Rounding@IOWA

Join Dr. Gerard Clancy and his guests, Carol Harshman RN, Katie Ries MSW, LMSW, and Dr. Bryan Struck, as they discuss discuss guidance on best practices for goals of care discussions among those with serious illness and prognosis.

Episode Transcript

CME Credit Available

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

Guests: Carol Harshman, RN Supportive and Palliative Care Program University of Iowa Hospitals and Clinics

Katie Ries, MSW, LMSW Supportive and Palliative Care Program University of Iowa Hospitals and Clinics

Bryan Struck, MD Clincial professor of Internal Medicine - General Internal Medicine Director, Supportive and Palliative Care Program University of Iowa Hospitals and Clinics

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

CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: 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.

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.)

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Join Dr. Joe Szot and his guest, Dr. Karen Brust, as they discuss the available tools for monitoring influenza-like illness and how the data collected contributes to infection control planning.

Joseph Szot, MD Associate Dean for CME and Integrative Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine

Karen Brust, MD Clinical Associate Professor of Internal Medicine - Infectious Diseases University of Iowa Carver College of Medicine Hospital Epidemiologist University of Iowa Hospitals & Clinics

Resources:

SHEA - The Society for Healthcare Epidemiology of America

Infectious Diseases Society of America

CIDRAP - Center for Infectious Disease Research and Policy

In this episode, we discuss prevention, diagnosis, and treatment of frostbite.

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

Monica Lamb, BSN RN Assistant Nurse Manager, Burn Treatment Center University of Iowa Hospitals & Clinics

Jolyn Schneider, MSN RN Nurse Manager, Burn Treatment Center University of Iowa Hospitals & Clinics

Lucy Wibbenmeyer, MD Clinical Professor of Surgery-Acute Care Surgery University of Iowa Carver College of Medicine Director, Burn Treatment Center University of Iowa Hospitals & Clinics

References/Resources:

UIHC Health Topic: https://uihc.org/health-topics/frostbite

American Burn Association Clinical Practice Guidelines on the Treatment of Severe Frostbite. Wibbenmeyer L; Lacey AM; Endorf FW; Logsetty S; Wagner AL; Gibson AL; Nygaard RM. (2023) J Burn Care Res. DOI: 10.1093/jbcr/irad022. PMID: 37045447 https://academic.oup.com/jbcr/advance-article/doi/10.1093/jbcr/irad022/7111107

Thrombolytic Use in Management of Frostbite Injuries: Eight Year Retrospective Review at a Single Institution. Heard, J., Shamrock, A., Galet, C., Pape, K. O., Laroia, S. & Wibbenmeyer, L. (2020). (Vols. 41). (3), pp. 722-726. Journal of burn care & research : official publication of the American Burn Association. DOI: 10.1093/jbcr/iraa028. PMID: 32030427

Financial Disclosures:

Dr. Lucy Wibbenmeyer has disclosed the following financial relationships: Avita Medical Americas, LLC - Sponsored Research, Consultant; AlloSource - Consultant; MediWound Ltd. - Sponsored Research; Stratatech - Sponsored Research; PolyNovo Biomaterials Pty Ltd. - Sponsored Research

Dr. Gerard Clancy, Jolyn Schneider, Monica Lamb, and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose.

All relevant financial relationships have been mitigated.

Episode Transcript

CME Credit Available

CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.25 ANCC contact hour.

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 as they focus on promising advances in the treatment of Alcohol Use Disorder.

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

D. Lowell Yoder, MSW, LISW, IADC, ACSW Clinical Coordinator for Substance Use Disorders, Psychiatry University of Iowa Hospitals & Clinics Thad Abrams, MD, MS Director of Consult / Liaison Psychiatry Service at the Iowa City VA Medical Director at the Iowa City Free Mental Health Clinic Clinical Associate Professor University of Iowa Carver College of Medicine

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

CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=64249

CME Credit Designation: 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.

Nurses: 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.

Social Workers: As a Jointly Accredited Organization, the University of Iowa Roy J. and Lucille A. Carver College of Medicine is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 0.75 general continuing education credit(s).

Pharmacist / Pharmacy Technician: The University of Iowa Carver College of Medicine designates this 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 complete the online evaluation and provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-23-055-H01

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.)

In this episode, we explore the latest developments in weight loss drugs and how these drugs can be integrated into comprehensive weight loss treatment plans.

