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Women and Children's Grand Rounds

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Grand Rounds Schedule and Topics

Immediate Postpartum Long Acting Reversible Contraception (LARC)

Presented by
KayCee Gardner, MD
Erica Barrows-Nees, MD
OB Access Clinic MMA

Wednesday, June 29, 2016
7-8am

Intended audience: OB/GYNs, Family Medicine Physicians, Advanced Practice Clinicians and other healthcare professionals that provide care to women.

Objectives:
Participants should be able to
1. Identify the advantages of IUD insertion immediately following delivery.
2. Discuss expulsion rates associated with immediate PPIUD insertion.
3. Demonstrate basic maneuvers involved in placing PPIUD after vaginal or cesarean delivery.

Disclosure:The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

Password and username required to access presentation.  Both are case sensitive. Please read all instructions!

Username: cme
password: cme

**Access information: When you click on presentation link you will get to videocenter. You have to input password and username in upper right corner in order to access live or recorded presentation.

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password. Both username and password are case sensitive.

Participants must view the presentation, then successfully complete the post test (80% correct answers in 6 or fewer attempts) in order to obtain a certificate.  You

Presentation link
Posttest link
Handout

Release date: 06/29/16   Expiration date: 06/18

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 on the activity.

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

Online modules

Preeclampsia: The Pressure Rises

by Kathryn Drennan, MD
MultiCare Regional Maternal Fetal Medicine

Intended audience: OB/Gyn's, Family Medicine Physicians, Advanced Practice Providers and health care professionals that provide care to women.

Release date: 03/16    Expiration date: 03/17
Objectives:
Participants should be able to:
1. Define sevedre range blood pressure.
2. Identify time threshold for antihypertensive treatment goal.
3. Discuss the components: evaluation, stabilizations/treatment and disposition/management of severe hypertension in pregnancy utilizing the MultiCare Evaluation and Management of Severe Hypertension in Pregnancy and Eclampsia Algorithms.
 

Disclosure:The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

Password and username required to access presentation.  Both are case sensitive. Please read all instructions!

Username: cme
password: cme

**Access information: When you click on presentation link you will get to videocenter. You have to input password and username in upper right corner in order to access live or recorded presentation.

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password. Both username and password are case sensitive.

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

Presentation link
HANDOUT
Post test

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 on the activity.

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

Helping All Mothers Making Milk; Understanding the Provider's Role in Breastfeeding Success

by Serena Scott, MD - Neonatology
Sarah Newport, RN - Lactation Services

 
Intended audience: OB/GYNs, Family Medicine Physicians, Pediatricians and all other health care professionals that provide care to women.

Objectives:

Participants should be able to

  1. Expand the knowledge base for providers as it pertains to mil production in order to better facilitate improved breastfeeding outcomes at the county, state and national levels.
  2. Review normal breast changes during puberty, pregnancy and subsequent pregnancy.
  3. Recognize the role pre existing conditions play in breastfeeding outcomes.
  4. Identify key indicators in a maternal history which may adversely impact early milk production and/or long term milk supply.

Disclosure:The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

Password and username required to access presentation.  Both are case sensitive. Please read all instructions!

Username: cme
password: cme

**Access information: When you click on presentation link you will get to videocenter. You have to input password and username in upper right corner in order to access live or recorded presentation.

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password. Both username and password are case sensitive.

Release date:  03/16/16      Expiration date: 03/16/17

Presentation
HANDOUT
Post test

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 on the activity.

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


Prenatal Care of the Bariatric Pregnant Patient: Tips, Tricks and Tools

Presented by:
Rebecca Benko, MD - FM/OB
Loren Molina, MD, FACOG

Please read the instructions before clicking, so that you may successfully log in.
INSTRUCTIONS for accessing online module.
Username and password are case sensitive and required for access.

Username: cme
Password cme

**Access information: 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.

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password.

After logging in to videocenter you might need to click on Channel. Select Women and Children's Grand Rounds, then click on live presentation.

Release date 11/05/15 Expiration 11/05/16

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

Target audience: OB/GYN's, Pediatricians, Family Medicine Physicians, Advanced Practice Clinicians and other health care professionals.

Presentation

Post test link

Learner objectives:
Participants should be able to:

  1. Review the epidemiology and health risks associated with obesity in pregnancy.
  2. Discuss recommendations for prenatal care of the obese pregnant patient.
  3. Discuss how to counsel your patients on appropriate weight gain, diet and exercise.
  4. Review tools for assisting your patients with healthy weight gain in pregnancy.

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 on the activity.

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


Innovations in the Treatment of Neonatal Abstincence Syndrome (NAS)

Presented by

Alta Kendall, NRP, ARNP - Neonatal/Perinatal Medicine
Andrew Reichert, MD - Hospitalist Pediatrics

Please read the instructions before clicking, so that you may successfully log in.

Handout 
Presentation

Posttest
 
INSTRUCTIONS for accessing online module.
Username and password are case sensitive and required for access.

Username: cme
Password cme

**Access information: 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.

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password.

After logging in to videocenter you might need to click on Channel.  Select Women and Children's Grand Rounds, then click on live presentation.

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

Release date 10/01/15
Expiration date 10/01/16

Target audience: OB/GYN's, Pediatricians, Family Medicine Physicians, Advanced Practice Clinicians and other health care professionals.

