Pain Management Step One: Assesment of Pain Step Two: Clear Documentation of Rationale Step Three: Clear Documentation of Beneficial Clinica Response to Opioid UseStep Four: Establishing Goals Step Five: Medication ListsStep Six: Risk Assessment Step Seven: Physical Examination Step Eight: Documentation of Risks and BenefitsStep Nine: Referral, Evaluation and TreatmentStep Ten: Updated Board of Pharmacy ReviewStep Eleven: UDS Risk Assessmet Step Twelve: Opioid Agreement
. 12 Step Program for Opioid Prescribing
October 2017
5490 Step One: Assesment of Pain Step Two: Clear Documentation of Rationale Step Three: Clear Documentation of Beneficial Clinica Response to Opioid UseStep Four: Establishing Goals Step Five: Medication ListsStep Six: Risk Assessment Step Seven: Physical Examination Step Eight: Documentation of Risks and BenefitsStep Nine: Referral, Evaluation and TreatmentStep Ten: Updated Board of Pharmacy ReviewStep Eleven: UDS Risk Assessmet Step Twelve: Opioid Agreement
Antibiotic Stewardship Case Study on C.DiffUsual Procesure-Sub-Total ColectomyDiverting Loop Ileosomy for C.Efficile ColitisAdvantages of loop IleostomyEarly Fecal Microbiota TransplantationDiverting loop Ileostomy fr C.DiffClinical Practice Guidelines for C.diff Infection in Adults and Children 2017 Summary
. 2018 Update of C. Difficile Guidelines
March 2018
5481 Case Study on C.DiffUsual Procesure-Sub-Total ColectomyDiverting Loop Ileosomy for C.Efficile ColitisAdvantages of loop IleostomyEarly Fecal Microbiota TransplantationDiverting loop Ileostomy fr C.DiffClinical Practice Guidelines for C.diff Infection in Adults and Children 2017 Summary
Diabetes/General Endocrinology
Geriatrics Case Discussion Femural Fracture Eat Well, Be Well Malnutrition Data Define Malnutrition Importance of Diagnosing Mlnutrition ScreeningCharacteristics of Diagnosis Consesnsus Statement by Academy of Nutrition & American Society of Parenteral and Enernal NutritionCalculating Calorie Requirement Case Discussion Treatment and Intervention Meals on Wheels The Role of Nutritional SupplmentationMultivitamins Vitamin D Orexigenics Questions
. Addressing Malnutrition of the Older Adult
November 2017
5488 Case Discussion Femural Fracture Eat Well, Be Well Malnutrition Data Define Malnutrition Importance of Diagnosing Mlnutrition ScreeningCharacteristics of Diagnosis Consesnsus Statement by Academy of Nutrition & American Society of Parenteral and Enernal NutritionCalculating Calorie Requirement Case Discussion Treatment and Intervention Meals on Wheels The Role of Nutritional SupplmentationMultivitamins Vitamin D Orexigenics Questions
Geriatrics Definition of GuardianshipGuardianship of the Person Guardianship of the Estate Reasons for Needing a Guardianship Guardianship Process Alternatives to Guardianship Capacity vs. CompetencyCase Study Discussion
. Adult Guardianship & Alternatives
August 2019
5488 Definition of GuardianshipGuardianship of the Person Guardianship of the Estate Reasons for Needing a Guardianship Guardianship Process Alternatives to Guardianship Capacity vs. CompetencyCase Study Discussion
Diabetes/General Endocrinology
Geriatrics Advance Directives for Medical Decisions Power of Attorney Health Care Agent Living Will Your Wishes Creating Advance DirectivesReviewing and Changing Advance Directives Medical/End of Life Care Resources The Conversion Project American Bar AssociatesPractical Ethics Hospice Services Berevement Resources Golden Pages DNR & DNI Physician Orders for Life-Sustaining Treatment References
. Advance Care Planning
January 2017
5488 Advance Directives for Medical Decisions Power of Attorney Health Care Agent Living Will Your Wishes Creating Advance DirectivesReviewing and Changing Advance Directives Medical/End of Life Care Resources The Conversion Project American Bar AssociatesPractical Ethics Hospice Services Berevement Resources Golden Pages DNR & DNI Physician Orders for Life-Sustaining Treatment References
Cancer Survivorship ACP BillingLiving Will DPAHC POLSTConversation Ready Toolkit
Antibiotic Stewardship Microbiome analysis and confocal microscopy of used kitchen spongesThe antibiotic course has had its dayImplementation of Antibiotic Stewardship Core Elements at Small and Critical Access HospitalsDiscussion
. Antibiotic Course of Treatment
August 2017
5481 Microbiome analysis and confocal microscopy of used kitchen spongesThe antibiotic course has had its dayImplementation of Antibiotic Stewardship Core Elements at Small and Critical Access HospitalsDiscussion
Complex Pediatrics Risk Factors, Diagnosing & Treating Sreptococcal PharyngitisRisk Factors, Diagnosing and Treating community acquired pneumoniaRisk Factors, Diagnosing and Treating Acute Gastroenteritis Risk Factors, Diagnosing and Treating Staphlococcal Skin infection Discussion
. Antibiotic Use in Pediatrics
April 2018
5484 Risk Factors, Diagnosing & Treating Sreptococcal PharyngitisRisk Factors, Diagnosing and Treating community acquired pneumoniaRisk Factors, Diagnosing and Treating Acute Gastroenteritis Risk Factors, Diagnosing and Treating Staphlococcal Skin infection Discussion
Cardiology CHA2DS2VASC Dosages RELY DataAcute Coronary SyndromePlatelet Activation P2Y12 Receptors and Thrombus PropagationStent Risk FactorsPrasugrel and Ticagrelor WOEST Trial EKG of the MonthDiagnosis Wenckebach
. Antiplatelet and Anti-thrombotic Therapy
March 2018
5483 CHA2DS2VASC Dosages RELY DataAcute Coronary SyndromePlatelet Activation P2Y12 Receptors and Thrombus PropagationStent Risk FactorsPrasugrel and Ticagrelor WOEST Trial EKG of the MonthDiagnosis Wenckebach
Cardiology CHA2DS2VASCDosages Deep Vein Thrombosis and Pulmonary Embolism RELY Data Anti-Thrombotic and Anti-Platelet Therapy Acute Coronary Syndrome Platelet Activation Stent Risk Factors Premature Discontinuation of STEMI WOEST Trial EKG of the Month Pioneer AF-PCI Trial
. Anti-platelet and Coagulate Therapy
January 2019
5483 CHA2DS2VASCDosages Deep Vein Thrombosis and Pulmonary Embolism RELY Data Anti-Thrombotic and Anti-Platelet Therapy Acute Coronary Syndrome Platelet Activation Stent Risk Factors Premature Discontinuation of STEMI WOEST Trial EKG of the Month Pioneer AF-PCI Trial
Cardiology General Approach to EKG Narrow QRS Complexes Atrioventricular Node Reentry Tachycardia Sites of Earliest Retrograde Atrial Activation Differential Diagnosis for narrow complex tachycardia References (The EKG Book)
. Arrhythmia Recognition Narrow Complex Tachycardia
October 2017
5483 General Approach to EKG Narrow QRS Complexes Atrioventricular Node Reentry Tachycardia Sites of Earliest Retrograde Atrial Activation Differential Diagnosis for narrow complex tachycardia References (The EKG Book)
Antibiotic Stewardship Community Acquired Pneumonia Case 1 (Joe Camel)Medical History, Vitals and Physical Exam Practice QuestionsX-Rays for signs of pneumoniaCommon causes of CAPCAP Etiology Statistics by Age GroupCap Antibiotic therapyPost-influenza pneumonia Case 2 Bi-lateral lung infiltrates CAP Regimens - Not set in stone! Discussion
. ASP Cases Potpourri: Pseudo-cellulitis and more!
May 2018
5481 Community Acquired Pneumonia Case 1 (Joe Camel)Medical History, Vitals and Physical Exam Practice QuestionsX-Rays for signs of pneumoniaCommon causes of CAPCAP Etiology Statistics by Age GroupCap Antibiotic therapyPost-influenza pneumonia Case 2 Bi-lateral lung infiltrates CAP Regimens - Not set in stone! Discussion
Pain Management What is it?Task Barriers The Problem and Why We Have ItGovernor Sandoval and major points of the billPrescribing in Nevada Diagnostic Work-up of the pain/ rehab patient
. Assembly Bill 474
December 2015
5490 What is it?Task Barriers The Problem and Why We Have ItGovernor Sandoval and major points of the billPrescribing in Nevada Diagnostic Work-up of the pain/ rehab patient
Genetics Medical Geneticist view of cancer Advanced-stage breast cancer case example the history of genetics Microdeletion Syndromes Somatic Mosaicism DNA Fragmentation and procession
. Basics of Genetic Testing and DNA Sequencing
November 2020
5487 Medical Geneticist view of cancer Advanced-stage breast cancer case example the history of genetics Microdeletion Syndromes Somatic Mosaicism DNA Fragmentation and procession
Medication-Assisted Treatment The Five C's of AddictionEffect of Cocaine Abuse on Dopamine D2 Receptors Treating Substance-Use Disorders Medication-Assisted Treatment for Alcohol Medication-Assisted Treatment for Opiates The Case for Using Opiates to Treat Opiate Use Disorder Medication-Assisted Treatment and Criminal Justice System Discussion
. Basics of Medication-Assisted Treatment
July 2019
5489 The Five C's of AddictionEffect of Cocaine Abuse on Dopamine D2 Receptors Treating Substance-Use Disorders Medication-Assisted Treatment for Alcohol Medication-Assisted Treatment for Opiates The Case for Using Opiates to Treat Opiate Use Disorder Medication-Assisted Treatment and Criminal Justice System Discussion
Complex Pediatrics Most common problems reported by Pediatricians Most common behavior-based problems reported by pediatriciansMost challenging problems reported by pediatriciansBehavioral Analysis in PediatriciansSo, what is a behavior analyst?Function of Behavior ABCs of Behavior Matching Intervention Function Medical Noncompliance Motivating Patients and ParentsToiletingToileting ReferencePicky Eating Discussion
. Behavioral Analyst in Pediatrics
October 2018
5484 Most common problems reported by Pediatricians Most common behavior-based problems reported by pediatriciansMost challenging problems reported by pediatriciansBehavioral Analysis in PediatriciansSo, what is a behavior analyst?Function of Behavior ABCs of Behavior Matching Intervention Function Medical Noncompliance Motivating Patients and ParentsToiletingToileting ReferencePicky Eating Discussion
Geriatrics Overview Some Key Points Depression Recognizing DepressionManaging DepressioPsychosis Disturbed interaction with reality Psychosis false perceptins Psychosis Abnormal thought processesRecognizing Psychosis Managing Psychosis Managing Psychosis Rules of thumbManaging Psychosis informed consent Agitation Heightened state of exciement/activity General Principles
. Behavioral Issues in Dementia
March 2014
