Meds Ed

MEDS ED - Oregon Continuing Medical Education

Man in front of screen giving a lecture.

Our Pharmacy team is pleased to host MEDS Ed, an ongoing education series for health care professionals who are involved in direct patient care at community clinics.

These 3-hour sessions examine disease states that highly impact patient quality of life, require complex management, and may lead to increased emergency department visits and inpatient stays.

Leonard Bertheau, DO., diabetologist and family practitioner, Adventist Health

At MEDS Ed, clinicians:

  • Gain valuable insights and practical care strategies.
  • Explore different elements of patient medication risk.
  • Improve the ability to contribute to a multi-disciplinary team.
  • Get answers to questions.

Guest speakers include physicians, specialists, pharmacists and other health care experts from the community and CareOregon.

Subjects addressed in past MEDS Ed seminars include diabetes, COPD, hypertension and depression.

Have a topic for us to consider? Questions? Email us at

MEDS Ed participants tell us:

‘Amazing opportunity’
Your team has done an excellent job, and we have re-referenced the information from these classes over and over again. Yesterday I came back to the clinic with a newly diagnosed patient with severe COPD, and I felt so prepared for delivering the help she needed. Thanks again for this amazing opportunity. —Tonia White, RN, RN care manager, OHSU Gabriel Park

‘Extremely practical tools’
It is extremely rare to find a meeting that is so practical you can take it back to work and start using it that afternoon…I keep pinching myself after every meeting. I'm a nurse of 30+ years doing medical home care management, and this gives me extremely practical tools I can use regularly with my patients to help them improve their health status. One time, I used my vacation time to come...they are THAT valuable!!—MEDS Ed attendee

Join our next session!

This session will be rescheduled for mid-late Spring as a web-cast.
We will share more information with attendees as it becomes available.
To be added to our distribution list for this course, please email
Thank you for your continued interest and understanding!

Innovations in Pediatric Health Complexities and Social Risk - Learnings and Advice from Regional Experts

Medicaid and its smaller companion program, the Children’s Health Insurance Program (CHIP), cover more than 46 million children, including almost half of all children under the age of six. Medicaid plays an enormous role for children, particularly young children and children with special health needs. Social determinants of health also have substantial impact in the health and well-being of our state’s youngest residents.

Join statewide experts for an interactive session that focuses on managing children’s complex health conditions, including behavioral health integration, high-risk medications, social worker perspective, and population data highlighting high-risk children.

Trauma-Informed Care and Substance Use Disorders

___TIC SUD_12_13_WORKING_PC-1This session of CareOregon Pharmacy’s MEDS Ed program focuses on the intersection between psychological trauma and substance use disorders. Lydia Bartholow (DNP, PMHNP, CARN-AP) lays out the scope of the issues, highlights the most effective and lasting forms of engagement and treatment, and provides and in-depth review of the importance of trauma-informed care and patient-centered systems when engaging people experiencing substance use disorders.

Recorded on December 13, 2019 at CareOregon, Portland, OR.

Click here to watch the seminar

Key session takeaways 

click the link to view a clip

  • Long-term consequences of cortisol end up becoming the biggest chronic conditions that impact our life expectancy. Part 2 - 25:50
  • Much of what we know about the connection between trauma and substance use disorders is based on the ACEs study. Part 3 - 6:07
  • A central nervous system that has experienced trauma will look for outside sources to sooth. Part 3 - 13:55
  • The brain that has experienced trauma has lower dopamine levels, looking for things to engage with that help overcome perceived threats to survival. Part 3 - 19:07
  • Physiological withdrawal symptoms can mirror the neuro-hormonal landscape of revisiting a traumatic experience. Part 3 - 37:41
  • Key elements of trauma-informed care are promoting safety and control. Part 4 - 00:28


Empowering Patients in Advanced Illness

Empowering Patients in Advanced IllnessThis session of CareOregon Pharmacy’s MEDS Ed program touches on the positive impact that focusing on goals of care can make on patient outcomes, successful strategies for deprescribing pill burdens and potentially inappropriate medications, and how leveraging the model of care shared by Housecall Providers and CareOregon can improve health outcomes and increase patient well-being, while reducing healthcare costs.

Recorded on November 21, 2019 at CareOregon, Portland, OR.

