ACCME Accreditation LogoAOCOPM 2022 Midyear Educational Conference

at AOA Online Learning

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Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Osteopathic Association and American Osteopathic College of Occupational and Preventive Medicine. The American Osteopathic Association is accredited by the ACCME to provide continuing medical education for physicians.

AMA Credit Designation Statement – Physicians

This course has been approved for 24 Category 1-A AOA CME Credits.

The American Osteopathic Association designates this activity for a maximum of 24 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Agenda and Learning Objectives

Program Chair:  Naomi Wriston, DO, MS, FAOCOPM

 A. Head, Shoulder, Elbow, Hand - an Osteopathic Approach to Common Findings 1) Identify common patient presentations of the head, neck, and upper extremity that will benefit from Osteopathic Manipulative Medicine (OMM).

2) Identify the steps needed to treat common head, neck, and upper extremity dysfunctions with OMM during the average office visit.
3)Identify the osteopathic functional interrelationship between the upper extremity and the head and neck.

Polly Leonard, DO

Loren Hatch Memorial Lecture in Occupational Medicine:
Toxicology False Testing and Substance Abuse in the Workplace

1) Identify body fluid and substances for toxicologic evaluation in the workplace.

2) List the advantages and disadvantages for different evaluations.
3) Recognize incidental exposures that can affect the results of body fluid and structure results.

Anthony Dekker, DO

Brent Lovejoy Memorial Lecture in Disability Impairment Medicine:
Functional Capacity Evaluations

1) Understand the definition and process of functional capacity evaluations.

2) Understand how to use FCE for disability and work related injuries.

Alexandra Peters, RPT

Lisa Fitzpatrick, DrOT, CHT, CAE, CEAS

D. Managing 5000+ Employee Health During a Pandemic 1) Become familiar with the role of Medical Center Occupational Health in the COVID-19 Incident Command of a healthcare system.

2) Understand how a large healthcare workforce population can serve as a proxy for the community.

Ed Galaid, MD
E. Lead Acid Battery Plants 1) Identify historical significance of LEAD use.
2) Associate LEAD exposure and health effects
3) Recognize LEAD absorption, distribution, body 1/2 life
4) Summarize OSHA LEAD biological monitoring
5) Summarize US Supreme Court fetal protection decision
6) Determine hazards in a LEAD-acid Battery Plant
Al Baltrusaitis, DO, MPH

Kenneth Riland Memorial Lecture:
Dealing with Difficult People

1) Describe several methods of dealing with confrontational colleagues
2) Describe the process of documenting and addressing behavior which is counterproductive
3) Appreciate the need for mission focused leadership
4) Describe the advantages of leadership by example

John Mills, DO, MS, MPH, FAOCOPM

 H. Embracing the Aviation Industry’s Culture of Safety in Post Pandemic Healthcare Systems:  Can Aviation Standards Help Save Patients? 1) Understand the scope of CLABSI AND HAPI that affect patients in healthcare systems.
2) Appreciate the advances made by the Aviation Industry to promote a safety, team-oriented culture both inflight and on the ground.
3)  Extrapolate information gleaned from aviation mishaps to healthcare systems to avoid similar mishaps in healthcare systems.
4) Understand the concept of “sterile cockpit” and “crew resource management” and how these can be used in healthcare systems as well.
I. Making American Football Safer from Pop Warner to the Pros 1) Understand history and development of American Football, concerning the game and the players.

2) Describe common age related injuries, mild through debility to death and develop an understanding of who really plays American Football.
3) Explain simple and practical preventive measures to avoid football injury.

John Carbon, DO, MS
J. Osteopathic Manipulative Medicine for Treating Patients with Barotitis 1) Be able to describe the functional anatomy related to Barotitis and its Osteopathic Manipulative Treatment (OMT)

2) Be able to describe OMT techniques appropriate to treating patients with Barotitis
3) Be able to describe OMT techniques appropriate to self-treatment of Acute Barotitis

Murray R. Berkowitz, DO, MPH, FAOCOPM, FAAO
K. The Rise of Ransomware in Healthcare: Risks & Recovery for Physician Groups 1) Discover a brief history of ransomware and how it evolved to the prevalent threat it is today.
2) Learn how to prepare your practice to manage cyber risk associated with ransomware before and after an incident.
3) Ensure your practice’s cyber insurance is adequate and responsive to protect your assets.
4) Discuss recent ransomware incidents other physician groups have experienced and the corresponding impact.
Trevor Williams, RPLU
L. Panel Discussion from differing vantage points.  What we have learned and how we should handle future pandemics.   Each will give a short vignette and then answer questions.  
  • Employer Perspective
Discuss the challenges of communicating pandemic medical issues with occupational medicine clients. Ed Galaid, MD 
  • Media Perspective
1) Provide physician / journalist perspective during early COVID 19 pandemic response
2) Discuss "infodemic" and potential mitigation strategies
Joette Giovinco, MD, MPH
  • Individual Patient Care Perspective
Share my experiences about treating COVID-19 patients Greg Schwaid, DO, MPH, FAOCOPM

Murray Goldstein Commemorative Lecture in Public Health and Preventive Medicine:
COVID -19: What We Have Learned and Where We Are Going

1) Understand COVID epidemiology
2) Understand basic principles of vaccine induced immunity
3) Review of outpatient COVID treatments
4) Understand LONG COVID
Joseph Gastaldo, MD
N. Respiratory Protection:   Public Health Implications 1) Identify major respiratory hazards in the workplace and environment

2) Recognize the clinical health effects due to inhalation hazards in the community and the workplace
3) Describe the methods for respiratory protection for the public and workers

