Grand Rounds

Kelly Withy, MD, PhD
Professor, AHEC Director, JABSOM

Hawaii Physician Workforce
Objectives: Understand the physician workforce shortage numbers. Be able to describe areas of greatest shortage. Be able to describe solutions to the problem.

Richard Kasuya, MD, MSEd
Professor, OME, JABSOM

12:30 - 1:30 pm Via Zoom*

Kamal Shouman, MD
Assistant Professor, Neurology
Program Director, Autonomic Disorders Fellowship,
Consultant, Department of Neurology
Mayo Clinic College of Medicine

Autonomic Dysfunction for the Internist: A Practical, Case-Based Approach
Objectives: Recognize common presentations of autonomic dysfunction, including POTS and neurogenic orthostatic hypotension, using practical case-based clinical clues. Apply an initial diagnostic approach for suspected autonomic dysfunction, including orthostatic vital signs, medication review, basic laboratory evaluation, and red-flag assessment. Identify first-line management strategies and referral triggers, including nonpharmacologic interventions, initial medication considerations, and when to refer for autonomic testing or specialist evaluation.

Tagai Musaev, MD
Assistant Clinical Professor, Department of Medicine, JABSOM

Skin Cancer on the Rise: The Big Three You Need to Know
Objectives: Review the epidemiology and risk factors for the three most common skin cancers: basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. Recognize the key clinical features and distinguishing characteristics of BCC, SCC, and melanoma to improve early detection in primary and inpatient care settings. Identify high-risk lesions and patient factors that warrant urgent dermatology referral or biopsy. Discuss current evidence-based management principles, prognosis, and follow-up recommendations for BCC, SCC, and melanoma.Apply practical skin cancer screening strategies and patient counseling techniques to reduce morbidity and improve outcomes.