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

Theresa Liao, MD, FACP
Talia Kahn, MD, MPH
Ramya Prasad, DO

Title: Microlessons for Microaggressions

Learning Objectives:

1. Explain the impact of microaggressions on health professions trainees
2. Describe current efforts to support trainees experiencing microaggressions
3. Identify barriers and solutions to educational efforts aimed at addressing microaggressions

Emily Jonica, MD

Title: EUS-Guided Therapies in the Oncologic Patient

Learning Objectives:

1.Review the mechanisms of obstruction that occur in certain cancers affecting the GI tract:

- Gastric outlet obstruction

- Biliary obstruction

- Cholecystitis

2.Discuss the newer options for addressing malignant obstruction, and role of endoscopic ultrasound (EUS) interventions in non-surgical patients.

3.Understand the factors that play into appropriate patient-selection for each of the various EUS interventions for malignant obstruction.

DoM Grand Rounds 6/27/23 

CANCELED

 

Marisha Burden, MD, FACP, SFHM

Title: Breaking New Ground: Innovations in Clinical Operations Science

Learning Objectives:

-Define clinical operations science and its role in improving healthcare delivery and outcomes

-Explore a novel framework for creating and sustaining effective work place practices

-Learn about a unique data analytics model to inform and monitor clinical operations improvement efforts

Thomas G. DeLoughery, M.D., M.A.C.P., FAWM

Title: Animal Hazards of the Northwest

Learning Objectives:

1. Learn about what animals hazards you and your patients are at risk of.

2. Understand why you should fear Deer Mice.

3. Learn why you should not eat a Newt

Stuart Johnson, MD

Title: Diagnosis & Management of C. difficile Infection in the Post-Pandemic Era

Learning Objectives:

1. Summarize the strengths and weaknesses of PCR and toxin testing for C. difficile
2. Explain the difference between strong and conditional treatment recommendations in the GRADE* criteria (*Grading of Recommendations Assessment, Development and Evaluation)
3. Identify patient risk factors that predict benefit from adjunctive treatment with bezlotoxumab (monoclonal antibody against C. difficile toxin B) or live biotherapeutics (FMT)

Raghav Wusirika, MD, MBA

Vanessa Guerrero Barragan, BS

Title: Addressing Disparities in Living Kidney Donation with Human Centered Design

Learning Objectives:

1. Understand how socioeconomic status effects living kidney donation rates
2. Be aware of the tools of human centered design
3. Review human centered design projects at OHSU
4. Understand how design thinking resulted in changes to living donor workflow

Aaron Trimble, MD

Title: Updates in Cystic Fibrosis - Recent progress and Future Directions

1. Re-capitulate CF Basic epidemiology and pathophysiology
2. Describe impact of highly effective CFTR Modulators
3. Consider implications of CFTR modulator therapy on reproduction

Brad Petek, MD

Title: Sports Cardiology: From Sidelines to Guidelines

1.To understand common causes of sudden cardiac death among young athletes and current recommendations for pre-participation cardiovascular screening
2.To understand the effect of habitual exercise on cardiovascular remodeling
3.To understand the current data on outcomes and safety of sport among athletes with cardiovascular conditions

Laura Byerly, MD, Emily Janetos, MD

Title: Weaving diversity, equity, and inclusivity in ambulatory education

1. Describe prior and current affirmative action policies’ role in higher graduate medical education training
2. Identify the role of DEI within structured resident curricula
3. Describe an example of incorporating DEI across a longitudinal GME curriculum

Jackilen Shannon, PhD

Title: Healthy Oregon Project (HOP), a Resource for Research

1. Identify innovative recruitment approaches utilized by HOP
2. Identify survey data and biospecimens currently collected by HOP
3. Consider how HOP data and resources my be used to extend your research or address novel research questions

Joseph Shatzel, MD

Title: Clot Busters and Cancer Crushers; Cutting Edge Bloodshed

1. Learn new approaches to inhibiting FXI and FXII for anticoagualtion
2. Understand the role of thrombin in arterial thrombosis
3. Learn the role of thrombopoietin in myeloproliferative disorders.

Moises Auron, MD

Title: High-Value Care approach to RBC, Plasma and Platelets

1.Appraise the risk of postoperative adverse outcomes of untreated preoperative anemia.

2.Appraise the evidence that supports restrictive transfusional approach and current protocols for anemia evaluation and pharmacological optimization.

