Natividad : Inspirando vidas saludables

Trauma Grand Rounds: Domestic Violence
2017-09-21 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Carolyn J. Sachs, MD, MPH, Professor of Emergency Medicine, David Geffen School of Medicine at UCLA
presented by Carolyn J. Sachs, MD, MPH, Professor of Emergency Medicine, David Geffen School of Medicine at UCLA
Health care workers often encounter victims of domestic violence and may lack the necessary training to identify and treat them effectively. This lecture provides an overview of the general societal problem of intimate partner violence and specifically addresses the health care worker’s role in detection, treatment, documentation and referral of victims. Pros and cons of mandatory domestic violence reporting legislation are also presented.
Desired Outcomes:

Define domestic violence
Identify the profiles of victims
Identify the profiles of perpetrators
Use case history factors to identify domestic violence
Use universal screening to identify all domestic violence cases
Implement treatment strategies with traumatic injuries related to domestic violence
Document domestic violence cases in the ED
Appropriately follow the referral process in domestic violence cases

CME Activity Flyer (PDF)

Effective Physician Hand-Offs
2017-09-25 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Lauren Destino, M.D., Assistant Medical Director, Pediatric Hospitalist Program, Associate Medical Director of Acute Care Units, Lucile Packard Children’s Hospital, Clinical Assistant Professor, Stanford University School of Medicine
with Lauren Destino, MD

Patient care hand-offs between physicians occur frequently and are vulnerable to communication failures with potential impacts on patient safety. This grand rounds will discuss the use of I-PASS communication strategies to enhance hand-off communication.

Desired Outcomes:

Describe the role of communication failures in medical errors and preventable adverse events
Articulate the need for high-quality patient handoffs to reduce the likelihood of communication failures
Describe the implementation of I-PASS evidence-based handoff bundle and its impact on medical errors and patient safety
Utilize some of the strategies discussed in practice as appropriate

CME Activity Flyer (PDF)

NMC Grand Rounds: NMC & Patient-Centered Care: Our “PRIME” Direction-UPDATE
2017-09-27 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Debi H. Siljander, MD, Chief Clinical Transformation Officer, NMC; Charles R. Harris, MD, Chief Medical Information Officer, NMC; Jane A. Finney, CLS, MBA, CPHQ, CPPS, Consultant.
presented by: Debi H. Siljander, MD, Charles R. Harris, MD, and Jane A. Finney, CLS, MBA, CPHQ, CPPS.
Desired Outcomes:

Explain the concept of patient-centered medical home model care within Population Health Management including integration of Behavioral Health in Primary Care.
Describe recent accomplishments in Primary Care Redesign, Post-Acute Care Transitions, Specialty Care Redesign, Perinatal Services, Chronic Non-Malignant Pain Management and Patient Blood Product Management;
Apply patient- and family-centered care concepts.
List potential obstacles to patient-centered care.

CME Activity Flyer (PDF)

Physician Leadership Academy: Leading Through Vision
2017-10-10 13:00 - 16:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
By Invitation Only: Leading Through Vision
Equip yourself with the competencies necessary to facilitate change here at NMC.
The program consists of skill-building workshops delivered by Advisory Board faculty across 2017 and 2018—each one designed to provide you with actionable tools to tackle every day challenges. The workshops are highly interactive, data-rich, and tailored around Natividad’s specific organizational objectives.
Physicial Leadership Academy flyer)

PEDS Grand Rounds: Child Abuse
2017-10-13 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Robert Morris, MD, Professor Emeritus, Mattel Children’s Hospital, David Geffen School of Medicine, UCLA
Speaker for this CME Activity is Robert Morris, MD
Child Abuse
Family physicians or pediatricians are likely to encounter victims of child abuse in their practice, and should be able to recognize its common presentations, as well as know how to evaluate and document these cases. A new study indicates that half of U.S. hospitals do not perform x-rays to look for fractures in children under the age of two who have been diagnosed with child abuse.
Desired Outcomes:

Recognize unusual presentations of child abuse
Identify factors leading to missed abusive head trauma
Know new modalities of diagnosing child abuse
Understand normal injuries of children
Know how to order x-rays in abuse situations.

