Western Occupational & Environmental Medical Association
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CME Webinars – 2011

Following the live broadcast, WOEMA members may view and listen to the webinar on-line and then complete the questionnaire in order to receive credit.


TOPIC: Opioid Use Guidelines for Chronic Pain Treatment
Aired Thursday, October 20, 2011

Speakers:
Steven Feinberg, MD, MPH, 
Adjunct Clinical Professor, Stanford University School of Medicine & Chief Medical Officer, American Pain Solutions

Scott C. Levy, MD, MPH, FACOEM, Assistant Medical Director of Regional Occupational Health Services, Chief of Physical Medicine and Rehabilitation, Chief of Chronic Pain, The Permanente Medical Group

Description:
According to the California Workers’ Compensation Institute there is considerable variation in the prescribing patterns of physicians in the workers compensation arena.  This variation leads to a significant burden on the workers’ compensation system by driving the costs of medications, prolonging disability, and increasing the duration of claims. In the recent past there was a concerted effort to increase the use of narcotic medications and to avoid “under-treatment” of pain.  The belief at the time was that the risk of addiction to narcotic medications was very low for all patients in pain.  This has been shown to be incorrect as evidenced by the escalation in the numbers of people addicted to prescription pain medications and/or made dysfunctional due to use of these substances, as well as the increased numbers of related deaths. Despite this evidence, barriers to change still exist.  These include the fear of litigation as well the fact that, until recently, there was a lack of evidence-based guidelines designed for primary care providers prescribing opioid prescription medications.  This webinar is designed to help office-based providers best manage patients with work-related injuries who may require opioid medications.

Learning Objectives – Participants will be able to:

  • Recognize how current medical practice guidelines as well as state and federal laws affect prescribing patterns for opioid medications;
  • Understand appropriate opioid screening criteria and monitoring protocols for patients who are at low, medium and high risk for addiction;
  • Apply knowledge to create practice protocols for opioid prescribing, treatment, and weaning based on evidence-based guidelines, consistent with quality medical care, and current state and federal guidelines.

Speakers:

Steven Feinberg, MD
Dr. Steven Feinberg is a physiatrist and pain medicine specialist practicing in Palo Alto. He is an Adjunct Clincial Professor and teachers at the Stanford University Pain Service. Dr. Feinberg is the Chief Medical Officer of Amerian Pain Solutions, Inc. Dr. Feinberg is a past president (1996) of the American Academy of Pain Medicine and served as a California Society of Medicine & Surgery Year 2011 President. He serves on the Board of Directors of the American Chronic Pain Association and is lead author of the 2011 ACPA Consumer Guide to Pain Medicine & Treatment. He is the Medical Director of Cedaron AMA Guides Software. Additionally, Dr. Feinberg served on the ACOEM Chronic Pain Guidelines Panel Chapter Update and also as Associate Editor. Dr. Feinberg also serves as a consultant to the Official Disability Guidelines.

Dr. Feinberg has no conflict of interest to disclose.

Scott Levy, MD
Dr. Scott Levy is the Assistant Medical Director of Regional Occupational Health Services for the Permanente Medical Group in northern California where he has practiced since 2005.  He also serves as the Chief of Physical Medicine and Rehabilitation as well as Chronic Pain.  Dr. Levy serves on the Board of Directors of WOEMA where he Co-Chairs the Legislative Committee.  He is also the Chair of the ACOEM Membership Committee.  Dr. Levy serves on the Executive Committee of the Speciality Delegation of the California Medical Association and sits on the Board of Directors for the Marin Medical Society.  He is Board Certified in both Internal Medicine and Occupational and Environmental Medicine.

Dr. Levy has no conflict of interest to disclose.

[Download Presentation]

CREDIT:WOEMA is accredited bythe 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 educational activity when combined with completion and submission of the on-line questionnaire, for a maximum of 1.0 AMA PRA Category 1 CreditTM. CME Certificates are issuedand e-mailed to those who successfully participate and complete the webinar.


TOPIC: Fibromyalgia
Aired Thursday, August 18, 2011

Speaker: Sheetal Desai, MD, MSEd, Assitant Clinical Professor of Medicine, Division of Rheumatology, University of California Irvine

Description:
Fibromyalgia is a condition that is difficult for many to understand. Many physicians do not believe it is a true condition, and most patients feel that “it is in their head”. These beliefs are due to a poor understanding of Fibromyalgia, which in turn results in inappropriate diagnosis and treatment of the condition. It is a cause of considerable morbidity to patients, and has high indirect costs to healthcare. Dr. Desai will give an overview of the 21st century understanding of Fibromyalgia and the significant research that has been done on this condition, which shows that Fibromyalgia truly is a condition that is literally “in the patient’s head”!

