Western Occupational & Environmental Medical Association
Leading Occupational & Environmental Medicine

CME Webinars Calendar

WOEMA’s Education Committee offers CME Webinars on topics relevant to the practice of occupational and environmental medicine. These webinars can be accessed by calling a toll-free 800 number and viewing the Powerpoint presentation using your Internet browser from your own computer. WOEMA members will be notified in advance of the dial-in phone number and the URL link to access the slides. When the CME Webinar is offered live, members will have the opportunity to send questions to the presenter and have those answered in real-time on the live broadcast.

WOEMA CME Webinar Registration Fees
WOEMA/ACOEM Member – Free
Non-Member Physician – $20
Non-Member, Non-Physician – $15

Click here to listen/view past webinar presentations.

CREDIT: WOEMA is accredited by the Institute of Medical Quality/California Medical Association to provide continuing medical education for physicians. WOEMA takes responsibility for the content, quality, and scientific integrity of this CME activity.

WOEMA designates this live internet activity, when combined with completion and submission of the on-line questionnaire, for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Topic: Phenotyping Asthma: Environmental and Occupational Asthma
To be Aired on February 22, 2018 at 12:00 PM PST

Speaker: Nicholas Kenyon, MD, MAS

Environmental and occupational triggers are major concerns in the persistence of adult severe asthma, particularly for those patients with “T2 low” asthma. With the recent approval of multiple novel biologic therapies for severe asthma, it is important that physicians understand how to appropriately phenotype such patients, and consider who may be a candidate.  In this presentation, we will review the present thoughts on phenotyping patients with asthma, and how this impacts the evaluation and management of patients with occupational and environmental triggers.

Learning Objectives –  After this webinar, participants will be able to:

  • Decribe the epidemiology and trends for asthma and occupational asthma
  • Describe how phenotyping of asthma allows for prescribing novel biologics for asthma
  • Outline the evaluation and phenotyping for occupational asthma

Dr. Nicholas Kenyon is division chief in Pulmonary/Critical Care and a physician-scientist with a translational research focus in adult severe asthma. Areas of emphasis are asthma therapeutics, the role of nitric oxide in airway inflammation, and environmental triggers of asthma. He completed an NHLBI-funded Phase II clinical trial of L-arginine supplementation in severe asthma based on 10 years of hypothesis-driven mouse model work. Dr. Kenyon is Co-PI on a U01 PRISMS grant to develop wearable environmental sensors for children with asthma. In addition, he has collaborated with environmental health UC Davis investigators to run intervention trials in asthma, test novel therapeutics in animal models, develop novel breath sensor technologies and identify the environmental triggers for patients with asthma. He is PI & Director of the CTSC TLI Pre-Doctoral Training Program, and Co-Lead of the Career Development Program for the UC Davis NIEHS-funded Environmental Health Center.

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Topic: Cannabis vs. Cannabinoids: The Politics of Medical Marijuana
Aired on December 21, 2017 at 12:00 PM PST

Speaker: Douglas Gourlay, MD, MSc, FRCP(C), FASAM

The use of cannabinoid agonists in medical therapeutics has suffered from the persistent federal classification of cannabis as Schedule I.

The fact is that there are cannabinoid receptors distributed throughout the CNS and periphery, affecting hedonic tone, satiety, analgesia, anti spasm effects, inflammatory modulation and even immune status.  But herbal Cannabis has suffered a very different  reputation; at times even being equated to cocaine and heroin as a drug of abuse.  Clearly there is a regulatory disconnect between governmental control and societal perception.

 This talk will examine the important distinction between herbal cannabis, with its’ complex alkaloid chemistry in terms of medical utility and it’s use as a recreational intoxicant.   As well, attendees will be able to make a reasoned discussion between getting pulled into this political debate and having a healthy interest in ongoing research into this very interesting class of compounds.

Learning Objectives – Participants will be able to:

  • Examine the complex pharmacology of this class of drug
  • Define the difference between pharmaceutical cannabinoids and herbal cannabis
  • Make an informed decision as to how far into the ‘medical marijuana’ issue they might want to go and at what personal as well as professional risks they incur

Dr. Douglas Gourlay did his medical training at McMaster University, completing his fellowship in Anesthesiology in 1990.  Following a fellowship in addiction medicine, he has focused his practice to the assessment and management of risk in the treatment of chronic pain. He has written extensively and speaks on the topic of patient-centered strategies in the management of risk. He is the Former Director, Pain and Chemical Dependency Division, Wasser Pain Management Centre, Toronto as well as the Director of Lab Services, Center for Addiction and Mental Health, Toronto, Ontario. He currently is an educational consultant, writing and speaking on the subjects of Risk Management and Drug Testing.

