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Grand Rounds Archive

Grand Rounds Archive

April 27, 2012 — "The Healthcare Response to Disaster: The Joplin Story"
Speaker: Skip Harper, CSP, CEM, Environmental, Health and Safety Officer and Emergency Preparedness Coordinator for Freeman Health System in Joplin, Missouri. Skip was the original incident commander following the Joplin tornado, and served in several capacities during the response and recovery. Skip is the liaison with all local, state and federal authorities involving preparedness and response efforts for the health system.
Objectives: 1) Describe the many facets of Joplin’s response to the disaster, such as communications, first responders, search and rescue, shelters, and the care provided during the event and follow up medical care. 2) Enhance medical staff and hospital’s preparedness in a disaster event.
Handout: Handout PDF

April 20, 2012 — "Examination of Concussion: Medical and Cognitive Considerations"
Speaker: Kevin M Guskiewicz, PhD, ATC, Professor, Dept of Orthopedic Surgery, School of Medicine, University of North Carolina
Objectives: Objectives: 1) Argue factors to be included in the diagnosis of concussion. 2) Highlight subjective reporting of symptoms versus clinical discovery. 3) Share treatment and management strategies.
Handout: Handout PDF

April 13, 2012 — "Biomarkers in Neurologic Disease: Current & Future"
Speaker: Penelope Hogarth, MD, Associate Professor of Neurology and Medical & Molecular Genetics; Director of Clinical Research, Oregon Health & Science University
Objectives: 1) Define terminology of biomarkers. 2) Discuss the role of prognostic and predictive biomarkers in Parkinson's Disease. 3) Review the current regulatory landscape and the FDA's perspective on biomarkers and the future of personalized medicine.
Handout: Handout PDF

March 30, 2012
No Grand Rounds — Spring Break

March 23, 2012
No Grand Rounds — Spring Break

March 16, 2012 — "Perinatal Mood and Anxiety Disorders: The role of the healthcare provider"
Speakers:Mary Ann Ahmed, MD, OB/Gyn, East Cascades Women's Group
Wendy N. Davis, PhD, Executive Director, Postpartum Support International; Counseling and Consulting practice, Portland
Objectives: 1) Identify the challenges for medical providers faced when identifying and treating perinatal mood and anxiety disorders. 2) Describe the symptoms and discuss the differential diagnosis of the various perinatal mood disorders: depression, anxiety, obsessive-compulsive disorder, post-traumatic stress disorder, bipolar disorders and psychosis. 3) Indicate effects of untreated perinatal mood and anxiety disorders in pregnancy, birth, and postpartum. 4) Identify evidence-based prenatal and postpartum risk factors. 5) Describe co-existing childbearing complications affecting perinatal mental health. 6) Identify three reliable resources for medical providers to access information about medication during pregnancy and postpartum. 7) Identify reliable local resources and referral process for pregnant and postpartum women and families.
Handouts:
Perinatal Mood Disorders
Myths and Facts about Perinatal Mood Disorders
PMAD Factsheet
Prenatal Info and Risk Factor Checklist for Moms
PSI Open Forum Session
Types of Perinatal Mood Disorders
UIC Perinatal Medchart

March 9, 2012 — "Critical Care Hematology: HIT, Massive Thrombosis, Transfusions (Yea or Nea)"
Speaker: Thomas DeLoughery, MD, Associate Professor, Division of Hematology & Medical Oncology, Oregon Health & Science University
Objectives: 1) Properly identify patients with HIT. 2) Understand the course for the development if HIT. 3) Describe the pathophysiology of clotting risks. 4) Differentiate from other benign hematologic conditions. 5) Understand treatment options.
Handouts: Handout PDF

March 2, 2012 — "Updates in the Management of Acute and Chronic Sinusitis"
Speaker: Ryan Gallivan, MD, Otolaryngology, Central Oregon ENT
Objectives: 1) Differentiate between acute and chronic sinusitis. 2) Identify key aspects of the history and physical exam and interpret diagnostic studies. 3) Discuss the indications for endoscopic sinus surgery. 4) Discuss outcomes and comparison of standard functional endoscopic sinus surgery vs. functional endoscopic dilatation of the sinuses. 5) Discuss management of post-operative care.
Handouts: Handout PDF

