CME 1st Quarter 2007

GRAND ROUNDS
The intent of the Grand Rounds series is to present information in keeping with the needs of the broadest possible physician audience. The purpose of CME is to enhance the physician's ability to care for patients. It is the responsibility of the St. Charles Education Committee to assure that CME activities are designed primarily for that purpose. Grand Rounds are at 0700 in the Center for Health & Learning at St. Charles Medical Center ‚ Bend, Conference Rooms C & D.

January Grand Rounds

• January 5, 2007, 0700-0800
  "Adult Growth Hormone Deficiency Syndrome"
  David Cook, MD, Professor, OHSU; Interim Division Chief, Division of Endocrinology, Department of Medicine, OHSU
  At the completion of this education activity, participants will be able to: 1) Define adult GH deficiency syndrome and contrast it with the pediatric syndrome. 2) Explain how the diagnosis is made on a laboratory basis and a presentation basis. 3) Discuss the targets for therapy and show how the targets differ in different age groups. 4) Explain dosing issues (i.e., how much to give and how the doses compare with pediatrics and adults). 5) Outline what might modify or change the dose of GH.
• January 12, 2007, 0700-0800
  "Rectal Cancer: Current Trends and Evolving Therapies in a Multidisciplinary Disease"
  J. Mark Maddox, MD, General Surgery, Advanced Specialty Care Stephen Kornfeld, MD, Oncology/Hematology, Bend Memorial Clinic
  At the completion of this education activity, participants will be able to: 1) Evaluate the current approaches to diagnosis and staging of rectal cancer. 2) Describe techniques used to preoperatively stage rectal cancer. 3) Explain how clinical staging drives management decisions. 4) Discuss the indications for preoperative and postoperative radiation therapy. 5) Evaluate surgical strategies, intra-operative staging, and recent advances in surgical techniques. 6) Discuss the impact of newer chemotherapy regimens on the management of rectal cancer. 7) Discuss the importance of multidisciplinary input and collaboration to outcomes for patients with rectal cancer.
• January 19, 2007, 0700-0800
  "A Current Approach to Treating Fibromyalgia"
  Daniel Joseph Clauw, MD, Professor of Medicine, Division of Rheumatology Assistant Dean for Clinical and Translational Research Director, Chronic Pain and Fatigue Research Center Director, Center for the Advancement of Clinical Research, The University of Michigan
  At the completion of this education activity, participants will be able to: 1) Identify the clinical features commonly seen in individuals with Fibromyalgia. 2) Describe the systemic and regional syndromes that overlap with Fibromyalgia. 3) Describe some of the likely pathogenic mechanisms playing a role in Fibromyalgia. 4) Discuss the most appropriate treatments for Fibromyalgia.
• January 26, 2007
  Quarterly Medical Staff Meeting
  

February Grand Rounds

• February 2, 2007, 0700-0800
  "Spinal Arthroplasty: A Paradigm Shift"
  Mark Belza, MD, Neurosurgery, The Center: Orthopedics and Neurosurgical Care & Research
  At the completion of this education activity, participants will be able to: 1) Describe indications, candidate pool and inclusions/exclusions criteria for a double-blinded study in the evaluation of artificial disks. 2) Discuss the pros and cons of fusions versus artificial disks. 3) List outcome data to assist primary care providers in answering patient questions.
• February 9, 2007, 0700-0800
  "Management of Urinary Incontinence and Pelvic Prolapse"
  Cynthia Mosbrucker, MD, Gynecology, private practice, Bend
  At the completion of this education activity, participants will be able to: 1) Identify patients with incontinence and for prolapse that would benefit from pelvic construction or antiincontinence procedures. 2) Describe the difference in treatment strategies for patients with stress and urge incontinence.
• February 16, 2007, 0700-0800
  "Diabetes: The New Future"
  Eden Miller, DO, Family Medicine, High Lakes Health Care, Sisters
  At the completion of this education activity, participants will be able to: 1) Recognize recent advancements in the treatment of diabetes using the incretin hormones, insulin pump and wireless meter. 2) Discuss the integrated medical approach to the treatment of diabetes using therapies that have additional affects for diabetics such as heart disease and stroke.
• February 23, 2007, 0700-0800
  "Managing Challenging Patients: Crossing Cultural Divides"
  Sunita Mutha, MD, FACP, Associate Professor, Division of General Internal Medicine, University of California, San Francisco
  At the completion of this education activity, participants will be able to: 1) Identify signs of communication breakdown in interactions with patients. 2) List common causes of communication breakdown. 3) Employ techniques for eliciting patients' beliefs and concerns.

