Total Credits: 21.25 including 21.25 AOA Category 1-A
Course Description
Osteopathic treatment of concussions has not been well defined, documented, or taught, but there is a great need for same.[1] This course is an early effort to teach Osteopathic palpatory diagnosis and treatment of mTBI. This is an advanced course requiring a prerequisite of at least two OCA-qualified introductory courses in Osteopathy in the Cranial Field plus five years of clinical practice in OMM. This course is a minimal but essential approach to treatment of mTBI. We are combining what the co-directors presently use in their respective practices for mTBI patients.
[1] R. Gardner and K. Yaffe, Epidemiology of mild traumatic brain injury and neurodegenerative disease, Mol Cell Neurosci. 2015 May;66(0 0): 75-80.
Joint Sponsorship
This event is jointly sponsored with Osteopathy's Promise to Children and the Post Graduate Institute for Osteopathy
Educational Need
Research into the biomechanical influences of head injury are rapidly changing such that not all osteopathic physicians may be aware of the application of osteopathic manipulation for head injury. This course will improve knowledge and osteopathic patient care.
Target Audience
This activity is for DOs, MDs, and medical students in good standing. International osteopaths are also invited to apply and may contact cme@the-promise.org for more information.
Prerequisites
This is an advanced course requiring a prerequisite of at least two OCA-qualified introductory courses in Osteopathy in the Cranial Field (OPC, SCTF, OCA approved), plus five years of clinical practice in OMM.
| Brochure / Agenda (3.9 MB) | 9 Pages | Download |
| Concussion mTBI Update - Poster (1.4 MB) | 1 Pages | Available after Purchase |
| Dr. Lee - references (146 KB) | 5 Pages | Available after Purchase |
| Dr. Lee - Handout (4.7 MB) | 69 Pages | Available after Purchase |
| Dr. Alexander Handout - Reference list for OCA conference (114.9 KB) | 5 Pages | Available after Purchase |
| Dr. Alexander Handout - Presentation slides (939.8 KB) | 106 Pages | Available after Purchase |
Dr. Joshua Alexander, DO, MPH, serves at the Head of the Division of Neurology at Scripps Clinic in La Jolla, California. He is a board-certified neurologist with special interest in the application of osteopathic manipulation for neurological disease. He started his clinical practice at UC San Diego where he developed a clinical and research program in osteopathy and neurology. He also served as assistant director of the UC San Diego Neurology Residency Program.
He has spoken at AAO sponsored events at OMED, Convocation, and pre-Convocation courses. He also lectured at two Cranial Academy Annual Conferences. He has published chapters on tinnitus in European Osteopathic texts and his research on headache and tinnitus have been presented at OMED and AAO.
Dr. Alexander completed his residency training at the University of California, San Diego, School of Medicine, and his internship at University of California, Irvine, College of Medicine. He received his medical degree from Touro University in Vallejo, California.
Dr. Alexander is a two-time, back-to-back winner of the Arnold P. Gold Foundation award for humanism in medicine, and was the House Officer of the Year during his residency at UC San Diego. He has also won several awards for being an outstanding resident and teacher. He previously served as President and Program Chair of the San Diego Neurology Society.
Dr. R. Paul Lee, DO, FAAO, FCA, is a graduate of Kansas City University of Medicine and Biosciences. He is Board certified in Osteopathic Manipulative Medicine and Medical Acupuncture. Dr. Lee completed a residency in OMM at the AT Still University College of Osteopathic Medicine, Kirksville, Missouri. He served on the Board of Directors of The Cranial Academy and Board of Governors of the American Academy of Osteopathy. He was awarded the Fellow of the American Academy of Osteopathy, FAAO and Fellow of the Cranial Academy, FCA. He was awarded the Sutherland Memorial Lecture and Honorary Life Membership in AAO. He is retired from his OMM private general practice in Durango, CO. His memberships include: AOA, AAO, and OCA.
