Episodios

  • 79: DNR: Doing it right
    Apr 8 2025

    In this episode, Dr. Carla Pies and Dr. Gregory A. Schmidt join Dr. Clancy to discuss what a Full Code entails and how actual outcomes often conflict with the public’s perceptions, the intention and function of a DNR order, and how to have effective goals of care conversations with patients.

    CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=73907

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

    Guests:

    Carla Pies, DNP, ARNP, ACHPN
    Palliative Care Nurse Practitioner
    University of Iowa Health Care

    Gregory A. Schmidt, MD
    Professor of Internal Medicine-Pulmonary, Critical Care and Occupational Medicine
    University of Iowa Carver College of Medicine
    Associate Chief Medical Officer, Critical Care
    Director of Critical Care Programs
    University of Iowa Health Care

    Financial Disclosures: Dr. Gerard Clancy, Dr. Pies, Dr. Schmidt, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships.

    Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour.

    Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.00 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-062-H99-P; Pharmacy Tech UAN: JA0000310-0000-25-062-H99-T

    Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    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.)

    References/Resources:

    ACPDecisions.org

    GOFAR Calculator

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    1 h y 4 m
  • 78: Advances in the Treatment of Pancreatic Cancer
    Mar 11 2025

    The five-year survival rate for those who undergo treatment for pancreatic cancer is 3%. Join our guest expert, Dr Joseph Cullen, as he shares the latest advances in treatment.

    CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=73375

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

    Guests:
    Joseph Cullen, MD
    Professor of Surgery - Gastrointestinal Surgery
    VA Medical Center Chief of Surgical Services
    University of Iowa Carver College of Medicine

    Financial Disclosures:
    Dr. Joseph Cullen has disclosed the following relevant financial relationship(s): McGuff Pharmaceuticals, Inc.—sponsored research. Relevant financial relationships have been mitigated.

    Dr. Gerard Clancy, his guests, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships.

    Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.25 ANCC contact hour.

    Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.25 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit.

    Pharmacist UAN: JA0000310-0000-25-055-H01-P

    Pharmacy Tech UAN: JA0000310-0000-25-055-H01-T

    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.)

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    22 m
  • 77. Challenges in Transitioning Seriously Ill Patients from Pediatric to Adult Systems of Care
    Feb 11 2025

    Join Dr. Clancy and his guests, Drs. Calhoun and Staber, as they discuss the transition of seriously ill patients from pediatric to adult systems of care.

    CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=73233

    References/Resources:

    Got Transition. https://www.gottransition.org/

    Transition to Adulthood Clinic for teens and young adults 14-30. https://cdd.center.uiowa.edu/transition-adulthood-clinic

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

    Guests:
    Amy Calhoun, MD
    Clinical Professor
    Medical Director of Iowa Newborn Screening Program
    Stead Family Department of Pediatrics
    University of Iowa Health Care

    Janice Staber, MD
    Associate Professor of Pediatrics - Hematology/Oncology
    Stead Family Department of Pediatrics
    University of Iowa Health Care

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

    CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour.

    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.)

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    55 m
  • 76: Music Therapy in End-of-Life Care
    Jan 14 2025
    Join Dr. Clancy and guest Katey Kooi for a discussion of the benefits of music therapy in palliative and end-of-life care. CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=72842 Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guest: Katey Kooi, MT-BC Music Therapist, Supportive and Palliative Care University of Iowa Health Care Financial Disclosures: Dr. Clancy, Ms. Kooi, and the members of the Rounding@IOWA planning committee have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. Pharmacist UAN: JA0000310-0000-25-039-H99-P Pharmacy Tech UAN: JA0000310-0000-25-039-H99-T Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 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.) References/Resources: Gutgsell, Kathy Jo et al. (2013) Music Therapy Reduces Pain in Palliative Care Patients: A Randomized Controlled Trial. Journal of Pain and Symptom Management, Volume 45, Issue 5, 822 – 831. Gallagher, Ragman, Rybicki. (2018) Outcomes of Music Therapy Interventions on Symptom Management in Palliative care patients. American Journal of Hospice and Palliative Medicine Vol 35(2) 250-257. Hilliard R. E. (2003). The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. Journal of music therapy, 40(2), 113–137. https://doi.org/10.1093/jmt/40.2.113 Bradt J, Dileo C, Grocke D, Magill L. (2011) Music interventions for improving psychological and physical outcomes in cancer patients.Cochrane Database Syst Rev. Aug 10;(8) Ramesh B. (2024) Role of Music Therapy in Palliative Care—Methods and Techniques. Journal of Palliative Care. https://journals.sagepub.com/doi/10.1177/08258597241235110 Whitford, Kevin J. et al.Music Therapy Intervention to Reduce Caregiver Distress at End of Life: A Feasibility Study Journal of Pain and Symptom Management, Volume 65, Issue 5, e417 - e423 https://www.jpsmjournal.com/article/S0885-3924(23)00035-0/fulltext Sarah Kordovan, Pia Preissler, Anne Kamphausen, Carsten Bokemeyer, and Karin Oechsle. (2016)Prospective Study on Music Therapy in Terminally Ill Cancer Patients during Specialized Inpatient Palliative Care Journal of Palliative Medicine 19:4, 394-399. Lopez, G., Christie, A.J., Powers-James, C. et al. (2019). The effects of inpatient music therapy on self-reported symptoms at an academic cancer center: a preliminary report. Support Care Cancer 27, 4207–4212. https://doi.org/10.1007/s00520-019-04713-4 Brungardt A, Wibben A, Tompkins AF, Shanbhag P, Coats H, LaGasse AB, Boeldt D, Youngwerth J, Kutner JS, Lum HD.(2021) Virtual Reality-Based Music Therapy in Palliative Care: A Pilot Implementation Trial. J Palliat Med. May;24(5):736-742. Ghetti, C. M., Schreck, B., & Bennett, J. (2023). Heartbeat recordings in music therapy bereavement care following suicide: Action research single case study of amplified cardiopulmonary recordings for continuity of care. Action Research, 0(0). https://doi.org/10.1177/14767503231207993
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    1 h y 2 m
  • 75: The Promises of Artificial Intelligence in Medicine
    Dec 9 2024