3.Discuss the current indications for fresh frozen plasma and platelets transfusion.

Joseph Chiovaro, MD

Title: Cultivating Excellence: The Why, How, and What of Faculty Development

1. Recognize the importance of faculty development in modern education
2. Identify key strategies for enhancing faculty skills
3. Apply evidence-based best practices to improve faculty development efforts.

Whitney Elg-Salsman, DO, MSCR

Title: Checkpoint inhibitors gone awry: Identification & Management approach for rheumatic immune related adverse events

1) Discuss the spectrum of immune related adverse events (irAE) with a focus on rheumatic irAE’s
2) Identify common rheumatic irAE’s from immune cancer checkpoint inhibitor therapy (ICI)
3) Understand the management approach for rheumatic irAE’s

Eric Ryan, MD

Title: Nephrology and Climate Change: Kidney care in the era of rising seas and temperatures

• Understand the short- and longterm renal manifestations of increasing global temperatures
• Discuss the environmental impact of various dialysis modalities
• Understand some of the potential medical impacts and needs associated with climate refugees

Hershel Raff, PhD, FAAAS, FAPS

Title: Cushing's Syndrome Diagnosis: What All Clinicians Should Know

1. Describe the pathophysiology and epidemiology of neoplastic hypercortisolism (Cushing syndrome).
2. Explain the advantages and disadvantages of screening tests for the diagnosis of neoplastic hypercortisolism (spontaneous Cushing syndrome).
3. Describe an approach to detect recurrence of Cushing disease after pituitary surgical cure

Hannah Wunsch, M.D., M.Sc.

Title: From Polio to COVID-19: Lessons from the past

-Describe the epidemiology of polio and current eradication efforts
-Understand the impact of polio on respiratory physiology and development of intensive care
-Describe the symptoms of post-polio syndrome and implications for healthcare

Prasad G. Iyer MD MS FACG FASGE AGAF

Title: Innovations and Advances in the Diagnosis and Management of Barrett’s Esophagus (BE) and Esophageal Adenocarcinoma (EAC).

• Outline innovations in early detection of BE and EAC
• Discuss innovations in the diagnosis of BE dysplasia grade
• Learn advances in endoscopic therapy and recurrence following successful endoscopic therapy.

Jean M Connors, MD

Title: Cancer Associated Thrombosis: Current and Future Treatment Strategies.

1. Recognize current anticoagulant treatments for cancer associated thrombosis
2. Appreciate new anticoagulant strategies for CAT
3. Discuss primary VTE prophylaxis in patients with cancer

Rodica Busui, M.D., Ph.D.

Title: A Journey in Diabetes Complications Research and Care

1. Brief epidemiology overview
2. Lessons learned from landmark cohorts of people with diabetes
3. From evidence-based guidelines to clinical care implementation

No CME will be offered for this session.Your feedback will be shared with the speaker.

Ayako Mayo, MD; Matthew Richards, MD,

Title: Hospital at Home - High Acuity Care Where Patient Want to Be

Learning Objectives:

• Identify the challenges with traditional brick-and-mortar hospitalization
• Understand the components of the model and who can be admitted
• Know that Hospital@Home (HaH) is part of the OHSU acute care landscape

Jane Babiarz, MD, AAHIVS
Ximena Levander, MD, MCR

Title: Development and Evaluation of a Hospital-Based Telehealth Hepatitis C Treatment Program

Learning Objectives:

• Review the evidence behind interventions to increase retention in the Hepatitis C care cascade
• Outline the design of a 12-month pilot program to treat hepatitis C in hospitalized patients using telehealth
• Assess program outcomes

Ellen Eaton, MD

Title: Addiction Medicine is Medicine: Advancing Health Equity for People who use drugs

Learning Objectives:

1) Substance Use Stigma as a barrier to health equity

2) Fragmented Addiction care as a barrier to health equity

3) Substance Use service integration as a way to increase health equity

David Dorr, M.D., M.S.
Shannon McWeeney, Ph.D

Title: Artificial Intelligence and You

Learning Objectives:

1.Define Artificial Intelligence, including recent evolutions in capabilities
2.Understand the opportunities and challenges brought by Artificial Intelligence and machine learning
3.Reflect on the impact on your work and on OHSU

Kelly C. Vranas, MD, MCR

Title: Goldilocks in the ICU: Optimizing Care for Patients Too Well, Too Sick, and Just Right

