Dept. of Medicine Grand Rounds

No CME will be offered for this session. Your feedback will be provided to the Speaker

Sanjiv Kaul, M.D.

Title: Lifestyle and Cardiovascular Risk.

Learning Objectives:

1. Life style factors affecting cardiovascular risk.
2. Modifying diet for reducing cardiovascular risk.
3. Exercise and cardiovascular risk.

Cliff Coleman, MD, MPH

Title: Health Literacy and Systemic Racism: Addressing Oppression through Clear Communication

Learning Objectives:

1. Participants will demonstrate increased knowledge of health equity and the use health literacy and clear communications to address systemic racism.
2. Participants will describe the rationale for a universal precautions approach to health communication.
3. Participants will identify at least one health literacy strategy to integrate in their daily work or practice to create a more equitable health care environment.

Nalini Colaco, MD, PhD; Jeffrey Robinson, MD

Title:Clinical Updates in Pulmonary Hypertension

Learning Objectives:

1. Understand the current pathobiologic concept of pulmonary arterial hypertension.

2. Understand how initial treatment and therapy adjustments are made utilizing risk stratification methods.

3. Review of the treatment options and limitations in non-group I pulmonary hypertension.

Conrad J. Macon, MD

Title: A Second Look at the Dogma of Cardiorenal Syndrome.

Learning Objectives:

1. Understand mechanism behind type II Cardiorenal Syndrome.
2. Improve use of decongestive therapy in diuretic resistance.
3. Review the role of renal hemodynamics in cardiorenal syndrome.

Lydia Dugdale, MD, MAR (ethics)

Title: THE LOST ART OF DYING

Learning Objectives:

1. Describe medicalized dying.
2. Understand how we fail to prepare for death today.
3. Explain a more robust model for the preparation for death.

Eric Roeland, MD, FAAHPM

Title: The Skinny on Cancer Cachexia

Learning Objectives:

1. To review the contemporary definition and endpoints of cancer cachexia.

2. To discuss an evidence-based approach for the treatment of cancer cachexia.

3. To explore novel biomarkers and treatments for cancer cachexia.

Theresa Liao MD, FACP

Title: Whole Health in the Veterans Health Administration: Transforming the Nation’s Largest Integrated Health Care System from Sick Care to Health Care

Learning Objectives:

1. Identify two reasons VA is transforming to a Whole Health care system.
2. Explain three ways the VA is transforming to a Whole Health care system.
3. Describe the potential impact of a Whole Health care system for patients with chronic pain.

 Ali Wiggins MD, Morris Kim MD, Liat Litwin MD, Craig Morris MD, Toan Do MD, Avi O'Glasser, MD, FACP, SFHM

Title: Celebrating Achievements in Resident Scholarship

Learning Objectives:

1. Share examples of resident efforts in research and disseminated scholarship

2. Celebrate our residents’ winning and peer-recognized achievements in scholarship

3. Delight the audience with fascinating clinical cases and innovative research projects

 Khaalisha B. Ajala, MD, MBA, FHM

Title: Rounding While Black

Learning Objectives:

1. Define “Rounding While Black”
2. Define Structural Violence, Structural Racism, Implicit Bias, SDOH
3. Discuss how the history of racial violence, structural violence and medical racism are inextricably linked.

Holly Villamagna, MD

Title: Risk Factors for Large COVID Outbreaks in Oregon Long-Term Care Facilities

Learning Objectives:

1 - Describe the unique infection control challenges faced by long-term care facilities during the COVID-19 pandemic
2 - Identify characteristics of long-term care facilities at highest risk for large COVID outbreaks
3 - Consider the value of physician-public health research and administrative partnerships

Dinushika Mohottige, MD, MPH

Title: Racism and Kidney Health: Turning Equity into a Reality

Learning Objectives:

1. Review how understanding race and racism is essential to enhancing kidney health equity
2. Identify examples of how racialized medicine can contribute to kidney health inequities
3. Apply equity-focused race consciousness to enhance clinical care and kidney research

Martha Billings, MD, MSc

Sleep Health Disparities: A Socio-ecological Approach

Learning Objectives:

1. Describe how neighborhood built environment may influence sleep health

2. Discuss how social features may impact sleep disparities

3. Detail the consequences of structural factors on CPAP adherence patterns

Louis Philipson, M.D., Ph.D., FACP

The Importance of Making a Diagnosis: Monogenic Diabetes and Precision vs Personalized Medicine

Learning Objectives:

1. Understand the biochemical and pathophysiologic characteristics of dominantly inherited monogenic diabetes and its various forms
2. Understand the impact a correct diagnosis of diabetes can have on treatment and management
3. Understand how specific diabetes strategies stemming from genetics can be used to optimize care and quality of life.

