• define TTM, its goals and rationale for use in the post-cardiac arrest patient.
• determine eligibility and exclusion criteria for TTM.
• describe and manage the effects of mild hypothermia on various body systems
• delineate the medical implications as the patient progresses through the phases of TTM therapy: induction, maintenance, re-warming and normotherima.

Objectives
At the end of the presentation, attendees will be able to:

• discuss the implications of healthcare reform on the care delivery system.
• describe current successful models of collaboration between private practice physicians and hospitals based on clinical integration across the care continuum
• articulate the legal requirements of the clinical integratin model, and how it relates to clinical quality,
• discuss what Providence California Region is doing to support physicians in continuing to deliver high quality care in the practice model of their choice.

This activity is designated for a maximum of .75 AMA PRA Category 1 Credit(s)^TM.

OBJECTIVES At the end of the presentation, attendees will be able to:

• identify who is at risk for Vitamin D deficiency and recognize the signs and symptoms.
• conduct an appropriate work-up for Vitamin D status and interpret results.
• incorporate into practice the latest recommendations for prevention and treatment of Vitamin D deficiency.
• identify cultural/linguistic factors that impact the epidemiology, incidence, diagnosis, treatment, clinical course, and/or long-term outcomes of Vitamin D deficiency.

OBJECTIVES At the end of the presentation, attendees will be able to:

• identify areas inhabited by snakes, spiders and other critters and the risks involved in critter/human encounters.
• describe patients at risk for adverse reactions to bites from snakes, spiders and other critters.
• develop a clinical approach for preventing and managing envenomations.
• determine the link between envenomations, adverse outcomes and socio-cultural factors.

  This activity is designated for a maximum of .75 AMA PRA Category 1 Credit(s)^TM

OBJECTIVES
At the end of the presentation, attendees will be able to:

• cite the provisions of the ARRA related to HIT and EMR and determine the potential impact on hospitals and physicians in California.
• discuss how physicians can best prepare for adoption of HIT and receive federal subsidy for implementation of “meaningful use” of EMR.
• determine how PH&S California Region is assisting in the HIT alignment of physician groups and hospitals.
• identifycultural/linguistic factors such as computer literacy that impact the long-term outcomes of HIT adoption.

This activity is designated for a maximum of .75 AMA PRA Category 1 Credit(s)^TM.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• recognize the signs and symptoms of common orthopedic injuries, including fractures, shoulder dislocation, arthritis of the hip, shoulder and knee, ACL tears, etc.
• conduct an appropriate work-up and make the differential diagnosis.
• incorporate current evidence-based strategies for successful management of common orthopedic injuries and/or refer to a specialist.
• identify cultural/linguistic factors or cultural disparities that impact the long-term outcomes of patients with common orthopedic injuries.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• perform an initial history, evaluation, examination, and work-up of the patient presenting with hand pain and make the differential diagnosis.
• appropriately order diagnostic imaging.
• appropriately manage hand pain and know when to refer to a specialist.
• determine cultural factors that can affect the epidemiology or perception of hand injuries

OBJECTIVES
At the end of the presentation, attendees will be able to:

• perform an initial history, evaluation, examination, and work-up of the patient presenting with low back pain and make the differential diagnosis.
• appropriately order diagnostic imaging.
• appropriately manage acute and chronic low back pain and know when to refer to a specialist.
• determine cultural factors that can affect the epidemiology or perception of low back pain.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• recognize the signs and symptoms of shoulder and joint injuries.
• determine appropriate work-up and/or referral.
incorporate current evidence-based strategies for successful surgery and management of shoulder and joint injuries.
• identify cultural/linguistic factors or cultural disparities that impact the long-term outcomes of patients with orthopedic injuries.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• recognize the risk factors for and clinical manifestations of ruptured intracranial aneurysms.
• conduct an appropriate work-up and make the diagnosis.
• choose appropriate intervention for ruptured intracranial aneurysm repair.
• identify cultural factors or cultural disparities that impact the epidemiology, incidence, diagnosis, treatment, clinical course, and/or long-term outcomes of ruptured intracranial aneurysms.