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Topic: Management of Concussion & Post-Concussion Syndrome
Aired on October 26, 2017

Speaker: Vernon Williams, MD

This presentation will provide an updated review of concepts related to the management of concussion and post-concussion syndrome. Previously, management was limited to “watchful waiting” with the concept that although many (if not most) concussive injuries resolve spontaneously, there are individuals who have prolonged and/or permanent symptoms. This “Post-Concussion Syndrome” was often viewed as a “new normal” for those individuals and management was limited to teaching compensatory strategies and attempts at treating symptoms. A more evolved approach is aimed at an aggressive assessment and search for treatable causes of ongoing symptoms with interventions aimed at amelioration and improvement, rather than watchful waiting and compensation.

Learning Objectives – Participants will be able to:

  • Identify the most common symptoms associated with prolonged concussion and Post-Concussion Syndrome
  • Identify options for treatment of most common symptoms associated with Post-Concussion Syndrome
  • Identify factors (modifying factors) associated with increased risk of prolonged symptoms and Post-Concussion Syndrome
  • Have awareness of evolving approaches and future directions for treatment of concussion and Post-Concussion Syndrome

Vernon B. Williams is a graduate of The University of Michigan’s prestigious Inteflex Accelerated Pre-Medical/Medical Program. He completed neurology residency at The University of Maryland in Baltimore and is board certified by the American Association of Psychiatry and Neurology. Dr. Williams joined the Kerlan-Jobe Orthopaedic Clinic in Los Angeles in 1997 where he is a consulting Team Physician to the Los Angeles Rams, Clippers, Dodgers, Kings, Sparks, Anaheim Ducks, and several southern California collegiate, high school, and elite club athletic programs. He is the Founding Director of The Center for Sports Neurology and Pain Medicine at the Kerlan-Jobe. In 2015, Governor Brown appointed him to the California State Athletic Commission Dr. Williams is an active educator on issues related to Sports Neurology and Concussion and is the Chair of the American Academy of Neurology Sports Neurology Section.

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Topic: Knee Injuries: Pearls & Pitfalls
Aired on August 29, 2017 at 12:00 pm PT

Speaker: Leslie Kim, MD

This presentation will highlight pertinent key points in evaluating and treating common–and some uncommon–knee conditions presenting to occupational medicine specialists. This will include identification of “red flags,” practical pointers on performing a knee examination, appropriate use of diagnostic studies, efficacy of certain treatment modalities, and timing of referral for orthopaedic consultation. Participants should be able to apply this information to more effectively and efficiently manage knee injuries in their practice.

Learning Objectives – Participants will be able to:

  • Recall key questions when obtaining the patient’s history of knee injury
  • Describe the knee anatomy and clinical correlation to the physical examination
  • Appropriately use diagnostic testing and treatment modalities for different knee conditions
  • Identify urgent knee conditions that require timely referral

Dr. Leslie Kim is a board certified orthopaedic surgeon in active general practice with sub-specialization in shoulder and knee arthroscopy. His special interests include sports medicine, workers compensation, forensic (medico-legal) orthopaedics, and health care innovation. Dr. Kim is a graduate of Stanford Medical School. He completed general surgery internship and orthopaedic surgery residency at UCLA. He also received post-graduate fellowship training in arthroscopic surgery, orthopaedic trauma in Munich Germany, and reconstructive surgery at Scripps Clinic. Following Dr. Kim’s formal training, he gained additional experience working at the Olympics and serving as a local college team physician, as well as expertise in the workers compensation system as medical director of a large statewide medical group. Dr. Kim is presently the chair of the orthopaedic surgery department at Mills-Peninsula Hospital in Burlingame, and on staff at Seton Medical Center.

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Topic: Integrating Health and Safety – Two Employer Solutions
Aired on June 29, 2017 at 12:00 pm PT

Speakers: Pamela Hymel, MD, MPH, FACOEM & T. Warner Hudson, MD, FACOEM, FAAFP

Total Worker Health® is the integration of both workplace health promotion (health) and workplace health protection (safety).  Both Walt Disney Parks & Resorts and UCLA Occupational Health have approached their safety and health programs via strategic integration of important program components between the two departments. The background, rationale, program content, operational details, and results over 5 years from these two workplaces will be presented so others can consider how integrating their health and safety programs might positively impact their workers and workplaces. 

