This course has been created to offer relevant, succinct, and evidence-based information for you (and your learners) in both classroom and clinical teaching settings.  The course is designed to be reviewed and engaged with in its entirety (as the earlier modules/lessons lay the foundation for the strategies and tips that follow and promote an understanding and appreciation of how and why to use specific strategies and approaches). However, the information can also be used in a just-in-time manner for key strategies/tips as you need them and/or for reference on an ongoing basis.

Time to complete: approximately 30 minutes.

CME credit available

Learning Objectives

• Define feedback and differentiate it from evaluation.

• Recognize the role of feedback in learners’ professional development.

• Identify barriers and enablers to providing effective feedback.

• Review a variety of feedback frameworks, models and strategies.

• Create your own feedback toolkit with tips, strategies and ideas about how to provide effective feedback to your learners.

Target Audience: Faculty, instructors, preceptors and others who provide feedback to learners.

This activity will provide some background on the use of alternative medicines, including where they have been helpful to some, and will also take a scientific look at the effectiveness of these medicines on treating disease. It was adapted from an in-person talk, originally delivered by Ali J. Olyaei, PharmD, BCPS, on February 10, 2020, as part of the 2020 Primary Care Review Conference provided by the Division of Continuing Professional Development, OHSU.

Time to complete: approximately 35 minutes.

Credit fee: CME credit not currently available

Learning Objectives

By the end of this lesson you should be able to:

• Identify populations who may benefit from complementary and alternative medicines.

• Understand some of the quality and safety concerns surrounding supplements.

• Apply research on supplements towards the effective treatment of patients.

Target Audience: Family physicians, internists, hospitalists, nurse practitioners, physicians assistants, and other primary care health care providers.

This activity will provide some specific, evidence-informed strategies around communication, with respect to talking to patients about antibiotics and vaccinations. It was adapted from an in-person talk, originally delivered by Theresa Liao M.D., FACP on May 31, 2019, as part of the 2019 Infectious Diseases for the Non-Specialist Conference provided by the Division of Continuing Professional Development, OHSU.

Time to complete: approximately 30 minutes.

Credit fee: CME credit not currently available

Learning Objectives

By the end of this lesson you should be able to:

• Appreciate the role of effective communication for a variety of clinical outcomes.

• Utilize specific evidence-informed communication techniques in communicating with patients when antibiotics are not needed.

• Utilize specific evidence-informed communication techniques in communicating with patients when there is hesitancy about vaccinations.

• Demonstrate greater awareness of larger societal communications around antibiotics and vaccines.

Target Audience: Family physicians, internists, nurse practitioners, physicians assistants, and other primary care health care providers.

This activity will address the quick, easy to remember, upper and lower extremity neurological exams. It will also cover reflexes, with a focus on strength and sensation. Lastly, it it will provide examples of some quick, easy exams that can be replicated in your clinic. It was adapted from an in-person talk, originally delivered by Nels Carlson M.D. on February 13, 2020, as part of the 2020 Primary Care Review Conference provided by the Division of Continuing Professional Development, OHSU.

Time to complete: approximately 45 minutes.

Credit fee: CME credit not currently available

Learning Objectives

By the end of this lesson you should be able to:

• Understand how to integrate your anatomy knowledge with the history and/or physical exam to make a diagnosis.  
• Recognize what physical exam findings would be associated with specific diagnosis.
• Identify upper and lower extremity nerve and muscle anatomy.
• Apply anatomy to a clinical situation.

Target Audience: Family physicians, internists, hospitalists, nurse practitioners, physicians assistants, and other primary care health care providers.

This activity is designed to provide a primer on a telehealth services and what’s involved with the various aspects of telehealth.

Key points:

• Telehealth is a rapidly advancing field attempting to correct provider shortages, wage gaps, and increasing burnout rates.
• There has been increasing data on the use of telehealth.
• There are a unique set of “webside manners” needed for virtual medicine.
• As with other aspects of health care, it is important to consider issues of equity when implementing telehealth options.

Time to complete: approximately 45 minutes.

Credit fee: CME credit not currently available

Learning Objectives

By the end of this lesson you should be able to:

• Describe the spectrum of telehealth modalities including synchronous vs asynchronous care platforms.
• Define "Webside" manners and employ them to conduct a more effective patient encounter.
• Identify limitations of digital visits and strategies to mitigate them.
• Follow current rules and regulations pertinent to the telehealth.
• Understand the “digital divide” and use an inclusive and critical mindset in the practice of telehealth.

Target Audience: LIPs currently using telehealth as a visit type; researchers using telehealth for research visits; and health professional trainees, including medical students, nursing students, physician-assistants, dental students, residents and fellows.

American Medical Association:  Oregon Health & Science University School of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity will address some of the facts and fictions out there about nutrition in general, but with a focus on cardiovascular nutrition, as this field more than any other field in medicine has a lot of opinions based on nutrition, versus facts. Think of this activity as a way to cut through some of the clutter. Evidence based recommendations for cardiovascular risk reduction will also be provided. It was adapted from an in-person talk, originally delivered by Tracy Severson, R.D., L.D. on February 15, 2019, as part of the 2019 Primary Care Review Conference provided by the Division of Continuing Professional Development, OHSU.

Time to complete: approximately 45 minutes.

Credit fee: CME credit not currently available

Learning Objectives

By the end of this lesson you should be able to:

• Provide evidence-based nutrition recommendations to patients for CV risk reductions.
• Discuss common nutrition-related misconceptions.

Target Audience: Family physicians, internists, hospitalists, nurse practitioners, physicians assistants, and other primary care health care providers.

The activity will quickly explore ten different cases of fever. The ten different cases were chosen to highlight various take home lessons that you will be able to use in relation to the diagnosis and treatment of patients presenting with fevers. It was adapted from an in-person talk, originally delivered by George Mejicano, M.D., M.S., on May 31, 2019, as part of the 2019 Infectious Diseases for the Non-Specialist Conference provided by the Division of Continuing Professional Development, OHSU.

Time to complete: approximately 30 minutes.

Credit fee: CME credit not currently available

Learning Objectives

By the end of this lesson you should be able to:

• Understand the most important characteristics of fever in puzzling cases.

• Appropriately work up patients presenting with fever.

• Determine infectious and noninfectious causes of fever using various laboratory tests.

Target Audience: Family physicians, internists, nurse practitioners, physicians assistants, and other primary care health care providers.

This activity will provide an overview of incidental spine MRI marrow findings that are of uncertain clinical significance and occasionally may represent previously undiagnosed malignancy. The characterization of these imaging findings, differential diagnosis and further evaluation will be discussed.  The presentation was adapted from an in-person talk, originally delivered by Hans Carlson MD, Physical Medicine & Rehabilitation and Thomas Deloughery MD, Hematology/Oncology, on February 10, 20210, as part of the 2021 Primary Care Review Conference provided by the Division of Continuing Professional Development, OHSU.

Time to complete: approximately 1 hour

Credit fee: CME credit not currently available

Learning Objectives

By the end of this lesson you should be able to: 

• Recognize that vertebral marrow signal abnormalities (VMSA) identified on thoracolumbar spine MRI represent a range of possible findings ranging from benign hemangiomas to malignancies.
• Understand that the heterogeneity in how VMSA are described and reported creates uncertainty in determining appropriate clinical management decisions.
• Be aware the despite the possibility that VMSA may represent a previously undiagnosed malignancy, these incidental findings receive no further work up to 1/3 of the time despite having a recommendation for follow up described in the radiology report.

Target audience: Family physicians, internists, hospitalists, nurse practitioners, physicians assistants, and other primary care health care providers.