CME Webinars 2015

TOPIC: Metabolic Syndrome & Workplace Wellness: A Total Worker Health(TM) Approach to Designing Healthy Workplaces

Aired on October 21, 2015

Speaker: Suzanne Nobrega, MS

Obesity is a major public health issue, and is a growing concern for employers. Participants will learn how our work organization can act as risk factors for obesity by influencing our individual behaviors or lifestyles. The presentation will discuss specific work environment factors that can contribute to overweight/obesity, and how to create a work environment conducive to health with worksite wellness activities and interventions.

Learning Objectives – Participants will be able to:

  • Recognize pathways between work environment and obesity/overweight
  • Identify factors relevant to low wage workforce
  • Describe strategies for addressing work-related risk factors for obesity/overweight

Suzanne Nobrega is the Outreach Director at the Center for the Promotion of Health in the New England Workplace (CPH-NEW) at the University of Massachusetts Lowell. She is Co-Principal Investigator of the Healthy and [email protected] Project. In this role, she provides training and technical assistance to employer organizations looking to implement Total Worker Health programs in the workplace. Suzanne is an experienced program manager, program evaluator, and research coordinator. Her research interests focus on interventions to address job stress, organizational change, and obesity. She holds a master’s degree in nutrition from Cornell University, and has completed graduate coursework in Work Environment at the University of Massachusetts Lowell.

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TOPIC: Early Management of Occupational Low Back Pain

Aired on August 26, 2015

Speaker: Dallin DeMordaunt, MD

Low back pain is the most common occupational medical complaint that occupational health providers and primary care physicians encounter. These injuries can be challenging to manage in the acute and subacute stages. Health care providers will learn the key elements of evaluating and treating early low back injuries including typical occupational activity modifications. They also will learn what symptoms and signs suggest additional diagnostic work up. This presentation will help providers be more effective in managing this frequent medical issue in the future.

Learning Objectives – Participants will be able to:

  • Recognize the prevalence and expense of occupational low back injuries
  • Describe the steps for performing a history and examination for low back pain
  • Recognize the “red flags” of low back pain that require further diagnostic work up
  • Recall when and what imaging/tests are indicated early on in low back pain
  • Describe what treatments are usually indicated for most acute and subacute low back injuries
  • Recommend what occupational activity modifications are usually indicated for acute and subacute low back injuries

Dr. Dallin DeMordaunt is a Physiatrist — Board Certified in Physical Medicine and Rehabilitation, Sports Medicine, and Electrodiagnostic Medicine. He has worked in Reno, Nevada for 10 years at Sierra Regional Spine Institute and at Concentra Occupational Centers, and serves as assistant clinical professor for the University of Nevada School of Medicine. Dr. DeMordaunt specializes in the diagnosis and non-surgical treatment of musculoskeletal, nerve injuries and pain syndromes. He coordinates and directs appropriate therapies for work and non-work related injuries, and utilizes peripheral, interventional spine injections and electrodiagnostic testing. Dr. DeMordaunt resides in Reno, Nevada with his wife and four kids and spends his free time enjoying the outdoors around Lake Tahoe and the Sierra Mountains.

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TOPIC: Vaccines for International Travel: Special Focus on the Pacific Region

Aired on June 24, 2015

Speaker: Margaret Ryan, MD, MPH

Many professionals travel to the Pacific region as part of an increasingly world-connected workforce. Understanding infectious disease risks specific to these regions is important in occupational medicine. This webinar will address specific, current recommendations for the prevention of Hepatitis A and B, Influenza, Japanese Encephalitis, Polio, Rabies, and Typhoid. General recommendations for travel safety and addressing contemporary worker concerns, before and after Pacific region travel, will also be discussed.