Donald Warne, MD, MPH

Title: Impact of unresolved trauma on Indigenous health equity

Learning Objectives:

1.Describe the concept of historical trauma.
2.Explain the link between trauma and American Indian health disparities.
3.Describe the disparities in Adverse Childhood Experiences in American Indian populations.

Jane Zhu, MD, MPP, MSHP

Title: The Consolidation Play: Private Equity and Physician Medical Practices

Learning Objectives:

1.Understand broader trends in health care towards increasing consolidation
2. Review the structure and profit generation mechanisms of private equity investment in physician medical groups
3. Understand empirical evidence of private equity’s effects on health care prices, quality, and delivery

Cancelled

Tonja Dirkx, MD

Title: Aldosterone Excess: An Un(der)recognized Epidemic 

Learning Objectives:

1. Re-define primary aldosteronism as not simply a cause of secondary hypertension, but as a prevalent and morbid state across a continuum of blood pressure phenotypes

2. Consider the clinical implications of this re-definition with respect to evaluation and management of hypertension

Andrea Smeraglio, MD; Matt DiVeronica, MD; 
Chris Terndrup, MD

Title: To Err Is Human: A Just Culture’s Reframing of the Case of RaDonda Vaught

Learning Objectives:

1.Understand the available facts around the RaDonda Vaught case
2. Analyze the case using a patient safety lens
3. Apply a Just Culture Framework to human errors

Seth O’Neal, MD, MPH

Title: Towards control and elimination of tapeworms, a communicable cause of epilepsy

Learning Objectives:

1.Explain the lifecycle of Taenia solium and identify the two forms of human infection with this parasite.
2.Identify potential opportunities for control and prevention of Taenia solium infection based on the lifecycle of the parasite .
3.Recognize that Oregon requires clinicians to report Taenia solium taeniasis and cysticercosis to local health authorities within one working day.

Tonja Dirkx, MD

Title: Aldosterone Excess: An Un(der)recognized Epidemic 

Learning Objectives:

1. Re-define primary aldosteronism as not simply a cause of secondary hypertension, but as a prevalent and morbid state across a continuum of blood pressure phenotypes

2. Consider the clinical implications of this re-definition with respect to evaluation and management of hypertension

Anil Sharma, MD

Title: Health Maintenance in Inflammatory Bowel Disease: An Ounce of Prevention is Worth a Pound of Cure

Learning Objectives:

1. Recognize the importance of preventive care for patients with IBD
2. Understand that patients with IBD are at increased risk of infection and there are recommended vaccinations to attempt to prevent infections
3. Summarize the recommendations for screening for colorectal cancer, cervical cancer, and skin cancer in patients with IBD

Alison Edelman, MD, MPH

Alyssa Colwill, MD, MCR

Title: OHSU preparedness: The impact of upcoming abortion restrictions

Learning Objectives:

1. Describe the public health aspects and epidemiology of abortion
2. Discuss the impact of restrictive abortion laws on health disparities
3. Explain the critical role of Oregon and OHSU in access to safe abortion care for the nation

Gary Kaplan, MD

Title: Transforming Healthcare, The Virginia Mason Journey

Learning Objectives:

1. Attendees will learn about Virginia Mason's cultural transformation, LEAN journey, and the challenges that come with large scale change.
2. Attendees will be able to identify new and innovative improvement strategies that create value and enhance patient engagement and patient experience, leading to better care and lower cost.
3. Attendees will have an understanding of value creation strategies that reduce the burden of work and lead to more meaningful interactions and professionally rewarding careers for care delivery teams.