Dr. Lee authored Interface: Mechanisms of Spirit in Osteopathy, 2005, Stillness Press, several articles, including Living Matrix, Explore, November/December, 2008 and many more in the AAOJ and Cranial Letter, available online at www.cranialosteopathy.com. Dr. Lee has taught in Australia, Japan, and multiple European venues.
2023 Infectious Disease Protocol:
Your health and safety are paramount. Given the ongoing global situation, we have implemented robust infectious disease prevention measures to ensure a safe learning environment. These include provision of masks, face shields, gloves, and regular sanitation measures. State-of-the-art ventilation systems and germicidal UV lights have been installed for added protection. Rapid COVID-19 tests are available on-site for your peace of mind.
In an effort to protect course participants, our providers and patients, OPC believes it is important to continue to control the spread of COVID-19 and other infectious diseases. In order to detect infections early and limit transmission of the disease we offer and promote testing and treatment. OPC is promoting public health practices like mask wearing, and improved indoor ventilation, and supporting recommended isolation of those infected and appropriate testing and masking of those exposed to COVID-19 and other infectious diseases. Masks (K-95 and surgical masks) and face shields and gloves are provided for you at the office. Please use them as you see fit. Hand sanitizer is available around each room. We also advocate good old hand washing with soap and warm water.
OPC increased the facility HVAC air exchange in the building to more than 6 times per hour; we change-out HVAC air filters following new CDC recommendations, and installed factory accessory UV-C ultraviolet germicidal irradiation in the roof top HVAC package. Linens will be changed on training tables as necessary. Let the team know if you want any linens changed or need anything cleaned or sanitized.
Should you feel unwell or aware a participant is unwell and wants to do a test we have rapid COVID-19 tests available onsite that you can use at no charge in our testing area. Nica can direct you to that area. If you or a student tests and it is positive you will need to leave the building immediately, faculty and staff can support that transition.
We have arranged testing with WeTestU Rapid Mobile Antigen & RT-PCR testing (less than 2 hours mobile to site) or you can travel to their nearby Medical clinic, 2605 Camino del Rio S Suite 303, San Diego, CA 92108, (619) 799-5598. No appointment is required for Covid Testing. Staff can assist with this contact. Cost is $129.00 and OPC will pay that fee and bill you afterwards for the test expense as appropriate. We are in a medical mecca and there are a number of Urgent Care Clinics available for evaluation and treatment should you want it.
Prerequisites
This is an advanced course requiring a prerequisite of at least two OCA-qualified introductory courses in Osteopathy in the Cranial Field (OPC, SCTF, OCA approved), plus five years of clinical practice in OMM.
HILTON GARDEN INN San Diego Mission Valley/Stadium
3805 Murphy Canyon Road, San Diego, CA 92123
Block of rooms are reserved for this course at a rate of $189 plus tax per night.
Click here for booking link.(deadline Sept 15, 2023)
Make your reservation now!
CME Policy Statements
Osteopathy’s Promise to Children (OPC) offers both live events and on-demand sessions using the same caliber of speakers who would present at in-person events. OPC offers online opportunities for Continuing Medical Education (CME) credits. Each course or online event offers AOA Category 1-A CME credits. CME sessions are delivered on the CE21 Learning Management System. Once you have used the Learning Center, you will have a profile established that will allow you to access all available sessions, view speaker profiles, track CME credits gained through the system, and generate CME certificates based on the sessions completed. All OPC CME activities have a content expert available for any questions on content from CME participants during the life plus one week of the activity. The content expert will answer participant questions within one week of an inquiry. Contact us at cme@the-promise.org with any questions or comments.
Disclaimer
The information in this educational activity is 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 OPC. In no event will OPC be liable for any decision made or action taken in reliance upon the information provided through this CME activity.
Statement of Professional Ethics & Standards
Osteopathy’s Promise to Children CME courses will foster an educational atmosphere of tolerance and mutual respect concerning gender, race, developmental challenges, sexual orientation, and professional background. Furthermore, these courses will adhere to the highest standards of osteopathic medicine’s professional ethics especially in regard to patient, student, and physician faculty communication and interactions. This includes clear informed consent when participating in educational exercises, and only utilizing osteopathic techniques and practices designed to educate practitioners and/or compassionately and appropriately address patient suffering through osteopathic diagnosis, and treatment. Any deviation of these professional standards by physician faculty, staff, or student during a given course will not be tolerated.