Learning Objectives – Participants will be able to:

  • List the basic concepts of NIOSH Total Worker Health Program®
  • Describe innovative ways two employers are integrating health and safety
  • Implement data that most effectively outlines program successes and areas of opportunity
  • Develop and design a focused hot spotter type wellness intervention
  • Operate a worker health program

Dr. Pamela Hymel is Chief Medical Officer for Walt Disney Parks and Resorts (WDPR) where she is responsible for integrating a segment wide health and well-being strategy. In her current role, she is responsible for the day-to-day operations of the onsite occupational health services centers, guest first aid locations, disability/accommodation management, drug screening, global occupational health issues and well-being strategy and programs for WDPR. Dr. Hymel served as President of the American College of Occupational Medicine (ACOEM) from 2009-2010 and was on their Board of Directors for over 10 years.

Dr. T. Warner Hudson has been Medical Director of UCLA Health System and Campus for 7 years and has worked across all UC on the focused wellness program for injured workers called Work Strong; on the steering committee of UCLA’s Healthy Campus Initiative,  and is currently working on new UC wide population health efforts. He spent 20 + years as a Corporate Medical Director and Director of Health Safety and Environment for multinational companies.  He was president of ACOEM in 2011-2012 and president of WOEMA in 2000-2001.

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Topic: The California Medical Treatment Utilization Schedule (MTUS) – New Treatment Guidelines and Formulary
Aired on April 27, 2017 at 12:00 pm PT

Speaker: Raymond Meister, MD

Doctors in California’s workers’ compensation system are required to provide evidence–based medical treatment.  The MTUS provides this evidence-based framework for the evaluation and treatment of injured workers. It includes a set of guidelines covering which treatments are effective for most work–related injuries and illnesses as well as a method for providing care outside of the MTUS treatment guidelines.  Additionally, a proposed MTUS Formulary has also recently been submitted for public comment and this presentation will cover the formulary as well.  Use of the MTUS is not only required by law, but will facilitate the approval of your treatment plans and improve outcomes of your patients.

Learning Objectives:

  • Define what the MTUS is and why it is critically important to the care of your patients.
  • Identify the guidelines in the MTUS and learn how to use recommendations found in the MTUS guidelines for your patients’ treatment.
  • Explain how to apply the MTUS Medical Evidence Search Sequence when considering recommendations found outside of the MTUS.
  • Identify highlights of the proposed MTUS Formulary.

Dr. Ray Meister has served as Executive Medical Director for DWC since June, 2016 and was an Associate Medical Director since 2014. Prior to joining DWC, Dr. Meister served as Public Health Medical Officer at the California Department of Public Health, Occupational Health Branch, from 2000 to 2014.

Dr. Meister is boarded in Occupational Medicine having done his residency at UCSF.  He earned a Master of Public Health degree from the University of California, Berkeley School of Public Health and a Doctor of Medicine degree from the University of Southern California School of Medicine. He has been a faculty member at the University of California, San Francisco since 1998 and is currently an Associate Clinical Professor.

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Topic: Outbreak of Mycobacterial Infections in a Dental Clinic 
Aired on February 21, 2017 at 12:00 pm PST

Speaker: Matthew Zahn, MD

In the fall of 2017, the Orange County Health Care Agency responded to an outbreak of atypical mycobacterial infection in the patient population of a local dental clinic.  Over 60 children were hospitalized due to this outbreak, which is the largest dental mycobacterial outbreak reported in this country.  Aspects discussed will include assessment and testing of the facility water system, assessment of dental provider practices, and the epidemiology of community outbreaks of atypical mycobacterial infection.

Learning Objectives – Participants will be able to:

  • Become familiar with environmental sources of atypical mycobacterial infection.
  • Learn the basics of assessing water systems for potential mycobacterial contamination.
  • Review the epidemiologic progression of an outbreak of mycobacterial infection.

Dr. Matthew Zahn currently serves as Medical Director of the Division of Epidemiology and Assessment for the Orange County Health Care Agency. Dr. Zahn received his doctorate in medicine from St. Louis University School of Medicine. From 2004 through 2011, he served as Medical Director for the Louisville Metro Department of Public Health and Wellness. During that time, he also served as an Assistant Professor of Pediatric Infectious Disease at the University of Louisville School of Medicine. He has served on multiple national public health committees, including currently serving as the National Association of County and City Health Officials (NACCHO) liaison to the CDC’s Advisory Committee on Immunization Practices.

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