Natividad : Inspirando vidas saludables

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
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)

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)

NMC Grand Rounds: Big Medical Data
2018-04-25 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
John G. Brock-Utne, MD, Professor (Clinical) of Anesthesia, Emeritus, Anesthesiology, Perioperative and Pain Medicine
Presented by: John G. Brock-Utne, MD

Big data is used to hopefully make medicine delivery better. But before one concludes from the data, the question is: Is the data trustworthy and have the data been verified.
Desired Outcomes:

Recognize some of the problems with big medical data
Utilize strategies in identifying trustworthy results of big data

CME Activity Flyer (PDF)

Physician Leadership Academy: Effective Problem Solving
2018-04-27 13:00 - 17:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
Academy Course Chair: Craig A. Walls, MD, PhD, Chief Medical Officer, Natividad Medical Center
By Invitation Only: Effective Problem Solving
Equip yourself with the competencies necessary to facilitate change here at NMC.
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.

Purpose:

To provide participants with the analytical foundation needed to analyze and solve problems in multiple settings
To teach participants structured tools and exercises to stimulate creative thinking applicable to both strategic and tactical decision making
To enable participants to begin to move beyond problem solving toward genuine innovation in key areas of opportunity

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

Correctly and clearly frame problem patterns in their area of responsibility
Conduct root cause analysis and understand typical drivers of problems
Generate innovative and effective solutions to problems, using specific methodologies designed to surface ideas
Lead out-of-the-box thinking exercises to address both current problem areas and new improvement opportunities

CME Activity Flyer (PDF)

PEDS Grand Rounds: New Pediatric Obesity Guidelines
2018-07-12 12:00 - 13:00 (America/Los_Angeles) | Natividad Medical Center, 1441 Constitution Blvd, Salinas, CA, 93906, United States
DENNIS STYNE, MDYoche Dehe Chair of Pediatric Endocrinology, Professor of Pediatrics,UC Davis School of Medicine
presented by Dennis Styne, MD
Pediatric obesity is now epidemic worldwide. A provider will frequently evaluate an obese child no matter what type of practice. While successful treatment remains difficult, an appropriate and sensitive approach is necessary for both child and family. Evaluation for comorbidities of obesity is essential.
Desired Outcomes:

Understand the remarkable health disparities brought about by the pediatric obesity epidemic;
Institute appropriate screening tests for the comorbidities of pediatric obesity;
Invoke the basic approach to motivational interviewing in discussing habits and health with family.

CME Activity Flyer (PDF)