Geared to Pediatrics, Family Medicine, and open to all other physician specialties and ancillary services.
CME Activity Flyer (PDF)

ARU Grand Rounds: Regenerative Medicine for Osteoarthritis – What is the Current Evidence?
2017-10-16 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Sean Colio, MD, Clinical Assistant Professor of Orthopedic Surgery, Physical & Rehabilitation Medicine, Stanford University School of Medicine
Speaker for this CME Activity is Sean Colio, MD
Regenerative Medicine for Osteoarthritis – What is the Current Evidence?
Regenerative medicine for Osteoarthritis is an emerging area that will influence the treatment of joint diseases in the future. It involves the use of biomaterials, cell therapy, and bioactive factors such as growth factors, drugs and small molecules, to regenerate damaged tissues. Dr. Colio will highlight the current evidence that informs on the direction in which this field is moving. This multidisciplinary field has been very active, with rapid development of new technologies.
Desired Outcomes:

Discuss the History & Biology of Platelet Rich Plasma (PRP)and Mesenchymal Stem Cells (MSC) for Osteoarthritis
Review the Clinical Applications of Platelet Rich Plasma (PRP)and Mesenchymal Stem Cells (MSC) for Osteoarthritis
Evaluate the Evidence for Platelet Rich Plasma (PRP)and Mesenchymal Stem Cells (MSC) in Osteoarthritis

Geared to physicians and ancillary clinical staff.
CME Activity Flyer (PDF)

Crucial Conversations for Physicians – Strategies for Optimizing Outcomes
2017-10-18 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Clinton Coil, MD, MPH, FACEP, Chief Quality Officer, Associate Medical Director for Quality and Safety, LA County Harbor-UCLA Medical Center, Assistant Clinical Professor of Medicine, Division of Emergency Medicine Stanford University School of Medicine
Speaker for this CME Activity is Clinton Coil, MD, MPH, FACEP
Crucial Conversations for Physicians – Strategies for Optimizing Outcomes
Reviews show that problem handoffs were a contributing factor in 20-24% of malpractice claims in the outpatient and ED settings. A review of surgical errors found that 28% involved handoffs. An AHRQ survey found that 51% of hospital staff agreed that “important patient care information is often lost during shift changes.”
Desired Outcomes:

Describe the role of communication failures in medical errors and preventable adverse events
Articulate the need for high-quality patient handoffs to reduce the likelihood of communication failures
Apply the Joint Commission’s Sentinel Alert 9/12/17 on Inadequate Hand-off Communication to my practice.

Geared to physicians and ancillary clinical staff.
CME Activity Flyer (PDF)

Trauma Journal Club
2017-10-20 07:30 - 08:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States

Hospitals and the Homeless Patient
2017-10-20 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Don A. Barr, MD, PhD, Professor of Pediatrics, and of Education (by courtesy), Stanford University School of Medicine
Speaker for this CME Activity is Don A. Barr, MD, PhD
Hospitals and the Homeless Patient
Homelessness is a growing issue in many areas in California. To address the health care needs and the wellbeing of homeless individuals, it is essential for health care providers to understand the potential causes of homelessness. A principal goal of health care for the homeless is to combine acute medical care with follow-up case management services and referral to permanent supportive housing resources.
Desired Outcomes:

To identify and comprehend the different patterns of the causes of homelessness
To be aware of the complex interaction of mental health and associated substance abuse problems with the behavioral and clinical status of patients encountered in the health care context.
To understand to growing role nationally of providing permanent supportive housing on a “Housing First” basis to those exhibiting chronic homelessness. as appropriate.