February 24, 2012 — "Health Literacy: Improving Quality through Patient-centered Communication"
Note: The lecture begins at 2:00. Please skip ahead to bypass chatter.
Speaker: Cliff Coleman, MD, MPH, Assistant Professor, Dept of Family Medicine, Oregon Health & Science University
Objectives: 1) Estimate the prevalence of low health literacy in the US and among patients in their local area. 2) Describe the rationale for using a "universal precautions" approach to health communication. 3) List at least five concrete steps practitioners can take to improve communication with their patients.
Handout: Handout PDF

February 17, 2012 — "GERD: The Past and the Future"
Speaker: James Dolan, MD, FACS, Assistant Professor of Surgery, Dept of Surgery, Division of Gastrointestinal and General Surgery, Oregon Health & Science University
Objectives: 1) Comprehend how the history of antireflux surgery influences the current therapies. 2) Discuss the elements of a surgical fundoplication. 3) Describe the long-term side effects of proton pump inhibitors. 4) Recognize that new therapies for GERD are evolving.
Handouts: Handout PDF

February 10, 2012 — "Guidelines for Diagnosis and Treatment of Food Allergies in the Primary Care Setting"
Speaker: Adam Williams, MD, Allergy Medicine, Bend Memorial Clinic
Objectives: 1) Discuss recently published NIH/NIAID guidelines for the diagnosis and management of food allergy. 2) Discuss appropriate food allergy tests for the primary care setting, and when to refer to an allergist. 3) Improve communication with and education of patients who request allergy tests of uncertain efficacy.
Handouts: Handout PDF  Flyer PDF

February 3, 2012 — "Claudication and Critical Limb Ischemia: Endovascular Treatment of Peripheral Arterial Disease"
Note: The lecture begins at 3:00. Please skip ahead to bypass chatter.
Speaker: Jason Wollmuth, MD, FACC, Heart Center Cardiology
Objectives: 1) Discuss the epidemiology of peripheral arterial disease. 2) Discuss the symptoms, differential diagnosis, and physical findings for PAD. 3) Compare and contrast medical, surgical and endovascular treatment options for PAD. 4) Using case studies, apply evidence-based guidelines for endovascular treatment of PAD.
Handouts: Handout PDF  Flyer PDF

January 27, 2012 — "Perioperative Management of Anticoagulation and Antiplatelet Therapy"
Note: The attached "SCHS Anticoagulation Guidelines, Rev. B, 1/27/12" should replace the guidelines that were distributed at the 1/27/12 Grand Rounds. This contains an important correction related to the post-operative algorithm (pg 4). Attendees should disregard guidelines dated prior to Rev. B, 1/2712.
Speaker: Brooke Hall, MD; Steve Kornfeld, MD; Bruce McLellan, MD
Objectives: 1) Introduce new protocol for anticoagulation and antiplatelet therapy management. 2) Provide an overview of the challenges in managing perioperative anticoagulation. 3) Detail the thromboemoblic risk of the patient. 4) Explain the indications for bridging therapy. 5) Discuss the anticoagulants used for bridging. 6) Describe the postoperative anticoagulation algorithm. 7) Explain antiplatelet management for coronary artery and carotid stents.
Handouts: Handout PDF     Description

January 13, 2012 — "Challenges and Advancements for Treating MRSA Infections in 2012"
Note: The lecture begins at 3:00. Please skip ahead to bypass chatter.
Speakers: Thomas Ward, MD, Asso. Professor, Division of Infectious Disease, Oregon Health & Science University
Jennifer Jordan, PharmD, BCPS, Assistant Professor, Pacific University, School of Pharmacy
Objectives: 1) Describe the role of MRSA as a community acquired and healthcare associated pathogen. 2) Discuss the relevance of IDSA guidelines for the treatment of MRSA infections. 3) Review antibiotics with activity against MRSA and describe their role in common infections. 4) Discuss methods to improve patient outcomes with MRSA infections, including diagnostic tests and pharmacokinetic/pharmacodynamic principles. 5) Describe the role of decolonization for patients.
Handout: Handout PDF

January 6, 2012 — "Fetal Programming and the Role of Maternal Nutrition on the Risk of Childhood Disease"
Note: The lecture begins at 3:50. Please skip ahead to bypass chatter.
Speaker: Daniel L. Marks MD, PhD Asso. Professor, Pediatric Endocrinology; Director, Oregon Child Health Research Center, Oregon Health and Science University
Objectives:1) Define the concept of fetal programming. 2) Explain the findings that support the idea that the placenta does not protect the developing fetus from a pro-inflammatory maternal lipid milieu. 3) Discuss the public health issue surrounding life threatening childhood obesity.
Handouts: Handout PDF