Natividad : Inspirando vidas saludables

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)

Trauma Grand Rounds: Catheter Related Infections
2018-02-15 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Daniel B. DiGiulio, MDClinical Instructor, Division of Infectious Diseases and Geographic Medicine, Stanford University School of Medicine
Presented By: Daniel B. DiGiulio, MD
Catheter-related infections cause a significant proportion of healthcare associated infections, and are responsible for a substantial burden of disease in the US every year. Although urinary catheters and intravenous catheters might appear at first to have little in common with each other, both are artificial devices that can lead to iatrogenic complications, particularly when catheters aren’t inserted and managed under optimal protocols. Various factors increase the risk of catheter-related infections, including: 1) using invasive catheters when they’re not clearly indicated; 2) using suboptimal technique during their insertion and management; 3) leaving catheters in place longer than necessary; and, 4) failure to adequately monitor catheters for infectious complications. This presentation will discuss the problem of catheter-related infections, and provide prevention and management strategies to minimize their occurrence and adverse health impact.
Desired Outcomes:

State the appropriate indications for urinary catheter insertion
Know the daily steps to assess the ongoing need for urinary catheter continuation
Discontinue urinary catheters per catheter removal protocols
Identify risks for Central Line Associated Bloodstream Infections (CLABSIs)
Understand the need to perform daily assessment of the ongoing necessity for central lines
Discontinue central lines when no longer necessary
Articulate the critical role of proper hand hygiene before and after all patient contact, as well as the use of Maximal Sterile Barrier Precautions when inserting central lines
Recognize patient populations that are at increased risk for outcome disparities due to catheter-related infections

CME Activity Flyer (PDF)

Trauma Journal Club
2018-02-16 07:30 - 08:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Bradley J. Roth, MDSpecializing in Surgical Critical Care and General Surgery
Moderated By: Bradley J. Roth, MD
By Invitation Only
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 their patients.

CME Activity Flyer (PDF)

Medicine Grand Rounds: What the Science Says about Addiction
2018-02-16 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
What the Science Says about Addiction: Neurobiological Aspects of Addiction and Medicines Used in Treatment
Mark Stanford, PhD, Director, Medication-Assisted Treatment ProgramsJANUS of Santa Cruz
Presented by: Mark Stanford, PhD, and Nancy Krauss, PhD
Data from NIH indicates that about 20% of patients seen by family physicians have a substance abuse problem (excluding tobacco use). In the everyday practice of medicine it is important to consider substance abuse as part of the differential diagnosis. Substance abuse can lead to significant social and family dysfunction and cause problems with finances, relationships and employment. Medical problems can be difficult to manage, and chronic conditions can be exacerbated, leading to increased morbidity and mortality.
Desired Outcomes:

Identify the common neural pathways of drug addiction
Discover the mechanism of action of 2 medications in the treatment of opioid use disorder
Discover the mechanism of action of 2 anti-craving medications for alcohol use disorder
Identify 2 ways to refer patients into treatment for substance use treatment.

CME Activity Flyer (PDF)

ARU Grand Rounds: Dermatology for the Hospital Provider
2018-02-26 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Amara Lieberman, MDDermatologist, Pacific Dermatology &Specialty Clinic, NMC
Presented by Amara Lieberman, MD
In a hospital setting, physicians are often faced with dermatology issues and need to identify those that require more intervention. A new study claims that one in four Americans are affected by a skin disease. The prevalence and cost of skin disease in the US are increasing and will continue to do so as the population ages. Physicians need to be knowledgeable about advances in the diagnosis and treatment of common dermatological diseases.
Desired Outcomes:

Treat common dermatological disorders seen in the hospital setting
Recognize when to refer the patient to a dermatologist
Implement a systematic approach to the diagnosis and management of common and uncommon skin diseases.

CME Activity Flyer (PDF)

IR Grand Rounds: IR in Trauma
2018-02-28 07:00 - 20:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Richard A. Villalobos, MD, Radiology Service Director, Natividad Medical Center
NEW DATE
presented by Richard A. Villalobos, MD
Desired Outcomes:

Summarize the utilization of new or improved procedure techniques
Effectively critique individual provision of care and procedure performance
Communicate effectively with clinicians at points of conflict
Reinforce best practices and knowledge level for the staff.

