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Course # 5156 • 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 dental professionals involved in the care of patients who are overweight or obese.
Accreditations/Approvals:
CME Resource is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ada.org/goto.cerp. CME Resource is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership, and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry or AGD endorsement. The current term of approval extends from 10/19/2007 to 09/30/2011. CME Resource is a Registered Provider with the Dental Board of California. Provider Number RP3841.
Designations of Credit:
CME Resource designates this activity for 5 continuing education credits. CME Resource is authorized to confer 5 unit(s) of California continuing education credit. Dental Board of California course #05-3841-10055.
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 dental 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.
Content:
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