Luke Masha, MD/MPH

Title: Modern Challenges in Cardiac Sarcoidosis Care

Learning Objectives:

1) Review diagnostic common presentations of cardiac sarcoidosis
2) Review modern challenges in diagnosing cardiac sarcoidosis
3) Review modern challenges in the management of cardiac sarcoidosis

Ian Ross, MD, PhD

Title: Addison's disease in South Africa

Learning Objectives:

1. Emphasize the clinical and biochemical manifestations of Addison's disease, so that it is easily recognizable by the clinician.
2. Address the aetiology of Addison's disease and impart the unique aspects of Addison's disease in Africa, which may also have bearing in developing communities across the globe.
3. Address some of the cardiovascular and metabolic complications, which coexist with usual replacement therapy.

Anthony Sofia, MD

Title: Ulcerative Colitis in 2022: Forging Ahead

Learning Objectives:

- Diagnose and characterize ulcerative colitis
- Identify new approaches to medical therapy for ulcerative colitis
- Apply treat to target for therapies to optimize outcomes

Tim Menza, MD, PhD

Title: Monkeypox

Learning Objectives:

a. Understand epidemiology of monkeypox infections in general and specifically in the current outbreak

b. Understand risk factors and clinical presentation of monkeypox in the current outbreak

c. Understand diagnostic and therapeutic approach to monkeypox infections

Jennifer Saultz, DO

Title: Acute Myeloid Leukemia -Defining the Treatment Standard and Hope for the Future

Learning Objectives:

1) Clinician will know how to diagnose Acute myeloid Leukemia
2) Be familiar with common treatments and outcomes
3) Gain knowledge on the research being performed at the Knight

André Mansoor, MD

Title: The Art and Science of Diagnostic Reasoning

Learning Objectives:

1. Discuss the diagnostic process

2. Discuss the framework system

3. Review an approach to hypoxemia

Emily Morgan, MD
Katie Drago, MD
Elizabeth Eckstrom, MD, MPH

Title: Age Friendly Health System at OHSU: How you can help improve care for older adults

Learning Objectives:

• Articulate principles of evidence-based care for older adults, including attention to Mobility, Mentation, Medications, and what Matters (the 4Ms of Age-Friendly Care)
• Understand how OHSU is implementing Age-Friendly Care and how we are using this framework to improve equity across our health system
• Consider things you can do in your own setting (inpatient, specialty clinic, etc.) to ensure evidence-based care of older adults

Jessica Weiss, M.D., M.C.R.

Title: The aging kidney and decision-making for older adults with CKD

Learning Objectives:

-Understand age related changes in kidney physiology and function
-Review common characteristics and outcomes for older adults who initiate dialysis
-Examine the option of maximum conservative management compared to dialysis as a therapeutic choice for end stage kidney disease

Jared Chiarchiaro, M.D., M.S.

Title: Communication Skills Training in the Intensive Care Unit: Past, Present and an Uncertain Future

Learning Objectives:

1. Review historic challenges in obtaining goals of care for critically ill patients
2. Identify three current major barriers to doing goals of care conversations well with potential solutions
3. Speculate on the future of interprofessional palliative care - critical care

Benjamin Levin, M.D.

Title: Early Detection and Phenotyping of Cardiac Sarcoidosis by Cardiovascular Magnetic Resonance

Learning Objectives:

1. Identify the current limitations in the cardiac sarcoidosis diagnostic guidelines for accurate diagnosis of early phenotype cardiac sarcoidosis.
2. Describe the myocardial tissue histopathology of cardiac sarcoidosis.
3. Examine the strengths and weaknesses of current cardiac MRI assessment of cardiac sarcoidosis.

Caitlin Citti, MD

Title: Fiber and the GI Tract: Practical Things Everyone Should Know

Learning Objectives:

1. Understand the importance of dietary and supplemental fibers in health and disease management
2. Redefine fiber based on physiochemical and functional characteristics: bulking, viscosity, fermentability
3. Create a personalized approach to dietary and supplemental fiber recommendations to modulate GI symptoms

Linda Peng, MD

Title: Contingency Management: An Effective and Underutilized Intervention for Substance Use Disorders

Learning Objectives:

1. Understand the theory and evidence for utilizing contingency management for substance use disorders.
2. Identify how contingency management can support patients with stimulant use disorders in different settings.
3. Recognize barriers and potential solutions to accessing and implementing contingency management.

