Prescribing Opioids to Older Adults

In this second session of the Science of Practicing Medicine CME series, Dr. Lucio Minces discusses Prescribing Opioids to Older Adults with board certified primary and addiction care Doctors Kurt DeVine and Heather Bell. At the conclusion of this presentation, participants should be able to:

1. Describe opioid prescribing that increases the risk of overdose
2. Recount aging processes that may increase risk of opioid in the patient group
3. Review co-prescribing risks and adverse events

The second CME session — Prescribing Opioids to Older Adults — is available on AffiliateNet via VPN.

Basics of Heart Failure

In this third session of the Science of Practicing Medicine CME series, Dr. Lucio Minces discusses The Basics of Heart Failure with Dr. David Miranda. At the conclusion of this presentation, participants should be able to:

1. Define the scope of the problem.
2. Understand basic heart failure pharmacotherapy and when to refer to Cardiology.
3. Understand new therapies, remote monitoring and structural heart failure.
4. Manage congestion at CentraCare.

The third CME session — Basics of Heart Failure — is available on AffiliateNet via VPN.

Delirium in Adult & Pediatric Populations

In this fourth session, Dr. Minces will discuss the Delirium in Adult and Pediatric Populations with with Dr. Claire Drom, Dr. Michael Carpenter, and Clinical Nurse Specialist Evalyn Michira . At the conclusion of this presentation, participants should be able to:

1. Identify the signs and symptoms of delirium and psychopharmacologic and non-psychopharmacologic treatment in children and adolescents. 
2. Identify standard psychopharmacologic and non-psychopharmacologic management practices in cases of adult delirium.
3. Describe HELP (Hospital Elder Life Program) components including the program roles and requirements.

The fourth CME session — Delirium in Adult and Pediatric Populations — is available on AffiliateNet via VPN and Sharepoint.

Improvement in Action: Informed Consent

Jessie Roske, MD, teams with Chelsea Bakken (MBA, BSN, RN, CPPS) as the two lead the Clinical Optimization effort at CentraCare. In this first podcast episode, Dr. Roske and Chelsea set the foundation for clinical optimization and describe a recent improvement project — Informed Consent — with Dr. Sarah Carter. Dr. Roske cites a number of guiding inspirations, not the least of which are an AMA publication titled, “Getting Rid of Stupid Stuff,” and the Ted Talk by Atul Gawande, MD, “How Do We Heal Medicine.” A significant and central theme is the importance of psychological safety, which is referenced in the pursuit of becoming a highly reliable organization and making meaningful changes that lead to improvement in the daily work of caregivers. 

The Science of Practicing Medicine

Dr. Jessie Roske discusses the new CME series, The Science of Practicing Medicine, with host Dr. Lucio Minces. Likened to a kind of Grand Rounds approach, the new CME features the latest data and best practices for standards of care. In each monthly session, Dr. Minces interviews a CentraCare specialist or subspecialist to share insights regarding a specific standard of care. 

From Dr. Roske, “We need to set our pride aside and realize that yes, we do need your humanity to connect with your patient, and we do need the art of medicine for when the pattern doesn’t fit. But we also need to accept with humility that there are agreed upon standards on the best way to do some things. And that’s how we can save lives. And it should be a data-driven thing. This is why it’s called The Science of Practicing Medicine. We call ourselves scientists, but the truth is we practice some amalgamation of science and art and gut feeling and age old practices of what medicine is. But if we’re going to be on the cutting edge of what it means to be a highly reliable organization, we need to accept the science and the data, and hold ourselves accountable to practicing to that level.”