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 Gap: 
Practitioners may not know that incorporating the humanities into medical education can help trainees and physicians learn to be better observers and interpreters; build empathy and teamwork skills, and more.
Practitioners are unable to integrate teaching the humanities and humanism into everyday practice. 

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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:
(1) Lack of knowledge regarding the clinical features of several skin conditions seen in children. (2) Lack of understanding of potential complications associated with several skin conditions in children. (3) Lack of knowledge regarding the treatment options for several skin conditions in children

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Professional Practice Gaps: 
The magnitude of risk of vascular complications in women with Marfan Syndrome (MFS) undergoing pregnancy was previously limited by lack of knowledge of diagnosis pre-partum, limited case series resulting in publication bias with over-estimation of aortic complications, lack of standardized criteria for the diagnosis of MFS, and absence of systematic and comprehensive peri-partum imaging data. Based on the prior body of literature, the U.S. and European guidelines for the management of pregnancy in MFS have differed. Our recently published work addresses these gaps in literature and guideline discrepancies by describing a large, single-center cohort of MFS women whose pregnancies have been followed serially with detailed clinical evaluation and peri-partum imaging.

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Psychiatry Grand Rounds provides continuing education for our faculty, trainees, and the public sector. We strive to enable discussion that is both about and involves the patients, so the physician can better understand the depth of a patient's mental illness. In this series, we explore the history of policies and procedures for handling mentally ill patients and what can be done to improve care and treatment they receive, as well as to better explain various forms of mental illness and how treatment should be approached and practiced by the clinician.

Professional Practice Gaps:
Unexpected morbidity or mortality cases occur in the hospitals annually. These cases often occur due to errors which must be identified, trends explored and interventions for prevention of future errors developed. 

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Professional Practice Gaps:
Practitioners may struggle with management of intraoperative and perioperative complications. (1) Incisional hernias after renal transplantation are rare and few general surgeons have experience with this condition. (2) Concomitant arterial and venous injuries are complicated conditions faced by general surgeons. (3) Anastomotic leaks after pancreaticoduodenectomy are complex complications to manage in the postoperative period.???? 

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The orthopedic surgery grand rounds hour is a great opportunity for orthopedic surgeons, residents and support staff to gain continuing education on a variety of musculoskeletal related topics. This format allows for the interaction between practicing surgeons and those in training that encourages a healthy discourse on the latest information in the field. Case study, article review, and surgical technique lectures by qualified faculty are a few of the reasons this activity and those like it are still important and necessary for the medical community to stay informed of current concepts in our field.

PROFESSIONAL PRACTICE GAP:   
It is important for orthopedic surgeons to stay abreast of current literature and techniques related to the diagnosis and treatment of musculoskeletal tumors.    

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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
Learners may fail to determine correct timing for surgical referral of VSD closure. 

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The Neurology department is composed of a diverse group of faculty members. Some practice neurology while others are sub-specialists who are experts in their field. We also have Advanced Practice Providers, residents, fellow(s) and students from OU College of Medicine. Our aim is to provide sessions which are of value to this diverse group of attendees, providing a mix of common and uncommon neurological conditions, while also including sessions targeting quality improvement, provider wellness and professional development. Each session is 1 hour long, with a question-answer session included at the end.

Professional Practice Gap
Nutritional deficiencies are under-recognized cause of neurological manifestations.  It is important for neurologists to be well versed in the recognition, diagnosis and treatment of these disorders as part of their regular clinical practice. 

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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 Gap:
The ontological origin of kidney resident macrophages in healthy and diseased mice. Practitioners may not know how macrophage origin influences function in healthy and diseased mice.

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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: 
Practitioners fail to intensify treatment early in youth onset type 2 diabetes.
Practitioners may not know the rates of complications in youth onset type 2 diabetes.
Practitioners fail to begin screening for diabetes related complications at diagnosis in youth with type 2 diabetes.

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Psychiatry is a diverse specialty area encompassing the vast complexities of mental health, and includes both generalists and specialists. Grand rounds is a monthly one hour presentation given by psychiatry faculty to offer learning opportunities on specific  cases, conditions, regulations, procedures, updates on evidence-based therapies, and more. Because of the diversity of psychiatric conditions and treatments, a wide variety of topics are presented which are relevant to both generalists and sub-specialists. Journal club is a monthly one hour presentation given by psychiatry faculty. Dr. Ashley Walker,  to offer learning opportunities on how to read a journal article critically, to improve clinical appraisal and assimilate evidence skills, and to apply knowledge of study design and statistical methods.

