Total Credits: 24 including 24 AOA Category 1-A
Course Description
This course is designed to systematically provide an experiential opportunity to explore applied Cranial Nerve didactic and Osteopathic palpatory skills that will specifically focus on:
1. Cranial anatomy and functional considerations within Osteopathy in the Cranial Field
2. Review and practice of respective Cranial Nerve physical examination skills
3. Osteopathic palpatory diagnostic and treatment skills applied towards addressing Cranial Nerve dysfunction
4. Introduction and review of Cranial Nerve clinical correlations as appropriate
If you have any questions about this educational program, please contact staff at cme@the-promise.org or by calling our office at 619-548-8815.
Educational Need
The clinical significance of patients suffering from cranial nerve neuropathies encompass the spectrum from muscular and visceral dysfunction to debilitating pain. The neuropathic pathogenesis may be of an organic or teratogenic nature, but frequently a consequence of significant trauma that compromises anatomical structure, thus lending itself to an integrated osteopathic approach in patient care. Osteopathic medical curriculum has long observed the importance of facile clinical knowledge of the cranial nerves. However, the complexity of the subject matter, evolving anatomical explorations/neurologic mapping, and an underappreciated cranial nerve Osteopathic perspective, lends the subject ripe for review and exploration. Additionally, the use of practiced cranial nerve physical examination skills are a requirement to sensitively observe clinical cranial nerve dysfunction. Though empirically, the ongoing practice and refining of these skills may have suffered due to today’s demands of clinical practice.
Educational Objectives
At the conclusion of this activity, learners will be able to:
* List the 13 cranial nerves by name, location, pathway, and function (Medical Knowledge and Its Application into Osteopathic Medical Practice)
* Identify common clinical presentations and their associations to specific cranial nerves (Osteopathic Principles and Practice, Medical Knowledge and Its Application into Osteopathic Medical Practice)
* Identify anatomical entrapment locations that may lend themselves to osteopathic considerations and treatment (Osteopathic Principles and Practice, Medical Knowledge and Its Application into Osteopathic Medical Practice)
* Identify through palpatory diagnosis possible CN impingement dysfunction and treat utilizing Osteopathy in the Cranial Field techniques and concepts (Osteopathic Principles and Practice, Medical Knowledge and Its Application into Osteopathic Medical Practice, Osteopathic Patient Care).
Target Audience
This activity is open for all osteopathic and medical physicians (DO/MD), Dentist (DDS/DMD), Medical Student (DO/MD), and International Osteopaths.
Prerequisites
Required: Prior OPC, OCA, or SCTF 40-hour In-person Introduction to Osteopathy in the Cranial Field course or approved equivalent (must be approved by course director prior to registration). Recommended: 2-5 years application of traditional OMM/OPP in clinical practice.
Dr. Hiserote, DO, is a graduate of Western University College of Osteopathic Medicine in Pomona, CA., and is board certified in Neuromusculoskeletal Osteopathic Manipulative Medicine from the American Osteopathic Board of Neuromuscular Medicine. Additionally, he holds Osteopathic Cranial Academy Certification of Proficiency, and is a Midwestern University Chicago College of Osteopathic Medicine Costin scholar. Dr. Hiserote is a veteran director of Osteopathy in the Cranial Field courses at the Osteopathy’s Promise to Children and internationally. He has served as Associate Professor/past Chairman of the Touro University California College of Osteopathic Medicine - Osteopathic Manipulative Medicine (OMM) Department. and currently practices osteopathy in his private office in Sebastopol, CA. His Memberships include: American Osteopathic Association (AOA), American Academy of Osteopathy (AAO), Osteopathic Cranial Academy (OCA), Institute of Functional Medicine (IFM), Sonoma Mendocino Lake Medical Association (SMLM).
Dr. Raymond J. Hruby, DO, MS, FAAO (Dist) is a graduate of the College of Osteopathic Medicine and Surgery in Des Moines, Iowa. He is board certified in Family Medicine/OMT by the American Board of Osteopathic Family Practice and Osteopathic Manipulative Medicine by the American Osteopathic Board on Special Proficiency in Osteopathic Manipulative Medicine. Dr. Hruby completed a traditional internship at Osteopathic Hospital of Maine, Portland, ME and was in private practice for sixteen years. Retired as professor and chair of the Department of Osteopathic Manipulative Medicine at COMP, he continues consulting with the school’s Department of NMM/OMM on teaching, research, curriculum analysis and development, new faculty mentorships and Predoctoral OMM Fellows. He is involved with WUHS’s Interprofessional Education program, and lectures part-time in the Graduate School of Basic Medical Sciences, among others. He is a fellow of the American Academy of Osteopathy and a member of the American Osteopathic Association, American Academy of Osteopathy, American College of Osteopathic Family Practitioners, Osteopathic Cranial Academy, Osteopathic Physicians and Surgeons of California, Memberships: AOA, AAO. ACOFP, OCA, OPSC. Cranial proficiency (OCA).
