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Occupational Medicine for Urgent Care

Jointly provided by Postgraduate Institute for Medicine and Urgentcarementor

Certified for AMA PRA Category 1 Credits™

Release date: January 18, 2019                Expiration date: January 18, 2021

Hardware and Software required

Any device with internet access

Target Audience

These activities are intended for clinicians engaged in the care of patients with workers compensation injuries or work related examinations.

Faculty

Lawrence Earl, MD

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and Urgentcarementor.  Postgraduate Institute for Medicine is jointly accredited by the American Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Medical Education

TB Testing and Management

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

OSHA Recordable Injuries

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Management of Blood Borne Pathogen Exposure and Needle stick Injury

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Respiratory Fitness Exam

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Asbestos Exam

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Hazwoper- Hazmat Exam

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Workers Compensation Return to Work Strategy

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

PrePlacement and Fitness for Duty Exams

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Normal Spirometry

The Postgraduate Institute for Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity

Disclosure of Conflicts of Interest

Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy.  PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.

Faculty

Lawrence Earl, MD has nothing to disclose.

Planners and Managers

The PIM planners and managers have nothing to disclose. The Urgentcarementor planners and managers have nothing to disclose.

Educational Objectives

After completing these activities, the participant should be better able to:

TB Testing and Management

  • Describe what causes TB – Tuberculosis
  • Explain how TB is spread
  • Explain the difference between Latent TB and Active TB disease
  • Identify those at high risk of infection and progression of disease
  • Identify target groups for testing in the occupational medicine setting
  • Discuss different testing methods available, and when to appropriately use each
  • Perform a complete medical evaluation for the presence of TB
  • Explain why latent TB is treated
  • Describe treatment regimens for latent TB
  • Determine when to refer for treatment for TB disease
  • Recommend follow up exams and testing as appropriate

 

OSHA Recordable Injuries

  • Describe employer responsibilities under part 1904 of the Code of Federal Regulations (29 CFR 1904) and the Occupational Health & Safety Act of 1970
  • Determine work relatedness and causality of a worker’s injury or condition
  • Describe the seven general recording criteria of an OSHA recordable injury or condition
  • Avoid prescribing inappropriate off duty or modified duty restrictions
  • In appropriate cases, limit treatment to “first aid” according to OSHA, rendering the case non-recordable
  • Recognize which conditions remain “recordable” even when treatment is limited to first aid
  • Avoid unnecessary time loss for these minor cases
  • Reduce OSHA Recordable injuries for your employer clients
  • Become an invaluable resource to your employer clients

 

Management of Blood Borne Pathogen Exposure and Needle stick Injury

  • Define a blood borne pathogen exposure and determine necessary elements of an incident required to be considered an exposure
  • Evaluate an exposure for the potential to transmit Hepatitis B (HBV), Hepatitis C (HCV) and Human Immunodeficiency virus (HIV)
  • Determine the risk of contracting HBV, HCV, and HIV from an exposure.
  • Identify conditions indicating a higher degree of risk of infection.
  • Treat the exposure site
  • Correctly report and document the incident
  • Evaluate the Source Person (SP) or receive documentation about the SP from other sources
  • Evaluate the Exposed Person (EP) and determine susceptibility and  immunity to HBV
  • Assess the likelihood of transmission of HBV, HCV or HIV when the SP is unknown or cannot be tested
  • Administer post exposure prophylaxis (PEP) when indicated for HBV and HIV
  • Refer the EP for early treatment of HCV when indicated
  • Counsel the EP on risk of transmission, PEP, side effects, follow up testing, precautions to prevent secondary transmission and allowable activities post exposure
  • Perform follow up for testing according to type of exposure and PEP and for needed immunizations
  • Provide a “Physician’s Written Opinion” to the employer for work related exposures

 

Respiratory Fitness Exam

  • Describe employer responsibilities under part 1910 of the Code of Federal Regulations (29 CFR 1910)
  • Perform Initial and Periodic Respiratory Protection evaluations in accordance with OSHA standards
  • Recommend appropriate physical examination based on responses to the OSHA Respirator questionnaire
  • Recommend additional testing such as spirometry, chest xray, ECG and exercise stress testing in appropriate individuals
  • Provide a Physicians’ Written Opinion to the employer
  • Recommend follow up evaluation

