CME 3rd 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 physicianís 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, and broadcast live to St. Charles Medical Center-Redmond.

July Grand Rounds

• July 6, 2007, 0700-0800
  NO GRAND ROUNDS
  Independence Day weekend
• July 13, 2007, 0700-0800
  "Benign Anorectal Disease: An Update on Management"
  J. Mark Maddox, MD, General Surgery, Advanced Specialty Care
  Objectives: 1) Review medical management of hemorrhoidal disease, including an update on office based procedures for hemorrhoids, outcomes and limitations. 2) Review surgical treatment of symptomatic disease. 3) Discuss the development of perirectal abscess and fistula-in-ano. 4) Review symptoms, causes and treatment options for abscess and fistula. 5) Recognize the risk of HPV perianal infection and squamous cell cancer of the anus. 6) Describe treatment options for perianal condlyoma.
• July 20, 2007, 0700-0800
  "A Review of Evidenced-based Medicine and how it relates to Current Treatment of Low Back Pain " *
  Roger Chou, MD, Assistant Professor of Medicine, Oregon Health and Science University; Investigator, Oregon Evidence-based Practice Center; Director, Clinical Guidelines Program, American Pain Society
  Objectives: 1) Describe the methods for assessing and synthesizing evidence for clinical practice guidelines. 2) Explain evidence-based methods for initial evaluation of patients with low back pain. 3) Recognize evidence-based methods for management of acute and chronic low back pain.
  * Meets requirement for one hour of pain management education.
• July 27, 2007
  NO GRAND ROUNDS
  Quarterly Medical Staff Meeting

August Grand Rounds

• NO GRAND ROUNDS IN AUGUST
  SUMMER BREAK
  

September Grand Rounds

• September 7, 2007, 0700-0800
  "A Virus for All Seasons: Influenza and other emerging viruses in Oregon ‚ when to worry, how to test and why you should care "
  Paul Lewis, MD, Public Health Physician, Acute and Communicable Disease, Oregon Health Services
  Objectives: 1) Describe the difference between annual, avian and pandemic influenza. 2) Identify the clinical features of severe respiratory disease caused by adenovirus 14 in Oregon and Washington. 3) Describe 2007 West Nile Virus activity and severity to date in Oregon.
• September 14, 2007, 0700-0800
  "Analysis of Clinical Trial Errors"
  Douglas Goodin, MD, Professor, Department of Neurology, University California, San Francisco
  Objectives: 1) List some of the fundamental statistical principles that relate to the conduct of clinical trials and to the use of evidence-based medicine. 2) Review specific clinical trial errors as they relate to trials actually published in the medical literature. 3) Recognize the importance of reading clinical trial data critically as this relates to making medical decisions for individual patients.
• September 21, 2007, 0700-0800
  "Pathology Update"
  Brigitte Nixon, MD, Central Oregon Pathology Consultants, Bend, Joseph Hughes, MD, Central Oregon Pathology Consultants, Bend and Cheryl Younger, MD, Central Oregon Pathology Consultants, Bend
  Objectives: 1) Describe the endoscopic and histologic findings of gastrointestinal Helicobacter pylori infection. 2) Discuss methods that can be used to detect Helicobacter pylori infection, with an emphasis on those methods that are available locally. 3) Describe the two primary methods of HPV detection. 4) Discuss Digene Hybrid Capture Method in detail including false negative and false positive rates, current recommendations for use, and FDA approval. 5) List recommendations for Her2/neu testing in breast cancer.
• September 28, 2007, 0700-0800
  "Rural and Wilderness Trauma Challenges in Central Oregon"
  Michael Mastrangelo, MD, General Surgery, Bend Surgical Associates, Bend, J. Mark Maddox, MD, General Surgery, Advanced Specialty Care, Bend and Cornelius (Woody) Peeples, MD, Emergency Medicine, Central Oregon Emergency Physicians, Bend
  Objectives: 1) Discuss regional challenges specific to Cascade Healthcare Community (geographic distance, terrain, and weather). 2) Discuss issues related to the search and rescue of trauma patients (finding the patient, accessing and bringing the patient back). 3) Illustrate regional and resource challenges using a case study involving a massive transfusion in a pediatric patient.

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
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. . 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 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, September 19, 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 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, April, June, August, October, December) at 0700.
SCMC ‚ B, Location varies

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