In this episode of Rounding@IOWA, Dr. Gerry Clancy sits down with breast cancer experts Dr. Katherine Huber‑Keener and Dr. Nicole Fleege for a discussion of modifiable and non‑modifiable risk factors, modern screening tools, and practical strategies clinicians can use to guide prevention and early detection.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=82146

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guests: Nicole Fleege, MD Clinical Assistant Professor of Internal Medicine-Hematology, Oncology, and Blood and Marrow Transplantation University of Iowa Carver College of Medicine

Kathryn Huber-Keener, MD PhD Clinical Associate Professor of Obstetrics and Gynecology - General Obstetrics and Gynecology University of Iowa Carver College of Medicine

Financial Disclosures: Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour.

Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.75 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. JA0000310-0000-26-035-H99

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

Join Dr. Clancy and his guests, Drs. Evelyn Ross-Shapiro, Sarah Shaffer, and Emily Walsh, as they discuss the complex set of symptoms and treatment options for those with significant symptoms from menopause.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=81895

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guests: Evelyn Ross-Shapiro, MD, MPH Clinical Assistant Professor of Internal Medicine Clinic Director, LGBTQ Clinic University of Iowa Carver College of Medicine

Sarah Shaffer, DO Clinical Associate Professor of Obstetrics and Gynecology Vice Chair for Education, Department of Obstetrics and Gynecology University of Iowa Carver College of Medicine

Emily Walsh, PharmD, BCACP Clinical Pharmacy Specialist Iowa Health Care

Financial Disclosures: Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour.

Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.00 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. JA0000310-0000-26-029-H01

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

References/Resources:

Iowa's cancer rates are among the highest in the country, and they are rising. In this episode of Rounding@Iowa, Dr. Gerry Clancy and guest experts Dr. Mary Charlton and Dr. Mark Burkard discuss the data, risk factors, and prevention strategies clinicians can use to make a difference.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=81274

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guests: Mark E. Burkard, MD, PhD Professor of Internal Medicine-Hematology, Oncology, and Blood and Marrow Transplantation University of Iowa Carver College of Medicine Director, University of Iowa Health Care Holden Comprehensive Cancer Center

Mary Charlton, PhD Professor of Epidemiology Director, Iowa Cancer Registry Iowa College of Public Health

Financial Disclosures: Dr. Clancy, Dr. Burkard, Dr. Charlton, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour.

Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.75 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-25-090-H99

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

References/Resources:

Iowa Cancer Plan

Join Dr. Clancy and his guest, Dr. Hinkle, as they discuss rural health workforce shortages and best practices to have a positive impact.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=80982

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guests: Hana Hinkle, MD Assistant Dean for Rural Health Professions and Director of the National Center for Rural Health Professions Director, Illinois Area Health Education Center Network Program Research; Assistant Professor Departmetn of Family and Community Medicine University of Illinois College of Medicine Rockford

Financial Disclosures: Dr. Gerard Clancy, his guests, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour.

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

References/Resources:

National Center for Rural Health Professions, University of Illinois College of Medicine: https://ncrhp.uic.edu/

Illinois AHEC Network Program: https://ilahec.uic.edu/

Rural Medical Training Collaborative: https://ruralmtc.org/

Hinkle, H. E., Sheppard, A. B., Fess, K., Olson, H. R., & Squires, E. (2024). Key themes of community-oriented primary care projects from a longitudinal, rural interprofessional health professions curriculum (1997–2023). BMC Medical Education, 24(1), 1215. https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-024-06190-8

Join Dr. Clancy and his guests Dr. Daniel McCabe, Dr. Ben Miskle, and Dr. Rachel Moreland as they discuss assessing and treating intoxication and withdrawal symptoms associated with a group of atypical recreational pyschoactive substances.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=74952

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guests: Daniel McCabe, MD Clinical Associate Professor of Emergency Medicine University of Iowa Carver Colleg eof Medicine

Ben Miskle, PharmD Clinical Associate Professor of Pharmacy Practice and Science Universit of Iowa College of Pharmacy

Rachel Moreland, DO Clinical Assistant Professor in Psychiatry University of Iowa Carver College of Medicine

Financial Disclosures:

Dr. Miskle has disclosed the following relevant financial relationship: 1) Johnson & Johnson - Family owns stock.

Other faculty and planners have disclosed no relevant financial relationships. Relevant financial relationships have been mitigated.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour.

Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.00 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-25-085-H99

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistant/Associate: The University of Iowa Roy J. and Lucille A. Carver College of Medicine has been authorized by the American Academy of Physician Associates (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

ResourcesIowa Poison Control Center https://www.iowapoison.org

Join Dr. Gerry Clancy and Dr. Nicole Negbenebor as they discuss the diagnosis and treatment of hidradentis suppurativa, a chronic inflammatory skin condition that causes painful boil-like lumps on the skin.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=74646

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guest: Nicole Negbenebor, MD Assistant Professor of Dermatology University of Iowa Carver College of Medicine

Financial Disclosures: Dr. Gerard Clancy, his guests, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships .

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.5 ANCC contact hour.

Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.5 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit.

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

Resource:

Hidradenitis suppurativa: new insights into disease mechanisms and an evolving treatment landscape https://academic.oup.com/bjd/article/190/2/149/7275339

Join Dr. Clancy and Mary Kay Kusner, as they discuss guidance for clinicians with their patients on the benefits of doulas for end-of-life.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=74698

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guest: Mary Kay Kusner, MA, RCWP Pastor, Certified Death Doula

Financial Disclosures: Dr. Gerard Clancy, his guests, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships .

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour.

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

References/Resources:

Si Qi Yoong, (2022) Death doulas as supportive companions in end-of-life care: A scoping review, Palliative Medicine, Volume 36, Issue 5, https://doi.org/10.1177/02692163221080659

(2022) Are Death Doula Trainings Substantial Enough? https://deathgriefandbelief.com/death-doula-training-programs/2022

Iani L, De Vincenzo F, Maruelli A, Chochinov HM, Ragghianti M, Durante S and Lombardo L (2020) Dignity Therapy Helps Terminally Ill Patients Maintain a Sense of Peace: Early Results of a Randomized Controlled Trial, Frontiers in Psychology, Volume 11 https://doi.org/10.3389/fpsyg.2020.01468

Rawlings, Tieman, Miller-Lewis, Swetenham (2019) What role do Death Doulas play in end-of-life care? A systematic review, Health and Social Care in the Community, Vol 27, Issue 3 https://doi.org/10.1111/hsc.12660

(2023) A Brief But Spectacular take on living like we're dying, PBS NewsHour https://www.youtube.com/watch?v=Pw8ibvPM6kI

(2017) Being Mortal, Frontline, PBS https://www.pbs.org/wgbh/frontline/documentary/being-mortal/

(2016) AARP: Checklist for My Family: A Guide to My History, Financial Plans, and Final Wishes, Second Edition https://www.aarp.org/entertainment/books/bookstore/home-family-caregiving/info-2016/checklist-for-my-family.html

Cochlear implants can improve hearing for patients with severe hearing loss. Join Dr. Gerry Clancy and Dr. Alexander Claussen as they discuss how cochlear implants function, how to determine which patients are candidates, and recent advances in the technology.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=xxxxx

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guest:

Alexander D. Claussen, MD Assistant Professor of Otolaryngology/Neurotology University of Iowa Carver College of Medicine

Financial Disclosures:

• Dr. Claussen has disclosed the following relevant financial relationship: iotaMotion, Inc. - sponsored research

• Dr. Clancy and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships.

Relevant financial relationships have been mitigated.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.5 ANCC contact hour.

Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.5 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-070-H01-P Pharmacy Tech UAN: JA0000310-0000-25-070-H01-T

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

References/Resources:

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children https://pubmed.ncbi.nlm.nih.gov/35213891/

American Cochlear Implant Alliance Task Force: Recommendations for Determining Cochlear Implant Candidacy in Adults https://pubmed.ncbi.nlm.nih.gov/37435829/

Pickleball's popularity is on the rise, and so is the rate of associated injuries. In this episode, Dr. Gerry Clancy and his guest, Dr. Britt Marcussen, discuss common pickleball injuries across the lifespan, physical conditions that merit extra caution, and injury prevention techniques.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=74090

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guest: Britt Marcussen, MD Clinical Professor of Family and Community Medicine Program Director, Primary Care Sports Medicine Fellowship University of Iowa Carver College of Medicine

Financial Disclosures: Dr. Gerard Clancy, Dr. Britt Marcussen, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.5 ANCC contact hour.

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

References & Resources:

Pickbleball: Standard Review of Injury Prevelance and Prevention in a Rapidly Growing Sport. Journal of the American Academy of Orthopedic Surgeons. https://journals.lww.com/jaaos/abstract/2024/11150/pickleball__a_standard_review_of_injury_prevalence.3.aspx

Pickleball-Related Injuries Treated in Emergency Departments. The Journal of Emergency Medicine. Pickleball-Related Injuries Treated in Emergency Departments - Journal of Emergency Medicine

USA Pickleball. https://usapickleball.org/

In this episode, Dr. Carla Pies and Dr. Gregory A. Schmidt join Dr. Clancy to discuss what a Full Code entails, the intention and function of a DNR order, the public's perception of CPR and DNR, and how to have effective goals of care conversations with patients.

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=73907

Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine

Guests:

Carla Pies, DNP, ARNP, ACHPN Palliative Care Nurse Practitioner University of Iowa Health Care

Gregory A. Schmidt, MD Professor of Internal Medicine-Pulmonary, Critical Care and Occupational Medicine University of Iowa Carver College of Medicine Associate Chief Medical Officer, Critical Care Director of Critical Care Programs University of Iowa Health Care

Financial Disclosures: Dr. Gerard Clancy, Dr. Pies, Dr. Schmidt, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships.

Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour.

Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.00 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-062-H99-P; Pharmacy Tech UAN: JA0000310-0000-25-062-H99-T

Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)

References/Resources:

ACPDecisions.org

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