Geared to Emergency Department Physicians, Trauma Physicians, and all physician services and ancillary clinical staff.
CME Activity Flyer (PDF)

Prevention of Surgical Site Infections
2017-10-23 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Aussama K. Nassar, MD, MSc, FRCSC, FACS, CHSE, Assistant Clinical Professor of Surgery, Department of Surgery, Section of Trauma & Critical Care, Stanford University School of Medicine
Speaker for this CME Activity is Aussama K. Nassar, MD, MSc, FRCSC, FACS, CHSE
Prevention of Surgical Site Infections
Surgical-site infections (SSIs) are known to complicate 2-5% of all surgeries in the United States. The Centers for Disease Control (CDC) has just issued updated evidence-based guidelines for SSI prevention. The guidelines cover 14 core areas and are intended to be incorporated into existing surgical quality improvement programs to maximize patient safety. As the number of US surgical procedures rise, it is important for physicians to adhere to these guidelines to prevent SSIs.
Desired Outcomes:

Discuss basic principles of surgical site infections
Cite newer landmark studies on prevention of surgical site infections
Apply new guidelines for prevention of surgical site preventions into practice
Recognize the importance of the contribution of patient and caregiver education to the outcome of the procedure

Geared to Emergency Department Physicians, Trauma Physicians, OR Physicians, Anesthesiologists, Radiologists, and ancillary clinical staff.
CME Activity Flyer (PDF)

PEDS Grand Rounds: Special UCSF Celebration – EHR Integrated Pediatric Early Warning Signs
2017-10-30 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
ARPI BEKMEZIAN, MD, pediatric hospitalist. She serves as the Medical Director of Quality and Safety for the Division of Pediatric Hospital Medicine and as the Medical Director of Quality and Safety for the Benioff Children’s Hospital.
Speaker for this CME Activity is ARPI BEKMEZIAN, MD.
EHR Integrated Pediatric Early Warning Signs
Practice Gap:

Early recognition of clinical deterioration is an important goal of inpatient pediatric medicine. Delays in recognition and intervention increase morbidity and mortality.
Published early warning scores have limited discriminatory power.
The EHR has not been leveraged to facilitate accurate identification of patients at risk for deterioration.

Desired Outcomes:

Use of an early warning tool to accurately identify patients at risk for deterioration.
Improving the discriminatory power of the tool by enhancing its capacity to synthesize vital signs and vital sign changes, exam findings, medical risk factors, and biochemical markers.
Automation and full integration of the tool into the Electronic Health Record (EHR).
Integration of the tool into clinical care and use of the tool to facilitate standardized communication between providers.

Geared to Pediatrics, Family Medicine, and open to all other physician specialties and ancillary services.
CME Activity Flyer (PDF)

PEDS Grand Rounds: East of Salinas – A Film by LAURA PACHECO & JACKIE MOW
2017-11-09 12:00 - 13:30 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
A Film by LAURA PACHECO & JACKIE MOW
Discussion Moderated by: Kristin Burstedt Leonard, DO, Family Practice Medicine, NMC
Location: S.E.A. Conference Room
“East of Salinas takes us to the heart of California’s “Steinbeck Country,” the Salinas Valley, to meet a bright boy and his dedicated teacher — both sons of migrant farm workers. With parents who are busy working long hours in the fields, third grader Jose Ansaldo often turns to his teacher, Oscar Ramos, for guidance. But Jose is undocumented; he was born in Mexico. Like many other migrant children, he is beginning to understand the situation — and the opportunities that may be lost to him through no fault of his own. East of Salinas follows Jose and Oscar over three years: the boy is full of energy, smarts, and potential, while his teacher is determined to give back to a new generation of migrant children.”
Desired Outcomes:

Recognize the challenges that migrant farm worker families in Salinas face in their daily lives.
Integrate this increased awareness into improved patient communication and realistic treatment plans.