Evidence-Based Content
It is the policy of the OPC to ensure that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias. Evidence-based medicine – first “coined” in 1991 (JAMA). “Conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.” And, “Good doctors use both individual clinical expertise and the best available external evidence, and neither alone is enough.” BMJ 1996).
Disclosure Policy
It is the policy of the OPC Continuing Education Committee to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All persons in a position to control the content of an educational activity (i.e., activity planners, presenters, faculty, authors) participating in an educational activity provided by the OPC are required to disclose to the provider any relevant financial relationships with any commercial interest. OPC must determine if the individual’s relationships may influence the educational content and resolve any conflicts of interest prior to the commencement of the educational activity. The intent of this disclosure is not to prevent individuals with relevant financial relationships from participating, but rather to provide learners information with which they can make their own judgments. Faculty disclosures will be made in the syllabus and/or during faculty introductions. The audience is advised that one or more presentations in this continuing education activity may contain references of unlabeled or unapproved uses of drugs or devices.
Resolution/Mechanism of Identified Conflict of Interest
Independent sources of review include the following: All disclosures will be reviewed by the activity Course Director, Physician Leadership Team, and Executive Director for identification of conflicts of interest. Reviewers, working with the activity directors, will document the mechanism(s) for management and resolution of the conflict of interest, and final approval of the activity will be documented prior to implementation.
Any of the mechanisms below can/will be used to resolve conflict of interest:
* Peer review for valid, evidence-based content of all materials associated with an educational activity by the activity director.
* Limit content to evidence with no recommendations
* Introduction of a debate format with an unbiased moderator (point-counterpoint)
* Inclusion of moderated panel discussion
* Publication of a parallel or rebuttal article for an article that is felt to be biased
* Limit equipment representatives to providing logistics and operation support only in procedural demonstrations.
* Divestiture of the relationship by faculty: The reviewer should be a physician or other scientist with knowledge of the specialty area being reviewed and oftentimes the Executive Director will perform this first review and can then appoint a physician as an independent reviewer. The independent reviewer is not involved in the planning of this CME Activity and cannot have a relationship with any corporate entity supporting the CME activity. The reviewer should have a copy of this policy and a copy of the Standards for Commercial Support to fully grasp their responsibilities as the reviewer.
Off-Label or Unapproved Use of Drugs or Devices
It is the policy of the OPC to require the disclosure of all references to off-label or unapproved uses of drugs or devices prior to the presentation of educational content. The audience is advised that this continuing medical education activity may contain reference(s) to off-label or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.
Cancellation and Refund Policy
OPC reserves the right to change the delivery format, delay, or cancel a CME event due to any unforeseen circumstances. If an event is canceled, OPC will refund your registration fee in full. OPC will not be held responsible for the registrant's travel, hotel or other costs incurred resulting from the cancellation. Substitutions of other CME events may be made at any time without an additional charge; email cme@the-promise.org with your request. Refunds will be issued for all cancellations received two weeks prior to the start of the event. However, an administrative fee of $100.00 will be charged for all refunds. “No shows” are subject to the full CME event fee. Cancellations/substitutions must be made in writing by email to cme@the-promise.org. No refunds or credits will be issued once the CME event has started.
Grievance Policy
All grievances should be initially directed in writing to the OPC Executive Director by email to director@the-promise.org who will share them with the OPC CME Program Committee. Grievances will receive a response within 30 days of receipt. If you do not receive a satisfactory response, you may notify the Council on Continuing Medical Education, AOA, 142 East Ontario St., Chicago, IL 60611.
Zoom Privacy Notice
When you join meetings and webinars hosted by OPC on Zoom, your profile information,
including your name and profile picture, may be visible to other participants. Your name and email address will also be visible to the account owner, Osteopathy’s Promise to Children, and hosts when you join meetings or webinars on their account while you’re signed in. The account owner and others in the meeting can share this information with apps and others.