Click here to watch the seminar

Key session takeaways 

click the link to view a clip

  • Palliative care patients are typically younger, in their 50s or 60s; in Oregon, if you have serious persistent mental illness, or if you’re homeless, you die 20 years earlier than someone who doesn’t. Part 1 - 10:55
  • Without relationships and security to help process trauma, people are left fragmented and held captive. Trusting relationships are the foundation of palliative work and most important therapeutic intervention. Part 1 - 15:53
  • Focusing on positive aspects of a person’s past experiences and not just their past trauma can help strengthen engagement around goals of care. Part 2 - 24:30
  • Pharmacist Leah Goeres shares her preferred method for deprescribing. Part 3 - 25:26
  • Why is deprescribing so difficult? Part 3 - 33:05
  • A guided tour of CareOregon’s Regional Care Teams structure. Part 4 - 24:50


“Is it Sleep Apnea, or…?”

Is it Sleep Apnea, or...?This session of CareOregon Pharmacy’s MEDS Ed program focuses on clarifying sleep disorder screening and diagnosis; how to help patients through the challenges of CPAP usage and adherence; which medications pose greater risk for Obstructive Sleep Apnea patients.

Recorded on July 26, 2019 at CareOregon, Portland, OR.

Click here to watch the seminar

Key session takeaways 

click the link to view a clip

  • Prevalence is huge: 12% of the CareOregon population is impacted by sleep apnea. Part 1 - 11:40-12:15
  • OSA treatment with CPAP has a major beneficial impact on comorbidities, quality of life, and health outcomes, but to do so requires regular use (minimum 4 hours/night). Part 1 - 12:12-14:19 
  • It can be very difficult for patients to adjust to using & maintaining sleep equipment (e.g. CPAP). Strong patient support exists. Without that support, patients are likely to closet their machines and give up. Part 2 - 33:58-35:23
  • Drowsy driving is a significant public health concern – 4% of drivers drowsy behind the wheel every day. 36% admit to falling asleep behind the wheel of a moving vehicle. Part 3 - 26:13 – 29:25
  • Due to the significant numbers of people affected, specialists need to collaborate with primary care clinical champions on DME support, to better address this epidemic together. Part 2 - 47:35 - 48:48


Chronic Obstructive Pulmonary Disorder

MEDS Ed COPD Clinician Update slide deck coverThis session of CareOregon Pharmacy’s MEDS Ed program focuses on new simplified medication guidelines for treatment of COPD; effective demonstration of inhalers and DME supplies; as well as insight into the role of the specialist and pulmonology referral in coordinating treatment.

Recorded on March 1, 2019 at CareOregon, Portland, OR.

Click here to watch the seminar

Key session takeaways 

  • CareOregon has a new COPD treatment pathway that simplifies effective treatment based on the GOLD guidelines and covered formulary agents.
  • Smoking cessation is an important component of long-term strategies for COPD; use your teams, including behavioral health clinicians to help with this (using trauma-informed approaches).
  • Inhaler technique needs to be assessed regularly. Watch the video for inhaler demos and links to education videos to share with patients.
  • Pulmonary Rehabilitation programs are a covered non-pharmacological benefit that are effective in patients with COPD.
  • There is a template to help guide when to refer a patient to a pulmonology specialist. Also, please contact our Metro primary care innovation team if you are interested in help with implementation of templated referral workflows within your EMR and primary care teams.


Effective Substance Use Treatment

Effective Substance Use treatment slide deck coverThis session of CareOregon Pharmacy’s MEDS Ed program focuses on the science and use of medications as best-practice for the treatment of opioid and alcohol use disorders; Distinguishing the barriers and myths about recovery treatment from evidence and effective treatment; Understanding the guidelines for effectively navigating high-risk patient referrals with a special focus on coordination between behavioral health and primary care; planning next steps to support further implementation and improved access of MAT in our network.

Click here to watch the seminar

Featured speakers

  • Paul Lewis, MD, MPH – Multnomah County Health Officer
  • Andrew Mendenhall, MD, DABAM, DABFM – Senior Medical Director, Substance Use Disorder Services – Central City Concern
  • Alison Noice, MA, CADC III – Deputy Director, CODA
  • Amy Jo Cook, Community Paramedic – Clackamas Fire District #1
  • Dan Hall, Community Paramedic – AMR
  • Anthony Cheng, MD – OHSU South Waterfront
  • Stacie Andoniadis, Primary Care Innovations Specialist – CareOregon
  • Tanya Kapka, MD, MPH – Metro Medical Director; Network and Clinical Support – CareOregon

Liver Disease

Liver Disease presentation slide deck coverThis session of CareOregon Pharmacy’s MEDS Ed program features interactive discussions on diagnosis, assessment, and management of chronic liver disease from the physician and nurse perspectives, as well as a review of medications used to treat hepatitis C and manage complications of cirrhosis.

