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Women and Children's Grand Rounds

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Grand Rounds Schedule and Topics

Shades of Blue: Clinical Identification and Management of Perinatal Mood and Anxiety Disorders

Presented by: 
Sarah Atchison, MA, LMFT, CMHS
 

Presentation and handouts will be available on 11/06/14

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**When you click on presentation link you will get to videocenter.  You have to input login and password in upper right corner in order to access live presentation.)

 

Access Information*: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.
Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate.

Target audience: OB/GYNs, Family Practice, CNM/ARNPs and other interested health care providers.

Learner objectives:
Participants should be able to
1. Define the range of mood disorders included in PMAD.
2. Identify risk factors for PMAD.
3. Develop techniques for engaging patients that might be afraid to report symptoms due to fear of losing their child/or fear of being stigmatized for mental health issues.
4. Explore strategies to use for identifying and treating PMAD.
5. Identify resources providers can utilize to assist their patients in obtaining appropriate care and ensuring the safety of themselves and other family members.

 

Disclosure: Ms. Atchison is Co-owner of Integrated Therapy Services NW PLLC.  Ms. Atchinson attested practice recommendations would be supported by the best available evidence and/or be consistent with generally accepted medical practice.  She also agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason. 

 

MultiCare Health System is accredited by the Washington State Medical Association to provide continuing medical education for physicians.

MultiCare Health System designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

 


Archived Presentations - CME credit For Physicians Available

Recorded presentations available for credit

 

Hypertension in Pregnancy & Beyond

Presented by:
Uma Krishnan, MD, FACC - Cardiologist
Elizabeth McKinney, MD - Maternal Fetal Medicine

 

Recorded presentation 
Handout - Dr McKinney

Handout - Dr Krishnan

Posttest

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 Release date: 10/02/14    Expiration date: 10/02/15

Access Information*: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.  (You will not be able to access presentations if you do not input username and password.)
Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate.

Target audience:

Physicians and allied health professionals who provide care to women.

Learner objectives:
Participants should be able to 1. Differentiate between the types of HTN in pregnancy.
2. Review changes in pre-eclampsia treatment guidelines.
3. Describe the risks of ongoing hypertension in patients who have experienced gestational hypertension.
4. Incorporate treatment strategies for prevention and treatment of persistent hypertension post pregnancy into clinical practice.

 

Disclosure:

MultiCare Health System is accredited by the Washington State Medical Association to provide continuing medical education for physicians.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

 

 

 

 

 

Neonatal Intraventricular Hemorrhage: Can We Eliminate Them or Reduce the Incidence of IVH?

Presented by:
John Golden, DO - Neonatology
 

Presentation
Handout
Post test

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 Release date: 09/04/14 Expiration date: 09/04/15

 

Access Information*: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.
Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate.

Target audience:

Physicians and allied health professionals who provide care to women.

Learner objectives:
Participants should be able to
1. Outline current recommended best practices for preventing IVH.
2. Review general neonatal care designed to reduce the risk of IVH after birth.
3. Discontinue use of therapies that have proven to be ineffective. 

Disclosure: Neither Dr Golden nor the planners had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association to provide continuing medical education for physicians.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.

 

 

Cervical Cancer Screening Recommendations


Presented by:

Uma Chandavarkar, MD – Gynecology Oncology

Password: cme
Login: cme

Release date: 06/05/14 Expiration date: 06/05/15



Presentation 
Handout  
Post test

Access Information*: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.
Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate.

Target audience:

Obstetricians, Pediatricians, Family Medicine Physicians, Mid-Level Providers and Nurses.

Participants should be able to:

  1. Discuss current recommendations for cervical cancer screening.
  2. Employ strategies for identifying patients needing cancer screening for cervical cancer.

Disclosure:

Neither Dr Chandavarkar or the planners had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MultiCare Health System designates this enduring material for a maximum of 1 hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission. 
 

__________________________________________

Substance Dependence in Pregnancy:
Management Guidelines and Provider Resources

Presented by: Abigail Plawman, MD

Family Medicine/Addiction Medicine

Presentation - Click to access recorded presentation
Post test - Click to access post test
Handout - Click to access handout

User name  cme     Password: cme

Release date: 04/03/14 Expiration date: 04/03/15

Access Information*: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.
Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate.

Target audience:

Obstetricians, Pediatricians, Family Medicine Physicians, Mid-Level Providers and Nurses.

Participants should be able to:

  1. Discuss screening and management of the substance-dependant pregnant woman.
  2. Compare and contrast medications and monitoring of these medications used to treat substance-dependant women during pregnancy.
  3. Identify management strategies when caring for the substance dependant pregnant women during the peri and postpartum period.