CE21 Online Platform Privacy Statement
In accordance with the Accreditation Council for Continuing Medical Education (ACCME), accredited AOA providers that participate in CME activities on the Internet shall have a separate privacy policy for CME activities. The CME programs offered by the Osteopathy's Promise to Children (OPC) respect and value your privacy and the confidentiality of the information you choose to share with us. We are committed to the protection of this information and will ensure your privacy when participating in CME activities on our website. You may visit OPC’s website without identifying yourself or revealing any personal information. If you choose to provide personally identifiable information (any information by which you can be identified), it will only be used to support your relationship with the Learning Center programs. Read more about OPC CE21 Online Education Privacy Statement here.
Special Assistance
OPC complies with the Americans with Disabilities Act §12112(a). If any participant is in need of special assistance or has any dietary restrictions, please email us at cme@the-promise.org or call 619-548-8815 for assistance.
—------------------------------------------------------Your enrollment in the Program constitutes your release, waiver and consent to the following policies:
Liability Release and Waiver
THIS PROGRAM MAY INVOLVE PHYSICAL ACTIVITY, INCLUDING CONTACT BY AND WITH FACULTY AND OTHER COURSE PARTICIPANTS. THIS PHYSICAL ACTIVITY, INCLUDING BUT NOT LIMITED TO PHYSICAL DIAGNOSTICS AND MANUAL THERAPEUTICS, COULD POSSIBLY ENTAIL RISK FOR COURSE PARTICIPANTS OF NEW INJURY OR AGGRAVATION OF PRE-EXISTING CONDITIONS. ALL COURSE PARTICIPANTS ACKNOWLEDGE AND AGREE TO ASSUME ALL RESPONSIBILITY AND RISK FOR ALL LOSSES AND DAMAGES, INCLUDING BUT NOT LIMITED TO ANY BODILY INJURY, DEATH, AND PROPERTY DAMAGE, ARISING OUT OF OR INCIDENT TO (I) ATTENDING THE COURSE, (II) PARTICIPATING IN THE COURSE, (III) USING EQUIPMENT OR FACILITIES DURING THE COURSE, AND (IV) USING OR MISUSING ANY KNOWLEDGE OR INFORMATION OBTAINED OR DERIVED FROM THE COURSE.
Indemnity
All course participants acknowledge and agree to indemnify, defend, and hold harmless OPC, OPC’s officers, directors, employees, agents, affiliates, licensors, partners, independent contractors, suppliers and subcontractors from and against all claims, actions, suits, proceedings, losses, obligations, damages including but not limited to any bodily injury, death, and property damage, liabilities, costs, debt and expenses, whether known or unknown, anticipated or unanticipated, arising out of or incident to (i) attending the course, (ii) participating in the course, (iii) using the equipment or facilities during the course, or (iv) using or misusing any knowledge or information obtained or derived from the course at or outside of the course location. OPC reserves the right, at course participant’s expense, to assume the exclusive defense and control of any matter for which course participant is required to indemnify OPC and course participant agrees to cooperate with OPC’s defense of these claims. Course participant agrees not to settle any matter without the prior written consent of OPC. OPC will use reasonable efforts to notify course participant of any such claim, action, suit, or proceeding upon becoming aware of it. It is the responsibility of all participants to use the information provided within the scope of their professional license or practice.
Consent For Use of Photographic Images
Registration and attendance at or participation in OPC meetings and other activities constitutes an agreement by the registrant to OPC’s use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events and activities. To opt out of the agreement to consent of use of photographic images you must notify OPC in writing stating your desire to opt out by emailing OPC at cme@the-promise.org prior to the start of the event.
I HAVE READ THIS RELEASE OF LIABILITY AND WAIVER, THE INDEMNITY PROVISIONS AND THE CONSENT TO USE MY IMAGE, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY ENROLLING IN THE PROGRAM AND DO SO VOLUNTARILY.
