Program Book - Keck School of Medicine of USC - University of ...

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KECK SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTHERN CALIFORNIAOFFICE OF CONTINUING MEDICAL EDUCATIONCULTURAL AND LINGUISTIC COMPETENCE RESOURCES FORHEALTH CARE PROVIDERSCultural and Linguistic Competence in Health CareCenter for Effective Collaboration and PracticeIt is the mission of the Center for Effective Collaboration and Practice to support and promote a reoriented nationalpreparedness to foster the development and the adjustment of children with or at risk of developing serious emotionaldisturbance. To achieve that goal, the Center is dedicated to a policy of collaboration at Federal, state, and local levels thatcontributes to and facilitates the production, exchange, and use of knowledge about effective practices.http://cecp.air.org/cultural/default.htmNational Center for Cultural Competence (NCCC)The mission of the National Center for Cultural Competence (NCCC) is to increase the capacity of health and mental healthprograms to design, implement, and evaluate culturally and linguistically competent service delivery systems.http://www11.georgetown.edu/research/gucchd/nccc/NCCC Conceptual Framework and ModelThe NCCC embraces a conceptual framework and model for achieving cultural competence based on the work of Cross etal. (1989). http://www11.georgetown.edu/research/gucchd/nccc/foundations/frameworks.htmlDefining Cultural Competence: A Practical Framework for Addressing Racial/Ethnic Disparities in Health and Health CarePublic Health Rep 2003; 118: 293-302, July, 2003 / August, 2003, FEATURE ARTICLEhttp://www.med.umich.edu/multicultural/ccp/projects.htm#publicationsStudy On Measuring Cultural Competence in Health Care Delivery Settings: A Review of the LiteratureA literature assessment, sponsored by HRSA, that synthesizes and examines the measurement of cultural competence, asrelated to health care. This review will serve as a basis for decisions about the scope, content, and value of the culturalcompetence measurement profile to be developed.Sponsoring organization: U.S. Department of Health and Human Serviceshttp://www.hrsa.gov/culturalcompetence/measures/default.htmLet Everyone ParticipateProvides information on Federal programs and activities regarding language access to Federal agencies, recipients ofFederal funds, and community individuals and organizations. Also provides demographic data. http://www.lep.gov/Cultural Competency Continuing Education ProgramsAn information portal of the most recent cultural competency materials and program developments. The website offerscontinuing medical education (CME) credit and equips family physicians with awareness, knowledge, and skills to bettertreat the increasingly diverse U.S. population they serve.Sponsoring organization: U.S. Department of Health and Human Services http://www.thinkculturalhealth.org/DiversityRxPromotes language and cultural competence to improve the quality of health care for minority, immigrant, and ethnicallydiverse communities. http://www.diversityrx.org/HTML/DIVRX.htm151Page 1 of 62/20/2009
KECK SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTHERN CALIFORNIAOFFICE OF CONTINUING MEDICAL EDUCATIONNational Alliance for Hispanic HealthMission is to improve the health and well being of Hispanics. The Alliance informs consumers, supports health and humanservice providers in the delivery of quality care, improves the science base for accurate decision making by promotingbetter and more inclusive research, promotes appropriate use of technology, ensures accountability, advocates on behalfof Hispanics, and promotes philanthropy. Information in English and Spanish. http://www.hispanichealth.org/National Center for Cultural CompetenceMission is to increase the capacity of health and mental health programs to design, implement, and evaluate culturally andlinguistically competent service delivery systems. Information available in Spanish.http://www.mchgroup.org/nccc/index.htmlNational Center on Minority Health and Health DisparitiesThe mission is to promote minority health and to lead, coordinate, support, and assess the NIH effort to reduce andeliminate health disparities. NCMHD will conduct and support basic, clinical, social, and behavioral research, promoteresearch infrastructure and training, foster emerging programs, disseminate information, and reach out to minority andother health disparity communities. http://www.nih.gov/about/almanac/organization/NCMHD.htmNational Council on Interpreting in Health CareA multidisciplinary organization based in the United States whose mission is to promote culturally competent professionalhealth care interpreting as a means to support equal access to health care for individuals with limited English proficiency.http://www.ncihc.org/Think Cultural HealthProvides cultural competency continuing education programs and other resources for physicians, pharmacists, and nursesto better meet the cultural and linguistic needs of an increasingly diverse patient population. Offers a free onlineaccredited educational program for health care providers. http://www.thinkculturalhealth.org/Assessment ToolsNational Center for Cultural Competence (HRSA grantee Web site):http://www11.georgetown.edu/research/gucchd/nccc/Indicators of Cultural Competence in Health Care Delivery Organizations: An Organizational Cultural Competence Assessment Profile(HRSA-funded Web site):http://www.hrsa.gov/culturalcompetence/indicators/Provider’s Guide to Quality & Culture (not a U.S. Government Web site):http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=EnglishCultural Competency: Tools and Resources (University of Michigan)http://www.med.umich.edu/multicultural/ccp/tools.htmProviders Guide to Quality and Culture (Management Sciences for Health)http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=EnglishCulture-/Language-Specific SitesAfrican-AmericanBe Safe Workbook: A Cultural Competency Model for African Americans (HRSA grantee Web site)http://www.aidsetc.org/pdf/p02-et/et-17-00/be_safe.pdfAmerican Indian/Alaska Native/Native HawaiianClinician's Guide: Working with Native Americans Living with HIV (HRSA grantee Web site)http://www.aidsetc.org/pdf/curricula/clin_guide_native_am.pdfNative American HIV Care: A Training Platform (HRSA grantee Web site)152Page 2 of 62/20/2009
