Natividad : Inspirando vidas saludables

Cardiology Case Conference
2017-07-21 12:30 - 13:30 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
M. Kerala Serio, M.D. FACP, FACC, Cardiology Service Director, NMC; Associate Clinical Professor of Medicine, UCSF
with M. Kerala Serio, MD
3 Different Patients with Dual Antiplatelet Therapy Requiring Non-Cardiac Surgery
Dual antiplatelet therapy, DAPT, is prescribed to millions of patients worldwide following coronary artery stenting. A significant number of these patients undergo non-cardiac surgery. This poses a significant dilemma because of the risk of stent thrombosis and myocardial infarct versus the risk of perioperative bleeding. 3 patients will be presented with 3 different common clinical scenarios, leading to evidence-based discussion of practical strategies for managing perioperative antiplatelet therapy.
CME Activity Flyer (PDF)

Trauma Grand Rounds: The Not So Simple Ankle Fracture
2017-07-20 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Julius A. Bishop, MD, Associate Residency Program Director, Stanford University School of Medicine,
Ankle fractures are among the most common injuries treated by orthopedic surgeons. While straightforward management will lead to successful outcomes in many cases, some patients and some injuries are very challenging. This talk will address some of the difficult challenges in ankle fracture management and introduce strategies to optimize outcome.
Dr. Bishop specializes in treating fractures of the upper extremity, lower extremity, pelvis and acetabulum as well as the management of post-traumatic problems including malunion, nonunion and infection.
He received his undergraduate and medical school degrees from Harvard University and went on to complete the Harvard Combined Orthopaedic Surgery Residency Program. He pursued his subspecialty training in Orthopaedic Traumatology at Harborview Medical Center in Seattle, Washington.
His research interests include medical education, studying clinical outcomes after musculoskeletal injury, orthopaedic biomechanics, the basic science of fracture healing, and evaluating new strategies and techniques in fracture surgery.
Gap:

There are high rates of complications after surgical treatment of ankle fractures in geriatric and diabetic patients.
The best technique for reducing and stabilizing the ankle syndesmosis is unknown.
The appropriate indications and best techniques for posterior malleolus fracture treatment are controversial.

Desired Outcomes:

Understand how to optimize surgical treatment of ankle fracture in poor hosts.
Identify the best way to reduce and stabilize the syndesmosis.
Establish indications and techniques for posterior malleolus surgery.

CME Activity Flyer (PDF)

California End-of-Life Option Act
2017-07-19 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Catherine S. Forest, MD, MPH, Clinic Chief, Stanford Health Care at Los Altos, Assistant Clinical Professor of Medicine-Family Medicine, Stanford University School of Medicine
with Catherine S. Forest, MD, MPH
California recently became the fifth state to legalize assisted suicide. The new law, called the End of Life Option Act, will become effective January 1, 2016. The law allows adults to receive and aid-in-dying drug from their physician if the physician determines they are suffering from a terminal disease. Physicians need to know the implications of this law, and how to talk with and treat patients who are terminally ill.
Desired Outcomes:

Identify the steps required by the patient and physician regarding requests for the aid-in-dying drug.
Demonstrate the new forms that need to be completed and filed.
Define which vulnerable patient populations will not be able to request the aid-in-dying drug.
Evaluate the physician’s right to participate and right to choose not to participate.
Recognize cultural issues related to end-of-life care.

CME Activity Flyer (PDF)

OB Grand Rounds: Fellow Presentation: Thyroid Disease in Pregnancy
2017-07-18 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Anastasia R. Klick, MD, MPH FM-NMC OB Fellow
presented by Anastasia R. Klick, MD, MPH, FM-OB Fellow
Thyroid disease in pregnancy has significant potential impacts in pregnancy, for both mother and fetus. This grand rounds presentation will review the fundamentals of thyroid physiology and pathology in pregnancy, and instruct participants in diagnosing and treating thyroid disease in pregnancy including hypothyroidism, hyperthyroidism, thyroid antibody positivity, and postpartum thyroiditis.
Desired Outcomes:

Understand the basics of physiology of thyroid hormones and thyroid disease in pregnancy, and potential consequences of untreated hyper and hypothyroidism for mother and fetus.
Define hypothyroidism and hyperthyroidism in pregnancy based on TSH and T3/T4 lab results.
Identify indications for treatment of overt hypothyroidism, subclinical hypothyroidism, thyroid antibody positivity, and hyperthyroidism in pregnancy.
Understand fundamentals of medical treatment of thyroid disease in pregnancy including initial dosing, timing of laboratory testing, and adjustment of medications.
Identify and treat postpartum thyroiditis.
Identify appropriate situations in to refer patients to endocrinology.
CME Activity Flyer (PDF)