CME Activity Flyer (PDF)

NMC Grand Rounds: Emerging Advances in the Treatment of Aortic Stenosis: Transcatheter Aortic Valve Replacement
2018-02-28 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Bialal M. Shafi, MDCardiothoracic SurgeryPalo Alto Medical FoundationMedical Group
Presented by: Bialal M. Shafi, MD
Transcatheter aortic valve replacement (TAVR), sometimes referred to as transcatheter valve implantation (TAVI), was developed as an alternative for patients who require an aortic valve replacement for severe aortic stenosis, but are not eligible for the conventional surgical aortic valve replacement (SAVR). Many patients diagnosed with severe aortic stenosis are considered too high risk for open heart surgery. As evidence continues to emerge, the TAVR procedure has now included moderate-risk surgical patients, as well. Careful patient selection, methodical risk stratification, optimal
valve sizing and a collaborative team approach with experienced surgeons and interventional cardiologists are important factors to achieve respectable outcomes.
Desired Outcomes:

Discuss rationale for Trans-catheter Aortic Valve Replacement (TAVR)
Review data from seminal TAVR trials
Delineate demographic utilization of TAVR
Discuss strategies to improve access to this technology
Recognize the role of cardiac and vascular CTA in the planning process for structural heart disease

CME Activity Flyer (PDF)

Anesthesia Review Club (ARC)
2018-03-05 07:00 - 07:30 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Amish A. Shah, MD, Anesthesia Service Director, Natividad Medical Center
By Invitation Only
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)

OB Grand Rounds: Prophylactic Salpingectomy
2018-03-05 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
James Lilja, MD Gynecologic Oncology Natividad Medical Center Dr. Lilja specializes in the treatment of gynecologic malignancy and accepts referrals for technically complex surgical gynecologic cases. He is especially interested in tumor reductive surgery, hyperthermic intraperitoneal chemotherapy, whole body hyperthermia, and intraoperative intraperitoneal chemotherapy. He is expert in laparoscopic and robotic surgery.
presented by: James Lilja, MD , Gynecologic Oncology, new to Natividad Medical Center

Ovarian cancer is a disease with a poor prognosis and limited options in terms of screening, diagnosis, and treatment. Ovarian cancer is the second most common type of gynecologic malignancy and the most common cause of death from gynecologic cancer. It is the fifth most common cause of cancer deaths in women. In the United States and Canada every year, over 25,000 women are newly diagnosed with ovarian cancer, and 16,000 women die from the disease.
Desired Outcomes:

Discuss the benefits of B salpingectomy –may prevent cancer
Identify when salpingectomy should be considered (after completion of childbearing) at the time of hysterectomy, in lieu of tubal ligation, and also at the time of other pelvic surgery.

CME Activity Flyer (PDF)

PEDS Grand Rounds: Global Pediatric Emergency Medicine
2018-03-09 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Kajal Khanna, MD, JDClinical Assistant Professor, Emergency Medicine Clinical Assistant Professor, Pediatrics, Stanford University School of Medicine
Presented By: Kajal Khanna, MD, JD
Understanding global pediatric emergency medicine may be translated into local communities and might address local community needs. Find out why and how – at this CME activity.
Desired Outcomes:

Develop an understanding of the resources available to treat acutely ill children in poorly resourced environments.
Understand how politics and limited resources affect the health of children in various international communities.
Explore the synergies between global pediatric emergency medicine and pediatric emergency medicine in local environments and how work and advancement in the global arena may help change practice in the United States.