Alexandra Zimmer, MD, MSc

Title: Perspectives in breast cancer brain metastases

Learning Objectives:

1.Indicate incidence and general characteristics of brain metastases in breast cancer
2.Compare presentation and prognosis of CNS metastases for different subtypes of breast cancer
3.Recognize main types of therapy and importance of multidisciplinary approach for treatment of breast cancer brain metastases

Christina Nicolaidis, MD, MPH

Title: What Any Internist Needs to Know About Autism in 2022: Clinical Implications of Anti-Ableist and Participatory Research with the Autistic Community

Learning Objectives:

1.Describe what autism may look like in adults.
2.Identify individualized accommodations and strategies to facilitate healthcare for adult patients on the autism spectrum.
3.Understand how an anti-ableist lens can change one’s clinical approach to autism or other disabilities

James Anstey, MD
Kevin Piro, MD

Title: Boiling Cauldron: Making Sense of the Rising Temperature in POCUS Education

Learning Objectives:

1.Describe 4 applications of POCUS within IM and identify their clinical utility
2.Summarize POCUS trends in medical education nationally and at OHSU
3.Assess your POCUS readiness and use a prescribed toolkit to support learners you are supervising

Cara Varley, MD, MPH

Title: Pulmonary Mycobacterium avium complex: Limitations and Steps Forward

Learning Objectives:

1) Understand common presentation and symptoms of pulmonary NTM

2) Understand the framework for diagnosis and treatment of pulmonary MAC, including limitations in monitoring response to therapy and deciding when to initiate or stop therapy

3) Identify some of the barriers to drug development in pulmonary MAC

Angelo de Mattos, MD, MPH

Title: Renal Transplant Update – From Hope, to Reality, and to the Future

Learning Objectives:

1.Provide a historical overview of renal transplantation development over the past sixty years
2.Describe current status of renal transplantation as a mainstream and cost-effective therapy
3.Describe future approaches to mitigate organ shortages and decrease disparities in allocations

Irl Hirsch, M.D.

Title: The 100-Year Evolution of Insulin Therapy: What Can We Expect in 2122?

Learning Objectives:

1. Describe the evolution of insulin and insulin therapy for the first 50 years after its discovery
2. Describe the rationale for the controversy of glucose control and diabetes complications prior to 1993
3. Describe the tools used to improve insulin therapy culminating in the DCCT results

Thomas Deloughery, MD MACP FAWM

Title: Thrombophilia Testing: Just Say No!

Learning Objectives:

1. Understand the concept of thrombophilia

2. Learn the limitations of testing

3. Understand the limited indications for testing

Karen Eden, PhD
Heidi Nelson, MD, MPH, MACP, FRCP
Katie Bensching, MD
Benjamin Orwoll, MD MS FAAP FAMIA

Title: An Integrated Approach to Breast Cancer Risk Assessment Using MammoScreen and Epic in Primary Care

Learning Objectives:

• Describe the role of a risk assessment and decision aid tool (MammoScreen) in primary care.
• Review current breast cancer screening and prevention clinical recommendations and risk assessment.
• Describe clinic workflow using MammoScreen integrated with Epic

Patrick Lyons, MD, MSc

Title: Anticipating and Mitigating Sepsis in Patients with Cancer

Learning Objectives:

1. Identify 3 limitations of current approaches to detecting sepsis in patients with cancer
2. Compare 2 modern data science approaches to subphenotyping sepsis
3. Describe how implementation science methods can improve healthcare delivery for patients with sepsis and cancer

Seth Crockett, MD MPH

Title: Colon Cancer Screening in 2023 and Beyond

Learning Objectives:

1) Describe current trends in colorectal cancer epidemiology in the US
2) Know current CRC screening guidelines and recommended screening methods
3) Understand the importance of colonoscopy quality in CRC prevention

Jeffrey A. Gold, MD

Title: Establishment of the OHSU Diagnostic Center of Excellence-DATAEYES

Learning Objectives:

1. To identify causing of diagnostic error
2. To describe the role the Electronic Health Record plays in Diagnostic Error
3. To be able to explain the OHSU initiative to leverage EHR optimization strategies to achieve diagnostic excellence

Richard Maziarz, MD

Title: Medical Preparedness: OHSU’s participation in the Radiation Injury Treatment Network (RITN)

Learning Objectives:

1. Understand the national response network efforts to provide care in the event of a nuclear accident and how OHSU as a member of RITN (Radiation Injury Treatment Network) could be involved 
2. Review the clinical presentation of Acute Radiation syndrome and basic treatment guidelines
3. Understand the scope of possible radiological event scenarios that could be encountered

Honora Englander, MD

Title: US Hospital-Based Addiction Care: Past, Present and Future.

Learning Objectives:

1. Recognize hospitalization as a reachable moment to engage and support people with substance use disorder (SUD)
2. Identify widespread gaps in workforce and health system preparedness to care for hospitalized patients with substance use disorder (SUD) across US
3. Understand how OHSU is working to improve local, regional, and national hospital systems

Anand Jagannath, MD, MS

Title: Looking Under the Hood - Teaching Clinical Reasoning

Learning Objectives:

1) Describe a shared language for clinical reasoning

2) Identify challenges to teaching how we think

3) Discuss strategies to model and teach our thinking

Paul R. Cieslak, MD

Title: Communicable Disease Update from the Oregon Health Authority

Learning Objectives:

• Name the bacterial genus that causes tick-borne relapsing fever.
• State the proportion of monkeypox cases in Oregon that have been male.
• State the proportion of infants hospitalized for RSV during 1997–2006.

Bruce Warden, PharmD, BCPS, CLS, FNLA, FASPC

Title: Lipid management: where we are now and what's on the horizon

Learning Objectives:

1. Recognize statins remain an important but significantly underutilized treatment option
2. Discuss how statins may not be enough, and the evolving role of combination therapy with updated treatment goals/targets
3. Differentiate newly approved lipid-lowering therapy (and agents in the pipeline) and delineate their place in therapy

Joseph Aslan, Ph.D., FAHA

Title: Platelet Phenotype and Function in Wellness and Disease

Learning Objectives:

1. Understand roles for platelets in hemostasis and thrombosis as well as in inflammation and chronic disease.
2. Learn how platelet agonist-receptor and signaling systems specify platelet activities.
3. Conceptualize how dysregulated platelet responses can offer biomarkers, targets and insights to disease.

Jeffrey Marbach, MBBS, MS, FACC, FSCAI, FRCPC

Title: Cardiogenic Shock: Managing Uncertainty and Challenging Dogma 

Learning Objectives:

1) Review Cardiogenic Shock Pathophysiology
2) Analyze Treatment Guidelines and Supporting Evidence
3) Define Treament Goals & Optimal Perfusion Targets

George Giraud, MD PhD

Title: Developmental Physiology and Epidemiology: Advancing Understanding of Cardiovascular Disease through Collaboration

Learning Objectives:

1. Show how fetal heart growth is studied and how this growth differs from adult heart growth.
2.Provide examples of how altered growth in fetal life can disadvantage the heart in later life.
3.Review how predisposition to coronary artery disease, stroke, hypertension and non-insulin dependent diabetes, originates through impaired growth and development during fetal life and infancy.

Abby R. Rosenberg, MD, MS, MA

Title: The Science and the Art of Resilience: lessons learned from patients, families, and communities

Learning Objectives:

1. Describe the clinical benefits and limitations of current resilience theories.
2. Describe successful tools to support patient, family, and personal resilience.
3. Consider ways in which resilience theories may change to better reflect diverse lived experiences.

Shehzad Rehman, MD

Title: Deceased Donor Kidney Allocation: Promise and Problems

Learning Objectives:

1. To identify the ethical principles underpinning the organ allocation system
2. To understand the history and evolution of kidney allocation
3. To recognize the disparities in access that still exist within the system and how various principles are in tension

Elizabeth Viglianti, MD, MPH, MSc

Title: #MeTooInMedicine: Where are we now?

