W. Grody, M.D., Ph.D. Professor of Medical Genetics and Molecular Pathology, Departments of Pathology & Laboratory Medicine, Pediatrics, and Human Genetics, David Geffen School of Medicine at UCLA

Objectives: Discuss the function of CRISPR (clusters of regularly interspaced short palindromic repeats) technology. Define how it works and how it is being used in the research lab 2) Discuss one or two examples of clinical applications of CRISPR to human disease for diagnosis or treatment 3) Discuss some of the pitfalls of using this technology in the clinic.

Handouts: CME062819Grody_CRISPR_final

June 21, 2019 - "Critical Thinking: How We Think and How To Bridge the Conversational Divide”
Speaker: Marla Estes, founder of School of the Examined Life and creator of “Bridging the Divide” to address political polarization; and Rob Schlapter, former Evangelical pastor, professor, and publisher

Objectives: 1) Illustrate how our brains work based on evolutionary neurobiology 2) Identify personal filters and biases that effect our communication ability 3) Review how to discuss difficult topics by using well defined and researched communication techniques

Handouts: CME062119EstesSchlapter

June 14, 2019 - "Compassion Fatigue: Theory, Neuroscience, and Practical Protective Factors"
Speaker: Christopher F Wilson, PsyD, LLC Portland, OR

Objectives: 1) Review the science that supports the theory that compassion fatigue affects the brain similarly to traditional trauma and emotional distress 2) Discuss the science that supports the theory that some level of compassion fatigue is inevitable when working with traumatized and emotionally distressed patients or clients 3) Participants will leave the training with at least three scientifically supported methods for building resilience

June 07, 2019 - “Whole Blood Resuscitation in Trauma Care”
Speaker: Andrew P. Cap, MS, MD, PhD Colonel, Medical Corps, US Army Chairman, Blood Research, US Army Institute of Surgical Research Hematology-Oncology Consultant to the US Army Surgeon General Associate Professor of Medicine, Uniformed Services University

Objectives: 1) Review the current data regarding outcomes following whole blood versus component blood product resuscitation. 2) Illustrate the current indications for use of whole blood resuscitation. 3) Explain the logistics and availability of whole blood resuscitation.

Handouts: CME060719AndrewCap

May 31, 2019 - "Palliative Care, Treatment Options and the Relationship Between Doctor and Patient During This Phase of End of Life"
Speaker: Finly Zachariah, M.D., Medical Director, Integrated Life Care Planning, Department of Supportive Care Medicine, Assistant Clinical Professor of Medicine, City of Hope National Medical Center, Duarte, CA

Objectives: 1) Discuss informing patients of their options and palliative care, 2) Inform physicians about palliative care and early treatment, 3) Review improving communication with patients and their family members about palliative care

Handouts: CME053119_PalliativeCareZachariah

May 24, 2019 - No Grand Rounds - Memorial Day weekend
Objectives: No Grand Rounds - Memorial Day weekend

May 17, 2019 - "Diagnosis and Treatment of Tourette Syndrome"
Speaker: Rebecca K. Lehman, M.D., Palmetto Health-USC Pediatric Neurology ,Columbia, SC

Objectives: 1) Cite the criteria used to diagnose Tourette Syndrome and other tic disorders 2) Describe the common co-occurring conditions with TS 3) Describe the range of effective management and treatment strategies

Handouts: CME051719_Lehman_Update on Tourette_Oregon

May 10, 2019 - TRAUMA CME "The 46th General Hospital: Oregon’s Contribution to the treatment of wounded in World War II"
Speaker: Richard Mullins, MD, retired Professor of Surgery, Section of Trauma/Critical Care, OHSU; Captain, Inactive Ready Reserve, United States Naval Reserve

Objectives: 1) Describe the role that affiliated units from medical schools in the United States played in providing medical care to wounded in World War II 2) Explain how hospital units in war need to be adaptable and disciplined in carrying out their orders and duties 3) Provide biographical detail regarding some of the Oregon nurses and doctors who served with the 46th General Hospital