CME Activity Flyer (PDF)

Strategies Designed to Improve Physician Engagement
2018-03-13 12:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Alan H. Rosenstein, MD, MBAPracticing Internist and Consultant in Physician Behavioral Management, San Francisco
Speaker for this CME Activity
Alan H. Rosenstein, MD, MBA
Today’s complex high stress health care environment has put increasing pressures on physicians as they try to negotiate the changes in medical practice. Many physicians are frustrated and dissatisfied with the way things are going with the associated stress and burnout negatively affecting their attitudes and behaviors toward medical care. More than ever we need our physicians to be engaged in active effective health care management. In order to engage physicians we need to listen their concerns, understand their needs, and provide them with the appropriate resource support to help improve their well- being and better adjust to the pressures of today’s health care environment. By enhancing physician satisfaction and engagement we can help them re-gain the joys of medical practice and improve health care relationships that enhance high quality best practice care.
Desired Outcomes:

Gain a better understanding of the incidence, causes, and impact of forces contributing to frustration, dissatisfaction, stress, and burnout in health care practitioners.
Discuss the negative impact of stress and burnout on attitudes and behaviors that can adversely affect well-being, care relationships, satisfaction, patient safety, and quality of care.
Learn how to develop a proactive organizational approach to address physician concerns and implement programs designed to enhance professional behaviors, staff satisfaction, physician engagement, and overall physician well-being.

CME Activity Flyer (PDF)

Trauma Grand Rounds: Emergent Anticoagulant Reversal
2018-03-15 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Lawrence Tim Goodnough, MD Professor of Pathology and Medicine Stanford University School of Medicine
Presented By: Lawrence Tim Goodnough, MD
Reversal of anticoagulation in patients is a medical emergency, as anticoagulation is associated with hematoma growth, neurologic
deterioration, and increased risk of death and major disability. The management of patients requiring acute reversal of anticoagulants,
including warfarin and the novel oral anticoagulants will be discussed.
Desired Outcomes:

Understand the mechanism of action for commonly used anticoagulants: Warfarin and the Novel Oral Anticoagulants (NOACs).
Understand how to manage patients requiring urgent reversal of anticoagulants.
Incorporate best practices on how to reverse anticoagulants acutely.

CME Activity Flyer (PDF)

Trauma Journal Club
2018-03-16 07:30 - 08:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Bradley J. Roth, MDSpecializing in Surgical Critical Care and General Surgery
By Invitation Only

Moderated by: Bradley J. Roth, MD

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 their patients.

CME Activity Flyer (PDF)

Assessing Medical Decision-Making Capacity in Patients with Behavioral Illness: How do you know?
2018-03-16 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Marc Tunzi, MD, MA, Associate Program Director, Family Medicine Residency, Chair, Bioethics Committee, Natividad Medical Center/ Clinical Professor, Department of Family and Community Medicine, University of California, San Francisco
Speaker for this CME Activity: Marc Tunzi, MD, MA
Physicians are often faced with the difficulty of assessing medical decision-making capacity in patients with psychiatric illness who are refusing care. Health professionals often assess capacity differently in practice. Provided their patients have some understanding of their illness and have some plans for meeting basic needs, psychiatrists are often inclined to give patients the freedom to refuse care even if they do not exhibit a full understanding of the medical facts of their case and why they are refusing it. Adult medicine physicians, in contrast, are inclined to require patients to state a more complete understanding of the benefits and burdens of evaluation and treatment before allowing them to refuse care when their refusals might result in adverse medical outcomes. This activity will explore the tension between these approaches and highlight the role of hospital ethics consultation in addressing this conflict.
Desired Outcomes:

Articulate the differences between capacity and competence.
Identify the four sub-abilities of medical decision-making capacity.
Select the best practices when assessing capacity: e.g., consistency with past behaviors vs. the ability “to reason with medical information.”
Employ strategies to engage the patient’s family and friends, personal primary care physician, behavioral health staff, psychiatric consultation, and ethics consultation in the assessment process.

CME Activity Flyer (PDF)

ARU Grand Rounds: Chronic Kidney Disease
2018-03-19 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Margaret K. Yu, MD, MSClinical Assistant Professor of NephrologyDepartment of Internal MedicineStanford University School of Medicine
presented by: Margaret K. Yu, MD, MS
Chronic kidney disease (CKD) is associated with significant morbidity, mortality, and health care costs. The purpose of this talk is to review the clinical presentation, diagnosis, and treatment options for CKD. This talk will also cover topics pertinent to patients with chronic illness that are cared
for in the rehabilitation setting.
Desired Outcomes:

Recognize the symptoms of chronic kidney disease.
Identify strategies and tools including the latest diagnostic tests and treatments.
Deploy strategies for better prevention of chronic kidney disease and preservation of kidney function.
Discuss indications and patient eligibility for kidney transplantation.