Learning Objectives – Participants will be able to:

  • Increase awareness of the current understanding of the pathophysiology of Fibromyalgia;
  • Know how to make a diagnosis of Fibromyalgia;
  • Be aware of disease masqueraders that can present as Fibromyalgia;
  • Understand the various treatment options that exist for Fibromyalgia, and the need for a multidisciplinary approach.

Speaker Information:
Dr. Sheetal Desai is a board-certified rheumatologist and is Assistant Professor of Medicine at University of California, Irvine. Dr. Desai specializes in the diagnosis and treatment of rehuamtic disorders such as osteoarthritis, rheumatoid arthritis, polymyalgia rheumatica, fibromylagia, scleroderma, and lupus.

Dr. Desai has no conflict of interest to disclose.

[Download Presentation]

CREDIT:WOEMA is accredited bythe 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 educational activity when combined with completion and submission of the on-line questionnaire, for a maximum of 1.0 AMA PRA Category 1 CreditTM. CME Certificates are issuedand e-mailed to those who successfully participate and complete the webinar.


TOPIC: Obstructive Sleep Apnea and the Commercial Driver: Understanding the Controversy and Applying Screening Criteria
Aired Thursday, June 16, 2011

Speaker: Scott Levy, MD, MPH, FACOEM

Description:
There is a high prevalence of Obstructive Sleep Apnea (OSA) in commercial drivers and screening for this medical condition is important to insure safety. OSA increases the risk of crashes and effective treatment is available. However, many practitioners do not regularly screen for OSA, and there is considerable controversy amongst the medical community on the criteria for sleep apnea screening. The controversy exists for several reasons but most importantly is the absence of a set of screening criteria which both the medical community adopts as the “gold standard” and the Department of Transportation and/or Federal Motor Carrier Safety Administration embraces.

In order to make an educated decision regarding screening for OSA in the commercial driver population, practitioners need to have a good understanding of the pathophysiology of the condition, as well as a firm grasp of the associated health consequences, including the risk of motor vehicle accidents.

Learning Objectives – Participants will be able to:

  • Understand the pathophysiology of Obstructive Sleep Apnea (OSA);
  • Understand the health consequences of OSA;
  • Become familiar with the current screening criteria OSA and understand controversies;
  • Implement appropriate screening criteria in clinical practice;
  • Improve ability to manage commercial drivers who are diagnosed with OSA.

Speaker Information:
Dr. Scott Levy is the Medical Director of Occupational Health and Safety Services for the Permanente Medical Group where he has practiced since 2005. In his time with Kaiser Permamente he has either performed and/or taught others to perform, examinations on thousands of commercial drivers. Dr. Levy serves on the Board of Directors for WOEMA where he Co-Chairs the Legislative Committee. He also serves as Chair of the ACOEM membership committee. Dr. Levy is Board Certified in both Internal Medicine as well as Occupational Medicine.

Dr. Levy has no conflict of interest to disclose.

[Download Presentation]

CREDIT:WOEMA is accredited bythe 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 educational activity when combined with completion and submission of the on-line questionnaire, for a maximum of 1.0 AMA PRA Category 1 CreditTM. CME Certificates are issuedand e-mailed to those who successfully participate and complete the webinar.


TOPIC: Visual Ergonomics in the Workplace 
Aired Thursday, April 21, 2011

Speaker: Jeffrey Anshel, OD, FAAO, Corporate Vision Consulting

Description:
The visual symptoms that computer workers experience are the most obvious expression of the shortcomings in the ergonomics and visual characteristics of the worker. Because of the high visual demands of the computer task and the visual shortcomings of many operators, vision problems and symptoms are very frequent among computer workers. Most studies indicate that visual symptoms occur in 75-90% of computer workers1-3; by comparison a study released by the National Institute of Occupational Safety and Health (NIOSH)4 showed that 22% of computer workers have musculoskeletal disorders. A large survey of optometrists5 indicated that 10 million primary care eye examinations are annually given in this country primarily because of visual problems at computers- not a small public health issue! (references click here)

Learning Objectives – 

  • To educate about the critical role good vision maintains in being able to work productively at a computer;
  • To show how vision and lighting interact to create a challenging visual environment in the workplace;
  • To inform attendees on how to troubleshoot computer workplaces regarding visual stress areas so that they can reduce risk of eyestrain and decreased productivity.

Speaker Information:
Dr. Anshel is a 1975 graduate from the Illinois College of Optometry. He has written numerous articles and books regarding nutritional influences on vision and computer vision concerns. Dr. Ansehl is the principal of Corporate Vision Consulting, where he addresses the issues surrounding visual demands while working with computers. He also offers on-site consultations and seminars to corporations related to visual stress and productivity in the workplace. He lectures nationally to eyecare providers on nutrition topics. Dr. Anshel is a Fellow of the Americal Academy of Optometry and President of the Ocular Nutrition Society. He maintains a private practice in Carlsbad, CA.

Dr. Anshel has no conflict of interest to disclose.