Handouts: CME051019Mullins

May 03, 2019 - "Suicide Prevention in Older Adults and Adults with Physical Disabilities"
Speaker: Patrick Arbore, Ed.D,M.A. Psychology, B.A. Psychology, San Francisco, CA

Objectives: 1) Understand the scope of the problem of older adult suicide especially in rural Oregon 2) Learn to recognize the risk factors that contribute to suicide ideation among an older population. 3) Recognize protective factors against social isolation & suicide 4) Utilize current theory on suicide (Interpersonal Theory of Suicide) as a basis for increasing knowledge about the reasons for suicidal ideations. 5) Understand ways to decrease the rates of suicide at a prevention level.

Handouts: CME050319Arbore

April 26, 2019 - No Grand Rounds - Medical Staff Meeting
Objectives: No Grand Rounds - Medical Staff Meeting

April 19, 2019 - TRAUMA CME “Current recommendations for managing facial trauma: from the common injury to the complex”
Speaker: Dr. Allen Cheng, Head & Neck Surgical Associates, Legacy Emanuel Trauma Center

Objectives: 1) Review triaging and initial management facial injuries - what can wait until morning what needs to get the specialist to the bedside NOW? 2) Educate on antibiotics - who needs them and for how long? 3) Review complex injuries with multidisciplinary approaches.

Handouts: CME041919Cheng

April 12, 2019 - TRAUMA CME "Mass Casualty Disaster and Active Shooter"
Speaker: Shira A. Schlesinger, M.D., Director, EMS & Disaster Preparedness Programs Associate EMS Fellowship Director Harbor‐UCLA Medical Center Medical Director, South Bay Disaster Resource Center

Objectives: 1) Understand the epidemiology of Active Shooter and Mass Shooting in the United States, and particularly in hospital settings 2) Explain how health care facilities and workers can prepare and respond to Active Shooter threats in their facility and/or community 3) Describe steps that hospital employees can take to help themselves, coworkers, and patients should their facility become involved in an Active Shooter event. 4) Discuss the key steps for managing a mass casualty incident 5) Characterize the crucial role of healthcare providers in emergencies

Handouts: CME041219Schlesinger

April 05, 2019 - No Grand Rounds - to be rescheduled
Objectives: No Grand Rounds - to be rescheduled

March 29, 2019 - No Grand Rounds - Spring Break
Objectives: No Grand Rounds - Spring Break!

March 15, 2019 - "Travel Medicine and Immunization Update"
Speaker: Vinod K. Dhawan, M.D., FACP, FRCP, Chief of Infectious Diseases Rancho Los Amigos National Rehabilitation Center, Clinical Professor of Medicine David Geffen School of Medicine at UCLA

Objectives: 1) Identify the most common infections acquired by overseas travelers 2) Follow the core measures for immunizations 3) Follow current recommendations for prevention and treatment of malaria and traveler’s diarrhea 4) Highlight the risk (and prevention) of mosquito-borne diseases such as dengue, Chikungunya, and Zika virus 5) Address common cultural aspects of travel medicine, such as traveling with infants or children, patients who are pregnant or breastfeeding, or patients who have altered immunocompetence.

Handouts: CME031519Dhawan

March 08, 2019 - “Strategies Designed to Improve Physician Engagement, Satisfaction, Well-being, and Clinical Performance”
Speaker: Alan H. Rosenstein, M.D., M.B.A., Private Practice, Internal Medicine ‐ Medical Consultant, Health Care Management, San Francisco, CA

Objectives: 1) Gain a better understanding of the incidence, causes, and impact of forces contributing to frustration, dissatisfaction, stress, and burnout in health care practitioners 2) Discuss the negative impact of stress and burnout on attitudes and behaviors that can adversely affect well-being, care relationships, satisfaction, patient safety, and quality of care 3) Learn how to develop a proactive organizational approach to address physician concerns and implement programs designed to enhance professional behaviors, staff satisfaction, physician engagement, and overall physician well-being

Handouts: CME030819_Rosenstein

March 01, 2019 - Rescheduled to April 5
Objectives: Cancelled due to inclement weather.