5488 Overview Some Key Points Depression Recognizing DepressionManaging DepressioPsychosis Disturbed interaction with reality Psychosis false perceptins Psychosis Abnormal thought processesRecognizing Psychosis Managing Psychosis Managing Psychosis Rules of thumbManaging Psychosis informed consent Agitation Heightened state of exciement/activity General Principles
Diabetes/General Endocrinology
Geriatrics What is polypharmacyHow do we get to this?Medication Use in Age 65 and Older Factors Leading to PolypharmacyPlypharmacy Leads to Adverse Drug Reactions Case Review Mrs. J Addressing Polypharmacy and Demntia Simplifying the Regimen
. Best Practices in Dementia Care Series #1: Polypharmacy
July 2018
5488 What is polypharmacyHow do we get to this?Medication Use in Age 65 and Older Factors Leading to PolypharmacyPlypharmacy Leads to Adverse Drug Reactions Case Review Mrs. J Addressing Polypharmacy and Demntia Simplifying the Regimen
Geriatrics Introduction Case Report Hearing Loss and Visual ImpairmentHospital Course DiscussionIncidence Prognosis Cost Confusion Assessment Method Risk Factors Prevention Evaluation Management Discussion
. Best Practices in Dementia Care Series #2: Delirium
August 2018
5488 Introduction Case Report Hearing Loss and Visual ImpairmentHospital Course DiscussionIncidence Prognosis Cost Confusion Assessment Method Risk Factors Prevention Evaluation Management Discussion
Geriatrics DementiaDiagnosisReverible causes of dementia Dementia - Validated Tools Dementia Common Diseases Dementia Uncommon DiseasesNoncognitive Neuropsychiatric Symptoms of DementiaCase Study: Dementia syndrome with comorbid chronic constipation and chronic pain What questions do you ask? Is there a better way?Neuropsychiatric Symptoms (NPS) of Dementia NPS EpidemiologyD.I.C.E NPS of Dementia Treatment GoalQuestions and Discussion
. Best Practices in Dementia Care Series #3: Dementia
September 2018
5488 DementiaDiagnosisReverible causes of dementia Dementia - Validated Tools Dementia Common Diseases Dementia Uncommon DiseasesNoncognitive Neuropsychiatric Symptoms of DementiaCase Study: Dementia syndrome with comorbid chronic constipation and chronic pain What questions do you ask? Is there a better way?Neuropsychiatric Symptoms (NPS) of Dementia NPS EpidemiologyD.I.C.E NPS of Dementia Treatment GoalQuestions and Discussion
Geriatrics Why This is An Important TopicCapacity Vs Competence Capacity Defined Nevada Revised Statute Clinical Definition of CapacityFunctional Capacity to Consent Case Example: Confounding Physical Infirmities & Change in Capacity StatusDiscussion on Surrogate Decision Makers
. Best Practices in Dementia Care Series #4: Competency versus Capacity
October 2018
5488 Why This is An Important TopicCapacity Vs Competence Capacity Defined Nevada Revised Statute Clinical Definition of CapacityFunctional Capacity to Consent Case Example: Confounding Physical Infirmities & Change in Capacity StatusDiscussion on Surrogate Decision Makers
Medication-Assisted Treatment Opiate Receptor BackgroundBuprenorphineOnsetAdverse EffectsEfficacyNaltrexone OnsetAdverse EffectsEfficacy Criminal Justice System and Treatment
. Buprenorphine versus Naltrexone
November 2017
5489 Opiate Receptor BackgroundBuprenorphineOnsetAdverse EffectsEfficacyNaltrexone OnsetAdverse EffectsEfficacy Criminal Justice System and Treatment
Genetics Cancer GeneticsGenomicsCancer preventionHereditary ovarian cancerHereditary breast cancer Hereditary polyposis syndrome Hereditary non-polyposis syndrome / Lynch syndromeCowden syndrome Li Fraumeni Familial adenomatous polyposis (FAP)Colorectal cancerPeutz-Jeghers syndrome
. Cancer as a Genetic Issue
June 2019
5487 Cancer GeneticsGenomicsCancer preventionHereditary ovarian cancerHereditary breast cancer Hereditary polyposis syndrome Hereditary non-polyposis syndrome / Lynch syndromeCowden syndrome Li Fraumeni Familial adenomatous polyposis (FAP)Colorectal cancerPeutz-Jeghers syndrome
Diabetes/General Endocrinology
Cardiology Objectives Case Report I Case Report I - Treatments Questions How Does the Presence of Cardiovascular Disease Impact Patient Risk?What Happens to the Heart During COVID-19 Infection?Should One Stop ACE-I or ARB in COVID-19 Patients?What is the CV Risk with COVID-19 Patients? CPR for COVID-19 Patients?Questions
. Cardiovascular Involvement with COVID-19 Infection
April 2020
5483 Objectives Case Report I Case Report I - Treatments Questions How Does the Presence of Cardiovascular Disease Impact Patient Risk?What Happens to the Heart During COVID-19 Infection?Should One Stop ACE-I or ARB in COVID-19 Patients?What is the CV Risk with COVID-19 Patients? CPR for COVID-19 Patients?Questions
Pain Management Prescription Drug Misuse and Abuse & Statistics on Opiate Overdose DeathsGuideline Goals & Recommendations Non-Opiod substitutes Determining when to initiate or continue opiods for chronic pain
. CDC Guidelines for Opiate Prescribing, Part 1
June 2016
5490 Prescription Drug Misuse and Abuse & Statistics on Opiate Overdose DeathsGuideline Goals & Recommendations Non-Opiod substitutes Determining when to initiate or continue opiods for chronic pain
Pain Management Prescription Drug Misuse and Abuse & Statistics on Opiate Overdose DeathsGuideline Goals & Recommendations Opiod selection, dosage, duration, follow-up and discontinuation
. CDC Guidelines for Opiate Prescribing, Part 2
August 2016
5490 Prescription Drug Misuse and Abuse & Statistics on Opiate Overdose DeathsGuideline Goals & Recommendations Opiod selection, dosage, duration, follow-up and discontinuation
Pain Management Prescription Drug Misuse and Abuse & Statistics on Opiate Overdose DeathsAssessing risk and addressing harms of opiod use Risk Factors State Laws on PDMP, accessUrine drug screens
. CDC Guidelines for Opiate Prescribing, Part 3
September 2016
5490 Prescription Drug Misuse and Abuse & Statistics on Opiate Overdose DeathsAssessing risk and addressing harms of opiod use Risk Factors State Laws on PDMP, accessUrine drug screens
Complex Pediatrics Syncope and Pre-Syncope Neurocardioenic Syncope Non-Neurocardiogenic Syncope Psychogenic Syncope Causes of Syncope Syncope TestingSyncope TreatmentChest Pain in the Pediatric Patient Chest Pain Treatment
. Chest Pain & Syncope in Pediatric Patients
August 2019
5484 Syncope and Pre-Syncope Neurocardioenic Syncope Non-Neurocardiogenic Syncope Psychogenic Syncope Causes of Syncope Syncope TestingSyncope TreatmentChest Pain in the Pediatric Patient Chest Pain Treatment
Geriatrics Chronic Diseases in the ElderlyA Century of Change Change in the New CentryAmericans' Current Health Care Expenditures Chrnic Illness Among the Elderly Chronic conditions are the leading causes of illness, disability, and deth in Medicare benficiaries. Trajectories of Chronic Illness: Service Needs Across TimeShort Period of Evident Decline Mostly Cancer Long-Time Limitations with Intermediate Serious Episodes Prolonged Dwindling Most Dementia, Disbaling Stocks, FrailtyAnatomy and BiomechanicsCurrent System Organized by System Chronic Illness and Medicare Target Population Community Resources and PoliciesComprehensive Geriatric Assessment
. Chronicity and Aging
April 2017
5488 Chronic Diseases in the ElderlyA Century of Change Change in the New CentryAmericans' Current Health Care Expenditures Chrnic Illness Among the Elderly Chronic conditions are the leading causes of illness, disability, and deth in Medicare benficiaries. Trajectories of Chronic Illness: Service Needs Across TimeShort Period of Evident Decline Mostly Cancer Long-Time Limitations with Intermediate Serious Episodes Prolonged Dwindling Most Dementia, Disbaling Stocks, FrailtyAnatomy and BiomechanicsCurrent System Organized by System Chronic Illness and Medicare Target Population Community Resources and PoliciesComprehensive Geriatric Assessment
Public Health Statistics on Smoking Deaths & The Effects on Bodily FunctionFDA Authority to Regulate Tobacco Products2009 Family Smoking Prevention and Tobacco Control Act FDA CTP authorities The Public Health StandardMarkov Model Visualization of states and flows of e-cigarette and cigarette useCase Study: FDA Regulation and E Cigarettes Sottera Inc. vs US FDA E-cigarettes are not a single product Chart on Adjusted Biomarker Levels by Group as a Proportion of Cigarette-Only Level Smokers Statistics on Who is Using E-Cigarettes and cessation Teen E-Cigarette Use Steams Past Smoking, Survey FindsFDA aims to lower incotine in cigarettes to get smokers to quit
. Cigarettes, e-Cigarettes, and the Role of FDA Regulation
November 2017
5492 Statistics on Smoking Deaths & The Effects on Bodily FunctionFDA Authority to Regulate Tobacco Products2009 Family Smoking Prevention and Tobacco Control Act FDA CTP authorities The Public Health StandardMarkov Model Visualization of states and flows of e-cigarette and cigarette useCase Study: FDA Regulation and E Cigarettes Sottera Inc. vs US FDA E-cigarettes are not a single product Chart on Adjusted Biomarker Levels by Group as a Proportion of Cigarette-Only Level Smokers Statistics on Who is Using E-Cigarettes and cessation Teen E-Cigarette Use Steams Past Smoking, Survey FindsFDA aims to lower incotine in cigarettes to get smokers to quit
Antibiotic Stewardship Growing problem of pseudomembranous colitis Clostridium difficile Spectrum of C difficile InfectionPathogensis of C Difficile-associated Disease Asymptomatic C. diff Carriers Factors Underlying the Upsurge of C Difficule Difficile Disease Hospitals started seeing severe cases of C.dif colitis with high moralityThe C. difficile had now become resistent to antibiotics and flourished in the hospitalC. diff strain-nasty super bug now seen throughout Nevada and the USA C Diff. Lab Diagnosis Human beings as ecosystems- not just an individual but a collaborative effort between commensal and their hostDuodenal Infusion of Donor Feces Recurring Colstridium Difficile
. Clostridium Difficile Colitis
September 2015
5481 Growing problem of pseudomembranous colitis Clostridium difficile Spectrum of C difficile InfectionPathogensis of C Difficile-associated Disease Asymptomatic C. diff Carriers Factors Underlying the Upsurge of C Difficule Difficile Disease Hospitals started seeing severe cases of C.dif colitis with high moralityThe C. difficile had now become resistent to antibiotics and flourished in the hospitalC. diff strain-nasty super bug now seen throughout Nevada and the USA C Diff. Lab Diagnosis Human beings as ecosystems- not just an individual but a collaborative effort between commensal and their hostDuodenal Infusion of Donor Feces Recurring Colstridium Difficile