Neither the faculty nor the planners had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MultiCare Health System designates this enduring material for a maximum of 1 hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.

 

Peri-viability: Shedding Light on a Gray Area

Presented by:

Lauren Molina, MD
MultiCare Maternal Fetal Medicine

Ray Sato, MD
Pediatrix, Neonatology

Recorded Presentation - Click to access recorded presentation
Post test - Click to access post test
Handout - Click to access handout

Username: cme
Password: cme

Release date: 03/06/14 Expiration date: 03/06/15

Access Information*: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.
Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate.

Target audience: 

Obstetricians, Pediatricians, Family Medicine Physicians, Mid-Level Providers and Nurses.

Participants should be able to:

  1. Define and discuss periviability and current trends in management.
  2. Compare and contrast neonatal outcomes of those infants that are less than 23 weeks gestational age.
  3. Discuss recommendations for interventions based on MHS MFM/Neonatal guidelines for viability and resuscitation.

Disclosure: Neither the faculty nor the planners had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.


MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


MultiCare Health System designates this enduring material for a maximum of 1 hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.


Nutritional Needs of the Late Preterm Infant

Presented by: 

Melinda Hendrickson, MD
Neonatologist

Leila Thorne, RD

Username: cme
Password: cme

Presentation* - Click to access recorded presentation
Handout - Click to access handout
Post test - Click to access post test

Release date: 12/15/13 Expiration date 12/15/14

Access Information: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.

Disclosure: Neither the faculty nor the planners had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MultiCare Health System designates this enduring material for a maximum of 1 hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.

 


Botox...It's Not Just for Wrinkles Anymore: Non Operative Interventions for the Treatment of Female Incontinence

Presented by:

George McClure, MD
Director, Women's Pelvic Medicine & Reconstructive Surgery
MultiCare Health System

Post test - Click to access post test
Handout - Click to access handout
Presentation - Click to access recorded presentation

Release date 10/04/13 Expiration date 10/31/14

Username: cme
Password: cme

Access Information*: Click on link. Click on log in. *Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter. Continue. Input username and password.
Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a CME certificate (physicians) or participation certificate (non-physicians).

Target audience: 

Primary Care Providers, OB/Gyn's and allied health professionals involved in women's health care.

Participants should be able to:

  1. Describe periurethral bulking and outline indications for and efficacy of pelvic floor muscular physical therapy.
  2. Discuss the indications and efficacy of pelvic floor muscular physical therapy.
  3. Describe sacral neuro-modulation and outline the indications for and efficacy of sacral neuro-modulation.
  4. Describe the indications and efficacy of intra-detrusor injection of Botox.

Disclosure: Neither the faculty nor the planners had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this enduring material for a maximum of 1 hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


 

 



 





Expired Modules Available For Viewing - Participants May Self Claim Credit/Education Time



Don't Let Newborn Screening have an Achilles Heel: What to do with abnormal and borderline newborn screening results and the resources to help you do it. 

Presented by:

Michael Raff, MD
Medical Director - Genomics
Mary Bridge Children's Hospital

View Recorded Presentation
Presentation

Access Information:
Username: cme
Password: cme

Expiration date: 01/01/14

Objectives:

At the end of this presentation participants should be able to: 

  1. List the different disorders detected by Washington's Newborn Screening Program and sources for up-to-date information.
  2. Pursue confirmation of a tentative newborn screening diagnosis. 
  3. Initiate management of a likely newborn screening diagnosis. 


Cell-Free DNA (CFDNA): The Next Best Aneduploidy Screen?

Presented by:

Maureen Cantwell, MS, CGC
Rebecca Crosetto, MS, CGC
Genetic Counselors
MultiCare Maternal Fetal Medicine

Presentation 

Access Information:
Username: cme
Password: cme

Release date: 11/02/12 Expiration date: 11/02/13

Objectives:

At the end of this presentation participants should be able to: 

  1. Evaluate the child with autism to identify the needs of that individual child related to the environmental stimulants and health care interventions. 
  2. Identify triggers that may interfere with the ability to perform lab and imaging testing. 
  3. Identify a variety of techniques to provide the safest and most effective health care setting.


Unique considerations in the approach to medical care of the autistic child

Chris Ladish, PhD
Clinical Neuropsychologist
Mary Bridge Children's Hospital & Health Center

View recorded presentation*
Presentation & References
Access Information:
Username: cme
Password: cme

Deborah Johnson, CNM
Jodee Gutierrez, CNM
Certified Nurse Midwives
MultiCare Health System 

Username: cme
Password: cme

View recorded presentation
Presentation
Bibliography

Abi Plawman, MD

Username: cme

Learner objectives:

Disclosure: None of the planners or faculty had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learner objectives:

Disclosure: None of the planners or faculty had any conflicts of interest to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Presented by:

Karyn Schmidt, RD

Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate of completion.