February 22, 2019 - "Sepsis Update"
Speaker: Carmen Mikacenic, MD Assistant Professor of Pulmonary and Critical Care Medicine University of Washington

Objectives: 1) Discuss early recognition and treatment for Sepsis and Septic Shock 2) Provide an update on Nationally recognized measures: Process and Outcomes 3) Review screening tools and 2017 Sepsis Mortality Reduction Top Ten Checklist

Handouts: CME022219_Mikacenic

February 15, 2019 - “Critical Communication for Physicians”
Speaker: Clinton Coil, MD, MPH; Patient Safety Officer, Harbor-UCLA Medical Center, Assistant Clinical Professor of Medicine division of Emergency Medicine, David Geffen School of Medicine at UCLA

Objectives: 1) Describe gaps that can exist in physicians' communication with each other, with staff, and with patients 2) Explain how to use the following communication tools to improve performance: check back, huddle, handoff 3) Describe strategies to improve communication with patients to achieve better outcomes.

Handouts: CME021519_Coil

February 08, 2019 - "Hep C and HIV Screening and Treatment Update”
Speaker: John Nusser, MD, MS, Peace Health Vancouver, WA

Objectives: 1) Appropriately screen and treat common STIs in their practice environment 2) Recognize signs and symptoms of common STIs and HIV infection 3) Describe the role of Pre-Exposure Prophylaxis (PrEP) in preventing HIV infection

Handouts: CME020819_Nusser

February 01, 2019 - “Can’t We All Just Get Some Sleep? A Rational Approach to Hypnotic Medications in Children”
Speaker: Elizabeth Super, MD, Associate Professor Division of Pediatric Pulmonology and Sleep Medicine, Oregon Health and Science University

Objectives: 1) Explain that there are limited studies on hypnotic medication in children 2) Review pharmacology of commonly used hypnotic medications 3) Review how to strategize with families about appropriate medication use and discontinuation

Handouts: CME020119_Super

January 25, 2019 - “Changing the Doctor-Patient Relationship Through the Use of Coaching Psychology: Improving Communication, Experience and Outcomes for Both Patients and Physicians”
Speaker: Adam Smith, D.O., Physician, Coach, and Patient Advocate Partner, Dakini Meditative, LLC, Austin, TX

Objectives: 1) Define coaching psychology and its role in clinical medicine 2) Explore tools and insights to improve patient engagement 3) Identify shifts and approaches to consistently enhance connection to self and work 4) Demonstrate the relationship of physician wellness to patient satisfaction

Handouts: CME012519_Smith

January 18, 2019 - “Understanding Radiation Risks to Patients from Medical Imaging Procedures”
Speaker: Michael Timmerman, M.S., DABR, Radiation Safety Officer, St. Charles Health System; Paula Shultz, M.D., Pediatric Radiologist, Central Oregon Radiology Associates

Objectives: 1) Explain the increased utilization of medical imaging, and the effect this increase has had on patient radiation dose 2) Review the models used to quantify risks from the medical use of radiation 3) Illustrate methods to assist in ordering the most appropriate imaging study 4) Discuss radiation risks pertaining to pregnant women and pediatric patients 5) Describe how to better educate colleagues and patients about radiation safety risks inherent to the use of medical radiation.

Handouts: CME011819_TimmermanShultz

January 11, 2019 - “Wildfire smoke: what to know, what to do”
Speaker: George A. Conway, MD, MPH, Director, Deschutes County Health Services Department

Objectives: 1) Educate on the pathophysiology and epidemiology of air pollution hazards, 2) Review appropriate health protection measures during wildfire smoke, 3) Explain the determinate factors to be considered when determining if the outdoor air is harmful

Handouts: CME011119_Conway

January 04, 2019 - No Grand Rounds - Happy New Year
Objectives: No Grand Rounds - Happy New Year!