Pain Management Patient Health Information Why Cognitive Behavioral TherapyConcensus from The American Medical Association Clinical Research Findings Goals of CBT What CBT is Not Why Cognitive Behavioral Therapy Cont. The Challenge of Pain & Critical Education Points Case Examples How CBT Helps with Pain Relief
. Cognitive Behavioral Therapy and Pain Management
February 2019
5490 Patient Health Information Why Cognitive Behavioral TherapyConcensus from The American Medical Association Clinical Research Findings Goals of CBT What CBT is Not Why Cognitive Behavioral Therapy Cont. The Challenge of Pain & Critical Education Points Case Examples How CBT Helps with Pain Relief
Gastroenterology AnatomyAnal FissuresHemmorhoidsPruitis Ani Incontinence Proctalgia FugaxLevator SyndromeConstipation
. Common Anorectal Disorders
February 2017
5486 AnatomyAnal FissuresHemmorhoidsPruitis Ani Incontinence Proctalgia FugaxLevator SyndromeConstipation
Sports Medicine Normal Shoulder AnatomyAnatomy and BiomechanicsLaxity & InstabilityShoulder Instability Anterior Dislocation Axilllary NeuropraxiaShoulder Instability Arthroscopic Labral RepairSlap Lesions Rotator Cuff Tears Impingements Acromioclavicular Joint Injury
. Common Shoulder Injuries in the Athlete
September 2017
5494 Normal Shoulder AnatomyAnatomy and BiomechanicsLaxity & InstabilityShoulder Instability Anterior Dislocation Axilllary NeuropraxiaShoulder Instability Arthroscopic Labral RepairSlap Lesions Rotator Cuff Tears Impingements Acromioclavicular Joint Injury
Sports Medicine Upper Respiratory Infections & MononucleosisSickle Cell TraitHeat Illness Sudden Cardiac DeathMarfan SyndromeStanford Elements for Cardiac Pre-Participation ScreenEKG Screening Commotio Cordis MRSA-Methicillin Restistant Staph Aureus HSV Herpes Virus Tinea Corporis Psychiatric Conditions
. Common Sports Medicine Medical Conditions
February 2016
5494 Upper Respiratory Infections & MononucleosisSickle Cell TraitHeat Illness Sudden Cardiac DeathMarfan SyndromeStanford Elements for Cardiac Pre-Participation ScreenEKG Screening Commotio Cordis MRSA-Methicillin Restistant Staph Aureus HSV Herpes Virus Tinea Corporis Psychiatric Conditions
Public Health History of CHIPsWhat's the purpose of CHIPsBenefits of ChipsWhat is the basic process?Community Health RoadmapWhat are the models?Step 1: Gather the Data Step 2: Data Driven PrioritiesSystematic Ranking of HealthStep 3: Share the CHNA with the community Step 4: Write the plan What's in an action plan? Process vs outcome measures Washoe County Quantative Health Data - Health IndicatorsBehavioral Health
. Community Health Improvement Plan
December 2018
5492 History of CHIPsWhat's the purpose of CHIPsBenefits of ChipsWhat is the basic process?Community Health RoadmapWhat are the models?Step 1: Gather the Data Step 2: Data Driven PrioritiesSystematic Ranking of HealthStep 3: Share the CHNA with the community Step 4: Write the plan What's in an action plan? Process vs outcome measures Washoe County Quantative Health Data - Health IndicatorsBehavioral Health
Geriatrics Geriatrics ECHO: Community ReNevada care connection- current structurewhat do the NVCC resource center Resources and Service Navigation when should you refer to Nevada Care Connection sources
. Community Resources through ADRC
May 2020
5488 Geriatrics ECHO: Community ReNevada care connection- current structurewhat do the NVCC resource center Resources and Service Navigation when should you refer to Nevada Care Connection sources
Antibiotic Stewardship Asymptomatic BacteriaCase-Based Community-Acquired Pneumonia (CAP) Guideline Update Highlights of What's New Sputum and Blood cultures Patient Case I Procalcitonin Outpatient TherapyStreptococcus penumoniae Resistance to Marcolides in the U.S. Patient Case IINon-Severe & Severe Inpatient Treatment (No Pseudomonas or MRSA Risk Factors)HCP to MRSA and Pseudomonas Risk FactorsAspiration Pneumonia Patient Case IIIDuration of Antibiotics Q's & A's
. Community-Acquired Pneumonia Guideline Update
October 2019
5481 Asymptomatic BacteriaCase-Based Community-Acquired Pneumonia (CAP) Guideline Update Highlights of What's New Sputum and Blood cultures Patient Case I Procalcitonin Outpatient TherapyStreptococcus penumoniae Resistance to Marcolides in the U.S. Patient Case IINon-Severe & Severe Inpatient Treatment (No Pseudomonas or MRSA Risk Factors)HCP to MRSA and Pseudomonas Risk FactorsAspiration Pneumonia Patient Case IIIDuration of Antibiotics Q's & A's
Geriatrics Alzheimer's Disease Exists on a Continuum from No/Minimal Symptoms to DementiaThe Original Amyloid Cascade HypothesisClinical Disease Progression Vascular Disease Exacerbating Factors - DepressioInfections MedicationsMetabolic/NutritionalExacerbating Factors - Rx
. Co-Morbidities
May 2014
5488 Alzheimer's Disease Exists on a Continuum from No/Minimal Symptoms to DementiaThe Original Amyloid Cascade HypothesisClinical Disease Progression Vascular Disease Exacerbating Factors - DepressioInfections MedicationsMetabolic/NutritionalExacerbating Factors - Rx
Public Health What do our currrent school health practices look like?Is sex education mandated?Is sex education required to be medically accurate? Is instruction on consent required?What is comprehensive sexuality education? RationaleNational Sexuality Education Standards (NSES) Theoretical Framework Nevada Summary Comprehensive Vs Abstinence Only Creating Gender-Inclusive Sex Education Continuing the Conversation at HomePlanned Parenthood's RoleSupporting Sex Education
. Comprehensive Sexual Education
July 2019
5492 What do our currrent school health practices look like?Is sex education mandated?Is sex education required to be medically accurate? Is instruction on consent required?What is comprehensive sexuality education? RationaleNational Sexuality Education Standards (NSES) Theoretical Framework Nevada Summary Comprehensive Vs Abstinence Only Creating Gender-Inclusive Sex Education Continuing the Conversation at HomePlanned Parenthood's RoleSupporting Sex Education
Diabetes/General Endocrinology
Diabetes/General Endocrinology
Diabetes/General Endocrinology
COVID-19 Update Introductions Update on Current Testing Cotton vs. Surgical Masks Most Common Presentation of Hospitalized Patients Case Presentation I - Mild Case Which Patients Benefit Most from Anti-Viral Therapy? Whom to Offer HCQ Case Presentation II - Severe Case"Cytokine Storm" Convalescent Plasma Discussion Questions
. COVID-19 Update - April 2020
March 2020
5699 Introductions Update on Current Testing Cotton vs. Surgical Masks Most Common Presentation of Hospitalized Patients Case Presentation I - Mild Case Which Patients Benefit Most from Anti-Viral Therapy? Whom to Offer HCQ Case Presentation II - Severe Case"Cytokine Storm" Convalescent Plasma Discussion Questions
COVID-19 Update Drug Therapy discussion (Remdesivir & Dexamethasone) Contrainindications with Drug Therapy, Seizure Medication contraindications (Hydroxychloroquine) Q & A, Discussion Instances of Bradycardia associated with Dexamethasone
. COVID-19 Update - July 2020
July 2020
5699 Drug Therapy discussion (Remdesivir & Dexamethasone) Contrainindications with Drug Therapy, Seizure Medication contraindications (Hydroxychloroquine) Q & A, Discussion Instances of Bradycardia associated with Dexamethasone
COVID-19 Update PCR Testing cases of Lymphopenia Oxygen Proning Lung Capacities CPAP treatment Lung Inflammation Asymptomatic Patient Analysis
. COVID-19 Update - June 2020
June 2020
5699 PCR Testing cases of Lymphopenia Oxygen Proning Lung Capacities CPAP treatment Lung Inflammation Asymptomatic Patient Analysis
COVID-19 Update ABBOTT TestingHow Many Patients Are Really Asymptomatic? Pre-symptomatic Transmission How to Prevent Transmission in Hospitals and SNFsMost Common Presentation of Hospitalized Symptoms COVID-19 Labs Questions About Testing Chest X-Ray Findings Case-Presentation ITreatmentsCDC Guidelines for Whom to TestProtocol for Health Care Workers at High Risk for Infection Questions
. COVID-19 Update - March 2020
March 2020
5699 ABBOTT TestingHow Many Patients Are Really Asymptomatic? Pre-symptomatic Transmission How to Prevent Transmission in Hospitals and SNFsMost Common Presentation of Hospitalized Symptoms COVID-19 Labs Questions About Testing Chest X-Ray Findings Case-Presentation ITreatmentsCDC Guidelines for Whom to TestProtocol for Health Care Workers at High Risk for Infection Questions
COVID-19 Update Antibiotic Stewardship ECHO: COVID-19 Update
COVID-19 Update COVID-19 Case Review FormQuestions Pt. IOverview of Current Testing in Nevada Are We Undertesting? Collection Kit AvailabilityQuestions Pt. II
. COVID-19 Update on Testing in Nevada
March 2020
5699 COVID-19 Case Review FormQuestions Pt. IOverview of Current Testing in Nevada Are We Undertesting? Collection Kit AvailabilityQuestions Pt. II
COVID-19 Update COVID-19 Update: Recommended Policies and Procedures
Special Series Recently detected carbapenamases Division of Healthcare Quality Promotion (DHQP) CDC Carbapenemase Classifications International Rapid Spread of Carbapenmase vs U.SCDC Strategy for Containment of Emerging Resistance Steps of containment Q's & A's & Anatomic Sites of Patient Colonization and Environmental Contamination Contaiment Experience Enchanced Barrier Precautions (EBP)
. CRE in Nevada 2019 Update
October 2019
5493 Recently detected carbapenamases Division of Healthcare Quality Promotion (DHQP) CDC Carbapenemase Classifications International Rapid Spread of Carbapenmase vs U.SCDC Strategy for Containment of Emerging Resistance Steps of containment Q's & A's & Anatomic Sites of Patient Colonization and Environmental Contamination Contaiment Experience Enchanced Barrier Precautions (EBP)
Diabetes/General Endocrinology Scope of the problem Pathophysiology Clinical presentation Diagnosis Treatment Nutrition and Gastroparesis Nutrition's role and goals Controlled nutrition trailsCommon food modificationsRecommended Foods Common nutrition diagnoses Considerations Sample menu Pharmacotherapy Invasive Therapies Discussion
. Diabetic Gastroparesis
February 2017