Click here to watch the seminar

Featured speakers

  • Atif Zaman, MD, MPH, Professor of Medicine – Oregon Health & Science University
  • Karista Peabody RN, BS CMSRN, Hepatology Patient Care Coordinator – OHSU Hepatology
  • Maddie Fry, PharmD, Post-Graduate Year 2 Pharmacist Resident – CareOregon

Care of Transgender And Gender Diverse Communities

Care of Transgender And Gender Diverse Communities Slide Deck CoverThis session of CareOregon Pharmacy’s MEDS Ed program focuses on empowering learners with tools to apply in clinical environments to improve the experience of the Transgender patient and medical management of gender transition.

Click here to watch the Seminar 

Featured speakers

  • Amy Penkin, LCSW – Program Supervisor, OHSU Transgender Health Program (she/her)
  • Jess Guerriero, MSW, MA – Social Worker, OHSU Transgender Health Program (they/them)
  • Christina Milano, MD – OHSU Clinical Associate Professor of Family Medicine and Cofounder of the OHSU Transgender Health Program (she/her)

Transitions of Care: Successes and Discoveries

Transitions of Care Presentation slide deck coverThis session of CareOregon Pharmacy’s MEDS Ed program focuses on recent discoveries and lessons learned across transitional care environments, including hospital discharge, Skilled Nursing, and Meds-to-Beds. 

Click here to watch the Seminar

Featured speakers

  • Jane Duck, RN, BSN – High Risk Populations Program Manager, CareOregon
  • Mariah Alford, PharmD, BCPS – Pharmacy Clinical Supervisor, CareOregon 
  • Mai Tran, PharmD, BCACP, BCGP – CareOregon
  • Anthony Neises, PharmD, – Legacy Health
  • Nate Semm, CSWA, – Legacy Health
  • Elizabeth Decker, RN Case Manager – Legacy Health
  • Carlo De Gregorio, Health Assistant – Pioneers Care Team – Central City Concern
  • Meryl Manley, RN, PCCN – Post-Acute Care Manager – Prestige Care
  • Elizabeth Whitworth, MPH – PreManage Project Manager – CareOregon 

New Perspectives on Pain and Trauma

New Perspectives on Pain and Trauma Presentation slide deck coverThis session of CareOregon Pharmacy’s MEDS Ed program on pain management for healthcare professionals, goes beyond pharmacological guidelines to examine the neurophysiology and language of pain, as well as trauma-informed perspectives on challenging patient conversations.

Content from Pharmacy Resident Cassandra Miller from CareOregon, explains current trends in opioid utilization, benefit criteria, and non-opioid alternatives.

Content from Nora Stern, from the Providence Persistent Pain Project, focuses on the relationship between pain and trauma, how pain changes the nervous system, and how education can act as a treatment intervention.

Content from Lydia Anne M Bartholow, from Old Town Clinic, Central City Concern, reviews trauma-informed care, care plans, patient and provider challenges when discussing pain, as well as techniques to improve these difficult conversations.

Click here to watch the Seminar

Featured speakers

  • Lydia Anne M Bartholow, DNP, PMHNP, CARN-AP Old Town Clinic, Central City Concern
  • Nora Stern, MSPT Providence Persistent Pain Project
  • Cassandra Miller, PharmD, MS PGY-1 Managed Care Pharmacy Residents CareOregon


Hypertension Slide Deck CoverThis session of CareOregon Pharmacy’s MEDS Ed program for healthcare professionals focuses on treating hypertension, providing a multidisciplinary approach to effectively treating this complex disease state.
Content from Jose Rueda, from OHSU's Comprehensive Hypertension Center, reviews hypertension treatment trials and evidence-based guidelines, as well as causes of secondary hypertension.
Content from Pharmacist Christopher Blem from Legacy Health Systems, focuses on medications and how they work, as well as ways to improve adherence.
Content from Dietician Julia Hanfling from 3 Peaches Nutrition and Diabetes Coaching, explores who is at risk for hypertension, the role of sodium in high blood pressure, three main dietary recommendations, as well as the importance of lifestyle factors.

Click here to watch the seminar

Featured speakers

Jose Rueda, MD
Division of Nephrology and Hypertension
Director Comprehensive Hypertension Clinic at OHSU

Chris Blem, PharmD., BCACP
Legacy Medical Group Emanuel

Julia Hanfling, RD, CDE
3 Peaches Nutrition & Diabetes Coaching


Diabetes: Pathways to Treatment

Diabetes Pathways To Treatment presentation Slide Deck CoverThis session of CareOregon Pharmacy’s MEDS Ed program for healthcare professionals introduces the new Diabetes Treatment Pathway, a more effective approach to diabetes management, created in partnership with area diabetes experts.

