Resource Library - Indian Country ECHO

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Past Presentation

Wrap-Up + Key Pearls | November 20, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #arthritis #pearls #ra #rheumatoid

In this presentation, Dr. Jennifer Mandal reviews key concepts and pearls from the 10-week series focused on the primary care management of Rheumatoid Arthritis (RA).

Date added: 11/15/23

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Past Presentation

Advanced Therapy: Biologic DMARDs | November 13, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #advanced #anti tnf #arthritis #b cell #blocker #costimulatory #cytokine #dmard #inhibitor #kinase #ra #rheumatoid #therapy

In this presentation, Dr. Gwendolyn Grant provides an overview of biologic disease-modifying anti-rheumatic drugs (DMARDs), used as advanced therapy. Dr. Grant discusses the pros and cons of cytokine inhibitors, costimulatory blockers, b cell inhibitors, and kinase inhibitors, and the related ...

Date added: 11/7/23

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Past Presentation

Initial Therapy: Methotrexate | November 6, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #arthritis #dmard #methotrexate #mtx #ra #rheumatoid

In this presentation, Dr. Jennifer Mandal provides a comprehensive overview of methotrexate, the preferred first-line Disease Modifying Anti-Rheumatic Drug (DMARD) for moderate-severe Rheumatoid Arthritis (RA).

Date added: 11/5/23

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Past Presentation

Initial Therapy: Glucocorticoids, NSAIDs, & Other Conventional DMARDs | October 30, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #arthritis #diet #dmard #glucocorticoid #hydroxychloroquine #leflunomide #nsaid #obesity #opioid #ra #rheumatoid #sulfasalazine

In this presentation, Dr. Gwendolyn Grant reviews glucocorticoids, NSAIDs, and their role in the treatment of RA. Additionally, Dr. Grant cautions on the use of opioids for RA, and discusses the implications of diet and obesity. Furthermore, Dr. Grant reviews ...

Date added: 10/27/23

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Policies & Procedures

Website

2021 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis

Type: Policies & Procedures Website

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #clinical guidelines #rheumatoid arthritis #rheumatology #treatment guidelines

American College of Rheumatology developed guidelines on the treatment of rheumatoid arthritis.

Date added: 10/26/23

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Policies & Procedures

Diagnosis and Management of Rheumatoid Arthritis Reference Guide

Type: Download Policies & Procedures

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #diagnostic tools #rheumatoid arthritis

This reference sheet from the Navajo Nation is designed to assist the diagnosis and management of rheumatoid arthritis.

Date added: 10/26/23

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Past Presentation

Safety Considerations in Patients Starting Immunosuppression & How to Measure RA Disease Activity | October 23, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #arthritis #considerations #immuno #ra #rheaumatoid #treatment #tx

In this presentation, Dr. Jennifer Mandal reviews baseline studies and considerations prior to treating Rheumatoid Arthritis, and measuring RA disease activity.

Date added: 10/23/23

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Past Presentation

RA Mimics: Other Forms of Inflammatory Arthritis | October 16, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #arthritis #mimics #oa #osetoarthritis #ra #reactive #viral

In this presentation, Dr. Mimi Margaretten, reviews RA mimics, including viral infections, osteoarthritis, and reactive arthritis.

Date added: 10/11/23

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Past Presentation

Extra-Articular Manifestations of RA | October 2, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #arthritis #extra-articular #manifestations #ra #rheumatoid

In this presentation, Dr. Grant provides a comprehensive overview of neurological, pulmonary, dermatologic, ocular, cardiac, hematological, and other extra-articular manifestations of RA.

Date added: 09/26/23

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Past Presentation

Lab and X-Ray Findings in RA | September 25, 2023

Type: Past Presentation

Audience: Clinical

Program: Rheumatoid Arthritis ECHO Program

Keywords: #arthritis #ra #rheumatoid #x-ray #xray

In this presentation, Dr. Mimi Margaretten provides an overview of notable lab and x-ray findings as they relate to Rheumatoid Arthritis (RA).

Date added: 09/21/23

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	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

	Carrie Sampson-Samuels is an enrolled member of the Confederated Tribes of the Umatilla Indian Reservation located in Eastern Oregon. Carrie has an early background in nursing providing patient care in long term and clinical care settings. Carrie then furthered her education in community health and health studies at Portland State University, later advancing her education in healthcare management at Oregon Health and Sciences University while serving in leadership and executive management for a Tribal health organization as the Community Health Director. Carrie has served Tribes from Oregon to Montana and the Treaty 7 Blackfoot Confederacy in Southern Alberta. As the Community Health Aide Project Director for the Northwest Portland Area Indian Health Board, Carrie has provided leadership, advocacy and project management for expansion for the Behavioral Health Aide and Community Health Aide Program under the umbrella and direction of the Tribal Community Health Provider Project. This work has led to the expansion of Tribal Community Health Providers in Washington, Oregon, and Idaho. Carrie is responsible for leading partnerships with the education institutions, key Tribal partner sites, contract experts and advisory workgroups. This includes development of education infrastructure, education curriculum, recruitment strategies, tools for integration of providers into tribal health organizations, and working with state partners to develop policy and infrastructure for provider reimbursement. Carrie manages and writes multiple grants that support all aspects of this work and provides technical assistance support to the Portland Area CHAP Certification Board. Carrie is the proud mother of 4 daughters and resides on a small ranch on her Tribal homelands.

	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix