Western Occupational & Environmental Medical Association
Leading Occupational & Environmental Medicine

WOHC 2017 Agenda

View descriptions of each session by clicking on the titles in the agenda below.


Wednesday, September 13th

CST Tour (WST-1)
The HAWAII National Guard Civil Support Team supports civil authorities at domestic chemical, biological , radiological, nuclear and/or explosive incident sites. Attendees will get to see and experience up front the unified command suite with its chemical detection equipment, analytical lab, personal protection equipment and HAZMAT response. This is a once in a lifetime behind the scenes experience.
CME/MOC: 3.0

Thursday, September 14th

AMA Disability Text: Real World Examples & Case Discussions of Disability, Impairment, & Return to Work (PG-1)
Many sources provide mixed messages to injured workers as to what is best for them. Do you know spectrum of problems one might create as a clinician when we place patients off work? Learn the principles and practical pearls in “AMA Guides to Evaluation of a Work Ability and RTW”. Lock in the learning by group discussion of case presentations. Participants will also be provided with tools for managing difficult conversations.
-Steve Frangos, MD; Mark Hymann, MD; Steve Wiesner, MD
CME/MOC: 4.0
Power Ortho - Everything You Ever Wanted to Know About Orthopedics but Were Afraid to Ask (PG-2)
Rub elbows with a joint surgeon, know your knee, and get a handle on your hand exam. Get up-to-date, and up close and personal with the pros as they demonstrate physical exam techniques and provide multi-diagnostic and treatment pearls ranging from ortho injections, advanced imaging, management of degenerative joint disease in a WC setting, and the latest evidence and low-down on some of the newer regenerative sports med treatments. Plus – red flags and what not to miss.
-Christopher Bayne, MD; Kevin Burnham, MD; James Van den Bogaerde, MD
CME/MOC: 4.0
11:30am-12:00pm Break with Exhibitors
Nurturing Vitality From the Fast Lane Workshop
When was the last time someone used the word “vitality” to describe you? Resilience? When do I have time for that? Do you have a plan to maintain resilience over your career, or is it hit or miss? Build your individualized stress management and resilience plan during the workshop.
-Barbara Hernandez, PhD
CME/MOC: 3.0
Case Studies in Neurology - 6 Fast Paced and Info Packed Case Vignettes for the PTP
Fitness for Duty, Head Trauma, Neck and Lower Back Pain, EMG and Nerve Condition Studies, Functional Neurological Syndromes and Neurotoxicology.
-Jonathan Rutchik, MD; Lorne Direnfeld, MD
CME/MOC: 2.0
2:00pm-4:00pm Vendor Showcase
4:00pm-5:00pm Welcome Reception with Exhibitors
How to Excel as an Independent Medical Evaluator: Secrets to Success (PG-3)
Learn “secrets” and best practices for having a successful and independent medical evaluation (IME) practice – whether this is part of your existing practice or your new focus. To be successful you need to be: 1) an excellent clinician, 2) understand IME issues (i.e., assessment of causation, apportionment, impairment, and work-ability), and 3) know how to develop, grow, and sustain a successful IME practice – one that you enjoy and is profitable. In this unique workshop, you will learn from the experiences of others who have achieved success – including what works and, equally importantly, what does not. The format is a lively discussion, focusing on important questions that you need to know the answers to. Questions such as how do I: 1) consider performing independent medical evaluations? 2) Start and run a successful IME practice, one that I enjoy and is profitable? 3) Attract quality clients? 4) Work with IME companies? 5) Enhance my reputation? 6) Be efficient in preforming evaluations that result in thorough and persuasive report? 7) Deal with difficult ethical issues? 8) Know the most common mistakes and avoid them? 9) Assure that I am paid appropriately for my services? 10) Minimize any risks? If you perform IMEs or are considering doing this work, you will want to actively participate in this outstanding workshop – you have so much to gain. All of your questions will be answered.
-Chris Brigham, MD; Lorne Direnfeld, MD; Steve Feinberg, MD
CME/MOC: 3.0
CA Formulary Dialogue
This “Ask the Professor” session will be a unique interactive opportunity to learn about the implementation of the CA DWC Formulary from the developer of the ACOEM-based formulary and the Executive Director of the DWC.
-Robert Goldberg, MD; Ray Meister, MD
CME/MOC: 1.25
6:30pm-6:45pm Break with Exhibitors
Demonstration & Participation of Clinical Neurological Examination - Pearls & Pathology
Hands-on time with the experts – small group session – space limited
-Jonathan Rutchik, MD; Mark Gibson, MD
CME/MOC: 1.25

