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ForwardSeries Description:
This Grand Rounds series showcases cutting‑edge clinical insights, emerging practice guidelines, and late‑breaking research across key medical subspecialties. Lectures focus on the prevention of disease, management and treatment of patients, molecular components with a basic understanding of disease process and evidence-based updates on emerging novel therapies. The series is designed to inspire clinical excellence, support evidence‑based decision‑making, and elevate the standard of care across the continuum.
Session Description:
Up to one-third of patients with PTSD and anxiety disorders do not respond to first-line SSRIs and trauma-focused psychotherapy, yet most non-psychiatrist physicians have limited exposure to the interventional options that have emerged over the past five years. This Grand Rounds will present evidence-based update on three rapidly evolving interventional approaches that hospitalists, emergency physicians, surgeons, and primary care clinicians are increasingly likely to encounter at the referral interface: ultrasound-guided stellate ganglion block for PTSD with emerging signals in long COVID and chronic pain; EEG-guided and accelerated transcranial magnetic stimulation protocols (including MeRT, individualized-alpha rTMS, intermittent theta-burst, and SAINT/SNT) for PTSD and traumatic brain injury; and practical patient-selection, safety, and equity-aware referral pathways. The session integrates current peer-reviewed evidence — including the VA/DoD 2023 PTSD guideline, the Stanford SNT trial, the 2025 SGB meta-analysis, and 2025 disparities data to equip attendees with a usable referral framework they can apply in their own settings.
Target Audience:
Nurse Practitioner (NP)
Nurse, Registered (RN)
Pharmacists (PharmD)
Physicians (MD or DO)
Physician Assistant (PA)
Social Workers
Other Healthcare Professionals
Physical Therapist
Learning Objectives- After Attending this Session Learners Should be Able to:
- Identify the indications, mechanism of action, evidence base, and safety profile of stellate ganglion block for PTSD, with emerging applications in long COVID and chronic pain, in order to recognize appropriate candidates encountered in non-psychiatric practice settings.
- Differentiate standard repetitive TMS from EEG-guided and accelerated TMS protocols (including individualized-alpha-frequency rTMS, intermittent theta-burst stimulation, and SAINT/SNT) in terms of evidence quality, FDA status, and applicability to PTSD and traumatic brain injury, in order to describe which patients may benefit from referral.
- Apply a structured patient-selection and referral algorithm — including treatment-resistance criteria, safety screening, equity-aware referral pathways, and cross-modality contraindications — to select appropriate interventional psychiatry services (TMS, esketamine, ketamine, SGB, ECT) for PTSD and anxiety patients in their own clinical practice.
Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:
Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:
Social determinants of health:
Liu, M., Branning, R., Lee, A., Kaelber, D., & Gao, K. (2025, September 1). Racial-Ethnic Disparities in Ketamine and Esketamine Therapy for Major Depressive Disorder. Psychiatric services (Washington, D.C.), 76(9), 818-826. https://doi.org/10.1176/appi.ps.20240559
Implicit bias:
Mandangu, C., Ramos, A.M., Sengupta, M., Bender, R., El-Hayani, R., Hasan, I., Okechukwu, H., Anas, S., & Havsteen-Franklin, D. (2025, February 7). Implicit bias in referrals to relational psychological therapies: Review and recommendations for mental health services. Frontiers in Public Health, 12, 1469439. https://doi.org/10.3389/fpubh.2024.1469439
Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
– Provider Designee/Verification: Fozia Ferozali, Ed.D.
Committee Member(s)
Ronald Adler, MD has no relevant financial relationships to disclose at this time.
Ursula Boynton, MD has no relevant financial relationships to disclose at this time.
Brian Candell, MD has no relevant financial relationships to disclose at this time.
Masoud Chopan, D.O. has no relevant financial relationships to disclose at this time.
Hussain Gilani, MD has no relevant financial relationships to disclose at this time.
Taher Hegab, PharmD, PhD, MBA has no relevant financial relationships to disclose at this time.
Ajay Upadhyay has no relevant financial relationships to disclose at this time.
Valentino Walker, LCSW has no relevant financial relationships to disclose at this time.
Serene Wilson has no relevant financial relationships to disclose at this time.
Sharon Washington has no relevant financial relationships to disclose at this time.
Planner(s)
Ronald Adler, MD has no relevant financial relationships to disclose at this time.
Ursula Boynton, MD has no relevant financial relationships to disclose at this time.
Brian Candell, MD has no relevant financial relationships to disclose at this time.
Masoud Chopan, D.O. has no relevant financial relationships to disclose at this time.
Hussain Gilani, MD has no relevant financial relationships to disclose at this time.
Taher Hegab, PharmD, PhD, MBA has no relevant financial relationships to disclose at this time.
Ajay Upadhyay has no relevant financial relationships to disclose at this time.
Valentino Walker, LCSW has no relevant financial relationships to disclose at this time.
Serene Wilson has no relevant financial relationships to disclose at this time.
Sharon Washington has no relevant financial relationships to disclose at this time.
- 1.00 ACPE
Pharmacy Credit - Accreditation Council of Pharmacy Education (ACPE)
Sutter Health designates this Live activity for a maximum of 1.00 of ACPE credit(s). Credits for pharmacists and technicians will be transmitted to CPE Monitor and will be available within 60 days post-activity pending submission of individual NABP e-PID and DOB (mm/dd only). Pharmacists should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™
Physician Credit
Sutter Health designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 Non-Physician Participation Credit
Sutter Health designates this Live activity for a maximum of 1.00 Non-Physician Participation Credit. Non-Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
- 1.00 ANCC
Nursing Credit - American Nurses Credentialing Center (ANCC)
Sutter Health designates this Live activity for a maximum of 1.00 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ASWB-ACE
Social Work Credit
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 continuing education credits.
- 1.00 CA BRN
Nursing Credit - California Board of Registered Nursing (CA BRN)
This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity. - 1.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credit for learning and change.
- 1.00 PTBC
Physical Therapy Board of California
Sutter Health designates this Live activity for a maximum of 1.00 PTBC credit(s). Physical therapists should claim only the credit commensurate with the extent of their participation in the activity.