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

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

Billie Jo Myers, PharmD Adjunct Assistant Professor, University of Iowa College of Pharmacy Iowa City VA Health Care System

Katherine White, MD, MME, FACP Clinical Associate Professor of Internal Medicine-General Internal Medicine University of Iowa Carver College of Medicine

Resources:

MOVE! Weight Management Program https://www.move.va.gov/

Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial. Journal of General Internal Medicine. DOI: 10.1007/s11606-020-06571-x. PMID: 33835315. PMCID: PMC8034040.

Effectiveness of anti-obesity medications approved for long-term use in a multidisciplinary weight management program: a multi-center clinical experience. International Journal of Obesity. DOI: 10.1038/s41366-021-01019-6. PMID: 34811486. PMCID: PMC8881310.

Episode Transcript

Today we will discuss the state of our health workforce, and strategies to address the significant health workforce shortages we are all experiencing.

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine

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

References/Resources:

The Moral Crisis of America's Doctors

Pulse on the Nation's Nurses Survey Series: 2022 Workplace Survey

Changes in Burnout and Satisfaction with Work-life Integration in Physicians over the first 2-years of the COVID-19 Pandemic

Patterns of Moral Injury in Post 9/11 Combat Veterans and CV-19 Health Care Workers

Addressing the Healthcare Staffing Shortage

Clinician mental health and well-being during global health care crises: evidence learned from prior epidemics for COVID-19 pandemic

Latest crime survey found that the rate of murders, rapes, robberies, and aggravated assaults at U.S. hospitals dramatically increased in 2021

Comparison of Early and Late-Stage Breast and Colorectal Cancer Diagnoses During vs Before the COVID-19 Pandemic

Financial Disclosures: Dr. Joe Szot, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose.

Episode Transcript

Join us as we unravel the complexities of managing drug shortages, examine the various factors contributing to this pressing issue, and discuss potential mitigation strategies.

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine

Erin R. Fox, PharmD, MHA, BCPS, FASHP Associate Chief Pharmacy Officer, Shared Services, University of Utah Health Adjunct Professor, University of Utah College of Pharmacy

Michael Brownlee, PharmD, MS, FASHP Associate Hospital Director for Pathology, Pharmacy, and Radiology and Chief Pharmacy Officer, University of Iowa Hospitals & Clinics Clinical Associate Professor and Associate Dean, University of Iowa College of Pharmacy

References/Resources:

Drug Shortage Health and National Security Risks: Underlying Causes and Needed Reforms - Full Committee Hearing, Homeland Security & Governmental Affairs

ASHP Drug Shortages Statistics

FDA Drug Shortages & Quality Issues

Building Resilience Into the Nation's Medical Product Supply Chains - NASEM Report, March 2022

Join Dr. Szot and his guests to discuss reproductive health in patients with rheumatic and musculoskeletal diseases.

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine

Brittany Bettendorf, MD Associate Professor of Internal Medicine University of Iowa Carver College of Medicine

Emily B. Walsh, PharmD Clinical Pharmacy Specialist in the Adult Rheumatology Clinic University of Iowa Hospitals and Clinics

References/Resources:

2020 American College of Rheumatology Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Disease. https://onlinelibrary.wiley.com/doi/epdf/10.1002/art.41191

Briggs Drugs in Pregnancy and Lactation, 12th edition – text that can be physically purchased or found in Lexicomp, an online drug reference

Drugs & Lactation Database LactMed® - https://www.ncbi.nlm.nih.gov/books/NBK501922/

https://mothertobaby.org/

US Medical Eligibility Criteria for Contraceptive Use: https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html

In this episode, we examine the One Health approach to antimicrobial stewardship and the interplay of efforts in veterinary and human medicine.

Episode Transcript

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Joseph Szot, MD Associate Dean for Continuing and Integrated Medical Education Clinical Professor of Internal Medicine University of Iowa Carver College of Medicine Daniel Livorsi, MD Associate Professor of Internal Medicine Infectious Disease Specialist University of Iowa Carver College of Medicine Will Sander, DVM MPH DACVPM Assistant Professor, Department of Veterinary Clinical Medicine Director of DVM/MPH Joint Degree Program University of Illinois Urbana-Champaign

Resources:

The National Institute of Antimicrobial Resistance Research and Education (NIAMRRE)

One Health Basics (CDC)

Today we will discuss the benefits, risks and safety issues with personal electric vehicles including e-bikes, and e-scooters.

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

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

Cara J Hamann, PhD Assistant Professor of Epidemiology Core Director of Training and Education for the Injury Prevention Research Center University of Iowa

Sven Steen, MD Clinical Assistant Professor of Emergency Medicine Medical Director of University of Iowa Air Care University of Iowa