OBJECTIVES At the end of the presentation, attendees will be able to:

• determine the signs and symptoms and most likely scenario leading to concussion in the athlete.
• determine the appropriate work-up for the diagnosis of concussion in the athlete.
appropriately manage concussion in the athlete, and implement a plan for assessment, diagnosis and long-term follow-up of post concussive symptoms.
• identify cultural/linguistic factors that impact the epidemiology, incidence, diagnosis, treatment, clinical course, and/or long-term outcomes of concussion in the athlete.

OBJECTIVES At the end of the presentation, attendees will be able to:

• Enjoy peace and tranquility in the world.
• Improved understanding and access to the Roy and Patricia Disney Family Cancer Center.

This activity is designated for a maximum of .75 AMA PRA Category 1 Credit(s)^TM.

OBJECTIVES At the end of the presentation, attendees will be able to:

• determine indications and patient selection for radiotherapy in lung cancer patients.
• describe efficacy, safety and long-term outcomes for radiotherapy in lung cancer patients.
• identifycultural/linguistic factors that impact the treatment, clinical course, and/or long-term outcomes of radiotherapy in lung cancer patients.

FACULTY DISCLOSURE: According to CMA guidelines for faculty/planner disclosure of commercial support, we are required to announce the following:
Dr. Koopersmith states she has no disclosures. Dr. Friedman states he has no disclosures.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• discuss why fertility preservation options are important for young women with cancer.
• determine efficacy and safety of current techniques for fertility preservation.
• determine efficacy and safety of current techniques for invitro fertilization.
• avoid medical risks associated with induction of ovulation, pregnancy, and cancer.
• identifycultural/linguistic factors, cultural disparities, and/or moral and ethical dilemmas that impact fertility preservation in women with cancer.

FACULTY DISCLOSURE: According to CMA guidelines for faculty/planner disclosure of commercial support, we are required to announce the following:
Dr. Tatevossian states he has no disclosures. Dr. Hoffman states he has no disclosures.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• recognize the symptoms and mechanism of common pain syndromes and make an accurate diagnosis.
• implement safe and effective strategies to treat common pain syndromes.
• identify cultural/linguistic factors that impact pain expression and pain management.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• define POLST, determine to whom it applies, summarize the law and the POLST form.
• articulate the legal and ethical rationale for POLST.
• outline recommended policies and implement POLST.
• identify cultural/linguistic factors that impact the implementation and intended outcomes of POLST.

FACULTY DISCLOSURE: According to CMA guidelines for faculty/planner disclosure of commercial support, we are required to announce the following: Dr. Freyer states he has no disclosures. Dr. Schwartz states she has no disclosures.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• discuss the need for physicians and mental health professionals trained in the long-term follow-up of childhood cancer survivors, as it relates to toxicity of surgery, chemotherapy and radiation treatment, and post-traumatic stress.
• discuss the lack of progress in survival rates for young adults with cancer.
• incorporate best practices in the follow-up care of adult survivors of childhood cancer.
• identify cultural/linguistic factors that impact the long-term care of adult survivors of childhood cancer.

FACULTY DISCLOSURE: According to CMA guidelines for faculty/planner disclosure of commercial support, we are required to announce the following: Dr. VanderSpek states she has no disclosures. Dr. Botnick states he has no disclosures.

OBJECTIVES
At the end of the presentation, attendees will be able to:

• determine indications and patient selection for radiotherapy in GI cancer patients.
• describe efficacy, safety and long-term outcomes for radiotherapy in GI cancer patients.
• identify cultural/linguistic factors that impact the treatment, clinical course, and/or long-term outcomes of radiotherapy in GI cancer patients.

Satisfies DHS radiology requirement.

This activity is designated for a maximum of .75 AMA PRA Category 1 Credit(s)^TM.

Objectives
At the end of the presentation, attendees will be able to:

• define the basics of a clinical trial, including Phases1-4
• determin who is a candidate for a clinical trial
• describe thte rationale for clinical trials, including quality improvement
• discuss the ethical basis of placebos.
• identify cultural disparities in the licnical trial process that impact patient selections for and/or outcomes of clinical trials

OBJECTIVES
At the end of the presentation, attendees will be able to:

• define and distinguish sepsis, severe sepsis and septic shock.
• recognize patients who are at risk for developing sepsis
• order appropriate tests for sepsis
• treat according to evidence-based guidelines, and/or know when to call the Rapid Response Team
• identify cultural/linguistic factors that impact the epidemiology, incidence, diagnosis, treatment, clinical course, and/or long-term outcomes of sepsis.