5485 Scope of the problem Pathophysiology Clinical presentation Diagnosis Treatment Nutrition and Gastroparesis Nutrition's role and goals Controlled nutrition trailsCommon food modificationsRecommended Foods Common nutrition diagnoses Considerations Sample menu Pharmacotherapy Invasive Therapies Discussion
Diabetes/General Endocrinology
Pain Management AddictionSubstance Use Disorders DSM-5 Criteria for Substance Use Disorders Differences in Terminology from The National Heath Institute Remission ASAMStigma and Clients with Substance Use Disorders
. Diagnosing Opioid Use Disorder
September 2018
5490 AddictionSubstance Use Disorders DSM-5 Criteria for Substance Use Disorders Differences in Terminology from The National Heath Institute Remission ASAMStigma and Clients with Substance Use Disorders
Pain Management Addiction Substance Use Disorders DSM-5 Criteria for Substance Use Disorders Differences in Terminology from The National Heath Institute Remission ASAM Stigma and Clients with Substance Use Disorders
Geriatrics OverviewPre-Driving skill Evaluation Vision Common visual disturbances Visual PerceptionImportance of Executive Functions Recommendations Case Example
. Driving Assessments
April 2020
5488 OverviewPre-Driving skill Evaluation Vision Common visual disturbances Visual PerceptionImportance of Executive Functions Recommendations Case Example
Geriatrics Number of crashes per mile traveled by driver age, 2001-2002 Passenger vehicle fatal crash involvementsNumber of passenger vehicle driver deaths per 100 drivers involved 2003-2007Practical assessment & risk factors Screening Differences for Aging Drivers Relevant Physical Domains Discussion
. Driving Fitness in an Aging America
May 2014
5488 Number of crashes per mile traveled by driver age, 2001-2002 Passenger vehicle fatal crash involvementsNumber of passenger vehicle driver deaths per 100 drivers involved 2003-2007Practical assessment & risk factors Screening Differences for Aging Drivers Relevant Physical Domains Discussion
Antibiotic Stewardship Oropharyngeal TularmiaMicrobiology Comment Nude Improves Pneumonia Prescribing Risk of MRSA and C. Dificle in paients with a documented PCN allergy: population matched cohort studyFlouoroquinolone Generations 2016 FDA Warnings: Poential side-effects FDA Drug Safety Communication New Neuropsychiatric side effects2018 FDA fluoroquinoline warnings Diagnosis of Uncomplicated Cystitis Why treat acute cystitis?Antibiotic use in uncomplicated cystitis in 2 large private FP with well insured patients Clinical Infectious Disease 1028 Kabbani et al.Comparison of Antibiotic prescribing in Retail Cinics, Urgent Care Centers, Emergency Depts, ad Traditional Ambulatory Care Settings in the USGuidelines for Managemen of acute sinusitis56 year old female with asymptomatic bacteruria 77 year old male with "penicillin allergy" and dog bite What's on line for patients to view Discussion
. ECHO: FDA Update on Fluoroquinolones
July 2018
5481 Oropharyngeal TularmiaMicrobiology Comment Nude Improves Pneumonia Prescribing Risk of MRSA and C. Dificle in paients with a documented PCN allergy: population matched cohort studyFlouoroquinolone Generations 2016 FDA Warnings: Poential side-effects FDA Drug Safety Communication New Neuropsychiatric side effects2018 FDA fluoroquinoline warnings Diagnosis of Uncomplicated Cystitis Why treat acute cystitis?Antibiotic use in uncomplicated cystitis in 2 large private FP with well insured patients Clinical Infectious Disease 1028 Kabbani et al.Comparison of Antibiotic prescribing in Retail Cinics, Urgent Care Centers, Emergency Depts, ad Traditional Ambulatory Care Settings in the USGuidelines for Managemen of acute sinusitis56 year old female with asymptomatic bacteruria 77 year old male with "penicillin allergy" and dog bite What's on line for patients to view Discussion
Geriatrics Guiding Rules and PrinciplesEthics, Values and Ethical DilemmasClinical Definition of Capacity Nevada revised statute Functional Capacity to Consent Hierarchy of Priniples for Ethical Decision Making Ethic Guideline for Ethical Decision MakingCase Study
. Ethical Dilemmas when Caring for Someone with Dementia
July 2019
5488 Guiding Rules and PrinciplesEthics, Values and Ethical DilemmasClinical Definition of Capacity Nevada revised statute Functional Capacity to Consent Hierarchy of Priniples for Ethical Decision Making Ethic Guideline for Ethical Decision MakingCase Study
Medication-Assisted Treatment SAMHSA's State targetd Response Tenchinical Assitance (STR-TA)What are Ethics? CSAC Code of EthicsExamples of Ethical Issues - Q & A Ethical Behavior Types of Relationships Professional BoundariesDiscussion/Q's & A's
. Ethics for Addiction and Other Treatment
October 2019
5489 SAMHSA's State targetd Response Tenchinical Assitance (STR-TA)What are Ethics? CSAC Code of EthicsExamples of Ethical Issues - Q & A Ethical Behavior Types of Relationships Professional BoundariesDiscussion/Q's & A's
Gastroenterology NASH: Number One Indication for Transplant in Ptss Aged <50 Patient Case: 25- year Old Hispanic with Obesity, T2DM and ALT ElevationGoals of Treatment Disease Exclusion Other Causes of Hepatic Steatosis Ultrasound Reliability Mortality and Prognosis Fatty Liver Disease and DiabetesPredictors of NAFLD Disease Progression Diagnosing NAFLDManaging Strategies for NAFLD Liver Biopsy and Non-invasive Assessment
. Fatty Liver Disease
March 2017
5486 NASH: Number One Indication for Transplant in Ptss Aged <50 Patient Case: 25- year Old Hispanic with Obesity, T2DM and ALT ElevationGoals of Treatment Disease Exclusion Other Causes of Hepatic Steatosis Ultrasound Reliability Mortality and Prognosis Fatty Liver Disease and DiabetesPredictors of NAFLD Disease Progression Diagnosing NAFLDManaging Strategies for NAFLD Liver Biopsy and Non-invasive Assessment
Cancer Survivorship General Exercise Benefits Benefits to CancerRecommendationSpecial Considerations
Antibiotic Stewardship Antibiotic Stewardship ECHO: C. Diff NAP-1 and Other Topics
Gastroenterology Definition of GERDPhysiologic VS. Pathologic Lower Esophageal Sphincter Pathology f GIHaital Hernia and Reflux Symptoms of GERDFactors That Can Aggrivate GIBarium Swallow Endoscopy TreatmentSurgical Side Effects of PPIs Nissen FundoplicationRefractory GERD Treating Reflux and Complications Balloon dialation of a Peptic SphincterBarrett's Esophagus
. Gastroesophageal Reflux Disease
May 2017
5486 Definition of GERDPhysiologic VS. Pathologic Lower Esophageal Sphincter Pathology f GIHaital Hernia and Reflux Symptoms of GERDFactors That Can Aggrivate GIBarium Swallow Endoscopy TreatmentSurgical Side Effects of PPIs Nissen FundoplicationRefractory GERD Treating Reflux and Complications Balloon dialation of a Peptic SphincterBarrett's Esophagus
Geriatrics 4 M's Model of Care Case Review Functional status Active problem Assessment HypertensionType 2 diabetes
Diabetes/General Endocrinology
Public Health The Medical Legal Partnership ModelSocial Determinants of Health Legal Services and improving healthHousing and Health Housing and Legal AidIssue Spotting for Medical Professional Example from our MLP
. Health and Legal Partnerships
April 2019
5492 The Medical Legal Partnership ModelSocial Determinants of Health Legal Services and improving healthHousing and Health Housing and Legal AidIssue Spotting for Medical Professional Example from our MLP
Pain Management Flow Chart for The Initial Prescribing Controlled Substances Under ABA474 Initlal Prescription Checklist Patient Risk Assessment Informed Consent Form Patient Medication Agreement Surgeon General Report on Alcohol, Drugs and Healh
. Healthy Alternatives for Pain Management
January 2018
5490 Flow Chart for The Initial Prescribing Controlled Substances Under ABA474 Initlal Prescription Checklist Patient Risk Assessment Informed Consent Form Patient Medication Agreement Surgeon General Report on Alcohol, Drugs and Healh
Palliative Care Models Regarding Palliative Care- National, Nevada, Dignity HealthPalliative Care Team, Patients, and ComponentsPalliative Care in the Hospital Individuals to TargetProviders of Palliative CareBenefits of Hospital-Based Palliative CareBarriers to Palliative Care in the Hospital Billing and Coding Insights Cost-Savings and Associated Barriers
. Hospital-Based Palliative Care
August 2019
5491 Models Regarding Palliative Care- National, Nevada, Dignity HealthPalliative Care Team, Patients, and ComponentsPalliative Care in the Hospital Individuals to TargetProviders of Palliative CareBenefits of Hospital-Based Palliative CareBarriers to Palliative Care in the Hospital Billing and Coding Insights Cost-Savings and Associated Barriers
Antibiotic Stewardship Monthly update on C.Diff History of infectious disease precautions in hospitalsThe first infection preventionst wearing contact precautions outfit to reduce transmission of black deathDrawbacks to contact precautions Does legally mandated MRSA screening reduce MRSA prevalence or infections in the hospital? Does detecting and isolating MRSA lead to improved infection rates?Are we dealing with "MRSA Exceptionalism"?MRSA and VRE Contact IsolationSelective Intervention OptionsDiscussion
. How Does Your Facility Manage?
February 2018
5481 Monthly update on C.Diff History of infectious disease precautions in hospitalsThe first infection preventionst wearing contact precautions outfit to reduce transmission of black deathDrawbacks to contact precautions Does legally mandated MRSA screening reduce MRSA prevalence or infections in the hospital? Does detecting and isolating MRSA lead to improved infection rates?Are we dealing with "MRSA Exceptionalism"?MRSA and VRE Contact IsolationSelective Intervention OptionsDiscussion
Public Health What is On Common Ground?QuestionsWhat is the On Common Ground Solution?
Public Health Nevada Cigarette UseThe Toll of TobaccoThe Cost of Smoking Smoking Damage on The BodyTabacco and Our Lungs Tabacco and Our Hearts Nicotine Physical Addiction Secondhand Smoke Statistics on Flavored Products & ChildrenOther Tobacco Products Hookah, E-Cigs, Snuss and Dissolvables E-cigarette Prevalance & SafetyAerosol Toxicity E-Cigarette MarketingE-Cigs for MarijuanaE-Cigarette Laws & Public HealthMARCA/MIPS ICD 10-Tobacco Brief InterventionsProviders Guide to Nicotine Billing and Coding
. How to Get Results with Tobacco Cessation - You Hold the Key to Success!