Learning Objectives:

1. Understand why so many patients at low risk of dying are admitted to ICUs across the U.S., and how this may represent low-value care
2. Evaluate why many seriously ill patients in the U.S. die using ICU services, and how POLST may influence receipt of aggressive treatment among patients at the end of life
3. Describe potential ways to improve the value of ICU care through optimization of the critical care delivery process using a systems-engineering approach

Elena Varlamov, MD, 

Title: Acromegaly: Not so rare anymore

Learning Objectives:

1. Discuss changes in epidemiology of acromegaly over the past decades
2. Recognize the symptoms and complications of acromegaly; early diagnosis and treatment can improve patient outcomes.
3. Discuss updates in criteria for diagnosis

Molly Thomas, MD, PhD 

Title: Checkpoint Inhibitor Colitis: Clinical Challenges and Translational Opportunities

Learning Objectives:

1. Describe the basic pathophysiology of checkpoint colitis and other immune-related adverse events associated with cancer immunotherapy
2. Understand how treating checkpoint colitis has the capacity to impact anti-tumor immune responses
3. Appreciate cutting edge research related to checkpoint inhibitor colitis and how this research has important implications for understand immune tolerance in the human gastrointestinal tract

Martin Shapiro, MD, PhD 

Title: Diagnosing and Treating the Afflictions of American Health Care

Learning Objectives:

1.To recognize the extent to which commodification, communication, and attitudes, values, expectations, needs, and competencies of participants in health care make it difficult to improve the system
2.To identify aspects of medical education, practice, and science that contribute to these obstacles
3. To identify potential actions that academicians in medical schools can take to address these problems

Christopher Chien, MD, MCR

Title: Optimizing GDMT in Heart Failure: Implementation, Innovation, and Inspiration

Learning Objectives:

1.To review the life prolonging benefits of the four pillars of heart failure with reduced ejection fraction (HFrEF) treatment.
2.To learn about the gaps and barriers in implementation of guideline directed medical therapy (GDMT) in HFrEF.
3.To review the latest data on Implementation strategies for GDMT optimization in patients with HFrEF

Sherene Shalhub, M.D., M.P.H, FACS, DFSVS

Title: The Yellow Brick Road to Precision Vascular Surgery

Learning Objectives:

1. To review genetic risk factors for aortopathy and arteriopathy and how to identify patents in clinical practice
2. To learn about innovation in technical repairs in vascular surgery and how this is tailored to the genetic diagnosis
3. To learn about patient engagement as research collaborators in genetic aortopathy research

Tracy Severson, RD

Title: Nutrition for Cardiovascular Health

Learning Objectives:

• Examine evidence-based nutrition recommendations for cardiovascular (CV) health promotion
• Evaluate how well popular dietary patterns comply with these recommendations
• Use sound nutrition research to recommend individualized cardioprotective eating patterns to patients

Ahmad Masri, MS, MD

Title: The Cardiomyopathy Revolution

Learning Objectives:

- To outline the advances in precision approach to cardiomyopathy care
- To characterize the role of cardiac myosin inhibitors in hypertrophic cardiomyopathy
- To detail the advances in targeting amyloid fibrils in cardiac amyloidosis

Mohamad Bittar, MD MS

Title: Closing the gap in Axial Spondyloarthritis

Learning Objectives:

1. To review the epidemiology and clinical manifestations of axial spondyloarthritis

2. To review the reasons for diagnostic delays and to discuss new referral recommendations

3. To review recent updates in the treatment approach

Justin J. Sanders, MD, MSc, FAAHPM

Title: Advancing Healthcare Equity Through Communication: What we can learn from Palliative Care Principles, Evidence, and Tools

Learning Objectives:

1. Reflect on the role of communication in the experience of people who seek healthcare
2. Describe three studies that support the notion that communication is critical to advance healthcare equity
3. Integrate serious illness communication principles and tools to improve the quality of relationships with patients and their caregivers.