March Grand Rounds

• March 2, 2007, 0700-0800
  "New Guidelines in the Treatment of Parkinson's Disease" *
  Jeff Kraakevik, MD, Assistant Professor, Department of Neurology, OHSU
  At the completion of this education activity, participants will be able to: 1) Describe recent developments in the medical therapy of Parkinson's disease. 2) Discuss the recent push for a team approach to treating Parkinson's disease patients with rehabilitation specialists and other support staff. 3) Review recent developments in the surgical therapy of Parkinson's disease and stem cell research.
• March 9, 2007, 0700-0800
  "Update in General Medicine: Papers that could change your practice"
  Robert Gluckman, MD, Medical Director, Department of Medicine Faculty Practice, Providence St. Vincent Medical Center
  At the completion of this education activity, participants will be able to: Discuss recent evidence in the treatment of stroke, diabetes, depression, and prostate cancer screening.
• March 16, 2007, 0700-0800
  "Best Practice for Wound Care"
  Adam Angeles, MD, Plastic/Reconstructive Surgery, Mt View Cosmetic Surgery
  At the completion of this education activity, participants will be able to: 1) Effectively and accurately assess wounds, both acute and chronic. 2) Construct a management algorithm for wounds. 3) Describe the indications and efficacy of some of the latest wound treatment protocols, including decubitus.
• March 23 & March 30, 2007,
  No Grand Rounds
  

Accreditation

Physicians:
Grand Rounds: Cascade Healthcare Community is accredited by the Oregon Medical Association to sponsor Continuing Medical Education for physicians. Cascade Healthcare Community designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit™ (for each Grand Rounds). Physicians should only claim credit commensurate with the extent of their participation in the activity.

American Academy of Family Physicians:
Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. The AAFP invites comments on any activity that has been approved for AAFP CME credit. Please forward your comments on the quality of this activity to cmecomment@aafp.org.

Pharmacists:
Application for CE credit has been filed with the Oregon Board of Pharmacy. Determination of credit is pending.

Nurses:
Provider approved by the California Board of Registered Nursing, Provider Number 8050 for 1.00 contact hour for each hour attended.

Continuing Medical Education Mission Statement
To provide continuing education for St. Charles medical staff, the CONet hospitals, and the region with the following goals:

1. To provide quality CME responding to the needs and interests of the medical staff in general and specialty practices.
2. To maintain and improve medical practice standards by providing education about established and innovative medical practices.
3. To respond to hospital/medical staff quality assurance indicators with educational programs/information when appropriate.
4. To include in our educational activities the following: lectures with question/answer/discussion period, telemedicine conferencing, simulation/demonstration situations, inservices, targeted case reviews, regional conferences and opportunity for self-guided study.
5. To evaluate the expected and/or desired results from CME activities.

ADA Statement
St. Charles 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 Tracy Parmele in advance of your participation or visit.

Comments or Questions about the CME Program?
Contact Tracy Parmele, Education Specialist at 541-617-2605; e-mail tparmele@ scmc.org. Education Committee members (listed below) also welcome your input.

Bend Education Committee:

Redmond Education Committee:

Faculty Disclosure Statement
To ensure the independence of CME activities, St. Charles Medical Center adheres to the Accreditation Council of Continuing Medical Education's Standards for Commercial Support. Prior to a CME activity, faculty must disclose to learners any relevant financial relationship(s), to include the name of the individual, the name of the commercial interest(s); and the nature of the relationship the person has with each commercial interest. For faculty with no relevant financial relationship(s), the learners must be informed that no relevant financial relationship(s) exist.

SKILLS COURSES
Target Audience: CONet physicians, nurses, allied health.
ACLS Provider 2-day Course, ACLS Renewal 1-Day Course, ACLS-HeartCode™, PALS Provider 2-Day Course, PALS Renewal 1-Day Course.
For more information on the above courses, call the AHA Training Center at St. Charles, 541-693-5845.
NRP Renewal, January 17, 0800-1200 or 1300-1700, February 8, 1700-2100 and March 21, 0800-1200 or 1300-1700.
For more information on NRP courses, call Continuing Medical Education at St. Charles, 541-322-4767.
These activities have been approved for AMA PRA Category 1 Credit™.

1 HOUR CASE PRESENTATION EDUCATION
(Target Audience: CONet physicians, nurses, allied health)

Cancer Clinical Conference (Tumor Board) ‚ Wednesdays at 0700.
SCMC ‚ B, Conference Room C&D. Cancer Clinical Conferences are broadcast via videoconference to SCMC - Redmond.

Cardiac Clinical Conference ‚ Tuesdays at 0700.
SCMC ‚ B, Conference Room C & D.

Gastroenterology Clinicopathologic Conference ‚ 1st Thursday at 0700.
SCMC ‚ B, Location varies

Endocrinology Multidisciplinary Conference ‚ Quarterly, 2nd Tuesday, (March, June, September and December) at 0700.
SCMC - Bend, location varies.

Multidisciplinary Breast Conference ‚ 2nd & 4th Thursdays at 0700.
SCMC - B, Location varies

Vascular Clinical Conference ‚ Every even month, 3rd Thursday, February at 0700.
SCMC ‚ B, Location varies

These activities have been approved for AMA PRA Category 1 Credit™.