CME Activity Flyer – PDF

How Far Have We Come? Emerging Therapies for Fibromyalgia and Chronic Fatigue Syndrome.
2017-11-14 12:00 - 13:00 (America/Los_Angeles) | CA
Scott G. Pritzlaff, MDDepartment of Anesthesiology, Perioperative and Pain MedicineInterventional Pain SpecialistStanford University School of Medicine
Speaker for this CME Activity: Scott G. Pritzlaff, MD
Location: S.E.A. Conference Room
Fibromyalgia and chronic fatigue syndrome are often misunderstood conditions responsible for significant disability. It is critical for primary care and pain providers to have a sound understanding of the diagnostic criteria and treatment options for these patients.
Desired Outcomes:

Review the epidemiology of fibromyalgia and other syndromes that may overlap.
Explain the American College of Rheumatology (ACR) diagnostic criteria for fibromyalgia.
Discuss the etiology of chronic fatigue syndrome such as infection, immune dysfunction, endocrine-metabolic dysfunction, depression.
Select appropriate pharmacologic and non-pharmacologic treatments for fibromyalgia pain management and chronic fatigue syndrome.

CME Activity Flyer PDF

NMC Grand Rounds: Giving & Receiving Feedback
2017-11-15 12:30 - 13:30 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Our CME Speaker is: Brian M. Johnson, MD,
Associate Program Director, Contra Costa Family Medicine Residency, Martinez, California, Director, UCSF Family Medicine Faculty Development Fellowship, San Francisco, California
All physician teachers constantly engage in giving and receiving feedback. It is one of the most important things we do in helping learners, as well as a powerful way for us to grow as teachers. This activity will facilitate a workshop designed to help us all get a bit better at these vital faculty skills.
Desired Outcomes:

Describe the value feedback through the lens of learning trajectories
Describe the difference between formative and summative feedback.
Recognize the ARTful and BEST frameworks for giving feedback.
Ask for feedback (they actually want)

CME Activity Flyer PDF

Guillain-Barre Syndrome
2017-11-16 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Sarada Sakamuri, M.D. Associate Director, Neuromuscular Medicine Fellowship Clinical Assistant Professor of Neurology Stanford University School of Medicine
Presented By: Sarada Sakamuri, M.D.
Location: S.E.A. Conference Room
Guillain-Barré Syndrome (GBS) is a disorder in which the body’s immune system attacks part of the peripheral nervous system. The first symptoms of this disorder include varying degrees of weakness or tingling sensations in the legs. In many instances the symmetrical weakness and abnormal sensations spread to the arms and upper body. These symptoms can increase in intensity until certain muscles cannot be used at all and, when severe, the person is almost totally paralyzed. In these cases the disorder is life threatening – potentially interfering with breathing and, at times, with blood pressure or heart rate – and is considered a medical emergency.
Desired Outcomes:

Understand the immunologic basis of GBS
Recognize typical signs, symptoms, and laboratory and electrophysiological findings of GBS
Utilize appropriate treatment and supportive care in patients with GBS

CME Activity Flyer PDF

Current Status of Advanced Hemodynamic Resuscitation and Management with Extracorporeal Life Support (ECLS)
2017-11-17 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Bialal M. Shafi, MDCardiothoracic SurgeryPalo Alto Medical FoundationMedical Group
Speaker for this CME Activity: Bialal M. Shafi, MD
Location: Natividad Conference Room
This presentation will explore the applications for adult ECLS including reversible respiratory failure, cardiogenic shock, and ECPR. The discussion will include the importance of early recognition and implementation, and insight into the technical aspect on the use of extracorporeal life support along with risks, benefits and outcomes.
Desired Outcomes:

Identify medical strategies that can potentially benefit patients who are in pulmonary and/or cardiac extremus.
Recognize the selection criteria for determining candidacy for ECLS support.
Define the two types of ECLS: Veno-venous and Veno-arterial and their respective differences.
Describe best practices for basic medical management of the ECLS-supported patient.