Mair Marsiglio, PhD

Christina Milano, MD

Title: Clinical Updates and Pearls in Gender Affirming Care for Adults

Learning Objectives:

1) Review the range of services available at OHSU via them OHSU Transgender Health Program

2) Increase understanding of unique mental health considerations for gender expansive individuals

3) Gain greater comfort in recognizing medical sequelae associated with gender affirming therapies

Ronan Swords, MD, PhD, FRCPI, FRCPath

Title: Across the Valley of Death and Beyond: New Drug Development for Acute Myeloid Leukemia

Learning Objectives:

1. Understand the basics of Acute Myeloid leukemia (AML) in terms of disease biology, standard therapies, areas of unmet need and the basic translational algorithm followed to test new approaches

2. Recognize the controversies in clinical investigation for AML patients as it relates to clinical trial design and regulatory oversight

3. Understand solutions (proposed and ongoing) to accelerate drug development in AML, which are likely to be broadly applicable across medical sub-disciplines.

Lynne Strasfeld, MD

Title: Waterborne infection risk - threats and opportunities

Learning Objectives:

1. Increase knowledge of several important waterborne infections, including route(s) of transmission and host risk factors for severe disease 

2. Understand healthcare facility-based and public health approaches to risk mitigation for waterborne infection

3. Review opportunities for improving public health through wastewater surveillance

Shira Peress, MD, Mark Prasad, MD, Dylan Rudd, MD, Boris Chobrutskiy, MD,
Emmanuella Oyogoa, MD

Title: 10th Annual Scholarship in Residency Grand Rounds

Learning Objective:

• To share exemplary resident scholarship contributions with the campus-wide departmental grand rounds participants, in order to serve as inspiration to faculty and residents on what can be accomplished

Jessica Merlin, MD, PhD, MBA

Title: Pain and opioid complexity in patients with cancer: state of the science 

Learning Objective:

1.Describe challenges with current guidelines-based approaches to opioid prescribing in patients with cancer
2. Apply current evidence, including consensus guidance, to opioid decision-making
3. Brainstorm implementation and policy implications of the research presented

Connie Rhee, MD, MSc

Title: Balancing Diabetes Control in Chronic Kidney Disease

Learning Objective:

-Review the epidemiology of diabetes in CKD and ESKD, including morbidity and mortality.
-Discuss glycemic derangements in advanced kidney disease.
-Examine multi-modal approaches for diabetic kidney disease management.

Shyam Joshi, MD, FAAAAI

Title: Chronic Rhinosinusitis with Nasal Polyps (CRSwNP) in the Age of Biologics

Learning Objective:

- Explain the multiple proposed endotypes in patients with nasal polyps
- Describe multiple management considerations in patients with CRSwNP with both advantages and disadvantages of each
- Recommend the biologic options for patients with CRSwNP

Kim Rhoads, MD, MS, MPH

Title: Health Equity Requires Intentional Action

 learning Objectives:

- Understand the underpinnings of health disparities in the US Healthcare system

- Identify opportunities for institution level structural change to promote health equity

- Describe best practices for partnering with community to eliminate health disparities

Roula Zahr, MD, MS

Title:Treatment Sequence in Osteoporosis. Does it matter?

 learning Objectives:

• Use of anabolic versus anti-remodeling osteoporosis drugs
• Indications for "transition" from one therapy to another
• Outcome of different sequences during therapy course

Aniqa Azim MD, Clint Kolseth MD, Claire Cambron MD, Sajan Gill MD

Title: How a Changing Environment May Impact Healthcare Delivery, Health Equity, and Our Medical Education?

 learning Objectives:

1.Discuss the association between health equity and climate change through a review of the literature
2.Explore how we can promote sustainability in healthcare
3.Propose ideas on how we can leverage medical education to counter the threat that climate change poses to the health of future generations

Dan Hoover, MD

Title: Navigating Oregon’s Changing Drug Policies and Healthcare for Justice Involved Individuals

 learning Objectives:

1.Understand why and where we are headed from M110 into new behavioral health deflection programs under HB4002
2.Learn tips and tricks for your clinical care of justice-involved patients and improved coordination with the criminal-legal system
3. Learn how you can advocate for increasing equitable healthcare access for justice-involved Oregonians

Melissa Hershman, M.D., B.S.N.