Learner objectives:Participants should be able to:

  1. Review the range of accepted pharmacologic treatments for the treatment of NAS.
  2. Describe and discuss the environmental treatments for the treatment of NAS and its impact on medical treatment.
  3. Review the latest literature describing reductions in the length of stay for patients with NAS.

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 on the activity.

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

Please review LOGIN instructions prior to clicking on link so that you may successfully log in!


Maternal Opiate Dependence in Pregnancy: Management and Support

Presented by:
Abi Plawman, MD,
Family Medicine/Addiction Medicine

INSTRUCTIONS for accessing online module.
Username and password are case sensitive and required for access.

Username: cme
Password cme

**Access information: 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.

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password.

After logging in to videocenter, click on Channel.  Select Women and Children's Grand Rounds, then click on September 10th presentation.

Participants must view the presentation, then successfully complete the post test (80% correct answers) in order to obtain a certificate.
 
Release date 09/10/15    Expiration date 09/10/16


PLEASE follow detailed instructions described above.
Presentation 
Handout
Posttest

Learner objectives:
Participants should be able to:

  1. Discuss epidemiology of addiction in pregnancy.
  2. Utilize screening tools to identify patients at risk during prenatal visits.
  3. Highlight the importance of a caring, nonjudgmental approach and inviting environment for prenatal care.
  4. Identify strategies to engage in productive and supportive dialogue with women struggling with addiction in pregnancy.
  5.  Discuss emerging MultiCare system resources for management of these patients.

Who should attend: OB/GYNs, Family Practice Physicians, and health care professionals that provide care to women.

 
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 on the activity.

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

Disclosure: The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.


Choosing the Right Contraceptive: Adolescence through Menopause

Presented by
Bryn Parker, MD, OBAC Fellow

LOGIN required to access presentation.

Username: cme
Password cme

**Access information: 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.

*Security certificate alert pops up due to a minor issue 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.
 

Release date: 11/15/15    Expiration date/ 11/15/16


Presentation 
Handout
Post test
 
Learner objectives:
Participants should be able to 1. Identify new options for contraception. 2. Review and discuss 2010 and 2013 CDC Guidelines which provide eligibility criteria for contraceptive use and recommendations for how to use the methods most effectively. 3. Reduce the rate of unintended pregnancies by prescribing the most appropriate contraceptive method for patients based upon CDC Guidelines.

Who should attend: OB/GYNs, Family Practice Physicians, and health care professionals that provide care to women.


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 on the activity.

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

Disclosure: The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.

Expired presentations available for viewing.


The Role of 17P in Prevention of Preterm Birth

Presented by:

Kathryn Drennan, MD
MultiCare Regional Maternal Fetal Medicine

Presentation 
Handout

Release date 04/09/15
Expiration 04/09/16

LOGIN required to access presentation.

Username: cme
Password cme

**Access information: 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.

*Security certificate alert pops up due to a minor issue 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/GYN's, Family Medicine Physicians, Mid-Level Providers and other providers who treat pregnant women.

Learner objectives: Participants should be able to 1. Discuss physiology and causes of preterm delivery. 2. Discuss the benefits and risks of using 17P to decrease preterm birth in women. 3. Review and discuss patient selection criteria for 17P. 4. Discuss 17P availability, reimbursement barriers and WA state resources for 17P availability to treat PTL.

Disclosure: The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.
 

Maternal Stress and Preterm Delivery: What makes a difference in outcomes

Presented by:

Heather Straub, MD
MultiCare Regional Maternal Fetal Medicine

Presentation
Handout

LOGIN required to access presentation.

Username: cme
Password: cme

**Access information: 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.

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password.

Target audience: Providers who care for pregnant women, neonates and infants.

Learner objectives: Participants should be able to

  • Identify chronic stressors, both physiological and behavioral, that can contribute to preterm labor/preterm delivery (PTL/PTB).
  • Utilize proven interventions when caring for pregnant patients with high stress risk factors Identify chronic stressors, both physiological and behavioral, that can contribute to PTL/PTB.
  • Evaluate interventions that have been proven to be the most effective in reducing chronic stressors that can contribute to PTL/PTB.

RELEASE DATE: 02/15    EXPIRATION DATE: 02/16

Disclosure: The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.


Archived Presentations - CME credit For Physicians Available

The Story of Congenital Cardiac Defects: prenatal diagnosis through stabilization: A case study

Presented by:

Tammi Chao, MD - Maternal Fetal Medicine
Melinda Hendrickson, MD - Neonatology
Matthew Park, MD - Pediatric Cardiology

Recorded presentation
 

Release date: 12/04/14 Expiration date: 12/04/15

Password required to access presentation.

Username: cme
password: cme

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

*Security certificate alert pops up due to a minor issue with the linking of MHS system and videocenter. Continue. Input username and password.

Target audience: Providers who care for pregnant women, neonates and infants.

Learner objectives: Participants should be able to:

  1. Describe and discuss recommended best practices for identifying fetal cardiac problems.
  2. Define how to manage the pregnancy.
  3. Review post natal strategies.
  4. Describe the role of the team in improving outcomes.

Disclosure: The planners and faculty did not have any conflicts to disclose. Faculty agreed to disclose to participants any unlabeled use of a commercial product or a product under investigation or not yet approved for any reason.


  

 

 

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 Creditâ„¢. 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 Creditâ„¢. 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)â„¢. 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).â„¢ 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).â„¢ 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.