Target audience: Pediatricians, Obstetricians, Primary Care Providers, and allied health professionals.

Program objectives: Participants should be able to 1. Review 2013 AAP statement for Vitamin D supplementation in preterm and term infants. 2. Discuss recent AAP recommendations for human milk use in preterm infants. 3. Discuss Maternal THS use and breastfeeding. 4. Review nutritional goals/follow up after birth hospitalization (DC to home). 5. Recognize the role of protein intake and long term outcomes of LPI and Preterm information.

Disclosure: In accordance with ACCME Standards and the MHS CME policy, all faculty and planners are required to disclose to the event audience any real or apparent conflict(s) of interest related to the content of their presentation(s). Dr. Silva indicated she does not have any conflicts of interest to disclose. She agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason. None of the planners had any conflicts to disclose.

American Medical Association

MultiCare Health System designates this educational activity for a maximum of 1 hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.

MultiCare Health System designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure: In accordance with ACCME Standards and the MHS CME policy, all faculty and planners are required to disclose to the event audience any real or apparent conflict(s) of interest related to the content of their presentation(s). Dr. McClure indicated he does not have any conflicts of interest to disclose. He agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason. None of the planners had any conflicts to disclose.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this educational activity for a maximum of 1 hour in Category i to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.

Faculty and planning committee disclosure/off label discussion: Neither faculty nor the planners had any conflicts of interest to disclose. Faculty agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

Accreditation:

MultiCare Health System designates this activity for a maximum of one hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.

MultiCare Health System designates this enduring material for a maximum of one AMA PRA Category 1 Credit(s).™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Surfactant Use in the non-preterm infant

Faculty and planning committee disclosure/off label discussion: Dr. Hendrickson is employed by Pediatrix. She has attested that the relationship will not bias the content of her presentation. None of the planners had any conflicts to disclose. Both speakers agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

MultiCare Health System designates this activity for a maximum of one hour in Category 1 to satisfy the re-licensure requirements of the Washington State Medical Quality Assurance Commission.

MultiCare Health System designates this enduring material for a maximum of one AMA PRA Category 1 Credit(s).™ Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and planning committee disclosure/off label discussion: Drs. Drennan and McKinney indicated they do not have any conflicts of interest to disclose. None of the planners had any conflicts to disclose. Both speakers agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

MultiCare Health System is accredited by the Washington State Medical Association CME Accreditation Committee to sponsor continuing medical education activities for physicians.

MultiCare Health System designates this activity for a maximum of one hour in 

Target audience: Primary Care Physicians, Neonatologists and nurses involved in the care of newborns.

Faculty and planning committee disclosure/off label discussion: Dr. Raff indicated he does not have any conflicts of interest to disclose. None of the planners had any conflicts to disclose. Dr. Raff agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

*Security certificate alert pops up due to a minor issues with the linking of MHS system and videocenter

View Recorded Presentation*

Target audience: Pediatric Primary Care, Sub Specialists, Inpatient & ED Physicians

Faculty and planning committee disclosure/off label discussion: Ms. Cantwell and Ms. Crosetto indicated they do not have any conflicts of interest to disclose. None of the planners had any conflicts to disclose. Ms. Cantwell and Ms. Crosetto agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

Presented by:

Release date: 11/02/12 Expiration date: 11/02/13

Target audience: Pediatric Primary Care, Sub Specialists, Inpatient & ED Physicians

Objectives: At the end of this presentation participants should be able to: 1. Evaluate the child with autism to identify the needs of that individual child related to the environmental stimulants and health care interventions. 2. Identify triggers that may interfere with the ability to perform lab and imaging testing. 3. Identify a variety of techniques to provide the safest and most effective health care setting.

Faculty and planning committee disclosure/off label discussion: Dr. Ladish indicated she does not have any conflicts of interest to disclose. None of the planners had any conflicts to disclose. Dr. Ladish agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.


CERTIFIED Nurse Midwives in Delivery: What benefits they bring!

Presented by:

Access Information:

Release date: 10/10/12, Expiration date 10/10/13

Participants should be able to 1. Define the current role of CNMs in the delivery room. 2. Incorporate CNM interventions into labor and delivery care. 3. Discuss the collaborative management of one CNM/OB model. 4. Describe delivery outcomes of low-risk patients delivered by CNMs.

Target Audience: Obstetricians, Family Medicine Physicians, and Nurses, who provide OB care.

Faculty and planning committee disclosure/off label discussion: Ms. Johnson and Gutierrez indicated they do not have any conflicts of interest to disclose. None of the planners had any conflicts to disclose. Ms. Johnson and Gutierrez agreed to disclose any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.