CME 2nd 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.

April Grand Rounds

• April 6, 2007, 0700-0800
  "Preoperative Evaluation of Patients with Multiple Co-morbidities"
  Gary Stier, MD, Associate Professor of Anesthesiology and Critical Care Medicine; Medical Director, Surgical-Trauma Intensive Care Unit, Loma Linda University Medical Center, Loma Linda, California
  Objective: Describe best practices for preoperative assessment in preparing patients with significant co-morbidities for surgery.
• April 13, 2007, 0700-0800
  "Family Practice Guidelines in the Treatment of Pediatric ADHD"
  Tim Blumer, DO; Child & Adolescent Psychiatry, Mariposa Family Center, Redmond
  Objectives: 1) Review important aspects of the clinical picture of pediatric ADHD in various stages of development and the importance of "best practice" treatment. 2) Discuss a diagnostic paradigm for ADHD in the busy family practice. 3) Apply the various rating scales diagnostic paradigm for ADHD in the busy family practice. 3) Apply the various rating scales necessary for ADHD diagnosis and identifying co-morbidities. 4) Utilize a treatment paradigm necessary for ADHD diagnosis and identifying co-morbidities. 4) Utilize a treatment paradigm for starting and following treatment of ADHD.
• April 20, 2007, 0700-0800
  "Severe Sepsis and Septic Shock: Transition from Research to Standard Care"
  H. Bryant Nguyen, MD, MS, Director, Emergency Critical Care, Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital; Assistant Professor School of Medicine, Loma Linda University
  Objectives: 1) Define early recognition of severe sepsis and septic shock. 2) List recent advances in therapy for severe sepsis and septic shock. 3) Describe the significant benefits of implementing an early sepsis treatment strategy/program with respect to outcomes in patients with severe sepsis and septic shock.
• April 27, 2007 - NO GRAND ROUNDS
  Quarterly Medical Staff Meeting
  

May Grand Rounds

• May 4, 2007, 0700-0800
  "Cancer Genetics for the Novice"
  Steve Kornfeld, MD, Oncology, Bend Memorial Clinic
  Objective: Discuss issues in genetics and screening of cancer patients, including colon, rectal, breast, ovarian and melanoma.
• May 11, 2007, 0700-0800
  "Barrett's Esophagus: Historical Perspective and Future Advances"
  Historical Perspective and Future Advances" C. Daniel Smith, MD, W. Dean Warren Distinguished Professor of Surgery, C. Daniel Smith, MD, W. Dean Warren Distinguished Professor of Surgery, Emory University School of Medicine Emory University School of Medicine
  Objectives: 1) Review the historical context of treatment of Barrett's esophagus versus new 1) Review the historical context of treatment of Barrett's esophagus versus new techniques. 2) Review the history of ablation treatments for Barrett's esophagus. 3) Review techniques. 2) Review the history of ablation treatments for Barrett's esophagus. 3) Review the current data on outcomes and complications of ablation therapies. the current data on outcomes and complications of ablation therapies.
• May 18, 2007, 0700-0800
  "DoctorÖTie Your Shoes Before You Trip: Prevention of Medical Errors"
  Arnold Mackles, MD, MBA, LHRM, Licensed Healthcare Risk Manager, Healthcare Compliance Consultant, West Palm Beach, Florida
  Objectives: 1) Discuss the prevalence and impact of medical errors. 2) Review JCAHO standards for sentinel events and patient safety goals. 3) Discuss the five most frequently misdiagnosed conditions. 4) Compare traditional versus systems approach to preventing medical errors. 5) Discuss areas of health care that have particularly high rates of medical errors and outline techniques for physicians and nurses to avoid common mistakes.
• May 25, 2007 ‚ NO GRAND ROUNDS
  Memorial Day Weekend
  

June Grand Rounds

• June 1, 2007, 0700-0800
  "When Should I Call a Surgeon for a Fundoplication?"
  John G. Hunter, MD, Mackenzie Professor and Chair of Surgery, OHSU John G. Hunter, MD, Mackenzie Professor and Chair of Surgery, OHSU
  Objectives: 1) Review the spectrum of treatment options for GERD. 2) Describe the "triggers" for surgical consultation. 3) Discuss the surgical evaluation of a GERD patient, and the expected outcome of surgical therapy.
• June 8, 2007, 0700-0800
  "Best Practice Guidelines for Community-Acquired Pneumonia"
  David N. Gilbert, MD, MACP, Director of Infectious Diseases Program, Providence Health System
  Objectives: 1) Identify patients for hospital admission with community-acquired pneumonia (CAP) and perform appropriate diagnostic tests. 2) Apply the performance measures that represent the best practices for the treatment of CAP.
• June 15, 2007, 0700-0800
  "Review of Common Skin Lesions and Treatment Options for Non Melanoma Skin Cancer"
  William Delgado, MD, Bend Dermatology Leslie Carter, MD, Deschutes Dermatology Center
  Objectives: 1) Recognize common skin lesions and dermatologic conditions. 2) Discuss nonmelanoma skin cancer treatment options.
• June 22, 2007, 0700-0800
  "Pediatric Pain Management: The Essentials*"
  Jeffrey Koh, MD, MBA, Associate Professor, Division of Pediatric Anesthesia and Perioperative Medicine, OHSU
  Objectives: 1) Define the current view of pain physiology in children. 2) Describe which pain assessment tools are appropriate for pediatric patients. 3) Be able to plan and implement acute pain management strategies. 4) Describe the basics of procedural pain management. 5) Discuss the importance of a multidisciplinary approach to treating chronic pain. *Meets requirement for one hour of pain management education
• June 29, 2007 - NO GRAND ROUNDS
  Independence Day weekend
  

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.

ADA Statement
Cascade Healthcare Community 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 you participation or visit.

Comments or Questions about the CME Program?
Contact Tracy Parmele, CME Coordinator at 541-617-2605; email 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, Cascade Healthcare Community adheres to the Accreditation Council of Continuing Medical Educationís Standards for Commercial Support. Prior to a CME activity, faculty must Prior to a CME activity, faculty must Support 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. 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, (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, April/June at 0700.
SCMC ‚ B, Location varies

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