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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.

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.

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!