CME Activity Flyer PDF

ARU Grand Rounds: Stroke Recovery
2017-11-20 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Paul George, MD, PhDAssistant Professor of Neurology and, by courtesy, of Neurosurgery at the Stanford University Medical Center
Speaker for this activity: Paul George, MD, PhD
Location: Natividad Conference Room
Stroke is the leading cause of disability in the United States, drastically disrupting the lives of stroke survivors and their caretakers. Unfortunately, because of tight therapeutic time requirements, the majority of stroke patients are not eligible for the current medicines or interventions. Current stroke recovery therapies remain limited. This lecture will address the gap between existing therapies and current research topics that may improve recovery for stroke patients.
Desired Outcomes:

Incorporate investigative studies into improving stroke recovery with current stroke rehabilitation practices.
Integrate recent biotechnology and stem cell advances into current knowledgebase which may affect standard clinical practice for stroke patients in he future.

CME Activity Flyer PDF

ED Grand Rounds: EMTALA
2017-12-05 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Paul Hackman, ESQ., Attorney/Compliance Officer, UC Riverside School of Medicine
Presented By: Paul Hackman, ESQ. Attorney/Compliance Officer, UC Riverside School of Medicine
Executive Summary

Provide an overview of the Emergency Medical Treatment and Active Labor Act (EMTALA) with explanation of the requirements imposed on hospitals.
Discussion of regulations surrounding Safe Discharge of patients.

Desired Outcomes:

Identify at least 5 EMTALA-imposed obligations.
Distinguish between EMTALA Requirements and other legal duties related to Safe Transfer/Discharge of patients.
Describe penalties for non-compliance with EMTALA.

CME Flyer PDF

PEDS Grand Rounds: Approach to the Child with a First Seizure
2017-12-08 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Courtney J. Wusthoff, MD, MS, FAAPStanford University School of Medicine
Presented By: Courtney J. Wusthoff, MD, MS, FAAP
This session will review current evidence for the evaluation and management children presenting with a first seizure. Included will be cases and tips relevant to the primary care provider, ER physician, and to those triaging specialty referrals. Guidelines from the American Academy of Pediatrics will be discussed in detail.
Desired Outcomes:

Distinguish febrile seizure from seizure with fever.
Determine the most appropriate diagnostic work up after a first seizure.
Describe fist steps in caring for a child with suspected epilepsy.

Physician Wellness: Burnout & Wellness
2017-12-15 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
John D. Mark, M.D.Clinical Professor PediatricsPediatric Pulmonary MedicineMedical Director, COREStanford University School of Medicine
Speaker for this CME Activity: John D. Mark, MD
Burnout = Emotional exhaustion, depersonalization, decreased sense of personal accomplishment…
Well Clinicians = Higher Patient Outcomes
Desired Outcomes:

Engage in the process of problem solving.
Discuss the bigger cause that anchors Natividad’s mission.
Participate in the dissolution of the culture of silence.
Develop coping skills to match the level of one’s daily stressors.

CME Activity Flyer PDF

ARU Grand Rounds: New Blood Pressure Guidelines
2018-01-08 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
presented by Randall S. Stafford, MD, PhD
Randall S. Stafford, MD, PhDDirector, Program on Prevention Outcomes and Practices, Stanford Prevention Research Center, Professor of Medicine, Stanford School of Medicine
Randall S. Stafford, MD, PhD, is a Professor of Medicine in the Stanford University Prevention Research Center. He has a Master’s degree in health administration (Johns Hopkins University), a PhD in epidemiology (UC Berkeley), an MD (UC San Francisco), and internal medicine training (Massachusetts General Hospital). His research mission is to improve population health outcomes through research that both informs the development and fosters the dissemination of effective, efficient, innovative, and evidence-based prevention interventions. Dr. Stafford’s research has led to more than 160 peer-reviewed articles, including many in high impact journals such as JAMA and NEJM. He served as a working group member for the AHA/ACC High Blood Pressure guidelines.
Desired Outcomes:

Assess conflicting guidelines and make decisions on which specific recommendations to put into clinical practice.
Integrate risk-based treatment principles (greater intensity of treatment for those patients with greater underlying risk) into strategies for patient care.
Identify the clinical sub-populations where findings from the SPRINT study are most applicable.
Provide guideline concordant care to their patients with high blood pressure.