CME Activity Flyer (PDF)

OB Fellows Grand Rounds: A Reflection on Obstetric Opioid Prescription Practices
2018-03-27 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Shelby L. Takeshita, MDOB Fellow, Natividad Medical Center
Presented by: Shelby L. Takeshita, MD
OPIOID USE HAS INCREASED NATIONWIDE, INCLUDING PREGNANT WOMEN AND WOMEN OF REPRODUCTIVE AGE. THE NUMBER OF OPIOID OVERDOSES AND RELATED DEATHS AMONG WOMEN HAS QUADRUPLED IN THE PAST DECADE. RECENT RESEARCH SUGGESTS THAT THE OBSTETRIC POPULATION IS BEING PRESCRIBED AN EXCESS SUPPLY OF OPIOIDS WHICH IS LIKELY FUELING THE OPIOID EPIDEMIC.
Desired Outcomes:

Understand how obstetric related opioid prescriptions affect patient outcomes.
Review current literature evaluating current opioid prescribing practices.
Discuss strategies that may decrease opioid use in the obstetric population.

CME Activity Flyer (PDF)

ED Grand Rounds: What is new in Pediatric sepsis?
2018-04-03 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Miahaela Damian, MDClinical Assistant Professor of Pediatrics Division of Pediatric Critical Care, Stanford University School of Medicine
Presented By: Miahaela Damian, MD

Pediatric sepsis is generally considered to comprise a spectrum of disorders that result from infection by bacteria, viruses, fungi, or parasites or the toxic products of these microorganisms. Early recognition and intervention clearly improve outcome for infants and children with conditions that lead to sepsis.
Desired Outcomes:

Identify what’s new in Pediatric Sepsis.
State how this information may affect our current practices in the emergency department
Cite relevant evidence based literature to support the new considerations.

CME Activity Flyer (PDF)

Physician Leadership Academy: Leading Change
2018-04-10 13:00 - 17:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Craig A. Walls, MD, PhD, Chief Medical Officer, Natividad Medical Center
By Invitation Only
Academy Course Chair: Craig A. Walls, MD, PhD
The series consists of skill-building workshops delivered by Advisory Board faculty—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.
Leading Change – Purpose:

To convey the importance of engaging others in change
To teach stakeholder analysis as a critical tool for successful change leadership
To communicate strategically and effectively about change initiatives
To identify the right role to play in leading or supporting a change

Leading Change – Activity Objectives: At the completion of this activities, the learner will be able to…

To convey the importance of engaging others in change
To teach stakeholder analysis as a critical tool for successful change leadership
To communicate strategically and effectively about change initiatives
To identify the right role to play in leading or supporting a change

CME Activity Flyer (PDF)

Pediatrics Grand Rounds: Management of Youth Sports Concussion – The Silent Epidemic
2018-04-13 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Gerald Grant, MD, Division Chief Pediatric Neurosurgery, Associate Professor, Stanford Children’s Health
Presented By: Gerald Grant, MD
Gap: There is a lack of consistency in evaluation and return to play decision making for concussion.
We will review the incidence of concussion across sports and its impact on brain health. Return to play criteria and long term implications for brain health will be discussed.
Desired Outcomes:

Recognize signs/symptoms of post concussive syndrome
Formulate rationale return to play decision making.
Describe a rehabilitation strategy to restore athletes back to brain health.

CME Activity Flyer (PDF)

Anesthesia Review Club
2018-04-16 07:30 - 08:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States