Learning Objectives:

1. Understand the pervasiveness of sexual harassment in academic medicine and the unique challenges health care providers encounter;
2. Apply tools for combating sexual harassment at the individual level;
3. Begin to identify system changes that can be easily modified for promoting culture change

Gina Ferrero, MD

Title: Polymyalgia Rheumatica and Giant Cell Arteritis: Not So Uncommon Disease of the Elderly

Learning Objectives:

• Discuss the epidemiology and pathophysiology of polymyalgia rheumatica (PMR) and giant cell arteritis (GCA)
• Review the diagnosis and management of PMR
• Update on diagnosis and management of GCA

Olga Senashova, MD,

James Lim, MD FACS

Title: Update on Thyroid nodules: diagnosis and treatment.

Learning Objectives:

1. Review non-surgical treatment options for symptomatic thyroid nodules
2. Review indications for radiofrequency ablation of thyroid nodules
3. Review initial outcomes of thyroid nodule radiofrequency ablation at OHSU

Craig Morris MD, Mallika Lal MD, Gabriel Monti MD, Boris Chobrutskiy MD,
Emmanuella Oyogoa DO, Grace Jung MD, Avital O’Glasser MD, FACP, FHM

Title: Best of Resident Scholarship

Learning Objectives:

1. Share examples of resident efforts in research and disseminated scholarship

2. Celebrate our residents’ winning and peer-recognized achievements in scholarship

3. Delight the audience with fascinating clinical cases and innovative research projects

Kalin Clark, PsyD, ABPP

Title: The Role of a Psychologist in Gastroenterology

Learning Objectives:

1. Review psychosocial factors that impact digestive health

2. Describe the role of an integrated GI psychologist

3. Explore behavioral and cognitive strategies to improve GI functioning

Mark Shapiro, MD

Title: Things I Didn't Learn In Training About Firearms

Learning Objectives:

1. Understand the impact of the Dickey Amendment
2. Build skills to discuss secure firearm storage
3. Recognize your role as a healthcare professional during a public health crisis

Justin Bullock, MD

Title: Re-imaging safety in the learning environment

Learning Objectives:

1. Identify common identity threats and their impact on learners in the learning environment.

2. Juxtapose intervention against identity threats with identity safety.

3. Understand how to leverage the tenets of identity safety to improve equity, recruitment and retention.

Avital O'Glasser, M.D., F.A.C.P., F.H.M.

Title: Me, Myself, and I...Hate Updating My CV: Reclaiming the Professional Document

Learning Objectives:

1.  Discuss unique challenges--and opportunities--clinicians have in professional development and P&T pathways
2. Explore how re-assessing what “belongs” or “counts” on a CV feeds into broader discussions about hiring, awards, P&T…and articulating/advocating for your worth
3. Analysis why and how the CV is an unlikely ally and tool in gender equity, diversity, and inclusion work

Kristina Bajema, M.D., M.Sc.

Title: COVID-19 Pharmacotherapy Effectiveness in the VA Healthcare System (COPE-VA)

Learning Objectives:

1. Understand how target trial emulation principles are applied to observational data to make causal inference about COVID-19 antiviral effectiveness.
2. Recognize the benefits and limitations of currently recommended pharmacotherapies for treatment of mild-to-moderate COVID-19.
3. Describe evidence from observational studies conducted within the Veterans Health Administration regarding the effectiveness of nirmatrelvir-ritonavir and molnupiravir in preventing short- and long-term COVID-19–related outcomes.

Karen Anstey, MD

Title: Penicillin Allergy: Recent Guideline Updates and OHSU Roadmap

Learning Objectives:

1.Understand the basics of penicillin allergy, including adverse outcomes associated with a listed penicillin allergy
2. Recognize updated penicillin allergy testing guidelines and trends in delabeling programs
3. Describe both inpatient and outpatient penicillin allergy evaluation options available at OHSU

Tara I. Chang, MD, MS

Title: Patients Under Pressure: Towards improving hypertension management

Learning Objectives:

• Understand why treatment of hypertension is important
• Understand why standardized office blood pressure measurement is crucial to proper management
• Understand what blood pressure targets are appropriate for certain populations

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