CME Activity Flyer (PDF)

Stop the Bleed
2018-01-09 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
presented by Andrew S. McCague, DO, FACOS, FACS
Trauma and Critical Care Surgeon, Natividad Medical Center
American College of Surgeons Committee on Trauma determined that there may be a delay between time of injury and time first responder is on the scene. Without intervention by civilians, preventable deaths will occur. Medical professionals need to know what civilians might do in instances of mass trauma; they must be exposed to this program to ensure appropriate care is delivered in the case where civilians have already initiated treatment.
Desired Outcomes:

Save lives by utilizing tools to control life-threatening hemorrhage, whether it is caused by unintentional injury, crash, violence or natural disaster;
Discuss the rationale for early use of a tourniquet for life-threatening extremity bleeding.
Demonstrate the appropriate application of a tourniquet to the arm and leg.
Demonstrate the correct application of a topical hemostatic dressing (combat gauze).
Recognize when a patient has been treated using the “Stop the Bleed” protocols and initiate further treatment appropriately.

CME Activity Flyer (PDF)

Trauma Grand Rounds: Abdominal Compartment Syndrome
2018-01-18 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Kazuhide Matsushima, MDAssistant Professor of Surgery, Keck School of Medicine of USC
presented by Kazuhide Matsushima, MD
Abdominal compartment syndrome is commonly seen in the ICU patients with multiple organ dysfunction. The delay in diagnosis and intervention can be significantly associated with poor prognosis. Critical care providers need to be familiar with signs, diagnosis, and management of abdominal compartment syndrome.
Desired Outcomes:

To identify the patients with signs of intraabdominal hypertension/abdominal compartment syndrome
To diagnose intraabdominal hypertension/abdominal compartment syndrome by measuring intraabdominal pressure at bedside
To develop the management plan for patients with intraabdominal hypertension/abdominal compartment syndrome

CME Activity Flyer (PDF)

Making All Physicians Better Teachers by making sense of Competency Based Education
2018-01-19 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
A Family Medicine Faculty Development CME
Roger D. Garvin, MDAssociate Professor MedicineDivision of Family Medicine, Oregon Health and Science University
presented by Roger D. Garvin, MD
We will discuss how medical education has evolved in the last 20 years. The benefits of competency based graduate medical education to faculty and residents will be reviewed.
Desired Outcomes:

Discuss how competency-based graduate medical education has changed over time.
Provide improved feedback to residents.
Recognize the ways in which decisions on resident “entrustment” provide in-depth information to the residency.

CME Activity Flyer (PDF)

When Physicians and Patients Disagree: What To Do?
2018-01-22 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Bruce W. Spring, MDClinical Assistant Professor of PsychiatryKeck School of Medicine of USC
presented by Bruce W. Spring, MD
The conflict between physicians and patients is a common practice experience for all physicians, and one that can be very difficult and stressful for the physician and/or patient. This is a frequent occurrence in medical encounters, and how well it is handled determines not only the clinical outcome of the visit but also impacts on the development of the clinician-patient relationship over time. Physicians like to consider themselves as patient allies and advocates, and it is difficult when they get into conflict with their patients. Most physicians have had relatively little training in effective ways to deal with conflict situations, and tend to rely on whatever skills they have picked up over time. Physicians need an expanded set of communication tools to deal with situations of actual or potential conflict and disagreement between clinician and patient.
Desired Outcomes:

Identify the causes of conflict.
Utilize evidence-based tools to defuse conflict situations with patients.
Transform conflict situations into a sense of partnership and collaboration with patients.
Navigate cultural and/or language barriers to improve communication with patients.