 

Asbestos Exam

  • Describe employer responsibilities under part 1904 of the Code of Federal Regulations (29 CFR 1904) and the Occupational Health & Safety Act of 1970
  • Perform Initial, Periodic and Exit Asbestos examinations in accordance with OSHA standards
  • Recommend appropriate Chest Xray intervals
  • Describe the B Reader Chest Xray requirements
  • Provide a Physicians’ Written Opinion to the employer

 

Hazwoper- Hazmat Exam

  • Describe employer responsibilities under part 1910.120 of the Code of Federal Regulations (29 CFR 1910.120)
  • Identify the 3 general categories of work operations subject to the standard
  • Recognize employers must institute engineering controls and work practices to reduce worker exposures to hazardous substances, and when not feasible, provide supplemental PPE (personal protective equipment)
  • Conduct medical surveillance exams in accordance with a site’s HASP (health and safety plan)
  • Recognize additional substance specific OSHA standards may also apply to certain employee examinations
  • Provide a Physicians’ Written Opinion to the employer
  • Recommend follow up evaluation

 

Workers Compensation Return to Work Strategy

  • Distinguish best practices in worker’s compensation cases vs. general health visits
  • Determine work relatedness and causality of a worker’s injury or condition
  • Communicate effectively with the employer to minimize time loss and disability
  • Set Goals and expectations of clinical outcome and return to work functions
  • Prescribe specific, function based modified or restricted duty job tasks when return to full duty is not appropriate
  • Schedule follow up visits in a timely manner
  • Identify impediments to return to work
  • Seek specialty consultations and vocational assessments appropriately

 

PrePlacement and Fitness for Duty Exams

  • Describe the difference between occmed exams and wellness physicals
  • Perform examinations in accordance with the Americans w/ Disabilities Act – ADA
  • Describe Employer responsibilities under current employment law
  • Describe Occupational medicine provider obligations
  • Determine if employee has a disability as defined by ADA
  • Determine essential elements of the job
  • Recommend additional testing in appropriate individuals
  • Determine worker ability to perform essential elements
  • Recommend reasonable accommodations to the employer
  • Recognize other federal laws’ impact on employment determinations
  • Describe which types of testing can be performed before a job offer
  • Provide a Fitness for Duty report to the employer

 

Normal Spirometry

  • Recognize that the spirometer used in occupational spirometry testing meets or exceeds ATS/ERS and ISO standards.
  • Determine whether spirometry equipment has been calibrated and/or validated all days tests are conducted and is functioning properly
  • Recognize errors in testing not detected by the equipment
  • Compile essential elements of the Spirometry Procedure Manual
  • Assure technician staff are properly trained
  • Determine whether spirometry tests are technically valid
  • Maintain a quality assurance program
  • Ensure spirometry reports are complete and contain recommended documentation

 

Method of Participation and Instructions for Credit

During the period January 18, 2019 through January 18, 2021, participants must 1) read the learning objectives and disclosures; 2) study the educational activity; and 3) complete the post-test with a score of 75% or better and the activity evaluation.  Once you complete the online evaluation, your certificate will be made available immediately. Click on View Certificate and print the certificate for your records.

We support green CME by offering your request for CME/CE credit online.  In order to obtain your CME/CE certificate, please follow the steps below at the conclusion of the meeting:

  1. Go to www.cmeuniversity.com
  2.  Register or Login (will take less than 1 minute)
  3.  Type in 12078 at the top of the page, “Find Post-Test/Evaluation by Course”, click enter
  4.  Click on activity title when it appears
  5.  Choose the type of credit you would like
  6.  Complete online Evaluation
  7.  Receive an immediate CME Certificate to download and/or print for your files

 

Disclosure of Unlabeled Use

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.  

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners.  Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

 

Policy on Privacy and Confidentiality

For PIM’s policy, insert: http://www.cmeuniversity.com/privacy

For information about the activity, please contact Postgraduate Institute for Medicine (www.pimed.com) 1-800-423-3576 or email to inquiries@pimed.com.