Title: Disorders of Gut-Brain Interaction: Updates in Nomenclature and Management

 learning Objectives:

1. Define disorders of gut-brain interaction, including common disorders such as irritable bowel syndrome (IBS), functional dyspepsia, and centrally-mediated abdominal pain syndrome (CAPS)
2. Discuss diagnostic evaluation in evaluation of DGBI and chronic abdominal pain
3. Review current pharmacologic and nonpharmacologic interventions, including behavioral, psychological and adjunct therapies

Ashley Benson, MD MA MS

Title: Iron Deficiency and Pregnancy

 learning Objectives:

1. Describe the pathophysiology and risk factors in pregnancy that contribute to the development of iron deficiency
2. Describe the impact of iron deficiency on the maternal-fetal dyad
3. Describe treatment strategies for iron deficiency in pregnancy

Adam Rodman, MD, MPH, FACP

Title: A Turing Test for Clinical Reasoning

 learning Objectives:

1. Build a mental model of the individual cognitive processes that go into the process of diagnosis
2. Appreciate the current capacity of artificial intelligence and large language models to reason clinically
3. Compare and contrast diagnostic reasoning strategies utilized by both the large language model and a practicing internist in a real time demonstration.

Xuan Qin, PhD, D(ABMM)

Title: A Plan to Insource Microbiology Service at OHSU

 learning Objectives:

1.Microbiology Service at OHSU -Where we were, where we are, and where we are going?
2. Technologies –  Infectious disease testing has evolved past laboratory-based microscopy, microbiological culture, and PCR. New technologies have improved the speed, efficiency, and portability of pathogen detection. These include rapid and automated antigen and antibody tests, mass spectrometry, molecular techniques, such as sequencing and automated PCR.
3. A perfect storm and a perfect opportunity – It’s the perfect time for cross sectional standards setting and to use technologies at their full potentials (STAT versus BATCH modalities?):

-To choose the right test: a test that meets the diagnostic purpose, accuracy, turn-around-time (TAT), automation, and cost.
-To confirm test performance characteristics and to develop SOPs: the basic lab process of conducting analytical validation studies for determination of test sensitivity, specificity, accuracy, and reproducibility. The SOP is developed -to minimize the variants associated with Analyte-to-Analyte, Test-to-Test, and Operator-to-Operator.
-To plan for test implementation by involving clinical stakeholders: test name, order-set, test algorithm (safety and cost-saving), report scripts, and clinical actional comments.
-To monitor test performance using quality indicators: positive rate, failure rate, turn-around-time, test utilization, critical result notification compliances …

Ruth J. Napier, PhD

Title: A Dual Role for Genetic Risk Factors in Infection and Autoimmunity

 learning Objectives:

1. Gain a better understanding of how the environment can trigger autoimmunity.
2. Understand the role of genetic mutations in predicting response to therapy in spondyloarthritis.
3. Learn how basic research findings can be implemented in the clinic.

Jessica F. Hebert, PhD

Title: Long-Term Effects of Rhabdomyolysis on Renal, Reproductive, and Developmental Health

 learning Objectives:

1. Identify a key cause and the basic mechanism by which young people get AKI
2. Discuss potential detection methods for pregnancy complications induced by previous AKI
3. Plan ways to address previous AKI with current patients considering pregnancy

Jeffrey A. Gold, MD

Title: Artificial Intelligence- The Architect or the Vision for Clinical Documentation?

 Learning Objectives:

1. To describe ways in which Artificial Intelligence is being deployed to facilitate clinical documentation
2. To describe the risks and pitfalls to using current Artificial Intelligence Models for documentation
3. To describe to new uses for Artificial Intelligence to facilitate documentation beyond Ambulatory Care

Miranda Merrill, MD

Title: Acute myocardial infarction and the modern CVICU

 Learning Objectives:

1. Recognize the incidence, morbidity and mortality associated with acute myocardial infarction (AMI) and AMI complicated by cardiogenic shock
2. Understand the progress that has been made in the treatment of AMI and become familiar with the most recent literature looking at improving outcomes in the AMI and AMI shock population
3. Realize changes in the epidemiology of the CVICU patient population and CVICU staffing structure

Stuti Fernandes, MD

Title: Primary Hyperaldosteronism

 Learning Objectives:

1. Review the renin-angiotensin-aldosterone system
2. Define primary hyperaldosteronism and differentiate it from essential HTN
3. Improve screening for primary hyperaldosteronism 
4. Diagnose primary hyperaldosteronism
5. Learn about the role of adrenal vein sampling
6. Treat primary hyperaldosteronism

 

David Lieberman, MD

Title: Colorectal Cancer Screening: What is new in 2024?

