Internal Medicine is a diverse specialty area encompassing all the systems of the body, and includes generalists and subspecialists. Grand rounds is a weekly one-hour presentation incorporating active learning techniques including: case studies, the audience responds to questions with audience response systems, small group discussions, panel discussions, and question and answer opportunities. Because of the diversity of internal medicine and the wide range of diverse clinical cases seen, a wide variety of topics are presented which are relevant to both generalists and subspecialists.

Professional Practice Gaps:
Gap 1: Silica is a commonly present inhaled inorganic antigen worldwide.  It remains often unrecognized, yet is linked to irreversible and deadly lung disease. 
Gap 2: Groups of people from underserved populations in Oklahoma are subject to high exposure and resultant elevated risk of developing silicosis.

Learning Objectives: Upon completion of this session, participants will improve their competence and performance by being able to:
Identify worldwide risks associated with exposure to silica. 
Categorize the phenotypes of related lung diseases. 
Integrate screening strategies into daily practice. 
Formulate preventative and therapeutic strategies.

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Pediatrics is a diverse specialty area encompassing all the systems of the body, and includes generalists and sub-specialists. Grand rounds is a weekly one hour presentation incorporating active learning techniques including: case studies, the audience responds to questions with audience response systems, small group discussions, panel discussions, and question and answer opportunities. Because of the diversity of pediatrics and the wide range of diverse clinical cases seen, a wide variety of topics are presented which are relevant to both generalists and sub-specialists.

Professional Practice Gaps: 
1)  Practitioners may not know the different types of cannabis and tobacco products their patients may be using
2)  Practitioners may not know which tobacco products are popular among their patients
3)  Practitioners fail to query about specific types of cannabis and tobacco product use, including vaping, despite their popularity among younger users
4)  Practitioners may not know the demographic correlates or patterns of cannabis, tobacco, and alcohol use among their patients


Learning Objectives: Upon completion of this session, participants will improve their competence and performance by being able to:
1)  Paraphrase health risks related to cannabis and tobacco co-use; 
2)  Recognize the different types of cannabis and tobacco products and their co-use; 
3)  Employ knowledge about cannabis, alcohol, and tobacco use and co-use to screening and assessment with patients  

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Overall Professional Practice Gap: Despite being the most common cardiac arrhythmia, the current model of healthcare delivery in atrial fibrillation consists of siloed outpatient clinics with little coordination between primary care physicians, neurologists, general cardiologists and electrophysiologists. Many healthcare professionals might be unfamiliar with evidence-based practice guidelines which emphasize the need for treating different aspects of atrial fibrillation in a patient-centered, multidisciplinary fashion. An atrial fibrillation center of excellence is a system of multidisciplinary integrated healthcare providers that delivers state of the art high quality care which has been shown to improve outcomes.

Session Professional Practice Gaps:  Antiplatelet therapy is commonly used in patients with cardiovascular disease, particularly after acute coronary syndrome. Many of these patients may be seen and followed by CV Team Members in the cardiology or primary care clinics after the initiation of antiplatelet therapy. Some CV Team Members many not possess up-to-date knowledge about these drugs to provide safe and effective care. This session is intended to offer instruction on the basic pharmacology of antiplatelet agents to the CV Team.

Session Learning Objectives:  Upon completion of this session, participants will improve their competence and performance by being able to:  
1.            Review the pharmacology of commonly used antiplatelet drugs in cardiovascular disease.
2.            Explain the basic principles involved in the safe and effective use of antiplatelet drugs.

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Congenital heart disease frequently encompasses derangements of all bodily systems. For this reason a wide variety of specialty areas are required in order to care for these complex patients. Each week we hold a multidisciplinary conference where the management of these patients is discussed. The duration of the conference is generally 1.5 - 2 hours, and active participation by all attendees is encouraged via case studies, the audience responding to questions, small group discussion, and question and answer opportunities. The ultimate goals of the conference are:
1) to assure that the needs of the patient are understood.
2) The needs of the the patient are being met
3) A long-term care plan is developed, and 
4) Adequate communication with the patient or their care-provider is being performed.

Professional Practice Gap:
A wide variety of specialty areas are required in order to care for congenital heart disease patients. There is a need to review diagnostic and treatment issues and options.

Trauma Grand Rounds is a monthly, one hour conference related to care for the trauma patient. A wide variety of topics and clinical scenarios will be discussed with audience participation and feedback on presented issues. 

Session Professional Practice Gap:
Increasing awareness due to a potential lack of knowledge related to potential lack of knowledge related to volume status and resuscitation of trauma ICU patients.

Session Learning Objectives: Upon completion of this session, participants will improve their competence and performance by being able to: 
1.  Discuss the different tools available to help assess volume status.
2.  Review the literature for different assessment methods related to volume status.
3.  Identify the different US methods for volume status assessment.