March 2017
5492 Nevada Cigarette UseThe Toll of TobaccoThe Cost of Smoking Smoking Damage on The BodyTabacco and Our Lungs Tabacco and Our Hearts Nicotine Physical Addiction Secondhand Smoke Statistics on Flavored Products & ChildrenOther Tobacco Products Hookah, E-Cigs, Snuss and Dissolvables E-cigarette Prevalance & SafetyAerosol Toxicity E-Cigarette MarketingE-Cigs for MarijuanaE-Cigarette Laws & Public HealthMARCA/MIPS ICD 10-Tobacco Brief InterventionsProviders Guide to Nicotine Billing and Coding
Public Health Meet Mandy Case studyHPV Cancer Statistics HPV-Associated Cancers per Year, United StatesWho has HPV? HPV PreventionAustrailia is set to become the first country to completely eliminate one type of cancerUS HPV Vaccination StatiscicsRural-urban gap in some vaccination rates leaves health offices puzzledNIS-Teen DATA - 2016 Rural Barriers to HPV VaccinationHPV Vaccination in Utah Evidence Based Strategies to Improve HPV Vaccination
. HPV Vaccination Challenges in Rural and Suburban Settings
April 2018
5492 Meet Mandy Case studyHPV Cancer Statistics HPV-Associated Cancers per Year, United StatesWho has HPV? HPV PreventionAustrailia is set to become the first country to completely eliminate one type of cancerUS HPV Vaccination StatiscicsRural-urban gap in some vaccination rates leaves health offices puzzledNIS-Teen DATA - 2016 Rural Barriers to HPV VaccinationHPV Vaccination in Utah Evidence Based Strategies to Improve HPV Vaccination
Cancer Survivorship Tobacco Products (Most t least harmful) Tobacco and CancerTobacco Cessation and Cancer Scale of the Problem Breakdown of Survivors who Continue SmokingCounseling to QuitClinician barriers to counselingTobacco based product treatment and dosagesThe Five 'A'
. Impacts of Tobacco Cessation on Survivorship
March 2019
5482 Tobacco Products (Most t least harmful) Tobacco and CancerTobacco Cessation and Cancer Scale of the Problem Breakdown of Survivors who Continue SmokingCounseling to QuitClinician barriers to counselingTobacco based product treatment and dosagesThe Five 'A'
Public Health Rationale for Healthcare InterventionWhy EMTs and ParamedicsTerminology & IPV Definition Statistics - IPV in the U.S. Dynamics of the IPV RelationshipBarriers to Leaving for Victims Common Medical Conditions & InjuriesAbuse During Pregnancy Strangulation & TBI Sexual Abuse & Responding to IPV Calls
. Intimate Partner Violence: A Public Health Priority for EMS Providers
January 2019
5492 Rationale for Healthcare InterventionWhy EMTs and ParamedicsTerminology & IPV Definition Statistics - IPV in the U.S. Dynamics of the IPV RelationshipBarriers to Leaving for Victims Common Medical Conditions & InjuriesAbuse During Pregnancy Strangulation & TBI Sexual Abuse & Responding to IPV Calls
Antibiotic Stewardship Guidelines for Intra-Abdominal InfectionsIntraabdominal Infections (IAI)Common PathogensManagement of intra-abdominal infectionsSource controlIV antimicrobials for empiric therapy Antibiotics that are not recommendedCircumstances where antibiotics are not indicatedCircumstances where ultra-short durations are not indicatedStop-it Trial, NEJM 2015Duration of therapy for percutaneous drained IAI & Risk FactorsStop-it generalizabilityInadequate source controlHow about patients with bacteremiaCase Study
. Intra-Abdominal Infections and Guidelines for Diverticulitis
April 2018
5481 Guidelines for Intra-Abdominal InfectionsIntraabdominal Infections (IAI)Common PathogensManagement of intra-abdominal infectionsSource controlIV antimicrobials for empiric therapy Antibiotics that are not recommendedCircumstances where antibiotics are not indicatedCircumstances where ultra-short durations are not indicatedStop-it Trial, NEJM 2015Duration of therapy for percutaneous drained IAI & Risk FactorsStop-it generalizabilityInadequate source controlHow about patients with bacteremiaCase Study
Public Health Influenza Meningococcal MeningitisStreptococcus Hepatitis A Hepatitis BWashoe County Forecast Influenza US National Forecast InfluenzaDrug Resistance Intelligence Washoe County/MDR Gram NegativesWashoe Country C.DIFF ForecastCIPRO-E. Coli Resistance Across Acute Care Facilities Washoe CountyForecasted Loss of Drug Effectiveness Summary of Statistics on Infectious Disease Forecasting
. Introduction to Infectious Disease Forecasting
September 2016
5492 Influenza Meningococcal MeningitisStreptococcus Hepatitis A Hepatitis BWashoe County Forecast Influenza US National Forecast InfluenzaDrug Resistance Intelligence Washoe County/MDR Gram NegativesWashoe Country C.DIFF ForecastCIPRO-E. Coli Resistance Across Acute Care Facilities Washoe CountyForecasted Loss of Drug Effectiveness Summary of Statistics on Infectious Disease Forecasting
Public Health Importance of Early DetectionAlzheimer's Disease Vs Typical AgingWhat is Alzheimer's disease?Risk Factors for Alzheimer'sThe 10 Warning Signs Diagnosis: Earlier is BetterIf you do get diagnosed with a dementiaResources to help
. Know the Ten Signs of Alzheimer's
July 2018
5492 Importance of Early DetectionAlzheimer's Disease Vs Typical AgingWhat is Alzheimer's disease?Risk Factors for Alzheimer'sThe 10 Warning Signs Diagnosis: Earlier is BetterIf you do get diagnosed with a dementiaResources to help
Antibiotic Stewardship Cochrane Review Update: Meta-analysis of "interventions to improve antibiotic prescribing practices for hospital inpatientsDiagnostic errors that lead to inappropriate antimicrobial use Health care workers refusing the influenza vaccineHealth care workers- approx. one hird don't take the flu vaccine Characteristics of patients with hospital-acuqired influenza A (H1N1)pdm09 virus admited to the intensive care unit Update on (CDI) are we over-isolating and over-treating our patients? Transmissibility of Clostridium difficile without contact Isolation Rates of cure without relapse for recurrent clostridium difficle infection There is no accepted protocol for fecal transplant PCR Cases
. Literature Review of ASP Topics
February 2017
5481 Cochrane Review Update: Meta-analysis of "interventions to improve antibiotic prescribing practices for hospital inpatientsDiagnostic errors that lead to inappropriate antimicrobial use Health care workers refusing the influenza vaccineHealth care workers- approx. one hird don't take the flu vaccine Characteristics of patients with hospital-acuqired influenza A (H1N1)pdm09 virus admited to the intensive care unit Update on (CDI) are we over-isolating and over-treating our patients? Transmissibility of Clostridium difficile without contact Isolation Rates of cure without relapse for recurrent clostridium difficle infection There is no accepted protocol for fecal transplant PCR Cases
Public Health Mapping HOPES' Patient Population Using ArcGISHOPES Expanded ServicesHOPES Community Impact By The NumberDATA Science DepartmentData handling and Privacy Internship ProjectKey Health Issues Addressed & MappingProject Impacts for Our Patients Recommendations and Potential
. Mapping HOPES' Patient Population Using ArcGIS
September 2018
5492 Mapping HOPES' Patient Population Using ArcGISHOPES Expanded ServicesHOPES Community Impact By The NumberDATA Science DepartmentData handling and Privacy Internship ProjectKey Health Issues Addressed & MappingProject Impacts for Our Patients Recommendations and Potential
Geriatrics Metastatic Lung Cancer Back & Shoulder Pain World Health Organization Medical Marijuana Patient Card Cannabis Sativa Marijuana is a Controlled Schedule 1 Controlled Substance Drug SchedulingFederal Marijuana LawHistory of Mariuana Use CannabidiolMarinolCocaine Bellnadonna Roger Adams Medicinal use of cannabis in the United States: hisorial perspectives, current trends, and future directions.Endocannabinoid System Mode of actionAnnunal U.S. Deaths from Marijuana Connecticut Hospice to Study Medical Marijuana as an alternative to opiodsDiscussion
. Marijuana & Palliative Medicine
June 2017
5488 Metastatic Lung Cancer Back & Shoulder Pain World Health Organization Medical Marijuana Patient Card Cannabis Sativa Marijuana is a Controlled Schedule 1 Controlled Substance Drug SchedulingFederal Marijuana LawHistory of Mariuana Use CannabidiolMarinolCocaine Bellnadonna Roger Adams Medicinal use of cannabis in the United States: hisorial perspectives, current trends, and future directions.Endocannabinoid System Mode of actionAnnunal U.S. Deaths from Marijuana Connecticut Hospice to Study Medical Marijuana as an alternative to opiodsDiscussion
Medication-Assisted Treatment OUD in Pregnancy Pregnancy and Drug-Related Deaths, OUD & NASMAT Buprenorphine vs. Methadone Buprenorphine vs SuboxoneDetoxification from Opiate Drugs during Pregnancy NAS/NOWS Obstetric Care
. MAT and Pregnancy
June 2019
5489 OUD in Pregnancy Pregnancy and Drug-Related Deaths, OUD & NASMAT Buprenorphine vs. Methadone Buprenorphine vs SuboxoneDetoxification from Opiate Drugs during Pregnancy NAS/NOWS Obstetric Care
Pain Management Types of Opiods & Opiod Use In NevadaHow Opiod Use Leads to DeathOpiod Overdose Naloxone and The Good Samaritan Law Medication Assisted Treatment AB 474
. MAT, PMP, and the Good Samaritan Law
December 2017
5490 Types of Opiods & Opiod Use In NevadaHow Opiod Use Leads to DeathOpiod Overdose Naloxone and The Good Samaritan Law Medication Assisted Treatment AB 474
Pain Management Is Persistent Pain a Problem?Stages of Change and Readiness to Adopt a Self-Management Approach to Pain ManagementStages of Change ModelPatient Focus Motivating Patients Brief Intervention Effect MSQS
Geriatrics COVID- 19 Protecting Elders Checking in on elders Neuropsychiatric Symptoms (NPS) of Dementia NPS- Epidemiology D.I.C.EDescribe investigate Create Evaluate
. Neuropsychiatric Symptoms of Dementia
March 2020
5488 COVID- 19 Protecting Elders Checking in on elders Neuropsychiatric Symptoms (NPS) of Dementia NPS- Epidemiology D.I.C.EDescribe investigate Create Evaluate
Public Health Be A Public Health Hero Silver State Health Insurance Exchange (SBE)Nevada Health LinkHealthcare.gov What's different about State Based Exchange? (SBE)Welcome Transition, a message from the Executive Director 2019 Enrollment DemographicsOpen Enrollent 2020Advertising, Marketing & OutreachAdvertising Clip (32:31) Spanish Advertising ClipChallenges for 2020 Enrollment Q's & A's
. Nevada Health Link Open Enrollment for Plan Year 2020
October 2019
5492 Be A Public Health Hero Silver State Health Insurance Exchange (SBE)Nevada Health LinkHealthcare.gov What's different about State Based Exchange? (SBE)Welcome Transition, a message from the Executive Director 2019 Enrollment DemographicsOpen Enrollent 2020Advertising, Marketing & OutreachAdvertising Clip (32:31) Spanish Advertising ClipChallenges for 2020 Enrollment Q's & A's
Cancer Survivorship AgendaBe a Healthy Weight Physical Activity Plant Foods Fast FoodAnimal FoodsSweetened Drinks Alcohol Supplementation BreastfeedingCancer Survivors Nevada Cancer CoalitionCooking Tips
. Nutrition
May 2019
5482 AgendaBe a Healthy Weight Physical Activity Plant Foods Fast FoodAnimal FoodsSweetened Drinks Alcohol Supplementation BreastfeedingCancer Survivors Nevada Cancer CoalitionCooking Tips
Complex Pediatrics Issues at handImpact of obesityThe Why & How5210 ProgramResearch ffrom Agency for Healthcare Research and Quality Statistics on the prevalance of childhood obesityHealthcare toolkitCHA Healthy Weight ProgramHealthy Weight Clinic Education in the office Additional resoucesBehavioral Health Component Contributing factors to obesityInterventionsImplementtation for otherwise healthy families Introduction to mindful eating Discussion
, Obesity in Children
March 2018
5484 Issues at handImpact of obesityThe Why & How5210 ProgramResearch ffrom Agency for Healthcare Research and Quality Statistics on the prevalance of childhood obesityHealthcare toolkitCHA Healthy Weight ProgramHealthy Weight Clinic Education in the office Additional resoucesBehavioral Health Component Contributing factors to obesityInterventionsImplementtation for otherwise healthy families Introduction to mindful eating Discussion
Gastroenterology HCV is Nearly 4 Times as Prevalent as HIV and HBVNew Epidemic of HCVHCV and Baby Boomers Important Information Needed at DiagnosisAASLD-IDSA Guidance Excluding Cirrhosis is Important HCV has been Curable and Treatment Extrahepatic Manifestations
. Optimizing HCV Cure
January 2017
5486 HCV is Nearly 4 Times as Prevalent as HIV and HBVNew Epidemic of HCVHCV and Baby Boomers Important Information Needed at DiagnosisAASLD-IDSA Guidance Excluding Cirrhosis is Important HCV has been Curable and Treatment Extrahepatic Manifestations
Public Health History of Organ Donation in the USOrgan Procurement OrganizationDonation in Nevada Transplants, Donors and PatientsWhere Nevadans are TransplantedOrgan and Tissue DonationDonation Pathway The Gift of LifeResearch Three Types of Donation Community Outreach High Impact Events What Can You Do?