    Join Dr. Gerry Clancy and his guest, Dr. Jason Misurac, for a discussion of the potential for artificial intelligence to improve patient care and reduce clinician burnout, as well as acknowledgment of its limitations and potential harms.

    CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=72393

    References/Resources:

    https://link.springer.com/article/10.1186/s12911-021-01488-9
    The role of artificial intelligence in healthcare: a structured literature review
    Silvana Secinaro, Davide Calandra, Aurelio Secinaro, Vivek Muthurangu & Paolo Biancone

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

    Guest:
    Jason Misurac, MD
    Clinical Associate Professor of Pediatrics -Nephrology, Dialysis and Transplantation
    University of Iowa Carver College of Medicine

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

    Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour.

    Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-089-H99-P

    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.)

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    54 m
  • 74: Opioid Use in End-of-Life Pediatric Patients: Balancing Concerns about Benefits and Harms
    Nov 12 2024

    Join Dr. Clancy and his guests, Drs. Elizabeth Amelon, David Dickens, and Rachel Kinn as they discuss guidance for clinicians in using opiods for end of life pediatric patients.

    CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=71737

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

    Guests:
    Elizabeth Amelon, PharmD, BCPS, BCPPS
    Pediatric Clinical Pharmacy Manager, Department of Pharmaceutical Care
    University of Iowa Health Care

    David Dickens, MD
    Clinical Professor of Pediatrics - Hematology/Oncology
    University of Iowa Dance Marathon Endowed Chair in Pediatric Oncology, Clinical and Tranlational Research
    Clinical Director of Pediatric Oncology Services
    University of Iowa Health Care

    Rachel Kinn, PharmD, BCPPS
    Clinical Pharmacy Specialist, Pediatric Neurology
    University of Iowa Health Care

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

    Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hours.

    Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.75 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-087-H01-P

    Physician: 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 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Other Health Care Providers: A certificate of participation 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.)

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    50 m
  • 73: How Far Can You Swim Upstream? Practical Solutions to Addressing Social Determinants of Health in the Ambulatory Care Setting
    Oct 8 2024

    In this episode of Rounding@IOWA, Dr. Gerry Clancy hosts Dr. Michael Haugsdal and Dr. Diane Reist to discuss the critical impact of social determinants of health (SDOH) on health outcomes. The episode delves into the University of Iowa’s Upstream Initiative, which addresses SDOH through multidisciplinary efforts. Tune in to learn about practical applications of "upstreamism" and how addressing SDOH can significantly improve patient outcomes and overall healthcare quality.

    CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=70888

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

    Guests:

    Michael Haugsdal, MD
    Medical Clerkship Director, Obstetrics and Gynecology
    Clinical Associate Professor of Obstetrics and Gynecology
    University of Iowa Carver College of Medicine

    Diane Reist, BSPh, PharmD, RPh
    Pharmacy Practice Specialist
    University of Iowa Health Care

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

    Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.00 ANCC contact hour.

    Pharmacist: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-085-H99-P

    Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    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.)

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    55 m
  • 72: Hopped Up on High Protein, Supplements and Sports Drinks
    Sep 10 2024

    Join Dr. Clancy and his guests, Kira Blum, Dr. Schleich, and Dr. Slayman, as they discuss guidance for clinicians with their patients regarding the ever expanding options with dietary and herbal supplements, high protein products and sports drinks.

    CME Credit Available: https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=68899

    References/Resources:

    Examine https://examine.com/

    NatMed https://naturalmedicines.therapeuticresearch.com/

    NSF Certified for Sports Program https://www.nsfsport.com/

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

    Guests:
    Kira Blum, RDN, LD
    Director of Sports Nutrition
    University of Iowa Athletics

    Kevin Schleich, PharmD
    Clinical Pharmacy Specialist in the University of Iowa Department of Family Medicine
    University of Iowa Carver College of Medicine

    Tyler Slayman, MD
    Clinical Assistant Professor of Family Medicine
    University of Iowa Carver College of Medicine

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

    CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Nurses: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 1.0 ANCC contact hour.

    Pharmacists: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 1.0 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. UAN: JA0000310-0000-24-081-H99

    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.)

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    1 h y 7 m
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