Learning Objectives – Participants will be able to:

  • Describe vaccine-preventable infectious disease risks of importance in the Pacific region, including Hepatitis A and B, Influenza, Japanese Encephalitis, Polio, Rabies, and Typhoid
  • Summarize current recommendations for vaccination in preparation for travel to the Pacific region
  • Apply an understanding of vaccine information, including precautions and contraindications, to appropriately protect workers who travel to the Pacific region

Dr. Margaret Ryan is an occupational and preventive medicine physician who lives in San Diego, California. She completed her education at Johns Hopkins University, George Washington University, and the Uniformed Services University. Dr. Ryan served in the US military for more than 25 years, retiring as a Navy Captain in 2011. While in the military, she led several large epidemiologic projects focused on recruit health, vaccine-preventable infectious disease, and reproductive health. She has authored or co-authored more than 130 contributions to the peer-reviewed literature. Dr. Ryan is currently the Medical Director of the Defense Health Agency Immunization Regional Office in San Diego. She is also an adjunct Professor at the University of California San Diego, where she supports the preventive medicine residency and teaches occupational and environmental health to undergraduate students.

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TOPIC: Can Your Shortness of Breath Patient Work? Evaluation of Respiratory Impairment & Disability

Aired on April 29, 2015

Speaker: John R. Balmes, MD

Chronic respiratory disease due to cigarette smoke and occupational or environmental exposures is a leading cause of disability worldwide. Physicians thus are not uncommonly asked to evaluate the impact of a respiratory disease on a patient’s daily activities, including the ability to work. Despite the prevalence of chronic respiratory disease and the need to evaluate resulting disability, many physicians feel ill equipped to assess functional respiratory impairment. This webinar presentation will provide information about the concepts of impairment, disability and handicap; the impairment evaluation schemes required by different agencies; the default AMA impairment classification scheme; and some specific case examples of application of the AMA respiratory impairment guidelines. The information presented will enhance physician knowledge about why, when, and how to perform a respiratory impairment evaluation.

Learning Objectives – Participants will be able to:

  • Differentiate impairment from disability and handicap
  • Understand the physician’s role in disability assessment
  • Apply the AMA guidelines for respiratory impairment evaluation

Dr. Balmes is Professor of Medicine at UCSF and Professor of Environmental Health Sciences in the School of Public Health at UC Berkeley.  He is an Attending Physician in the UCSF Division of Occupational and Environmental Medicine and the Division of Pulmonary and Critical Care Medicine at San Francisco General Hospital.  He was recently named Acting Director of the UC Berkeley-UCSF Joint Medical Program.  He was appointed Physician Member of the California Air Resources Board in 2008.  Dr. Balmes has been studying the effects of occupational and environmental agents on respiratory and cardiovascular health for 35 years.

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TOPIC: Radiation Dose Assessment of the US DOD Population Following the Fukushima Daiichi Release

Aired on February 25, 2015

Speaker: Paul K. Blake, PhD, CHP

On March 11, 2011, the most powerful earthquake ever recorded near Japan occurred followed by a devastating tsunami.  The tsunami led to station blackout conditions at the Fukushima Daiichi Nuclear Power Station resulting in reactor core meltdowns for Units 1, 2, and 3 with subsequent loss of containment and releases of radioactive materials to the environment.  At the request of the Government of Japan, the U.S. Department of Defense (DOD) launched a humanitarian assistance and disaster relief operation.  This operation was unique in in that nearly 75,000 DOD-affiliated individuals were potentially exposed to this radiation source.  Webinar participants will learn how DOD determined the health risk to its population, via a radiation dose assessment, and how this information was effectively communicated.

Learning Objectives – Participants will be able to:

  • Describe how a radiation dose assessment may lead to a population health determination
  • Identify radiological data suitable for performing an individual’s dose assessment following a nuclear reactor meltdown
  • Recall which radionuclides released from a nuclear reactor meltdown are of greatest concern to potentially exposed populations
  • Describe how radiation doses from a reactor release may effectively be communicated to the public

Paul Blake manages the Nuclear Test Personnel Review Program, Defense Threat Reduction Agency (DTRA), Fort Belvoir, VA.  DTRA safeguards America and its allies from weapons of mass destruction by providing capabilities to reduce, eliminate, and counter the threat, and mitigate its effects.  He leads the Department of Defense (DOD)’s efforts to confirm participation and reconstruct radiation doses for atomic veterans in support of Department of Veterans Affairs and the Department of Justice radiogenic disease compensation claims. He also led DOD’s radiation dose assessment of its affiliated population following the radiological release of the Fukushima Daiichi Nuclear Power Station in 2011.

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