Friday, September 15th

The Sugarcane Era in Hawaii from Plantation Doc to the Recent Demise of the Industry
What have we learned, and perhaps, what have we forgotten? From plantation doctors (epidemiologists, prevention specialists, total worker health), to the recent demise of the industry (with social, health, economic, and environmental impacts).
-Charles Kelley, MD
CME/MOC: 0.83
Power Pharma: The Essentials of Pharmacotherapy 2017 - Indications, Risks/Benefits, Interactions, & Misuse
Treating physicians have limited up-to-date knowledge of commonly prescribed medications, their indications, risks and benefits, interactions, and misuse. Understand the pharmacology of the top drug uses, achieve a higher level of knowledge and awareness of medication side effects, risks, and misuse, and understand the dangers of polypharmacy.
-Robert Goldberg, MD; Jeanette Connelly, PharmD; Britten Featherston, PharmD; Amanda Waltemath, MPH, PharmD
CME/MOC: 2.0
10:00am-10:30am Break with Exhibitors
Writing a Winning Report: Step by Step Guide to Excellence
A “winning” report reflects a thorough, unbiased evaluation, provides essential data, and addresses issues with discussions that are thoughtful and supportable. In this session you will learn about report standards and best practices. Although the particular focus is on independent medical evaluation and medicolegal reports, the principles apply to all reports in the workers’ compensation and personal injury arenas. You will learn about current standards, published in the AMA Guides Newsletter, and how to address specific issues, including: pain evaluation and management; impairment; causation and apportionment. Leading experts and prominent stakeholders will share their insights. The format is brief, insightful, and dynamic presentations, followed by a lively panel discussion.
-Chris Brigham, MD; Lorne Direnfeld, MD; Steve Feinberg, MD
CME/MOC: 2.0
12:30pm-1:00pm Break with Exhibitors
Maintaining a Healthy & Safe Workforce Across Complex Work Settings
In this session, we will be describing components of a major corporate wellness program and discussing business drivers for a corporate wellness program. We will also review the concept of Peer Health education to deliver heath and wellness goals across complex work settings and demonstrate how a peer health education system can magnify the local health resources to achieve business goals.
-Scott Levy, MD; Amy Shannon
Corporate Wellness: Making Man Whole
In this session we will identify participants, plan, and evaluate effective Wellness Programs. Gives examples of wellness programs you can start and identify partners you need in order to connect all of the wellness pieces, as well as partnering with your health plan.
-Olivia Moses, DrPH
CME/MOC: 1.5
Maintaining Board Certification in Occupational Medicine
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 session has been 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.
-Eric Wood, MD, MPH
CME/MOC: 0.5
2:30pm-5:00pm Vendor Showcase
5:00pm-6:00pm Networking Reception & WOEMA Business Meeting
6:00pm-9:00pm WOEMA Signature Event – Tastes of Polynesia

Saturday, September 16th

Key to Resilience in One Word
Your take home pearl!
-Barbara Hernandez, PhD
Got Bias?, Of Course we do; now what?
Interpersonal and communication skills are influenced by our unconscious biases, potentially creating conflict when we interact with patients, colleagues, friends and family – even conflict and frustrations within ourselves. Have you ever taken the Implicit Association Test? Learn about this as well as strategies to decrease unconscious biases in this thought provoking session.
-Shanta Zimmer, MD
CME/MOC: 1.08
Changing World, Changing Practice: Challenges and Opportunities in Environmental Health
Upon completion of this session, participants should be able to explain at least three emerging environmental health issues relevant to the practicing OEM physician, discuss at least two opportunities and two challenges from new environmental monitoring and chemical testing methods, and identify at least three reliable scientific sources for further information in environmental health.
-Sarah Jannsen, MD; Gina Solomon, MD
CME/MOC: 1.5
9:45am-10:15am Break with Exhibitors
An OEM Perspective on Health & Safety in Agriculture: Farmers & Farmworkers
The vulnerabilities of the agricultural worker have intensified and changed. Precarious work, poverty, fear of deportation, extreme housing conditions, heat stress (immediate and long term impact), co morbidities and more. Learn how to identify, recognize, and treat from the research and case studies of the national experts.
-Marc Schenker, MD; Ryan Sinclair, PhD; Monique van der Stroom
CME/MOC: 1.25
Myofascial Pain Syndrome - Treating Chronic Muscle Pain & Preventing Useless Surgeries
Often erroneously confused with fibromyalgia, Myofascial Pain Syndrome (MPS) is a very common diagnosis that is frequently poorly treated and poorly understood. Referred trigger point pain often mimics surgical conditions. Such misdiagnosed symptoms, though often responsive to simple therapies, not infrequently result in ineffective surgeries (e.g., CTR, cubital tunnel release, extensor tendon release, shoulder surgery, neck fusions, etc). There are several common clinical myofascial syndromes which, if properly diagnosed, can be treated non-operatively by the primary care physician. In this talk we will cover recognition of MPS, myofascial syndromes often mimicking surgical conditions, and simple treatments for MPS such as: Trigger Point Injections (TPI), manual myofascial release therapy, biofeedback, and other techniques you can use in your office.
-Dean Gean, MD; Steve Levit, MD; Jules Steimnitz, MD
Understanding Functional Restoration Programs: the Good, the Bad, & the Ugly
A critical look at Multidisciplinary Functional Restoration Programs. What works and how to choose between programs. Patient selection criteria and when to refer. Patient and program factors that predict a significant and lasting functional improvement. Tips for getting program authorization through UR.
-Steve Feinberg, MD; Dean Gean, MD
CME/MOC: 1.5
1:00pm-5:00pm Open Afternoon Activities
1:15pm-3:00pm Women’s Luncheon – I Am Woman, Should I Roar?: The Linguistics of Leadership No CME/MOC credit offered
8:30pm-9:30pm After-Glow Reception