. Organ & Tissue Transplantation in Our Community
October 2018
5492 History of Organ Donation in the USOrgan Procurement OrganizationDonation in Nevada Transplants, Donors and PatientsWhere Nevadans are TransplantedOrgan and Tissue DonationDonation Pathway The Gift of LifeResearch Three Types of Donation Community Outreach High Impact Events What Can You Do?
Palliative Care Palliative Care ECHO missionModels of delivery Benefits of Outpaitent Palliative Care Evolving Model of Palliative CareCriteria for Referrals to Outpatient Palliative Care Barriers to Providing Outpatient Palliative Care Patient Case Billing Approach for Outpatient Palliative Care
. Outpatient Based Palliative Care
October 2019
5491 Palliative Care ECHO missionModels of delivery Benefits of Outpaitent Palliative Care Evolving Model of Palliative CareCriteria for Referrals to Outpatient Palliative Care Barriers to Providing Outpatient Palliative Care Patient Case Billing Approach for Outpatient Palliative Care
Pain Management Drug Overdose StatisticsPost-Operative Medication Instructions Pain as a Fifth Vital Sign Leathal Doses of Heroin and Fentanyl Heroin Use Compared to Other Substance Abuses & Dopamine Release Effects Working with Patients Solutions and Exit Strategies
. Oxy to Heroin, How Did We Get Here
November 2017
5490 Drug Overdose StatisticsPost-Operative Medication Instructions Pain as a Fifth Vital Sign Leathal Doses of Heroin and Fentanyl Heroin Use Compared to Other Substance Abuses & Dopamine Release Effects Working with Patients Solutions and Exit Strategies
Sports Medicine CDC Pediatric Milk Traumatic Brain Injury Guideline Epidemiology Rural Students Pre-Paricipation Exam Assessment After Injury-History Assessment After Injury-Physical ExamNeuroimaging Pediatric Head Trauma CT Decision Guide Symptom Based AssessmentHEADS Up to Health Care Providers: Tools for ProviderCounsel-Warning Signs Counseling-Recovery Managing Recovery Return to Activity Counsel-Return to Activity Return to Play Progression When to Refer Key Points
. Pediatric Concussion Update
January 2019
5494 CDC Pediatric Milk Traumatic Brain Injury Guideline Epidemiology Rural Students Pre-Paricipation Exam Assessment After Injury-History Assessment After Injury-Physical ExamNeuroimaging Pediatric Head Trauma CT Decision Guide Symptom Based AssessmentHEADS Up to Health Care Providers: Tools for ProviderCounsel-Warning Signs Counseling-Recovery Managing Recovery Return to Activity Counsel-Return to Activity Return to Play Progression When to Refer Key Points
Gastroenterology Peptic Ulcer BackgroundPeptic Ulcer Etiology PUD Clinical Manifestations & DiagnosisInitial Evaluation Predictors of Upper GI BleedHypovolemia Nasogastric Lavage Labs & Triage Rockall Criteria Blood Transfusions Medications for Acid Suppression & Peptic Ulcer StigmataHelicobacter Pylori Diagnosis and Treatment
. Peptic Ulcer Disease and H. Pylori
April 2017
5486 Peptic Ulcer BackgroundPeptic Ulcer Etiology PUD Clinical Manifestations & DiagnosisInitial Evaluation Predictors of Upper GI BleedHypovolemia Nasogastric Lavage Labs & Triage Rockall Criteria Blood Transfusions Medications for Acid Suppression & Peptic Ulcer StigmataHelicobacter Pylori Diagnosis and Treatment
Sports Medicine What is the PPE? Setting for the PPE Functional Movement Tests Mental Health Female Athletes Athletes with a Disability Transgender Athletes Questions
. Preparticipation Physical Exam Update
August 2019
5494 What is the PPE? Setting for the PPE Functional Movement Tests Mental Health Female Athletes Athletes with a Disability Transgender Athletes Questions
Sports Medicine Benefits of Exercise Sudden Cardiac Arres & Case Studies Protecting the heard from SCA/SCD Causes of Sudden Cardiac Death in Young AthletesMarfan Syndrome Arrythmogenic Right Ventricular Dysplasia Primary Conduction Abnormalities Prospective screening of 5,615 high school athletes for risk of suddden cardiac death Cardiovascular preparticipation screening of competitive athletes AMSSM Position Statement of Cardiovascular Preparticipation Screening in Athletes International Criteria for ECG Interpretation in AthletesFive-Year Experience with Screening Electrocardiograms in National Collegiae Athletic Association Division 1 AthletesGreen, Yellow, Red: Understanding the Updated "International Recommendations for Electrocardiographic Interpretation in Athletes"Do we sacrifice sensiivity to improve specificity?Performance of ECG Standards Physiologic Cardiac Adaptation Athlete's Heart QRS volate criteria for LVH & RVH Bradycardia Should axis deviation or atrial enlagement be categorised as abnormal in young athletes?Right Bundle Branch Block Coronary Angiography Prevention of SCA/SCD During Exercise in Older Athletes
. Protecting the Heart of the American Athlete
May 2018
5494 Benefits of Exercise Sudden Cardiac Arres & Case Studies Protecting the heard from SCA/SCD Causes of Sudden Cardiac Death in Young AthletesMarfan Syndrome Arrythmogenic Right Ventricular Dysplasia Primary Conduction Abnormalities Prospective screening of 5,615 high school athletes for risk of suddden cardiac death Cardiovascular preparticipation screening of competitive athletes AMSSM Position Statement of Cardiovascular Preparticipation Screening in Athletes International Criteria for ECG Interpretation in AthletesFive-Year Experience with Screening Electrocardiograms in National Collegiae Athletic Association Division 1 AthletesGreen, Yellow, Red: Understanding the Updated "International Recommendations for Electrocardiographic Interpretation in Athletes"Do we sacrifice sensiivity to improve specificity?Performance of ECG Standards Physiologic Cardiac Adaptation Athlete's Heart QRS volate criteria for LVH & RVH Bradycardia Should axis deviation or atrial enlagement be categorised as abnormal in young athletes?Right Bundle Branch Block Coronary Angiography Prevention of SCA/SCD During Exercise in Older Athletes
Geriatrics Congress and industry tired of "Doc fix" routine CMS dialed back is original proposals to soften impact on small and solo practices Merit-based incentive payments (MIPS) Advanced Alternate Payment Models 2017 How will the Quality Payment Program affect me?Current Nevada ModelsThe Challenge: Better Care, Lower Cost, Better Satisfaction Adopt or Reject the ChallengeAdoption RatesThe Journey to Rewarded Behaviors Help at Hand: Understanding Payment PoliciesQuality Improvement Organization Help at Hand: Improvement Activities Help at Hand: Advancing Care Information Discussion
. Quality Payment Program
February 2017
5488 Congress and industry tired of "Doc fix" routine CMS dialed back is original proposals to soften impact on small and solo practices Merit-based incentive payments (MIPS) Advanced Alternate Payment Models 2017 How will the Quality Payment Program affect me?Current Nevada ModelsThe Challenge: Better Care, Lower Cost, Better Satisfaction Adopt or Reject the ChallengeAdoption RatesThe Journey to Rewarded Behaviors Help at Hand: Understanding Payment PoliciesQuality Improvement Organization Help at Hand: Improvement Activities Help at Hand: Advancing Care Information Discussion
Antibiotic Stewardship Antibiotic use earlier in life associated with increased risk for colorectal adenoma (cancer precursor)Herpatitis C Transmision from inappropriate Reuse of Saline Flush Dipak Desai Hotes from the Field An oOutbreak of Salmonella Typhimurim Elimination of Screening Urine Cultures Prior to Elective Joint ArthroplastyDetermination of clinical significance of coagulase-negative staph in blood culturesAssociation of gastric acid suppression with recurrent CDIClostridium difficile rates in asymptomatic and symptomatic hospitalized patients using nucleic acid testingAdvantage of ELISA toxn testing
. Recent Literature Updates
April 2017
5481 Antibiotic use earlier in life associated with increased risk for colorectal adenoma (cancer precursor)Herpatitis C Transmision from inappropriate Reuse of Saline Flush Dipak Desai Hotes from the Field An oOutbreak of Salmonella Typhimurim Elimination of Screening Urine Cultures Prior to Elective Joint ArthroplastyDetermination of clinical significance of coagulase-negative staph in blood culturesAssociation of gastric acid suppression with recurrent CDIClostridium difficile rates in asymptomatic and symptomatic hospitalized patients using nucleic acid testingAdvantage of ELISA toxn testing
Cancer Survivorship Survivorship Care PlansHow much tie do we spend on SCP?Who and What is the SCP? Utilization Barriers to Renormalization Some Cancer and their Special ConsiderationsASCO Website & Care Plan Template
. Re-Normalizing Healthcare for Survivors & PCPs
April 2019
5482 Survivorship Care PlansHow much tie do we spend on SCP?Who and What is the SCP? Utilization Barriers to Renormalization Some Cancer and their Special ConsiderationsASCO Website & Care Plan Template
Pain Management What is Pain?Neuropathic Pain Nociceptive PainSpinal Cord Stimulation Overview Benefits of Neurostimulation How Neurostimulation Works Candidates How to Try Neurostimulation The Implant Process BurstDR Stimulation
. Role of Spinal Cord Stimulation and Target Drug Delivery
February 2019
5490 What is Pain?Neuropathic Pain Nociceptive PainSpinal Cord Stimulation Overview Benefits of Neurostimulation How Neurostimulation Works Candidates How to Try Neurostimulation The Implant Process BurstDR Stimulation
Medication-Assisted Treatment 10 Rules of Engagement Self-Assessments Create a culture of compassion Be Realistic Know your role and your limitsPunisher, Rescuer and Enabler Own our feelings Watch your mouth Watch your mouthDo not engage in your power strugglesLearn Motivational Enhancement Techniques Ask Questions Practice Self-Care
. Rules of Engagement for Addiction Patients
December 2017
5489 10 Rules of Engagement Self-Assessments Create a culture of compassion Be Realistic Know your role and your limitsPunisher, Rescuer and Enabler Own our feelings Watch your mouth Watch your mouthDo not engage in your power strugglesLearn Motivational Enhancement Techniques Ask Questions Practice Self-Care
Public Health Data from the Nevada Rural and Frontier Health Data Book Distribution Resource Maps Distribution of Population by RUCAsAll Cause Mortality Rate 2017 Diseases of the Heart 2014Malignant Neoplasm Chronic Lower Respiratory DiseaseLung, Trachea, and Broncus Cancer Leading Causes of Death 2017 Primary Medical Health Professional Shortage AreasPhysicians and Primary Care Workforce & Shortage Mental and Behavioral Health Workfoce Dental Health Professional Shortages Health Care ResourcesMajor Rural Health PolicyResources fro the Office of State Initatives and UNR School of Medicine