Professional Practice Gap:
Practitioners may be unaware of the current local and national trends in the prevalence of opioid use disorders and how to address it in their clinical practice.  

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Pediatric Critical Care offers acute tertiary care services. PICU is designed for patients (birth through 20 years) who are in a condition of real or potential physiological instability. Care is offered to patients whose survival is dependent on life-support equipment. The PICU Journal Club is a live 60 minute discussion of journal articles and employs audience participation and integration of learning objectives. 

Professional Practice Gaps:
Practitioners (1) may not know that most preterm infants independently breathe at birth; (2) are often unable to support spontaneous breathing effectively, requiring babies to be intubated soon after birth; (3) may find it interesting to learn that failure to maintain self-ventilating from birth can be predicted by close observation of the baby’s oxygen requirement; (4) might be unaware of the benefits and pitfalls of the wide choice of interventions and devices available to support the newborn patient’s respirations.

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This is a weekly seminar that covers diverse topics presented by various professionals with special interests, training or expertise. These presentations are designed for practicing surgeons, surgical residents, ancillary staff and medical students. Speakers emphasize evidence-based research when covering a variety of topics relevant to the various areas of current surgical practice to reduce audience identified gaps. 

Professional Practice Gaps: 
Gastroesophageal reflux disease is very prevalent in society. Many medical providers are unaware of the diagnostic modalities and various interventional treatment options. Too many patients are placed on lifelong medical therapy and are not given the option of endoscopic or surgical procedures for the treatment of gastroesophageal reflux disease. This can lead to lifelong symptoms and possible increase in cancer risk.

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This is a weekly seminar that covers diverse topics presented by various professionals with special interests, training or expertise. These presentations are designed for practicing surgeons, surgical residents, ancillary staff and medical students. Speakers emphasize evidence-based research when covering a variety of topics relevant to the various areas of current surgical practice to reduce audience identified gaps. 

Professional Practice Gaps:  
A resident surgeon who aspires to become a ‘triple threat’ surgeon, who is an excellent clinician, teacher, and researcher, aspires to clear a high bar. Often deliberate systems are not in place to support trainees in their ambition. Formal programs and faculty development initiatives can be put in to place to prepare residents as best as possible for their clinical role, their teaching role, and their research endeavors.

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Psychiatry Grand Rounds provides continuing education for our faculty, trainees, and the public sector. We strive to enable discussion that is both about and involves the patients, so the physician can better understand the depth of a patient's mental illness. In this series, we explore the history of policies and procedures for handling mentally ill patients and what can be done to improve care and treatment they receive, as well as to better explain various forms of mental illness and how treatment should be approached and practiced by the clinician.

Professional Practice Gaps: 
Data support a gap in diagnosis of men with bipolar 

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Professional Practice Gaps: Meaningful peer review is essential to assure high quality literature exists. Writing a review requires skills which novice education researchers/ educators/ reviewers may not have and time which more experienced education researchers/ educators and reviewers may not have. Educational opportunities for novice reviewers to increase their skills and confidence may encourage them to more actively participate in the review process (as reviewers).

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The audience of this activity consists of Orthopedic Surgeons in Oklahoma who are fellowship-trained in foot and ankle surgery, accompanied by orthopedic surgery residents at OU performing their PGY-2 and PGY-4 foot and ankle rotations. Participants meet every month to review, discuss that same month's edition of Foot and Ankle International Journal. The aim is to expand medical knowledge in the field of foot and ankle surgery, maintain competence and up-to-date implication of evidence-based practice in foot and ankle surgery.

Professional Practice Gaps: 
The need to keep physicians and other practitioners up to date on the evidence-based medicine in foot and ankle surgery, expand medical knowledge, and maintain competence. 

Articles:

Pediatric Critical Care offers acute tertiary care services. PICU is designed for patients (birth through 20 years) who are in a condition of real or potential physiological instability. Care is offered to patients whose survival is dependent on life-support equipment. The PICU Journal Club is a live 60 minute discussion of journal articles and employs audience participation and integration of learning objectives. 

Professional Practice Gap:
Not all physicians are current on recent literature and evidence based outcomes. The ACGME now requires evidenced based medicine core curriculum to be in place. It is necessary to maintain educational standards for teaching faculty so that the EBM component may be met in their teaching agenda.