 Learning Objectives:

1. Review evidence for initiating colorectal cancer (CRC) screening at age 45
2. Recognize the issues surrounding use of current CRC screening tests including:
     - Adherence
     - Quality
     - Barriers and equity issues 
3. Interpret new data about Stool-based and blood-based screening tests

Devan Kansagara, MD

Title: A hanhich, gungun, or bambalacha by any other name: Cannabis and your patients’ health

Learning Objectives:

Participants will be able to:
1. Define basic terminology, formulations, routes of administration, and pharmacokinetics of cannabis
2. Discuss the effectiveness of cannabis for chronic pain and other conditions
3. Identify harm reduction strategies for patients using cannabis for medical or recreational purposes

Trisha Wong, MD, MS

Title: Pediatric to Adult Transition Healthcare (PATH)

Learning Objectives:

1. Review the who/why/what of high-quality peds-to adult transition for generalists and subspecialists
2. Using cases, learn what various pediatric programs are doing to prepare our young adults for transition
3. Discuss current gaps and next steps to optimize peds-to-adult transition enterprise-wide

James Clements, MD, FACP & Matthias Merkel, MD

OHSU Mission Control/Transfer Center: Fulfilling Our Promise for Oregon

Learning Objectives:

1. Understand the basics of OHSU Mission Control
2. Connect the mission of helping people with capacity and throughput
3. Know how they can be a part of the changes as we grow together

Julia Tasset, MD

Birth Control Bootcamp: Conquering Contraception at Every Level!

Learning Objectives:

1. Identify indications and best practices for contraception counseling and review currently available contraceptive technologies in the United States
2. Utilize the CDC Medical Eligibility Criteria to support patient-specific counseling and risk stratification
3. Explore limits of contraceptive safety and efficacy knowledge for people living with renal disease and refer to Complex Family Planning for counseling and management

Kristina Bajema, MD, MSc; Ellie Sukerman, MD; James Lewis, MD

Oral Antibiotics for Bloodstream Infections: Not All Orals Are Created Equal

Learning Objectives:

1. Understand the general advantages of oral over intravenous antibiotic therapy for bloodstream infections.
2. Understand the appropriate selection and dosing of oral antibiotics for common gram-negative bloodstream infections.
3. Understand the appropriate selection and dosing of oral antibiotics for common gram-positive bloodstream infections.

Eric Ryan, MD & Scott Naugler, MD

Terlipressin therapy for Hepatorenal Syndrome: Evidence, Indications, and Implementation

Learning Objectives:

1. Understand the broad mechanism and implications of hepatorenal syndrome.
2. Review the evidence for treatment of hepatorenal syndrome, including the recent FDA approval of terlipressin.
3. Understand the risks of treatment with terlipressin.
4. Gain familiarity with the usage of terlipressin at OHSU.

Donald Sullivan, MD

Do you hear what I hear? Fostering Effective Patient-Clinical Communication

Learning Objectives:

1. Describe the evolution of patient-clinician communication
2. Define shared decision-making and Learn ways to implement shared decision-making best practices in clinical care
3. Review the role of decision aids in fostering shared decision-making
4. iDECIDE study (Improving Decision Making in Lung Cancer)

David Dorr, MD, MS, FACMI, FAMIA, FIAHSI

Building an Artificial Intelligence (AI)- Enabled Learning Health System (LHS) at OHSU

Learning Objectives:

1. Describe the function and purpose of a Learning Health System.
2. Understand the definition of ‘Artificial Intelligence’, current evidence for its use, and high level issues around implementation, risk and benefit of AI.
3. Identify the opportunities for an AI-enabled Learning Health System at OHSU, especially as it evolves into a larger public university system.
4. Develop your own ideas for health care innovations that may be facilitated by an AI-enabled Learning Health System.

Robert M. Wilechansky, MD

What’s New in MASLD: Nomenclature, Risk Stratification, and Therapeutics

Learning Objectives:

1. Define MASLD and the steatotic liver disease spectrum using updated nomenclature and diagnostic criteria
2. Determine when to refer a patient with MASLD to a GI/hepatology specialist
3. Discuss the novel therapeutic drug classes for MASLD and the available clinical trial data

Michael LaMantia, MD, MPH, AGSF, FACP

Changing Tides in Alzheimer’s Disease: Diagnosis, Treatment, and Palliation

Learning Objectives:

1. To discuss the on-going evolution of criteria for diagnosis with Alzheimer’s Disease
2. To describe developments in therapeutic agents for Alzheimer’s Disease
3. To discuss changes in the use of medical aid in dying to avoid late-stage dementia

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