. Rural Health in Nevada
April 2017
5492 Data from the Nevada Rural and Frontier Health Data Book Distribution Resource Maps Distribution of Population by RUCAsAll Cause Mortality Rate 2017 Diseases of the Heart 2014Malignant Neoplasm Chronic Lower Respiratory DiseaseLung, Trachea, and Broncus Cancer Leading Causes of Death 2017 Primary Medical Health Professional Shortage AreasPhysicians and Primary Care Workforce & Shortage Mental and Behavioral Health Workfoce Dental Health Professional Shortages Health Care ResourcesMajor Rural Health PolicyResources fro the Office of State Initatives and UNR School of Medicine
Pain Management Objectives Opioid Empidemic Cost and Outcomes of Mental Health and Substance Use Disorders in the USScreening, Brief Intervention, and Referral to Treatment DSM-5 Substance/Medication - induced disorders SAMSHA's SBIRT and other screening options Initial Screening for alcohol and drug use Initial Screening for Mental Health AUDIT DAST Screening Questionnaire and Scoring
. Screening and Assessment for Health Care Providers (2017)
August 2017
5490 Objectives Opioid Empidemic Cost and Outcomes of Mental Health and Substance Use Disorders in the USScreening, Brief Intervention, and Referral to Treatment DSM-5 Substance/Medication - induced disorders SAMSHA's SBIRT and other screening options Initial Screening for alcohol and drug use Initial Screening for Mental Health AUDIT DAST Screening Questionnaire and Scoring
Pain Management Statistics on Overdose CrisisIdentifying Potential Substance Abuse Disorders Ruling Out Disorders DSM-5 Substance/Medication - induced disorders Screening Procedures Targeted Intervention Drug Screens NIAAAA Definitions for Unhealthy Drinking The AUDIT DAST Screening QuestionnaireSOAPP Opioid Risk ToolClinical Opiate Withdrawal Scale (COWS)
. Screening and Assessment for Health Care Providers (2018)
September 2018
5490 Statistics on Overdose CrisisIdentifying Potential Substance Abuse Disorders Ruling Out Disorders DSM-5 Substance/Medication - induced disorders Screening Procedures Targeted Intervention Drug Screens NIAAAA Definitions for Unhealthy Drinking The AUDIT DAST Screening QuestionnaireSOAPP Opioid Risk ToolClinical Opiate Withdrawal Scale (COWS)
Geriatrics Project ECHO OverviewDementia Definition Previous Project ECHO Nevada Diactics on DementiaWho should be screened? What do you do when you decide to screen someone?What do you do once you decide you are not dealing with depression or delirium. Validated tools Mini-Cog Montreal Cognitive Assessment (MoCA) Six-Item Cognitive Impairment Test (6-CIT) Limitations to screening Q's & A's
. Screening for Dementia
October 2019
5488 Project ECHO OverviewDementia Definition Previous Project ECHO Nevada Diactics on DementiaWho should be screened? What do you do when you decide to screen someone?What do you do once you decide you are not dealing with depression or delirium. Validated tools Mini-Cog Montreal Cognitive Assessment (MoCA) Six-Item Cognitive Impairment Test (6-CIT) Limitations to screening Q's & A's
Sports Medicine Scuba Definition Physicians and Diving Medicine Fitness to Dive Cardiovascular Health Patent Foramen Ovale Pulmonary Asthma and Diving NeurologicalENT Gastrointentinal Metabolic and Endocrine
. SCUBA Diving Medicine Part 2
March 2017
5494 Scuba Definition Physicians and Diving Medicine Fitness to Dive Cardiovascular Health Patent Foramen Ovale Pulmonary Asthma and Diving NeurologicalENT Gastrointentinal Metabolic and Endocrine
Diabetes/General Endocrinology Diabetes & Endocrine ECHO: SGLT–2 Inhibitors
Special Series Non-Melanoma Skin Cancer & Actinic KeratosisActinic Keratosis Treatment Squamous Cell Carcinoma Squamous Cell Carcinoma Treatment/Prognosis Basal Cell Carcinoma Basal Cell Carcinoma Treatment Atypical Nevi & Melanoma Melanoma Subtypes Melanoma Treatment
. Skin Cancer Prevention, Screening, and Follow-Up
May 2019
5493 Non-Melanoma Skin Cancer & Actinic KeratosisActinic Keratosis Treatment Squamous Cell Carcinoma Squamous Cell Carcinoma Treatment/Prognosis Basal Cell Carcinoma Basal Cell Carcinoma Treatment Atypical Nevi & Melanoma Melanoma Subtypes Melanoma Treatment
Complex Pediatrics Eczema (Atopic Dermatitis)Eczema (Atopic Dermatitis) Treatmentacne Vulgaris acne Vulgaris TreatmentSunburnsDealing with SunburnsWarts and molluscum
Pain Management The Cycle of Pain Sleep and Chronic Pain Obstructive Sleep Apnea2015 Sleep in America - How Pain Affects Sleep Pain intake evaluation questions The mallaampti score Epworth Sleepiness Scale (ESS) Obstructive Sleep Apnea Vs Central Sleep ApneaMedications Treatment Case Presentation
. Sleep and Pain (2019)
January 2019
5490 The Cycle of Pain Sleep and Chronic Pain Obstructive Sleep Apnea2015 Sleep in America - How Pain Affects Sleep Pain intake evaluation questions The mallaampti score Epworth Sleepiness Scale (ESS) Obstructive Sleep Apnea Vs Central Sleep ApneaMedications Treatment Case Presentation
Sports Medicine 2017 Consensus Statement on Concussion in SportCSIG's 11 'R's of SRC Management Definition of Sport Related Concussion (SRC) Biomechanical StudiesSideline Evaluation On-Field AssessmentAllowing Return to Play on Same Day Signs and Symptoms of SRC Concussion Investigations Residual Effects and Sequelae SCAT5
. Sport Related Concussio Update
June 2017
5494 2017 Consensus Statement on Concussion in SportCSIG's 11 'R's of SRC Management Definition of Sport Related Concussion (SRC) Biomechanical StudiesSideline Evaluation On-Field AssessmentAllowing Return to Play on Same Day Signs and Symptoms of SRC Concussion Investigations Residual Effects and Sequelae SCAT5
Sports Medicine Dietary Supplements FDA Investigation on Tainted Supplements Ergogenic Aids, Beta Alanine, BCAA's, Caffeine and CreatineDietary Sources of Nitrates Vitamin and Mineral Update DV Updates Multivitamins Nutrition Fads Coconut Oil & MCT Apple Cider VinegarSpirulina Ketogenic Diet Nutrigenomics
. Sports Fad Diets and Supplements
April 2017
5494 Dietary Supplements FDA Investigation on Tainted Supplements Ergogenic Aids, Beta Alanine, BCAA's, Caffeine and CreatineDietary Sources of Nitrates Vitamin and Mineral Update DV Updates Multivitamins Nutrition Fads Coconut Oil & MCT Apple Cider VinegarSpirulina Ketogenic Diet Nutrigenomics
Antibiotic Stewardship Case PresentationWhy is Staph Aureus Bacteremia Different? Essentials in the Management of S. Aureus Infection Antibiotic Selection for S. Aureus Case Study Questions
. Staph Aureus Bacteremia
August 2019
5481 Case PresentationWhy is Staph Aureus Bacteremia Different? Essentials in the Management of S. Aureus Infection Antibiotic Selection for S. Aureus Case Study Questions
Pain Management Opiodphelia to Opiodphobia History of OpioidsOpioid Misuse National Drug Overuse Deaths Involving Any Opioid Types of Opioids Opioid Receptors & Potential Problems The Reward Circuit Opioid Overdose Prevention Policy Overdose Treatment & Medication Assisted Treatment Counseling Nevada Prescription Drug Monitoring Program (PDMP)
. Strategies to Help Pain Patients
October 2019
5490 Opiodphelia to Opiodphobia History of OpioidsOpioid Misuse National Drug Overuse Deaths Involving Any Opioid Types of Opioids Opioid Receptors & Potential Problems The Reward Circuit Opioid Overdose Prevention Policy Overdose Treatment & Medication Assisted Treatment Counseling Nevada Prescription Drug Monitoring Program (PDMP)
Diabetes/General Endocrinology Case Study on Scoliosis and HypoglycemiaSub-clinical hypothyroidism definitionPossible etiologiesWhat to do? What are the reasons for action?Treatment Discussion on abnormal blood work and various endocrine problems
. Subclinical Thyroid Disorders
January 2017
5485 Case Study on Scoliosis and HypoglycemiaSub-clinical hypothyroidism definitionPossible etiologiesWhat to do? What are the reasons for action?Treatment Discussion on abnormal blood work and various endocrine problems
Medication-Assisted Treatment
Cardiology Statistics on Causes of DeathHypertrophic CardiomyopathyVentricular Tachycardia Athlete's HeartArteral Structure Anomalous Coronary ArteryMyocarditisArrhythmogenic Right Ventricular Cardiomyopathy
. Sudden Cardiac Death in Athletes
December 2017
5483 Statistics on Causes of DeathHypertrophic CardiomyopathyVentricular Tachycardia Athlete's HeartArteral Structure Anomalous Coronary ArteryMyocarditisArrhythmogenic Right Ventricular Cardiomyopathy
Cancer Survivorship Attending to a New PatientLate EffectsEarly MortalityMorbidity and Chronic Disease Second NeoplasmsCardiovascular Disease Infertility Other Late Effects Psychosocial Problems)Why Long Term Follow-Up MattersGoals for Long Term CareResources and ModelsPrimary Care
. Survivors of Childhood Cancer
February 2019
5482 Attending to a New PatientLate EffectsEarly MortalityMorbidity and Chronic Disease Second NeoplasmsCardiovascular Disease Infertility Other Late Effects Psychosocial Problems)Why Long Term Follow-Up MattersGoals for Long Term CareResources and ModelsPrimary Care
Special Series TAMIS Procedure Problems regarding Neoplasms Proper Lesion Incisions Nodal Status based on Tumor Status 'Radical Biopsy' Introduction to patients
Medication-Assisted Treatment
Antibiotic Stewardship How to inerpret the new QuantiFERON-TB Gold Plus test (QFT-Plus) TST vs QFT-PlusHow y-interferon works Differentiation between latent and active TBEvolution of ELISA IGRA TechnologySummary of QFT-Plus InterpreationSystematically assessing both qualitative and quantitative results & Exposure Scenarios Interpretation's and False PositivesTuberculosis ResourcesCDC Analogy for Tuberculosis QuantiFERON Analogy Latent Tuberculosis Infection Resources "Interpreter" Tool Clinician's Pocket Card National TB Controllers Assessment Nevada Division of Public and Behavioral HealthDiscussion
. TB Screening, Testing, Treatment, and Management
January 2019
5481 How to inerpret the new QuantiFERON-TB Gold Plus test (QFT-Plus) TST vs QFT-PlusHow y-interferon works Differentiation between latent and active TBEvolution of ELISA IGRA TechnologySummary of QFT-Plus InterpreationSystematically assessing both qualitative and quantitative results & Exposure Scenarios Interpretation's and False PositivesTuberculosis ResourcesCDC Analogy for Tuberculosis QuantiFERON Analogy Latent Tuberculosis Infection Resources "Interpreter" Tool Clinician's Pocket Card National TB Controllers Assessment Nevada Division of Public and Behavioral HealthDiscussion
