NGHS Continuing Medical Education

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NGHS Continuing Medical Education

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01/22/2026

At IM Grand Rounds, we discussed how COPD management is moving beyond symptom-based treatment toward precision diagnosis and targeted therapy. Advanced imaging and new medications are reshaping what’s possible for patients.

🔍 Key updates in COPD care:
✅ Greater use of CT imaging to better define lung physiology
✅ Identifying disease by lobe can open the door to surgical options
✅ Introduction of a new PDE-3/4 inhibitor inhaler
✅ Updates to the GOLD guidelines, expanding beyond triple therapy
✅ Dupilumab becomes the first biologic approved for COPD

These advances signal a shift toward more personalized and effective COPD treatment. Watch the full presentation: https://youtu.be/S9uElMqGCq0

01/20/2026

Artificial intelligence is already making an impact in nephrology—but we’re still at the beginning of the journey.

From dialysis, where AI can help assess intradialytic hypertension and reduce hospital admissions, to renal pathology and image analysis, the potential is enormous. The challenge? Standardization, technical expertise, and identifying the right models to safely bring AI into everyday clinical practice.

As research continues, AI’s ability to integrate clinical notes, labs, and pathology data could one day transform how we predict outcomes and personalize care for patients with kidney disease. Watch the full presentation: https://youtu.be/gH-l2T-k8zI

01/15/2026

At IM Grand Rounds, we discussed how choosing the right diabetes medication depends on patient preference, cost, and comorbidities—not just A1C alone.

🔍 Key considerations in treatment decisions:
✅ Heart failure vs. chronic kidney disease may steer therapy toward cardio-protective or renal-protective agents
✅ Quality metrics help flag patients with poor A1C control or missed follow-ups
✅ AI shows promise in identifying gaps—but hasn’t fully delivered targeted interventions yet

Smarter data + individualized care = better outcomes. Watch the full presentation: https://youtu.be/yh5a4-bksu4

01/13/2026

Access matters. At ID Grand Rounds, we highlighted how full-service women’s health clinics are making preventive care easier and more equitable for women in our communities.

🔍 What’s available in one place:
✅ All forms of birth control (pills, implants, IUDs) — often in a single visit
✅ No-cost mammograms for uninsured women ages 40–64
✅ Coverage for additional testing if screening results are abnormal
✅ Support through hospital charity care and women’s health Medicaid if cancer is found

Early detection saves lives—and removing barriers makes it possible. Watch the full presentation: https://youtu.be/t5dsQVB1k1E

01/08/2026

Can AI help predict who will develop CKD or whose disease will progress faster? At IM Grand Rounds, we reviewed global research showing that AI models are already producing strong results in CKD risk prediction—but standardization is the missing link.

🔍 Key takeaways:
✅ Multiple AI algorithms have shown success predicting CKD progression
✅ Current models vary widely across regions and populations
✅ Standardized predictors are needed before clinical implementation
✅ AI-driven risk prediction is coming—but not fully deployed yet

The future of nephrology will be data-driven, and AI is poised to play a major role. Watch the full presentation: https://youtu.be/gH-l2T-k8zI?si=BwUiS5xeuiqzj5LO

01/06/2026

Patients with MCS devices are among the most physiologically complex cases in surgery. Heart failure, chronic anticoagulation, and anesthesia risks all raise the stakes—making coordination and preparation critical.

🔍 Key considerations from Surgery Grand Rounds:
✅ Higher bleeding risk due to required anticoagulation
✅ Careful planning for induction and anesthesia
✅ Early involvement of anesthesia, heart failure cardiology, and cardiothoracic surgery
✅ Preparation for ECMO cannulation and adequate vascular access
✅ Safety depends on the entire team working together

When complexity rises, teamwork saves lives. Watch the presentation: https://youtu.be/Zs4R7tfpDDI

12/15/2025

Since 2019, cases of chlamydia, gonorrhea, and syphilis have all increased — with syphilis rates doubling in our region. District 2 health departments are stepping up with expanded access and community outreach.

🔍 What’s Available:
✅ Express STI services for faster testing
✅ Partner services to notify and treat exposed partners
✅ Affordable care using a sliding-scale model
✅ Community education & outreach to increase prevention and awareness

Early testing and treatment protect individuals and the community. Watch the full presentation: https://youtu.be/t5dsQVB1k1E

12/12/2025

In IM Grand Rounds, we broke down two very different strategies for managing ARDS: the long-established ARDSnet approach and the emerging APRV–TCAV method.

🔍 Key Differences:
ARDSnet
• Uses low tidal volume ventilation
• Lets the “baby lung” rest and do the work
• Accepts atelectasis while avoiding overdistension

APRV–TCAV
• Focuses on opening the lung, not resting it
• Uses time-controlled PEEP to keep alveoli open
• Allows a brief release phase (≈0.3 sec) to clear CO₂
• Prevents collapse using a “ratchet” effect

Two different philosophies—one protects by resting, the other protects by recruiting. Watch the full presentation: https://youtu.be/noYq09AAdsg

12/09/2025

In ID Grand Rounds, we explored how many women—both cisgender and transgender—struggle to understand where their HIV risk truly lies. Educating providers is key to changing that.

🔍 What effective prevention looks like:
✅ Honest conversations in primary care and public health settings
✅ Regular testing & condom use
✅ PrEP, a safe and effective medication that prevents HIV
✅ Empowering providers → empowers patients

When providers initiate the conversation, women can make informed, healthy decisions about their care. Watch the full presentation: https://youtu.be/t5dsQVB1k1E

12/04/2025

Geriatric trauma patients come with unique challenges, from multiple comorbidities to altered vital signs caused by their medications. These factors can make recognizing injuries far more difficult and require the entire hospital to stay aligned and coordinated.

🏥 The good news?
CMS and the American College of Surgeons are now partnering on aligned age-friendly outcome measures, helping hospitals implement best practices more efficiently and consistently.

Better alignment = better trauma care for our aging population. Watch the full presentation: https://youtu.be/HxO9Qpt4txY

12/01/2025

Healthy alveoli barely change between breaths—only about 5% expansion. But in ARDS, using pressure to repeatedly open and close collapsed lung units can cause over-expansion, strain, and worsening injury.

🔍 Key insight from IM Grand Rounds:
Repeated alveolar collapse + reopening = Ventilator-Induced Lung Injury (VILI)—a cycle that can push patients from mild to severe ARDS.

Recognizing this vortex is the first step toward gentler, lung-protective ventilation strategies. Watch the full presentation: https://youtu.be/noYq09AAdsg

11/20/2025

🚨 Gunshot wounds aren't just about entry and exit points. Surgeons now rely less on assumptions and more on real-time patient response. Ballistics help guide—but the body tells the full story. 🧠💥

🎯 From necrosed skin to bullet trajectories, surgical decisions are evolving. It's not just the caliber—it’s the complexity. Watch the full presentation here 👉 https://youtu.be/E9s25FK7j74

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