[Download Powerpoint Presentation]

CREDIT:WOEMA is accredited bythe 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 educational activity when combined with completion and submission of the on-line questionnaire, for a maximum of 1.0 AMA PRA Category 1 CreditTM. CME Certificates are issuedand e-mailed to those who successfully participate and complete the webinar.


TOPIC: Public and Worker Health from the Fukushima Nuclear Plant Accident 
Aired Wednesday, April 6, 2011

Speakers:
Thomas McKone, PhD, 
Senior Scientist, Lawrence Berkeley National Laboratory
James Seward, MD, 
Medical Director, Lawrence Livermore National Laboratory

Description:
The speakers will provide a basis for understanding the radioactive releases at the Fukushima Daiichi nuclear plants and discuss the types of radionuclide exposures involved. They will cover the accident sequence, emissions inventories, actual releases, potential health effects, expsoure limits, and protective responses, including the use of prophylactic potassium iodide. There will be ample time for audience questions.

Learning Objectives – Participants will be able to:

  • Understand the need for and principles of nuclear safety systems and what failed in Fukushima;
  • Understand the types, origins,and potential health effects of the radioactivity released into a reactor incident;
  • Describe the different routes of exposure to radioactivity and the approaches used to managing them;
  • Explain the indications, limitations, and contraindications for the use of potassium iodide as a prophylactic agent.

Speaker Information:
Thomas McKone, PhD

Dr. McKone is a senior staff scientist at the Lawrence Berkeley National Laboratory (LBNL) and a Professor at the University of California, Berkeley School of Public Health. His research focuses on the development, use, and evaluation of models and data for human-health and ecological risk assessments and the health and environmental impacts of energy, industrial, and agricultural systems. Dr. McKone has served on the US EPA Science Advisory Board, been a member of numerous National Academy of Sciences committees, and worked with the World Health Organization. He is a fellow of the Society for Risk Analysis and a former president of the International Society of Exposure Science (ISES). Dr. McKone earned his PhD in nuclear engineering from the University of California, Los Angeles.

Dr. McKone has no conflict of interest to disclose.

James Seward, MD, MPP
Dr. Seward is the Medical Director for the Lawrence Livermore National Laboratory (LLNL) which is a research and development facility of the US Department of Energy. He holds appointments as a Clinical Professor at the University of California, Berkeley School of Public Health and the University of California, San Francisco School of Medicine. He is Co-Director of the UCSF Preventive Medicine Residency Program. Dr. Seward is a former WOEMA President and currently serves as a member of the ACOEM Board.

Dr. Seward has no conflict of interest to disclose.

[Download Powerpoint Presentation]

CREDIT:WOEMA is accredited bythe 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 educational activity when combined with completion and submission of the on-line questionnaire, for a maximum of 1.0 AMA PRA Category 1 CreditTM. CME Certificates are issuedand e-mailed to those who successfully participate and complete the webinar.


TOPIC: Occupational Medicine Practice in the New Era of Health Care Reform 
Aired Thursday, February 17, 2011

Speaker: Paul Papanek, MD, MPH, FACOEM, Occupational Health Service, Kaiser Permanente, Los Angeles, CA

Description: The next three years will see implementation of the new health care reform bill, the Patient Protection and Affordable Care Act of 2010 (PP-ACA). As a result, the practice of Occupational Medicine is likely to change. Parallels can be drawn from the changes that occurred in Occupational Medicine when national health care was implemented in many countries of the European Union. Specific provisions in the PP-ACA bill, especially those related to employer-sponsored Health Plans may predict practice changes. Other aspects for Occupational Medicine are also likely to occur as a result of other anticipated regulatory changes related to the Medical Home and OSHA regulations. These changes are likely to include reimbursement for preventive services in Occupational Medicine.

Learning Objectives – Participants will be able to:

  • Identify two important trends in Occupational Medicine that occurred in several European Union countries at the time of their national health care implementation;
  • State two interventions related to genetic information that can be implemented for employer sponsored plans;
  • Identify two opportunities for clinical preventive services in the workplace, likely to improve both public health indicators and worker productivity.

Speaker Information:
Dr. Papanek received his MD degree in 1977 from UC San Diego and took his residency in Family Medicine at UCLA. He received a Masters of Public Health degree from UCLA in the field of Occupational and Environmental Health Science, and is Board certified in Occupational Medicine. Dr. Papanek was Chief of the Occupational Health Service/Kaiser on the Job Program in the Metro Los Angeles area, was the Assistant Program Director for the UCLA Occupational Medicine residency, and has served on the Workers’ Compensation Committee of the California Medical Association.

Dr. Papanek has no conflict of interest to disclose.

[Download Powerpoint Presentation]

CREDIT:WOEMA is accredited bythe 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 educational activity when combined with completion and submission of the on-line questionnaire, for a maximum of 1.0 AMA PRA Category 1 CreditTM. CME Certificates are issuedand e-mailed to those who successfully participate and complete the webinar.


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