Western Occupational & Environmental Medical Association
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CME Webinars 2016

TOPIC: The California DWC Formulary: An Introduction

Aired on December 21, 2016 at 12:00 pm PT

Speaker: Robert L. Goldberg, MD, FACOEM

The 2017 implementation of the California DWC drug formulary will impact care for hundreds of thousands of injured workers. Thus great attention has been turned to the current draft regulations, which add an important layer of clinical context to guide drug therapy. The formulary is notably linked to the California Medical Treatment Utilization Schedule (MTUS) and driven by the American College of Occupational and Environmental Medicine (ACOEM) treatment guidelines. The DWC adoption of a closed drug formulary grounded in such high-quality evidence-based guidelines will place drug therapy decisions within the context of the injury or condition being treated, rather than the availability of the medication alone. Dr. Robert Goldberg will speak to the development of the DWC formulary, its potential clinical and cost benefits, provide insight into its functionality and application, and discuss important considerations for implementation.

Learning Objectives – Participants will be able to:

  • Summarize the development of the formulary from evidence-based occupational medical treatment guidelines
  • Explain the potential clinical and cost benefits of a closed drug formulary supported by evidence-based guidelines
  • Describe the considerations that are important to the successful implementation and adoption of a state-based formulary
  • Describe the functionality of the formulary and the supporting tools to make prescribing decisions for injured workers

Dr. Robert Goldberg is the Chief Medical Officer of Healthesystems and the developer of the ACOEM/Reed formulary. Board -certified in Occupational Medicine and a former Vice-Chair, Occupational Medicine of the American Board of Preventive Medicine, he is a nationally-recognized expert in the prevention and treatment of work-related injuries. He is also a Past-President of ACOEM and WOEMA and was a Professor of Medicine and the Residency Director in the Division of Occupational and Environmental Medicine at UCSF.

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TOPIC: Work-Related Elbow Injuries – Diagnosis and Management

Aired on October 27, 2016

Speaker: James Van den Bogaerde, MD

This webinar will focus on common work related elbow injuries – both traumatic and degenerative. I will discuss the clinical presentation of a variety of elbow conditions and review evidence-based management strategies. The presentation should improve your ability diagnose and treat common elbow injuries and be aware of less common elbow conditions, as well.

Learning Objectives – Participants will be able to:

  • Become familiar with the most common elbow injuries
  • Be aware of less common sources of elbow pathology
  • Appropriately diagnose elbow injuries
  • Recall how age, gender and occupation may affect the differential diagnosis
  • Review evidence-based treatment options

Dr. Van den Bogaerde (pronounced ‘van den bogard’) is a sports medicine specialist and director of the Sports Medicine Fellowship at UC Davis Orthopaedics and Sports Medicine. His practice focuses on shoulder and elbow arthroscopy and reconstruction. He provides medical coverage for the US Ski Team, Sacramento Republic FC (soccer), and local university and junior college football teams.

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TOPIC: Maintaining Board Certification in Occupational Medicine

Aired on August 31, 2016

Speaker: Eric Wood, MD, MPH

The American Board of Preventive Medicine (ABPM) administers the Maintenance of Certification (MOC) program for Diplomates Board Certified in Occupational Medicine. MOC consists of four parts: I) Professionalism and Professional Standing, II) Lifelong Learning and Self-Assessment, III) Assessment of Knowledge, Judgment, and Skills, and IV) Improvement in Medical Practice. This webinar is designed to help Occupational Medicine physicians understand the requirements for maintaining ABPM Board Certification, important timelines, and assistance in finding resources to meet those requirements.

Learning Objectives – Participants will be able to:

  • Review the origins and evolving nature of Maintenance of Certification (MOC)
  • Describe and define the Four Parts of Continuous Certification
  • Identify timelines to meet MOC requirements
  • Provide resources for achieving MOC requirements

Dr. Eric Wood is Director of Occupational Medicine at the Rocky Mountain Center for Occupational and Environmental Health (RMCOEH), University of Utah. He also serves as the Director of the Occupational and Environmental Medicine Residency program at the University of Utah. He completed residency training in Family Medicine and Occupational Medicine and is Board-Certified in both disciplines. He has broad training and experience in occupational health having begun his career as an Industrial Hygienist working for both OSHA and private consulting to address and mitigate a wide spectrum of occupational health risks among workers. His current academic responsibilities include education and training of occupational medicine residents, graduate students, medical students, and other health professionals; research with a focus on Occupational Health and Wellness among Commercial Truck Drivers, and Work-Related Musculoskeletal Disorders; and consultation and clinical practice of occupational medicine.   He is Co-Chair of the NIOSH NORA Transportation, Warehousing and Utility (TWU) Sector Council. Dr. Wood is a Director of the American Board of Preventive Medicine (ABPM), and he serves as Chair of the ABPM Maintenance of Certification Committee.

