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Course # 9156 • Diagnosing and Treating Overweight and Obese Patients
Overview:
Estimates show that about 33% of the adult population is overweight and another 33% is obese [1]. This represents an increase of about 18% from just ten years ago [2]. Reasons include an increased sedentary lifestyle, with about 25% of the population engaging in no leisure time physical activity and about half failing to get enough exercise to provide health benefits [3,4]. Americans are also not making ideal nutritional choices. In 2005, only about a fourth of adults met nutritional guidelines for fruit and vegetable consumption [4]. Each year, obesity results in between 100,000 and 300,000 premature deaths and as much as $139 billion in associated costs [5,6,7,8]. Although obesity has been shown to be a risk factor for numerous diseases such as diabetes, coronary artery disease, and sleep apnea, most overweight and obese people do not consider themselves at higher risk for medical problems or premature death. News stories on various diets have caused confusion among many patients and health providers, leading to frustration and subsequent inaction.
This course will help educate physicians and other healthcare professionals about the epidemiology and treatment of overweight and obese patients. Using current national guidelines, the clinical management of patients will be discussed. Clinical presentation, diagnosis, behavioral, and pharmacological management will be reviewed. Surgical options for morbidly obese patients will also be examined. Steps to address and treat recidivism will be explored. Finally, current reimbursement issues will be discussed.
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| Education Category: Community Health |
| Release Date: 02/01/2008 |
| Expiration Date: 01/31/2011 |
Audience:
This course is designed for all physicians, nurses, and social work/counseling groups involved in the care of patients who are overweight or obese.
Accreditations/Approvals:
CME Resource, #1092, is approved as a provider for continuing education by the Association of Social Work Boards 400 South Ridge Parkway, Suite B, Culpeper, VA 22701. www.aswb.org. ASWB Approval Period: 03/13/2010 to 03/13/2013. Social workers should contact their regulatory board to determine course approval. CME Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Resource is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. CME Resource is approved to offer continuing education through the Florida Board of Nursing Home Administrators. Provider Number FNHAP-17. CME Resource is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. CME Resource is approved as a provider of continuing education by the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling, Provider #50-2405. CME Resource is approved by the Texas State Board of Social Worker Examiners as a provider of continuing education. Approval number CS3011. CME Resource is approved by the Texas State Board of Examiners of Professional Counselors as a provider of continuing education. Approval number 1121. CME Resource is approved by the Texas State Board of Examiners of Marriage and Family Therapists as a provider of continuing education. Approval number 425. CME Resource is approved by the Illinois Division of Professional Regulation as a sponsor of continuing education for marriage and family therapists. License number 168.000190. CME Resource is approved by the California Nursing Home Administrator Program as a provider of continuing education. Provider number 1622. CME Resource is accredited by the State of California Board of Behavioral Sciences as a provider of continuing education. Approval number PCE 1632. CME Resource is approved by the Illinois Division of Professional Regulation as a sponsor of continuing education for social workers. License number 159.001094. CME Resource is approved by the Illinois Division of Professional Regulation as a sponsor of continuing education for licensed professional and clinical counselors. License number 197.000185.
Designations of Credit:
CME Resource designates this educational activity for a maximum of 5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. CME Resource designates this continuing education activity for 5 ANCC contact hour(s). CME Resource designates this continuing education activity for 6 hours for Alabama nurses. Social workers will receive 5 Clinical continuing education clock hour(s) in participating in this intermediate to advanced course. This course meets the qualifications for 5 hour(s) of continuing education credit for MFTs and/or LCSWs as required by the California Board of Behavioral Sciences. This course is approved by the California Nursing Home Administrator Program for 5 hour(s) of continuing education credit - NHAP#1622005-8631/P. California NHAs may only obtain a maximum of 10 hours per course. This home study course is approved by the Florida Board of Nursing Home Administrators for 5 credit hour(s). AACN Synergy CERP Category A.
Individual State Nursing Accreditations:
Alabama Provider #ABNP0353, (Valid through December 12, 2013). California BRN Provider #CEP9784. California BVNPT Provider #V10662. Florida Provider #50-2405. Iowa Provider #295. A copy of the evaluation for this activity may be submitted directly to the Iowa Board of Nursing. Kentucky Provider #7-0054 through 12/31/2012. Kentucky Board of Nursing approval of an individual nursing continuing education provider does not constitute endorsement of program content. Texas ANCC/Type I.
Special Approvals:
This activity is designed to comply with the requirements of California Assembly Bill 1195, Cultural and Linguistic Competency.
Attention:
Licensed social workers should contact their individual state jurisdiction to review current continuing education requirements for licensure renewal.
Course Objective:
Obesity is an epidemic in the United States. As statistics indicate that the problem is growing, the purpose of this course is to educate healthcare professionals about the epidemiology and treatment of overweight and obese patients. Clinical management, presentation, diagnosis, and behavioral and medical management will be reviewed to assist healthcare professionals in encouraging their patients to lose weight and prevent obesity-related comorbidities.
Learning Objectives:
- Discuss the clinical background of obesity, noting the various definitions.
- Discuss the epidemiology of overweight and obese individuals in the U.S., based on age, race, and socioeconomic status.
- Describe the pathophysiology of obesity, including genetic and environmental factors.
- Identify the risks and comorbidities of obesity.
- Explain the various treatment modalities for overweight/obese patients.
- Describe dietary and physical activity recommendations.
- Discuss available pharmacological agents, including indications and adverse reactions, used to treat obese/overweight patients.
- Discuss surgical options, including restriction and bypass operations.
- Explain the reimbursement climate for overweight/obesity treatments.
- Outline considerations necessary when caring for patients for whom English is a second language.
John J. Whyte, MD, MPH, is currently the Chief Medical Expert and Vice President, Health and Medical Education at Discovery Channel, part of the media conglomerate Discovery Communications. In this role, Dr. Whyte develops, designs and delivers educational programming that appeals to both a medical and lay audience. This includes television shows, online content, and DVDs.
Prior to Discovery, Dr. Whyte was in the Immediate Office of the Director at the Agency for Healthcare Research Quality. He served as Medical Advisor/Director of the Council on Private Sector Initiatives to Improve the Safety, Security, and Quality of Healthcare. Prior to this assignment, Dr. Whyte was the Acting Director, Division of Medical Items and Devices in the Coverage and Analysis Group in the Centers for Medicare & Medicaid Services (CMS). In his role at CMS, Dr. Whyte made recommendations as to whether or not the Medicare program should pay for certain procedures, equipment, or services. His division was responsible for durable medical equipment, orthotics/prosthetics, drugs/biologics/therapeutics, medical items, laboratory tests, and non-implantable devices. As Division Director as well as Medical Officer/Senior Advisor, Dr. Whyte was responsible for more national coverage decisions than any other CMS staff.
Dr. Whyte is a board-certified internist. He completed an internal medicine residency at Duke University Medical Center as well as earned a Master's of Public Health (MPH) in Health Policy and Management at Harvard University School of Public Health. Prior to arriving in Washington, Dr. Whyte was a health services research fellow at Stanford and attending physician in the Department of Medicine. He has written extensively in the medical and lay press on health policy issues.
Faculty DisclosureContributing faculty, John J. Whyte, MD, MPH, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
About the SponsorThe purpose of CME Resource is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.
Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.
Disclosure StatementIt is the policy of CME Resource not to accept commercial support.
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