Robert Harrison, MD, MPH
O. Progression of Osteoarthritis in the Lower Extremity 1) Understand the biochemical cause of osteoarthritis.
2) Describe the role of the kinetic chain in the progression of osteoarthritis.
3) Explain the connection of osteoarthritis of the foot, knee and hip.
David Canton, DO, MPH, JD, FAOCOPM
P. Heavy Metal Toxicity 101 1) Identify the etiologies of heavy metal toxicity.
2) Describe the clinical and physical examination features that are helpful in the evaluation of heavy metal toxicity.
3) Outline the management options available for heavy metal toxicity
Kamal Patel, MD
Q. Occupational Evaluation of Sacroiliac Joint Pain 1) Evaluate and discriminate low back pain etiology
2) Describe conservative and interventional approaches to return patients to work
3) Incorporate physical exam findings and diagnosis in the treatment of low back pain.
Kamal Patel, MD
R. From Flippers to Wings. Pearls from the Undersea to Aerospace Continuum.

1) Demonstrate understanding of Physiological Events/Episodes in US Navy Fighter Aircraft.
2) Distinguish key overlaps and gaps between Undersea & Hyperbaric Medicine/Physiology and Aviation Medicine/Physiology.
3) Identify key roles and communication between military and civilian medical entities, especially with regards to operational and occupational medicine.

Lance Davis, MD, MPH

John Cahill Memorial Lecture in Aerospace Medicine:
Spatial Disorientation

1) Describe the history of spatial disorientation in aviation
2) Understand the principles of visual and vestibular orientation
3) Understand the principles of disorientation
4) Describe spatial disorientation mishaps
Stephen Veronneau, MD, MPH
T. Annual Membership Business Meeting (encourage committee sign up)    
U. Occ Med Reproductive Health  1) Describe the mechanisms by which hazards can affect reproduction.

2) Describe how disparities adversely affect the risk of reproductive hazards.
3) Describe the 3 categories of reproductive hazards.
4) Describe the the pregnancy changes that affect toxin absorption and delivery to fetus.

Shawn Strain, MD
V. Federal Employment as an Occ Med Physician 1) Outline Department of Homeland Security (DHS) and Federal Law Enforcement Training Centers (FLETC): Describe the components of DHS and explain the physicians

2) Outline government benefits for physicians
3) Describe the application process: job posting, CV, credential verification
4) Define the roles/purpose of Interstate Medical Licensure Compact and Federation of Credentials Verification Services
5) Outline of the interview process: Do's and Don'ts

Melissa Broadman, DO, MPH, FACOI, FACOEM
W. Part 1) Chronic Fatigue Syndrome/ Myalgic Encephalomyelitis/Long COVID - Pathophysiology, Diagnosis & Management Strategies 1) Identify the clinical criteria needed diagnose of ME/CFS.

2) Understand the pathophysiology of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.
3) Understand the prevalence of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in the United States.
4) Identify the best treatment modalities for patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome with case example.

Alison Bested, MD, FRCPC, ABOIM
  Part:2) Chronic Fatigue Syndrome/ Myalgic Encephalomyelitis/Long COVID - Pathophysiology, Diagnosis & Management Strategies  1) Identify the clinical criteria needed diagnose of ME/CFS

2) Understand the pathophysiology of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.
3) Understand the prevalence of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome in the United States.
4) Identify the best treatment modalities for patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome with case example.

X. High-Yield Laceration and Soft Tissue Injury Pearls 1) Become familiar with techniques for acute wound management
2) Identify long-standing myths in acute wound management
3) Understand indications for patient transfer to higher level of care
Patrick O'Malley, MD
Y. Blood Borne Pathogen (BBP) Exposure, sharp and needle stick injuries, Prevention Protocol: Initial Phase(1) of Quality Improvement Project at Academic Medical Center 1) Identify the incidents of BBP
2) Describe how to reduce these incidents
Safia Mohiuddin, MD, PGY-2
Z. Legal Implications of Public Health Policies and Mandates, Covid Implications 1) Understand the foundations of Public Health Law
2) Be able to identify and explain public health law powers
3) Understand the impact of COVID-19 on public health laws
David Canton, DO, MPH, JD, FAOCOPM


 *F.  Grand Rounds at Clarios:  not given permission to film.

General Disclosures

The American Osteopathic Association has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education (ACCME) Standards for Integrity and Independence in Accredited Continuing Education requiring resolution of all conflicts of interest. Faculty declaring a relevant commercial interest must be identified in the activity syllabus and/or program.

In accordance with disclosure policies of AOA and the ACCME, every effort has been made to ensure all CME activities are balanced, independent, objective, and scientifically rigorous. These policies include complying with ACCME’s Standards for Integrity and Independence in Accredited Continuing Education and resolving all possible conflicts of interest for all individuals in control of content.  All relevant financial relationships have been mitigated.

Faculty Disclosures

Al Baltrusaitis, DO, MPH: Consultant for Clarios Battery Plant.
Alison Bested, MD, FRCPC: Off label drug use discussed: Low Dose Naltrexone.
Patrick O'Malley, MD: Receives a royalty from both Medline and Rescue Essentials for Medical Devices. He also does consulting and editorial review for EB Medicine.
All other faculty have no disclosures.


The information in this educational course is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by the AOA or the AOCOPM.  In no event will the AOA or the AOCOPM be liable for any decision made or action taken in reliance upon the information provided through this CME course.

No Commercial Support

The AOCOPM and the AOA acknowledge that no support other than course registration fees have been accepted in the offering of this course.