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 EDUCATIONhttp://www.mpaetc.org/scripts/prodview.asp?idproduct=95Changing Directions: Strengthening the Shield of Knowledge (HRSA grantee Web site)http://www.aidsetc.org/aidsetc?page=et-04-01Native Hawaiian Healthhttp://www.nativehawaiianhealth.net/ (HRSA grantee Web site)Asian American/Pacific IslanderProvider’s Guide to Quality & Culture Asian American and Pacific Islander Seminars (Not a US Government web site)http://erc.msh.org/aapi/index.htmlShaman and Physicians Partner for Improving Health for Hmong Refugees (HRSA grantee Web site)http://www11.georgetown.edu/research/gucchd/nccc/documents/Cultural_Broker_Guide_English.pdf#search=%22Shaman%20and%20Physicians%20Partner%20for%20Improving%20Health%20for%20Hmong%20Refugees%22Hispanic/Latino/SpanishPuertas de Diversidad: Culturally Guided Interventions with Latinos (HRSA grantee Web site)http://www.mpaetc.org/scripts/prodview.asp?idproduct=102USA-Mexico Border Health Cultural Competency Page (HRSA grantee Web site)http://borderhealth.raconline.org/topics/topic.php?topic=cultural%20competencyTraining Providers Who Serve Mono/Bilingual Spanish Speaking Clients(HRSA grantee Web site) http://www.aidsetc.org/ppt/pacific_latinos.pptLatino Be Safe Workbook: A Cultural Competency Model for Latinos (HRSA grantee Web site)http://www.aidsetc.org/pdf/p02-et/et-17-00/be_safe_latino.pdfWhy The Difference InitiativeDesigned to increase provider awareness about disparities in health care. The website also provides a Speaker’sKit to help physicians talk to patients about cardiovascular care.Sponsoring organization: Kaiser Family Foundation http://www.kff.org/whythedifference/The Cross Cultural Health Care ProgramServes as a bridge between communities and health care institutions to ensure full access to quality health carethat is culturally and linguistically appropriate. Provides a combination of cultural competency trainings,interpreter trainings, research projects, and community coalition building. Sponsoring organization: CrossCultural Health Care Program http://www.xculture.org/Physician Toolkit and Curriculum: Resources to Implement Cross-Cultural Clinical Practice Guidelines for MedicaidPractitionersThis toolkit aids healthcare providers in the practical application of the Cross-Cultural Clinical Practice Guidelines.It introduces the basic fundamentals of cross-cultural practice and offers steps and processes essential todelivering quality care to culturally diverse populations.Sponsoring organization: HHS Office of Minority Health http://www.omhrc.gov/assets/pdf/checked/toolkit.pdfAssessment of Organizational Cultural CompetenceSurvey tool to assist organizations in assessing their level of cultural competency.Sponsoring organization: Association of University Centers on Disabilitieshttp://www.aucd.org/councils/multicultural/Cultural_Competence_Survey.htmThe Provider's Guide to Quality and CultureDesigned to assist healthcare organizations throughout the United States in providing high quality, culturallycompetent services to multi-ethnic populations.Sponsoring organization: Health Resources and Services Administrationhttp://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=English153Page 3 of 62/20/2009
KECK SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTHERN CALIFORNIAOFFICE OF CONTINUING MEDICAL EDUCATIONDictionary of Health Related Terms, 3rd Edition (English - Spanish)An instrument for health care personnel and other professionals working with the Latino population in the UnitedStates. Purpose is to strengthen communication between Spanish-speaking populations and the health workersserving them, and facilitate dialogue by reducing cultural and linguistic barriers.Sponsoring organization: California Office of Binational Border Health http://www.uctv.tv/calpen_spanish/English-Spanish.pdfA Guide to Planning and Implementing Cultural Competence Organizational Self-AssessmentA guide of self-assessment activities including the development of knowledge and products, dissemination, andthe provision of technical assistance and consultation.Sponsoring organization: National Center for Cultural Competencehttp://www11.georgetown.edu/research/gucchd/nccc/documents/ncccorgselfassess.pdfA Guide to Choosing and Adapting Culturally and Linguistically Competent Health Promotion MaterialsProvides guidance on how to assure that health promotion materials reflect the principles and practices of culturaland linguistic competence.Sponsoring organization: National Center for Cultural Competencehttp://www11.georgetown.edu/research/gucchd/nccc/documents/Materials_Guide.pdfHablamos JuntosMission is to improve communication between health care providers and their patients with limited Englishproficiency. To accomplish this they develop affordable models that will help doctors, hospitals and their staffcare for a changing patient population by funding ten demonstration sites in regions with established or emergingfast-growing Latino populations. Also includes resources on interpreter services, signage, and developing Spanishlanguage materials.Sponsoring organization: Robert Wood Johnson Foundation http://www.hablamosjuntos.org/default.aspLimited English Proficiency (LEP) and Hispanic Worker InitiativeProvides a variety of resources regarding multilingual and multicultural strategies for serving job seekers andworkers with limited English proficiency.Sponsoring organization: Employment and Training Administration http://www.doleta.gov/reports/dpld_lep.cfmSpecial PopulationsGay, Lesbian, Bisexual, Transgenderhttp://www.aidsetc.org/pdf/p02-et/et-17-00/msm_toolkit.pdfGay and Lesbian Medical Associationhttp://www.glma.org/Children with Special Health Care Needshttp://www.familyvoices.org/diversity_statement.htmGeriatricCurriculum In Ethnogeriatric EducationThis second edition of the five modules in the Core Curriculum in Ethnogeriatrics was developed by members ofthe Collaborative of Ethnogeriatric Education in 1999 and 2000, with support from the Bureau of HealthProfessions, Health Resources and Services Administration. The first edition of the Curriculum was reviewed,revised, and expanded by working groups from the membership of the Collaborative. This group is composed offaculty from 31 Geriatric Education Centers throughout the United States which serve as regional resourcecenters for geriatric education for multiple health care disciplines. The modules were developed to serve as abasic generic curriculum in ethnogeriatrics. Ethnic specific information is included as examples of the conceptsonly. http://www.stanford.edu/group/ethnoger/index.htmlThe content of this site introduces a clinical tool for ethnogeriatric education, the ETHNICS Mnemonic. Each module154Page 4 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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Influence of Access Type onInfectio
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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 and 152: POLICY ON CULTURAL AND LINGUISTIC C
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