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First Grand Rounds 2024:

Topic: Abuse, Trauma, and Illness: What is the link?

Virtual Session:
February 7, 2024, 7:00-8:15 PM EST

On-demand beginning on February 8, 2024


Presentation by Douglas A. Drossman, MD

With special guests:

Lin Chang MD & Johannah Ruddy MEd


Earn 1.25 CME credits
(Only paid registrants – MD, PhD, PsyD, BS, MS, MPH – will receive CME credit)

A Rome Foundation Continuing Medical Education program

This comprehensive program will appeal to individuals interested in unraveling the intricate interplay between abuse, trauma, and gastrointestinal illness.

Part 1 begins with a compelling case report by Dr. Drossman, recounting the journey of his adolescent patient who, having endured early trauma, developed gastrointestinal symptoms. This case spurred Dr. Drossman to pioneer the first study in the medical literature, elucidating this association. The narrative unfolds, chronicling the patient’s illness, relapse, and recovery, mirroring the evolution of knowledge in this domain. Based on Dr. Drossman’s extensive 20-year research, we delve into the scientific underpinnings of heightened symptom severity and its association with brain imaging changes and adverse health outcomes for such patients.

Part 2, presented by Dr. Chang, offers an insightful research update, including her groundbreaking studies into the association between adverse childhood events and gastrointestinal illness, bringing us to the present day.

Part 3, presented by Ms. Ruddy, invites us into the realm of a patient’s experience. She candidly shares her adverse childhood encounters, illuminating its profound connection to irritable bowel syndrome (IBS) and its impact on her cognition, emotions, and behaviors. She then discusses the internal and interpersonal bases for her transformative journey to recovery.

Part 4 concludes the program as Dr. Drossman imparts his clinical experience and insights in caring for these patients to aid healthcare providers. He discusses how to recognize a patient’s trauma history, establish a therapeutic alliance that allows patients to share this information, and how to effectively process this information in order to optimize care. His guidance extends to offering strategies on when and how to judiciously refer patients to mental health professionals when indicated.

Objectives for this Grand Rounds include:

  1. To understand the history and evolution of knowledge on the relationship of abuse history and GI Illness
  2. To learn how to recognize a history of trauma and its illness effects on the patient
  3. To hear from a patient about the experience of trauma and its medical and psychological impact


MD, PhD, PsyD, BS, MS, MPH – $30

Student, Trainee, Fellow, Non-Clinician – No Cost

Virtual Session: February 7, 2024; 7:00-8:15 PM EST

On-demand beginning on February 8, 2024

1.25 CME credits available (Only paid registrants – MD, PhD, PsyD, BS, MS, MPH – will receive CME credit)

Jointly provided by the Postgraduate Institute for Medicine and Rome Foundation*

Douglas Drossman, MD

Douglas A. Drossman, MD, RFF | President Emeritus and CEO

Chief Executive Officer and President Emeritus, Rome Foundation

President, DrossmanCare and Drossman Gastroenterology

Professor Emeritus, UNC School of Medicine



Lin Chang, MD

Lin Chang, MD, RFF

Professor of Medicine
Oppenheimer Center for Neurobiology of Stress
Division of Digestive Diseases
David Geffen School of Medicine at University of California, Los Angeles
Los Angeles, CA, USA


Johannah Ruddy, M. Ed.

Johannah Ruddy, M.Ed.

Doctoral Candidate, DHSc School of Pharmacy and Health Science, Campbell University

IBS Patient Advocate


* Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and Rome Foundation.  Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Medical Education
The Postgraduate Institute for Medicine designates this live for a maximum of 1.25 AMA PRA Category 1.25 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Psychologist Education 
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.

Credit Designation
This program offers 1.25 continuing education credits for physicians and psychologists.

Disclosure of Conflicts of Interest

Lin Chang, MD – Grant/Research Support:  AnX Robotica, Ironwood; Consultant/Advisory Board: Atmo, Trellus Health, Food Marble, Vibrant; Non-Mutual funds Stock Ownership/Stock options: Modify Health, Trellus Health, Food Marble; Patent Holder/ Royalties paid to you: DNA methylation based biomarkers for irritable bowel syndrome, Ref.: 2018-578-2, UCLA reference UCLA.260WOU1, filed 5/31/2019.

2. DNA methylation-based algorithm to diagnose irritable bowel syndrome and other GI conditions. U.S. Provisional Patent Application Serial No.: 63/499,017, filed on 4/28/2023.

Johannah Ruddy, M.Ed. is Director of Patient Advocacy, GI at Ardelyx Pharmaceuticals. The content presented in this program is the experiences and expertise of Johannah Ruddy as a patient and researcher and not as an employee of Ardelyx Pharmaceuticals.

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