Dr. Akers is a graduate of the University of California, Berkeley and Touro University College of Osteopathic Medicine in Vallejo, California. She completed her internship at University of California Davis Medical Center, Sacramento, CA, where she is currently completing her residency in neurology. She was selected as a pre-doctoral Teaching Fellow in the Department of Osteopathic Manipulative Medicine, completing an additional year of hands-on training in Osteopathic manipulative treatment. Memberships include: AOA.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the American Osteopathic Association (AOA). This education program is designed to provide CME for osteopathic physicians and other health care professionals who practice OMM/OMT.
Osteopathy’s Promise to Children (OPC) designates this activity for a maximum of 24 AOA Category 1-A credits anticipated and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity. This is OMM/OMT/OPP activity and as such is part of the profession and exempt from the AOA practice gap analysis requirement.
HILTON GARDEN INN San Diego Mission Valley/Stadium
3805 Murphy Canyon Road, San Diego, CA 92123
Block of rooms will be reserved for this course at a rate to be determined.
COVID-19 Protocol and other relevant public health challenges for Live Events - Updated March 23, 2023
The County of San Diego has updated its Health Order to match the recent changes from the California Dept of Public Health Order.
Updated Requirements for Masking in High-risk and Health Care Settings
Beginning April 3, masks will no longer be required in indoor high-risk and health care settings. This includes health care, long-term care, and correctional facilities as well as homeless, emergency, and warming and cooling centers. This change takes effect on Monday, April 3 to allow local health departments and individual health care facilities to develop and implement plans customized to their needs and local conditions to continue to protect Californians through the end of the winter virus season. CDPH's recommendations for the use of face masks for individuals in non health care settings remain unchanged.
See masking guidance (https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-for-Face-Coverings.aspx).
OPC will continue to follow CDPH and County of San Diego health orders. Review the current guidance for the Use of Face Masks until April 2, 2023. Please contact us directly at director@the-promise.org with any questions.
POLICY: UPDATED COVID PROTOCOL AND GUIDELINES FOR LIVE COURSES AS OF April 3, 2023
** The requirements and guidelines listed below apply to the Osteopathic Center San Diego healthcare and teaching facility which the Osteopathic Promise to Children operates. In the event registrations for live CME events exceed the capacity of OCSD for a given course, the respective course location could be moved to the nearby appropriate venue and any new considerations, requirements or guidelines required will be provided to registrants. Any changes by the CDC, State or County public health officers or other relevant agencies, will be reviewed and necessary changes with our protocol will be provided to the registrants.
Osteopathy’s Promise to Children is committed to the Osteopathic Center San Diego physicians, patients, staff and learners. We closely monitor COVID-19 and other relevant public health challenges prevalent in San Diego and surrounding counties, adjusting live course attendance limits and protocol guidelines as necessary.
OPC’s policy is to follow all CDPH and County of San Diego public health orders. For questions regarding current guidance for the Use of Face Masks until April 2, 2023 use previous link. Please contact us directly at director@the-promise.org with any questions.
April 3, 2023 - New CDPH Requirements and Guidelines for Live (In-Person) Course and Conference Attendees at Osteopathy’s Promise to Children (OPC) Events:
Updated Requirements for Masking in High-risk and Health Care Settings
(Beginning April 3, 2023 new requirements from CDPH) Masks will no longer be required in indoor high-risk and health care settings. This includes health care, long-term care, and correctional facilities as well as homeless, emergency, and warming and cooling centers. This change takes effect on Monday, April 3 to allow local health departments and individual health care facilities to develop and implement plans customized to their needs and local conditions to continue to protect Californians through the end of the winter virus season. CDPH's recommendations for the use of face masks for individuals in non health care settings remain unchanged. See masking guidance (https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-for-Face-Coverings.aspx).
Current (pre April 3, 2023) OPC recommended guidelines for activities within the Osteopathic Center San Diego (OCSD)
Attendance/participation in any event at OCSD implies adherence to all course public health requirements and guidelines as described below. Prior to attending an event at the OCSD please review and observe all applicable state and local COVID-19 or other public health travel guidance, resources and/or restrictions:
Attendees must attest that they understand and accept the inherent risk (no matter the magnitude) associated with being within groups of people in an indoor setting.
Attendees are recommended to be vaccinated to the level recommended by the CDC and considered typical for active health care workers.
While participating in an OCSD educational activity but not actively at the Center, please consider your fellow students’ health and safety through your judgment, behaviors, and activities while enjoying all that San Diego has to offer.
Face masks will be required indoors during instructional periods, however there may be brief periods of removal as required by the curriculum. Masks and shields will be available for students as needed.
Recommended face masks include N-95, KN-95, or KF-94 masks. An acceptable face covering/face mask DOES NOT include a scarf, ski mask, balaclava, bandana, gaiter, turtleneck, collar, plastic face shield, or cloth masks.
Attendees who are or become symptomatic in an infectious nature during an educational activity are requested to take an antigen test for COVID-19. Tests will be supplied by OCSD. A positive test will require the student to cease live educational activities at OCSD. A negative test will, at the discretion of the course director, allow for the the student to continue to participate in the live course with enhanced use of PPE - as well as a repeat antigen test the following day in multiple day educational activities
If an attendee has received a positive COVID-19 test result of any kind within the past 30 days, attendees must attest it has been at least 10 days since a negative COVID-19 infection, and they are currently asymptomatic to participate live at an OCSD activity.