CME Activity Fyer (PDF)

Implications of Marijuana Use to Hospital Care
2018-01-24 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Peter Barelka, MDAnesthesiologist, Veterans Administration HospitalClinical Assistant Professor of AnesthesiologyStanford University School of Medicine
presented by Peter Barelka, MD
The legalization of cannabis is advancing across the United States. Since the science of cannabis is generally not part of today’s medical training, here, healthcare professionals may have an opportunity to close an ‘education gap’ on the science behind cannabis and its implications to clinical hospital care.
Desired Outcomes:

Discuss the historical use of cannabis and the current use in pop culture and political movements.
Review the available OTC varieties and Rx.
Outline the biochemistry of Endocannabinoids and their impact on hospital care.
Analyze the evidence of benefits and of detriments.
Incorporate new knowledge into practice, including discussions with patients.

CME Activity Flyer (PDF)

Anesthesia Review Club
2018-02-05 07:00 - 07:30 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Moderated By: Amish A. Shah, MD, Anesthesia Service Director, Natividad Medical Center
Desired Outcomes:

Discuss literature and consensus-based recommendations for practice improvement.
Effectively translate the acquired strategies into improved diagnostics and subsequently implement a better treatment plan for your patients.

CME Activity Flyer (PDF)

ED Grand Rounds: Acute Stroke Care – It’s a New Yea
2018-02-06 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Prashanth Krishnamohan, MDClinical Assistant ProfessorDepartment of Neurology & Neurological SciencesMedical Director of NeurologyStanford Healthcare ValleyCare
Presented By: Prashanth Krishnamohan, MD
The American Heart Association released its most recent guidelines regarding the early management of Acute Ischemic Stroke at the International Stroke Conference in January 2018. The guidelines contain new recommendations on the evaluation and care of stroke patients in the emergency department. This presentation will review some of the new recommendations pertinent to the emergency department care of acute stroke patients, the recent clinical trials that these recommendations were based on and how the recommendations might change the way we care for our acute stroke patients in the emergency department.
Desired Outcomes:

Identify the most recent guidelines on acute Stroke care
State how the recent recommendations might change our current practices in the emergency department
Cite relevant evidence based literature to support the new recommendations

CME Activity Flyer (PDF)

Improving Pediatric Acute Care Through Simulation (ImPACTS)
2018-02-08 08:00 - 15:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Shruti Kant, M.D.Assistant Clinical ProfessorAssociate Fellowship Program DirectorPediatric Emergency Medicine
Speaker for this CME Activity: Shruti Kant, M.D.
By Invitation Only
2 Sessions (8am-11am or 12 noon-3pm)
ImPACTS is a multi-centered, simulation-based education and QI program with an over-arching goal to enhance
preparedness of all hospitals, and provide high-quality
pediatric emergency training to all health care practitioners caring for ill and injured children.
Desired Outcomes:

To assess Pediatric Readiness of the Emergency Department (ED).
To improve provider knowledge and comfort in the care of critically ill pediatric patients.
To develop an action plan for improvement in ED pediatric readiness.

CME Activity Flyer (PDF)

PEDS Grand Rounds: Common Sports Medicine & Orthopedics
2018-02-09 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Robert Morris,, MDProfessor EmeritusDavid Geffen School of Medicine at UCLA
Presented by: Robert Morris, MD
Teenagers are increasingly involved in both organized and pick up sports. As a result, there are many more adolescents suffering sports injuries. Sports injuries are seldom a focus of general pediatric training. Common injuries will be discussed including expected mechanism causing the injury, diagnosis, and treatment. Prevention of several common injuries will be discussed along with gender specific concerns.
Desired Outcomes:

Review rehabilitation after sports injury.
Outline guidelines for sports participation after sports.
Review the major orthopedic injuries to hip, knee, ankle, and foot.
Perform a hip, knee, ankle, and foot examination
Review differential diagnosis of back pain in adolescents.
Confidently examine the back.
Review common injuries to shoulder, elbow, wrist, and hands.
Discuss high risk injuries and prevention.

CME Activity Flyer (PDF)