Medication-Assisted Treatment
Sports Medicine Sports Medicine ECHO: The Examination of the Knee
Diabetes/General Endocrinology Body Mass IndexClassification of ObesityThe Obesity Eppidemic-USThe Economic Impact What is morbid obesity? Comorbidities associated with obesity Obesity impacts nearly every organ systemRelationship between BMI and Health Risk
. The Obesity Epidemic
April 2017
5485 Body Mass IndexClassification of ObesityThe Obesity Eppidemic-USThe Economic Impact What is morbid obesity? Comorbidities associated with obesity Obesity impacts nearly every organ systemRelationship between BMI and Health Risk
Pain Management Biopsychosocial PerspectiveBasic Ideas Biological/Physiological factors perpetuating chronic painPsychological/Emotional FactorsSocial FactorsPain Map MSQS Psychologits as Behavior Medicine Specialists
. The Pain Map
August 2017
5490 Biopsychosocial PerspectiveBasic Ideas Biological/Physiological factors perpetuating chronic painPsychological/Emotional FactorsSocial FactorsPain Map MSQS Psychologits as Behavior Medicine Specialists
Medication-Assisted Treatment
Medication-Assisted Treatment Risk Factors for AddictionAddiction and Reward PathwaysDopamineBiologically Relevant ReinforcersEffects of Drugs on Dopanine Release Discussion
Medication-Assisted Treatment The Rules of EngagementRule 1. Do A Self-AssessmentRule 2. Create A Culture of CompassionRule 3. Be Realistic Rule 4. Know Your Role Rule 5. Own Your Feelings Rule 6. Watch Your Mouth Rule 7. Do Not Engage in Power Struggles Rule 8. Learn Motivational Enhancement TechniquesRule 9. If You Don't Know, Ask Rule 10. Practice Self-Care Questions/Discussion
. Training Staff to Work with Patients Who Struggle with Addiction
September 2019
5489 The Rules of EngagementRule 1. Do A Self-AssessmentRule 2. Create A Culture of CompassionRule 3. Be Realistic Rule 4. Know Your Role Rule 5. Own Your Feelings Rule 6. Watch Your Mouth Rule 7. Do Not Engage in Power Struggles Rule 8. Learn Motivational Enhancement TechniquesRule 9. If You Don't Know, Ask Rule 10. Practice Self-Care Questions/Discussion
Complex Pediatrics Christina Jorgensen and Transgender People in the 1940s Gender Conformity Terminology Guidelines for Treatment Gender Dysphoria in children Gender dysphoria in adolescents Incidence of Gender Dysphoria Etiology of Gender Dysphoria Social transitioningMental Health Issues Diagnostic Criteria Treatment Effects of Exogenous hormonesRisks associated with hormone treatment Long term and Legal Issues
. Transgender Care for the Pediatric Patient Pt. 1
July 2018
5484 Christina Jorgensen and Transgender People in the 1940s Gender Conformity Terminology Guidelines for Treatment Gender Dysphoria in children Gender dysphoria in adolescents Incidence of Gender Dysphoria Etiology of Gender Dysphoria Social transitioningMental Health Issues Diagnostic Criteria Treatment Effects of Exogenous hormonesRisks associated with hormone treatment Long term and Legal Issues
Complex Pediatrics Transgender care statisticsHIV Barriers in Care for Transgender IndividualsHow to Address HIV Prevention for Transgender PeopleUniversal HIV ScreeninDiscussing Sexual Health HistoryPrEP versus PEPPrEP In High Risk PopulationParental consent: HIV Care PrEPPrEP and Hormonal Therapy: No Known Interactions Prescribing and Monitoring PrEDiscussing PrEP with Your PatientBarriers to PrEP PEP In High Risk PopulationsPrescribing and Monitoring PEP Barriers to PEP HIV Care in Transgender Individuals Screening for Sexually Transmitted Infections Prevention: Vaccines Discussion
. Transgender Care for the Pediatric Patient Pt. 2
September 2018
5484 Transgender care statisticsHIV Barriers in Care for Transgender IndividualsHow to Address HIV Prevention for Transgender PeopleUniversal HIV ScreeninDiscussing Sexual Health HistoryPrEP versus PEPPrEP In High Risk PopulationParental consent: HIV Care PrEPPrEP and Hormonal Therapy: No Known Interactions Prescribing and Monitoring PrEDiscussing PrEP with Your PatientBarriers to PrEP PEP In High Risk PopulationsPrescribing and Monitoring PEP Barriers to PEP HIV Care in Transgender Individuals Screening for Sexually Transmitted Infections Prevention: Vaccines Discussion
Sports Medicine Lateral Elbow PainLateral Elbow Pain Treatment Medial Elbow Pain Medial Epicondylitis Treatment Ulnar Neuropathy Treatment MedicationsChronic Disease Model of Care
. Treatment of Elbow Pain
July 2019
5494 Lateral Elbow PainLateral Elbow Pain Treatment Medial Elbow Pain Medial Epicondylitis Treatment Ulnar Neuropathy Treatment MedicationsChronic Disease Model of Care
Antibiotic Stewardship Growing Incidence of C. difficile Infection Pathogensis of C Difficile-associated DiseaseClinical Diagnosis of C-DiffFactors Underlying the Upsurge of C Difficule Difficile DiseaseNap-1 C. Diff strain- naasty superbug throughout Nevada and USAOn one end of the spectrum-severe NAP-1+ C. difficile Infection Case presenationOn the other end of the spectrum A symptomatic C.diff CarriersAre we over-diagnosing and over-treating C.difficile infection?C. Diff Lab DiagnosisDrawback to Molecular (NAT) testingNegative consequences of over-tree Advantage of ELISA toxn testingThe Overdiagnosis of Clostridium difficile Infection in the Molecular Test Era Are we over-diagnosing C.difficile infection? Bristol Stool ScaleAntibiotic stewardshipReducing C.diff InfectionIncreased virulence of NAP-1 StrainC. Diff Case StudyDiscussion
. Update on Clostridium Difficile Colitis
January 2017
5481 Growing Incidence of C. difficile Infection Pathogensis of C Difficile-associated DiseaseClinical Diagnosis of C-DiffFactors Underlying the Upsurge of C Difficule Difficile DiseaseNap-1 C. Diff strain- naasty superbug throughout Nevada and USAOn one end of the spectrum-severe NAP-1+ C. difficile Infection Case presenationOn the other end of the spectrum A symptomatic C.diff CarriersAre we over-diagnosing and over-treating C.difficile infection?C. Diff Lab DiagnosisDrawback to Molecular (NAT) testingNegative consequences of over-tree Advantage of ELISA toxn testingThe Overdiagnosis of Clostridium difficile Infection in the Molecular Test Era Are we over-diagnosing C.difficile infection? Bristol Stool ScaleAntibiotic stewardshipReducing C.diff InfectionIncreased virulence of NAP-1 StrainC. Diff Case StudyDiscussion
Diabetes/General Endocrinology
Antibiotic Stewardship IntroductionsMulti-state outbreak of SalmonellaPost-antibiotic Gu mucosal Microbiome Reconstitution is impaired by Probiotics and Improved by Autologous FMTStudy Conclusion Fecal Transplant is Linked to a Patient's Death, The FDA WarnsBiocide Resistance and Transmission of Clostridium difficile Spores Spiked onto Clinical Surfaces from an American Health Care Facility.Association of Adverse Evens with Antibiotic Use Excess Antibiotic Treatment Duration and Adverse Events in Patients Hospitalized With PneumoniaDuratio of Antibiotic Therapy: Shorter is BetterDiscussion on Antibiotic Prescription upon discharge
. Update on the Role of Probiotics in Prevention of C Diff Collitis
July 2019
5481 IntroductionsMulti-state outbreak of SalmonellaPost-antibiotic Gu mucosal Microbiome Reconstitution is impaired by Probiotics and Improved by Autologous FMTStudy Conclusion Fecal Transplant is Linked to a Patient's Death, The FDA WarnsBiocide Resistance and Transmission of Clostridium difficile Spores Spiked onto Clinical Surfaces from an American Health Care Facility.Association of Adverse Evens with Antibiotic Use Excess Antibiotic Treatment Duration and Adverse Events in Patients Hospitalized With PneumoniaDuratio of Antibiotic Therapy: Shorter is BetterDiscussion on Antibiotic Prescription upon discharge
Antibiotic Stewardship Vancomycin Use and EffectsGram Positive and Gram Negative bacteria Gram positive cottiVancomycin spectrumVancomycin Clinical UsesRed Man Syndrome Vancomycin Nephrotoxicity Consequences of Vancomycin toxicityCellulitis caseMRSA culture results can drive antibiotic de-escalationReducing Vancomycin useDiscussion
. Use and Abuse of Vancomycin
August 2018
5481 Vancomycin Use and EffectsGram Positive and Gram Negative bacteria Gram positive cottiVancomycin spectrumVancomycin Clinical UsesRed Man Syndrome Vancomycin Nephrotoxicity Consequences of Vancomycin toxicityCellulitis caseMRSA culture results can drive antibiotic de-escalationReducing Vancomycin useDiscussion
Cancer Survivorship Elderly PopulationsChildhood Populations Survivorship Care Plan Immunotherapy Considerations Immunization Principles (CDC Pink Book)
. Vaccines for Survivors
April 2019
5482 Elderly PopulationsChildhood Populations Survivorship Care Plan Immunotherapy Considerations Immunization Principles (CDC Pink Book)
Antibiotic Stewardship BackgroundFluconazoleSpectrum of Activity Local Inpatient Susceptibility RatesAmphoterrible Is Vitamin F IndicatedAsymptomatic Candiduria Symptomatic Candida CystitisCandida in the UrineCandida in the Respiratory TractOropharyngeal CandidasisVulvovaginal CandidiasisCandida Intertrigo Intraabdominal Infections (IAI)Summary of treaatment guidelines Role of the Antimicrobial Steward Comments & Questions
. Vitamin F(luconazole)
June 2018
5481 BackgroundFluconazoleSpectrum of Activity Local Inpatient Susceptibility RatesAmphoterrible Is Vitamin F IndicatedAsymptomatic Candiduria Symptomatic Candida CystitisCandida in the UrineCandida in the Respiratory TractOropharyngeal CandidasisVulvovaginal CandidiasisCandida Intertrigo Intraabdominal Infections (IAI)Summary of treaatment guidelines Role of the Antimicrobial Steward Comments & Questions
Medication-Assisted Treatment MAT DescriptionMat MedicaationsThe Importance of Narcan Opioid Related Deaths Common Barriers to MAT Accidents References and LinksDiscussion
. What is Medication-Assisted Treatment?
September 2017
5489 MAT DescriptionMat MedicaationsThe Importance of Narcan Opioid Related Deaths Common Barriers to MAT Accidents References and LinksDiscussion
Cardiology Proposed Mechanisms of DiseaseDemographicsDiagnosisTreatmentACC/AHA Treatment Guidelines HFpEF Mortality
. What the Heck is HFpEF?
March 2020
5483 Proposed Mechanisms of DiseaseDemographicsDiagnosisTreatmentACC/AHA Treatment Guidelines HFpEF Mortality
Genetics What is Whole Genome Sequencing?BioinformaticsSingle Nucleotide Polymorphisms [SNPs]Uses of Whole Genome Sequencing in Public Health
. Whole Genome Sequencing
July 2019
5487 What is Whole Genome Sequencing?BioinformaticsSingle Nucleotide Polymorphisms [SNPs]Uses of Whole Genome Sequencing in Public Health