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This live activity will target an audience of physicians, residents, physician extenders and support staff specializing in the field of dermatology. Subjects and formats will vary as followed:

• Grand Rounds: (Approximately 45% of the time) Utilizing expert leaders in their field and resident speakers this conference each week a lecture will be presented in order to bring the most up-to-date information to the local dermatology community. Moreover, Q&A sessions will offer a unique and personalized interaction with faculty and other leaders.
• Morphology Conf. (Approximately 45% of the time)  This is a conference of live patients or virtual patient presentations. Evaluation of skin findings by attendees is followed up by morphologic description and differential diagnosis given by dermatology residents. Subsequent history is given by the physician presenting the case and departmental dermatopathologists present the path slides via video connection. This is followed by a round table discussion of the patient’s case and proper management.M&M (approx. 4 times/year) This live meeting will target an audience of physicians, residents, physician extenders and support staff involved in the practice of dermatology. The course director will identify cases of patient care for discussion. The care provided will be detailed and options to improve patient care will be identified. Discussion among all participants will be highly encouraged and facilitated by the course director. Practical examples will be utilized whenever possible. 2 to 3 case scenarios will be discussed at each session. Patient and provider confidentiality will be maintained as strictly as possible. Each participant will sign a “Confidentiality Agreement” keeping strict compliance with The University of Oklahoma’s OUHSC COM policy number 736 “Standards for Conducting Morbidity and Mortality Conferences as Peer Review”. 

Professional Practice Gaps:
Practitioners may have difficulties describing and integrating cutaneous findings for rare dermatologic diseases. Cases will be presented to improve evaluation and diagnosis.
Practitioners may have difficulties relating the path report to the patient's condition. Through active review of the pathology with the dermatopathologist this situation will be improved.
Patients may not respond to first-line treatments and practitioners may have difficulty developing additional strategies. Cases selected/presented will provide the opportunity to explore various treatment options.

In this regularly scheduled series, four quarterly meetings with 2 hours of CME each will integrate course content to increase physicians' awareness of the broad cultural context of their patients. The presentations will enhance physicians' incorporation of this knowledge into an effective treatment plan that includes up-to-date evidence-based biological and psychotherapeutic treatments in culturally sensitive patient care. Methods and content include patient case studies, sessions focused on the interface of medical conditions (such as cancer or COVID-19) with psychiatric problems, presentations focusing on evidence-based treatments, and panels to increase physician leadership and address needs of the mentally ill in Oklahoma. A special focus on the opioid epidemic will assist psychiatrists in addressing these common problems in their patients.

Professional Practice Gaps:
(1) Practitioners may not recognize medical career leadership opportunities and the necessary skills and abilities conducive to leadership. (2) Despite the chronic, relapsing, and remitting nature of psychiatric disorders, current psychiatric practitioners typically compress the mental health assessment of psychosocial and life course history into a fraction of the time allotted for diagnostic assessment, potentially missing valuable clues to individual life parameters that may contribute meaningfully to the patient’s overall clinical condition.

Learning Objectives:  Upon completion of this session, participants will improve their competence and performance by being able to: 
1. Demonstrate medical leadership opportunities to improve provider health care practice settings and patient health care delivery. 
2. Define core leadership facts to master for successful physician leadership careers.
3. Name interventions to improve leadership skills.
4. Identify the strengths and limitations of standard methods for mapping psychosocial history
5. Recognize digital psychiatry methods for mapping the psychosocial history
6. Discuss the role of patient and provider preference in optimizing mental health diagnostic assessment
7. Discuss opportunities for advancing the digital assessment of mental health

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This live activity will target an audience of physicians, residents, physician extenders and support staff specializing in the field of dermatology. Subjects and formats will vary as followed:

• Grand Rounds: (Approximately 45% of the time) Utilizing expert leaders in their field and resident speakers this conference each week a lecture will be presented in order to bring the most up-to-date information to the local dermatology community. Moreover, Q&A sessions will offer a unique and personalized interaction with faculty and other leaders.
• Morphology Conf. (Approximately 45% of the time)  This is a conference of live patients or virtual patient presentations. Evaluation of skin findings by attendees is followed up by morphologic description and differential diagnosis given by dermatology residents. Subsequent history is given by the physician presenting the case and departmental dermatopathologists present the path slides via video connection. This is followed by a round table discussion of the patient’s case and proper management.M&M (approx. 4 times/year) This live meeting will target an audience of physicians, residents, physician extenders and support staff involved in the practice of dermatology. The course director will identify cases of patient care for discussion. The care provided will be detailed and options to improve patient care will be identified. Discussion among all participants will be highly encouraged and facilitated by the course director. Practical examples will be utilized whenever possible. 2 to 3 case scenarios will be discussed at each session. Patient and provider confidentiality will be maintained as strictly as possible. Each participant will sign a “Confidentiality Agreement” keeping strict compliance with The University of Oklahoma’s OUHSC COM policy number 736 “Standards for Conducting Morbidity and Mortality Conferences as Peer Review”. 

Professional Practice Gaps:
Practitioners may have difficulties describing and integrating cutaneous findings for rare dermatologic diseases. Cases will be presented to improve evaluation and diagnosis.
Practitioners may have difficulties relating the path report to the patient's condition. Through active review of the pathology with the dermatopathologist this situation will be improved.
Patients may not respond to first-line treatments and practitioners may have difficulty developing additional strategies. Cases selected/presented will provide the opportunity to explore various treatment options.