ARU Grand Rounds: Cancer Survivorship and Rehabilitation
2017-07-17 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Arash Asher, MD, is the Director of Cancer Survivorship & Rehabilitation at the Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai.
with Arash Asher, MD
Dr. Asher has a special interest in the physical and rehabilitative needs of cancer survivors who continue to experience the effects of their cancer or its treatment. Dr. Asher’s expertise is in the non-pharmacologic management of pain, cancer-related fatigue, cognitive dysfunction, neuropathy, exercise prescription for cancer patients, and the management other musculoskeletal problems.
Dr. Asher completed a physical medicine and rehabilitation residency at the UCLA/Greater Los Angeles VA, and a cancer rehabilitation fellowship at MD Anderson Cancer Center in Houston, Texas. He is board certified by the American Board of Physical Medicine & Rehabilitation and Hospice and Palliative Medicine.
Desired Outcomes:

Appreciate the proposed pathophysiologic mechanisms behind cognitive dysfunction and cancer-related fatigue among cancer survivors;
Understand mechanisms by which therapeutic exercise mitigates fatigue and possibly improves survival among cancer survivors;
Recognize the different management principles between the negative and positive symptoms of peripheral neuropathy.

CME Activity Flyer (PDF)

NMC Grand Rounds: A Pathologic Potpourri
2017-06-28 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
John T. Jameson, MD, Pathology Service Director, Natividad Medical Center
Desired Outcomes:

Describe the Pathology service line at Natividad Medical Center;
Define the processes to improve communication between Pathology and the service lines;
Understand the developments in Pathology and Laboratory Medicine that may significantly affect your practice and patients.

CME Activity Flyer (PDF)

Blood Transfusions: Paul Gann Safety Act and Informed Consent
2017-06-26 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Dawn C. Ward, M.D., Associate Director, Center for Pathology Research Services UCLA Health System Associate Medical Director, Transfusion Medicine, David Geffen School of Medicine at UCLA, Assistant Professor of Pathology and Laboratory Medicine
Physicians and surgeons must use standardized information when consenting patients of the positive and negative aspects of receiving autologous blood and directed or non-directed homologous blood from volunteers. Autologous blood includes preoperative donations, intraoperative autologous transfusion, postoperative autologous transfusion, hemodilution, and plasmapheresis.
Desired Outcomes:

Differentiate between normal situations and emergency situations when providing blood transfusion patient consent,
Follow the Natividad Policy regarding the use of the Department of Health Services literature entitled “a Patient’s Guide to Blood Transfusions,”
Note in the patient’s medical record that the standardized written summary was given to the patient or the patient’s legal representative.

CME Activity Flyer (PDF)

Diabetes Update: Impact on Multi-Specialty Physicians
2017-06-21 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Marilyn Tan, M.D., Clinical Assistant Professor, Chief, Stanford Endocrine Clinic, Department of Medicine, Division of Endocrinology, Stanford Medicine
At the conclusion of this activity, participants should be able to:

Review the newer classes of diabetes medications
Review the cardiovascular safety outcome data for new diabetes medications
Discuss with patients the side effects of new medications on various organ systems, including kidneys and eyes
Evaluate and select the appropriate agent for a patient with cardiovascular risk
Assess the cultural and linguistic factors impacting our unique patient demographics and how clinical decisions should include these factors

CME Activity Flyer (PDF)

Cardiology Case Conference
2017-06-16 12:30 - 13:30 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
M. Kerala Serio, M.D. FACP, FACC, Cardiovascular Service Director, NMC; Associate Clinical Professor of Medicine, UCSF
Herbs, Vitamins and Minerals for Cardiovascular Disease: Show me the Evidence
30% of adult Americans use vitamins or supplements to treat or prevent cardiovascular disease. The presentation will discuss individual vitamins, herbs and supplements used for cardiac disease. It will discuss their theoretical indications, their potential harm and the available scientific evidence for their use.
CME Activity Flyer (PDF)

Trauma Journal Club
2017-06-16 07:30 - 20:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
By Invitation Only

Physician Leadership Academy: Quest for Quality
2017-06-12 13:00 - 17:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
By Invitation Only: Quest for Quality
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.
Physician Leadership Academy Flyer (PDF)
Physician Leadership Academy Flyer – Detail (PDF)

NMC Grand Rounds: Polycystic Ovarian Syndrome: It’s Complicated!
2017-05-24 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Peter Chandler, MD, Obstetrics & Gynecology Service Director
PCOS: A complex disorder related to dysfunctional ovulation, endocrine abnormalities, and multiple cysts on the ovary that result in fertility difficulties; also related to obesity and diabetes; poses an increased risk for cardiovascular disease; symptoms of hirsutism may be accompanied by depression or anxiety.
Desired Outcomes:

Describe the short and long term complications of polycystic ovarian syndrome PCOS.
Implement Best practices when evaluating and treating PCOS patients.
Differentiate between the different phenotypes and clinical implications.