Content from Dr. Andrew Ahmann focuses on advancing therapy in Type 2 Diabetes to reduce A1C and Improve Complications. Use of GLP-1 Agonists is featured in this segment.

Content from Dr. Leonard Bertheau examines managing complicated patient cases using new, impactful guidelines for this challenging disease states.

Content from Pharmacy Resident Sierra Fung dives into practical tips for navigating diabetic supplies and prescription coverage.

Diabetes: Pathways to Treatment - A MEDS Ed seminar
Recorded on September 20, 2017 at CareOregon, Portland, Ore.

Click here to watch the seminar

Featured speakers

  • Andrew Ahmann, MD, Director of OHSU's Harold Schnitzer Diabetes Health Center
  • Leonard Bertheau, DO, Diabetes and Endocrine Center, Adventist Health
  • Sierra Fung, PharmD, Pharmacy Managed Care Resident, CareOregon


Heart Failure

heart failure presentation slide deck coverThis session of CareOregon Pharmacy’s MEDS Ed program for healthcare professionals focuses on Heart Failure

This session of CareOregon Pharmacy’s MEDS Ed program for healthcare professionals focuses on Heart Failure – a disease of epidemic proportions. Approximately 5.7 million Americans are currently living with heart failure, with approximately 1 million hospitalized each year.

Content from Jayne Mitchell include types of heart failure, signs & symptoms, self-care and disease progression.

Recorded on April 20, 2017 at CareOregon, Portland, Ore.

Click here to watch the seminar

Featured speakers:

  • Jayne Mitchell, ANP-BC, CHFN, OHSU Heart Failure Program
  • Pamela Chukwuleta, PharmD Pharmacy Resident, CareOregon
  • Kelly Hayes, AIC RN, CareOregon
  • Laura Macias, RN – CHPN, Clinical Manager OPPC, Adventist Health Homecare Services


Motivational Interviewing: Introduction to MI

Motivational Interviewing presentation slide deck coverAn Inter-professional speaker panel including CareOregon Training & Development Specialist Paul Carson and Adventist Health Nurse Care Manager Erin Lemon lead an interactive workshop on the fundamentals of Motivational Interviewing. Attendees learned how to effectively incorporate MI techniques into a nurse’s busy workflow, while gaining an understanding of MI’s effectiveness in eliciting behavior change and improving communication with patients who experience a background of trauma.

Click here to watch the seminar

Featured speakers:

  • Paul Carson, BA, Training & Development Specialist, CareOregon
  • Erin Lemon, BSN, RN, CCDS, Adventist Health


Pain Management

Pain Management presentation slide deck coverClinicians discuss treating chronic pain and ways to talk with patients about their pain management regimens. They describe how to screen, recognize and triage high-risk symptoms associated with pain medications.

Click here to watch the seminar

Featured speakers:

  • Dr. Rachel Solotaroff, Medical Director, Central City Concern Chair, CareOregon Metro Chronic Pain/Chemical Dependency Task Force
  • Tara Berkson, PharmD, MEDS Ed Coordinator, CareOregon
  • Nadejda Razi-Robertson, LCSW, Behavioral Health Consultant



Psychiatrist John K. Bischof, MD discusses the disease and therapy options for patients coping with depression. We get the patient perspective from David Lee Greenlee and Bridget Bradley from Pacific University School of Pharmacy gives a medication review.

Click here to watch the seminar

Featured speakers:

  • John K. Bischof, MD, Psychiatric Medical Director - Old Town Recovery Center, Central City Concern
  • David Lee Greenlee
  • Bridget Bradley, PharmD, BCPP - Pacific University School of Pharmacy, Virginia Garcia Memorial Health Center



Diabetes presentation slide deck coverAn interprofessional speaker panel including Adventist Health Diabetologist Dr. Leonard Bertheau and Tara Berkson, PharmD will lead interactive discussions on navigating the latest best practices when caring for complex and high-risk patients with diabetes. Certified Diabetes Educator and RN, Cheryl Ortner, will share her insights on educating patients about lifestyle modifications and medication use.

Click here to watch the seminar

Featured speakers:

  • Leonard Bertheau, DO Diabetes and Endocrine Center Adventist Health
  • Tara Berkson, PharmD, MEDS Ed Coordinator, CareOregon
  • Cheryl Ortner, RN, MSN, CDE Diabetes & Endocrine Center Adventist Health


Handouts from past sessions: 

Formulary Antihypertensives

Within 20 Minutes of Quitting” 

"COPD Nurse MEDS Ed"