CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Join Dr. Gerry Clancy and his guests as they discuss implicit and unconscious bias in health care and how to improve the environment for patients and everyone in the work environment.

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

Lastascia Coleman, ARNP, CNM, Clinical Assistant Professor of Obstetrics and Gynecology, University of Iowa Carver College of Medicine

David Moser, PhD, Professor of Psychiatry, Vice Chair for Faculty Development in the Department of Psychiatry and the Director of Educational Outreach for the University of Iowa Carver College of Medicine’s Office of Diversity, Equity and Inclusion.  

Date Recorded: 11/6/2020

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Join Dr. Gerry Clancy and his guest, Dr. Rick Dobyns, as they discuss identification of patients who are in their last year of life and how health care providers can help these patients understand the decisions that must be made as well as how to prioritize their remaining time.

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

Rick Dobyns, MD, MPH, MSc, Clinical Professor of Family Medicine, University of Iowa Carver College of Medicine

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

Educational Objectives - After listening to this podcast, learners should be able to:

1. Recognize the increased need to address end-of-life issues as aging Baby Boomer generation patients get closer to these important periods for planning their last year of life.
2. Apply new knowledge of prognostication and trajectories of the terminal illness process to guide patients in identifying what may be their last year of life.
3. Describe the last-year-of-life concept, what decisions and directives need to happen, and how to help patients prioritize their time.

Date Recorded: 12/3/2020

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Join Dr. Gerry Clancy and his guests, Dr. Lauris Kaldjian and Mr. Joseph Clamon, as they discuss the legal and ethical complexities of surrogate health care decisions.

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

Lauris Kaldjian, MD, PhD, Associate Professor of Internal Medicine, Ethicist, University of Iowa Carver College of Medicine

Joseph Clamon, JD, Associate Vice President for Legal Affairs, University of Iowa Health Care

Educational Objectives - After listening to this podcast, learners should be able to:

1. Recognize when a clinical scenario may require a surrogate health care decision assignment.
2. Translate increases in the need for use of surrogate decision makers with changes in US demographics, increases in life expectancy, and the impact of COVID-19 on vulnerable individuals.
3. Apply new knowledge of the surrogate decision process to scenarios when legal counsel, ethics boards, and psychiatric consultation may be helpful.

Date Recorded: 11/24/2020

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Join Dr. Gerry Clancy as he and his guests explore the current state of health disparities in the US, how we got here, and reasons to feel hopeful for the future.

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

Lynette Cooper, DNP, ARNP, FNP-C, Nurse Practitioner and Clinical Assistant Professor in the University of Iowa’s College of Nursing

Denise Martinez, MD, Clinical Associate Professor of Family Medicine and Associate Dean for Diversity, Equity and Inclusion in the Carver College of Medicine

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

Educational Objectives: After listening to this podcast, learners should be able to:

1. Gain knowledge on the extent of health disparities in America
2. Understand why we have these health disparities and how they came to be in 2020
3. Apply this new understanding to improve how we deliver health care
4. Improve their health care work environment utilizing this new knowledge

References:

• Good to Great: Why Some Companies Make the Leap and Others Don't, book by Jim Collins
• Medical Apartheid: The Dark History of Medical Experimentation on Black Americans from Colonial Times to the Present, book by Harriet Washington
• We Can Do Better — Improving the Health of the American People, article in the New England Journal of Medicine
• Institute for Health Care Improvement, take the learning modules on patient safety and health disparity
• Mapping Life Expectancy, by the Virginia Commonwealth University

Accreditation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses: Effective March 18, 2020, Iowa nurses may use participation in ACCME-accredited education toward their CE requirement for licensure. A certificate of participation will be available after successful completion of the course. (Nurses from other states should confirm with their licensing boards that this activity meets their state's licensing requirements.)

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. Gerry Clancy as he and his guests discuss how COVID-19 has affected America's health disparities, and what we can do moving forward.

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

Martha Carvour, MD, PhD, Assistant Professor of Internal Medicine, Infectious Diseases Specialist, University of Iowa Carver College of Medicine

Alejandro Pezzulo, MD, Assistant Professor of Internal Medicine, Pulmonologist, University of Iowa Carver College of Medicine

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

Educational Objectives - After listening to this podcast, learners should be able to:

1. Understand the state of health disparities in the US before COVID-19 began
2. Recognize how COVID-19 has been an accelerant to these already significant health disparities
3. Apply this new knowledge to improving their clinical practice and our systems of care with particular attention to these populations that are suffering so much

Date Recorded: 11/20/2020

CME CREDIT IS NO LONGER AVAILABLE FOR THIS EPISODE

Join Dr. Gerry Clancy and his guest, Dr. Patricia Winokur, as they discuss safety and efficacy results from COVID-19 vaccine trials and take a close look specifically at the mechanism for action of mRNA vaccines.

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

Patricia L. Winokur, MD, Executive Dean and Professor of Internal Medicine and Infectious Disease Specialist, University of Iowa Carver College of Medicine

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

Dr. Patricia Winokur has disclosed the following relevant financial relationships:  

• Pfizer, Inc. - Sponsored Research
• Johnson & Johnson - Family has stock

Educational Objectives - After listening to this podcast, learners should be able to:

1. Discuss the study design for the COVID-19 vaccine trials and the questions we are starting to be able to answer.
2. Discuss the questions for which we are still awaiting solid answers.
3. Communicate to patients what the early results of these vaccine trials mean with respect to controlling the pandemic.
4. Describe what the roll-out of access to these vaccines might look like.
5. Discuss the safety profile, benefits and risks of mRNA vaccines.

Date Recorded:  11/17/2020