CME Activity Flyer (PDF)

TeamSTEPPS ®2.0: Strategies & Tools to Enhance Performance & Patient Safety
2017-05-22 12:00 - 13:00 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Al Duke, IV RN, MBA, BSN, CEN, Manager of Emergency Medicine and Patient Safety, BETA
Based on more than 30 years of research and evidence
Research has shown that TeamSTEPPS leads to increases in desirable teamwork and safety attitudes, communication, teamwork behaviors, clinical process compliance, efficiency, and overall performance in a variety of medical settings.
CME Activity Flyer PDF

Trauma Grand Rounds: Traumatic Brain Injury
2017-05-18 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Kyle S. Hobbs, MD, Clinical Assistant Professor, Neurology and Neurological Sciences, Stanford University – Division of Neurocritical Care and Stroke
Desired Outcomes:

Evaluate the appropriateness of procedures, both new and established, for treatment of certain injuries
Determine the appropriate treatment plan, including identification of necessary physician specialties
Comply with practice guidelines & hospital protocols to ensure quality of care is provided and minimize variations in care
Communicate more effectively with treatment team
Assess the cultural and linguistic factors impacting our unique patient demographics and address appropriately

CME Activity Flyer PDF

BodyWise: Using Body Intelligence to Cure Chronic Disease
2017-05-17 12:00 - 13:00 (America/Los_Angeles) | CA
Rachel Carlton Abrams, MD, Board Certified in Family Medicine and Integrative Medicine
Desired Outcomes: At the conclusion of this activity, participants should be able to:

Define “body intelligence.”
Discuss the reasons behind our lack of body intelligence in U.S. and modern culture.
Improve access to her/his own body intelligence.
Help patients use their body intelligence for diagnosis, motivation and healing.
Define the fundamentals of health, and help patients use them for healing.

CME Activity Flyer PDF

NMC Grand Rounds: Palliative Care “Help Us to Help YOU”
2017-05-03 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Wendell Harry, MD, Director, Palliative Care Team
Through the use of a case study the presentation will discuss the interdisciplinary process of a palliative care consult. The presentation will be interwoven with a brief discussion on palliative care definition, and goals of palliative care, a brief POLST Form discussion, and finally choosing wisely words to say or not to say when speaking to patients and/or with patient’s families.

CME Activity Flyer (PDF)

Just Culture: Achieving Fairness and Accountability in Health Care
2013-06-13 12:30 - 13:30 UTC | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Jonathan D. Stewart, J.D., M.S., RN, CPPS, CPHRMDirector, Risk Management & Patient Safety, BETA Healthcare Group
In a fair and just culture, people are not punished for blameless errors and they are held accountable for reckless or intentional violations of safety rules – regardless of whether anyone was hurt as a result.
The just culture approach to adverse events is a methodical, consistent and transparent way for an organization to evaluate and respond fairly to adverse events. In this introductory presentation, medical staff will learn the basic precepts of just culture and their application to everyday clinical situations.
CME Activity Flyer (PDF)

ED Grand Rounds: Pediatric Neurologic Emergencies
2007-10-03 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Sonia Partap, MD, MS, FAAP, Clinical Associate Professor, Child Neurology & Neuro-Oncology, Stanford
Speaker for this CME Activity is Sonia Partap, MD, MS, FAAP, who will present 4 case scenarios on Pediatric Neurologic Emergencies:
Pediatric Neurologic Emergencies
Case 1: 9 mo girl

with increasing OFC from 50th to > 95%ile over 6 months.
development on target
Presents to ED with vomiting and eye crossing

Case 2: 15 year old boy

with 2 days of fever, cough, photophobia, and headache

Case 3: 2 day old baby

presents to new onset lip smacking and apnea.
The baby is afebrile.

Case 4: 22 mo boy

present with acute onset of unsteady walking
No change in mental status
No nausea or vomiting
Speech and eye movements normal
Lurches from side to side when walking and falls frequently
Unsteady when sitting

Desired Outcomes:

Recognize signs of increased intracranial pressure
Differentiate peripheral weakness from central weakness
Identify risk factors for childhood stroke
Review emergent treatments for status epilepticus for children and infants

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