Measuring & Improving Well-Being of Physicians
2018-04-18 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Christina Maslach, PhD., Professor of the Graduate School Professor of Psychology, UC Berkeley Medical School
Speaker for this CME Activity: Christina Maslach, PhD
Christina Maslach is a Professor of Psychology (Emerita) and a researcher at the Healthy Workplaces Center at the University of California, Berkeley. She received her A.B. from Harvard, and her Ph.D. from Stanford. She is widely recognized as one of the pioneering researchers on job burnout, who has written numerous articles and books, including The Truth About Burnout, and has developed the leading research measure (the Maslach Burnout Inventory). Several of her articles have received awards for their significance and high impact, including her longitudinal research on early burnout predictors, which was honored in 2012 as one of the 50 most outstanding articles published by the top 300 management journals in the world. Recently, she received the 2017 Application of Personality and Social Psychology Award, as well as a lifetime career achievement award for her work on burnout. Christina received national recognition as Professor of the Year by the Carnegie Foundation and The Council for the Advancement and Support of Education. She has been president of the Western Psychological Association, is a fellow of the American Association for the Advancement of Science and of the European Academy of Occupational Health Psychology, and has received the Berkeley Citation and the Distinguished Teaching Award from U.C. Berkeley.
Overview:
This lecture will provide a summary of what the burnout experience entails, and its causes and consequences. Also, the challenges in responding to burnout, and identify both personal and organizational strategies will be presented.
Desired Outcomes:

Identify and define the three components of burnout and how burnout is assessed in research.

Identify the six areas of job-person mismatches… which predict burnout.

CME Activity Flyer (PDF)

POSTPONED: Trauma Grand Rounds: Obstetrical Trauma… Simulation
2018-04-19 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Our apologies… the activity scheduled for this date has been postponed.
Trauma and Critical Care Surgeon, Natividad Medical Center
Presented By: Andrew S. McCague, DO, Trauma Surgeon
Case Summary: A 33 year old G1P2 female at 32 weeks GA presents with blunt trauma following an MVC. She will be hypotensive due to both hypovolemic shock from a pelvic fracture and obstructive shock from a tension pneumothorax. Fetal monitoring will show the fetus in distress with tachycardia and late decelerations.
Desired Outcomes:

Demonstrate a tailored approach to resuscitation in the pregnant trauma patient
Determine fetal viability, initiates monitoring and considers need for steroids
Recognize the potential for a difficult airway and justifies choice for RSI medications

CME Activity Flyer (PDF)

Trauma Journal Club
2018-04-20 07:00 - 07:30 UTC | CA

Medicine Grand Rounds: Opioid Failure and Solutions for Physicians
2018-04-20 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Bill Morris, MD, Medical Director – MAT Services, JANUS of Santa Cruz
Speaker for this CME Activity: Bill Morris, MD
Given that chronic opioid therapy may benefit some patients with chronic pain, but that the risks of chronic opioid therapy appears to outweigh the benefits in a large proportion of patients a crucial clinical skill is the ability to safely utilize chronic opioid therapy for the group patients in chronic pain in which opioids remain effective while at the same time recognize and manage those patients for whom chronic opioid therapy has failed.
This presentation will review a proposed clinical definition of “opioid failure” developed by the SafeRx Santa Cruz Opioid Safety Coalition. Options for opioid failure management, including weaning strategies and transition to buprenorphine will be discussed.
Desired Outcomes:

Recognize the different reasons that indicate prescription opioids have failed patient.
Identify the various strategies of management options.

CME Activity Flyer (PDF)

OB Fellows Grand Rounds: Marijuana in Pregnancy: Legalization and Effects on Care
2018-04-24 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
OB Fellow, Natividad Medical Center
Presented by: Rebecca Raymond, MD
With California’s recent legalization of recreational cannabinoid usage the rates of use are expected to increase. This includes increase in self-administered usage during the prenatal and postpartum periods for many women seeking to control hyperemesis and pain. Studies have shown that although legalization may not increase the baseline rate of usage in the general population it can have an effect on the level of exposure of recreational users with some studies indicating more than two fold increases in concentration of cannabinoids in tested meconium samples. Increased usage and availability of cannabinoids may have significant impact on rates of preterm deliveries, low birth weight and may have longstanding negative neurodevelopmental effects on drug exposed fetuses. Providers must be prepared with evidence to screen, counsel, and manage patients with cannabinoid usage before, during and after pregnancy.
Desired Outcomes:

Understand of current legalization of cannabinoids in California and in the United States
Understand of known effects of cannabinoid usage as well as differences in mode of usage during pregnancy and lactation.
Exploration of legal ramifications of Usage in the prenatal and postpartum periods.
Exploration of the rates of usage of cannabinoids and concurrent use of other substances
Utilize Screening tools in practice

CME Activity Flyer (PDF)