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TOPIC: Workplace Violence Prevention – Healthcare and Elsewhere

Aired on June 29, 2016

Speaker: Paul Papanek, MD, MPH, FACOEM

The webinar will review the epidemiologic sources of our data on workplace violence as an occupational health problem, and will focus particularly on violence in healthcare settings with a discussion of the upheavals caused by changes in both prison policy and forensic mental health practices. Using a recent Federal OSHA guidance document and experience from new standard setting in California, the talk will suggest strategies for prevention.

Learning Objectives – Participants will be able to:

  • Identify the mental health diagnoses associated with the highest risk of violent injuries to health care staff
  • Identify at least two authoritative resources for learning more about workplace violence prevention
  • State at least two strategies for decreasing episodes of workplace violence in healthcare settings

Dr. Paul Papanek is a graduate of UCSD Medical School, and took both his Family Medicine Residency and his MPH degree at UCLA. He is Board Certified in Occupational Medicine, and served as a Public Health Chief for LA County Health Department for 9 years, and as Chief of Occupational Medicine at the Kaiser Hospital in Los Angeles for about 15 years. He is currently a Public Health Medical Officer with Cal/OSHA, and has served on the WOEMA and ACOEM Boards.   He lives in Southern California, but has accumulated quite a few Frequent Flier miles.

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TOPIC: Coping with Medical Errors: Mistakes Happen

Aired on  April 27, 2016 

Speaker: CAPT Lisa Arnold, MSN, BSN, NP

Acknowledging medical errors and discussing unanticipated outcomes with patients is an essential skill for every healthcare provider.  It is also mandated by the Joint Commission on Accreditation of Healthcare Organizations.  After the apology, there is another issue to address:  How do we as physicians cope with our own guilt and doubt?  Medical errors have two victims:  patient and provider.  Join Captain Lisa Arnold for a live webinar presentation on Disclosure Training and Providers as Second Victims.

Learning Objectives – Participants will be able to:

  • Describe the impact of adverse events on the healthcare “system”
  • Summarize the history of the Department of Defense’s healthcare resolution program
  • Describe the legal considerations of disclosures and the “provider as a second victim” phenomenon

CAPT Lisa Arnold served twenty-four years in the Navy as a Pediatric Nurse Practitioner and is currently the Special Assistant to the Commander, Navy Medicine West, for Healthcare Resolutions.  CAPT Arnold is responsible for implementing the Healthcare Resolutions Program, a non-legal venue that attempts to resolve healthcare issues following unexpected outcomes of care, poor quality of care and in cases of medical error.  The process promotes organizational transparency and integrity with full disclosure, recognition of system vulnerabilities, and a commitment to process improvements.  Her previous positions leading to her selection for this program include:  role as a licensed independent practitioner, Head Patient Relations Naval Medical Center San Diego; DOD/VA Federal Recovery Coordinator.  CAPT Arnold lives in San Diego and is adjunct faculty, Masters Entry to Nursing Program, University of San Diego and National University.

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TOPIC: Comprehensive Pain Management

Aired on February 24, 2016

Speaker: Thuong D. Vo, MD

As Occupational Medicine specialists and primary care providers, we receive a steadily increasing number of referrals of patients already taking narcotics, and/or with significant injuries that may necessitate the initiation of same. How can we ensure that we are appropriately applying the Guidelines? Learn more by joining us for Comprehensive Pain Management Webinar provided by Dr T. Vo.

Learning Objectives – Participants will be able to:

  • Discuss the mechanisms of chronic non-malignant pain
  • Perform assessment prior to initiation of opioid therapy
  • Apply multidisciplinary approaches to the management of chronic pain
  • List common medications used to treat chronic pain

Dr. T. Vo is board certified in Pain Medicine, Anesthesiology, Age Management Medicine and is also certified in Aesthetic Medicine. He received his MD from the University of Rochester School of Medicine & Dentistry, his BS in Biochemistry, and his BA in Chemistry, both from the University of Rochester. Dr. Vo completed his fellowship in Pain Management from UCLA, and residency programs in Anesthesiology and General Surgery from University of Rochester Strong Memorial Hospital.

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