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Program Book
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Needs AssessmentOver 370,000 patien
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ACKNOWLEDGEMENTSWe would like to th
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No relevant financial relationships
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2:25 pm Vascular Access Infections,
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ESRD in 2012: Socio-economicImpactJ
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Geographic variations in adjustedin
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Adjusted all-cause & cause specific
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ESRD-International ComparisonsPreva
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Outcomes for first-time wait-listed
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NOTES______________________________
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Vascular Access Planning andPreoper
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• Veins not circular but ovoid, m
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VENOGRAM+ -CFDI+ 17(true positive)-
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• Thorough preoperative assessmen
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NOTES______________________________
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Options and Strategies forUpper Ext
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Cimino (radiocephalic) AVFPotential
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Two Stage BBAVFStage 1 anastomosis
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Brachial Artery-Brachial Vein AVFSu
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Forearm AV GraftsLarge surface area
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Comparison of brachial-basilic AVfi
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Racial differences in AVfistula rat
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THANK YOU!46
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Lower ExtremityDialysis AccessAhmed
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Lower Extremity Dialysis AccessWhat
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Lower Extremity Dialysis AccessData
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Lower Extremity Dialysis AccessData
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Thank You!LLUMC56
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NOTES______________________________
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NOTES______________________________
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When to Break the Guidelines in Vas
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efore initiation of dialysis. It fu
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NOTES______________________________
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Vascular AccessSurveillanceIs it wo
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Monitoring Vs. SurveillanceClinical
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Vascular Access Surveillance• Obs
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Vascular Access SurveillanceRandomi
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Vascular Access SurveillanceRandomi
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So why does preemptiveangioplasty n
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• ConclusionAccess Surveillance
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Management of the Non-MaturingArter
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Specific Definition• “…use of
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AVF Maturation in Clinical Practice
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Hemodialysis Fistula MaturationCons
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Physical Exam of AVF• Has an accu
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Significant Accessory VeinsSurgical
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Venous Stenosis in AVF Body/Outflow
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Deep or Excessively Tortuous AVF•
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Robert Hye, MD September 27, 2012Ka
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Page 105 and 106: Summary of CatheterManagement in CR
Page 107 and 108: Partial versus Total GraftExcision
Page 109 and 110: Infected Autogenous DialysisFistula
Page 111 and 112: Ischemic Steal Syndrome due to Hemo
Page 113 and 114: Figure 2: (From JACS 2000: Wixon et
Page 115 and 116: Theoretically the presence of a lar
Page 117 and 118: Treatment of Ischemic Steal Syndrom
Page 119 and 120: performing a femoral-femoral bypass
Page 121 and 122: Ligation may still be an option for
Page 123 and 124: arterio-venous fistula. Acta Chir S
Page 125 and 126: David Shavelle, MD September 27, 20
Page 127 and 128: Definitions• Early (Primary) Fail
Page 129 and 130: Dual-Sheath TechniqueStep 1: Thromb
Page 131 and 132: Role of Stent Placement• Stenting
Page 133 and 134: ComplicationsPulmonary Embolism~10%
Page 135 and 136: PrePostMedical Therapy• Clopidogr
Page 137 and 138: Karen Woo, MD September 27, 2012Ass
Page 139 and 140: Dilation occurs over several years
Page 141 and 142: Replace with interposition graft◦
Page 143 and 144: Heparin Proximal and distal control
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Page 147 and 148: Perioperative variableOperative tim
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Page 151: POLICY ON CULTURAL AND LINGUISTIC C
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Program Book - Keck School of Medicine of USC - University of ...

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