Osteopathic Treatment of Mild Traumatic Brain Injury

Handouts

Speaker

Dr. Joshua Alexander, DO Related Seminars and Products

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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 Related Seminars and Products

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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.

Dr. Kathy Gill, MD Related Seminars and Products

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Dr. Kathryn Gill, M.D. attended Dartmouth Medical School in New Hampshire for her pre-clinical medical education and graduated from Brown University Program in Medicine in Rhode Island. She completed her Postgraduate Medical Training at U.C.L.A. Santa Monica Family Medicine Residency. Throughout her medical education, Dr. Gill did post-graduate courses in Traditional Osteopathic Medicine and numerous long-term, individual clinical Osteopathic rotations with some of the top Osteopathic Physicians in the United States. She has been practicing traditional Osteopathic Medicine and Family Medicine in Santa Monica, CA since 1992. 

Dr. Gill is internationally recognized in Biodynamic Pediatric Osteopathy. She is one of a core faculty selected to teach the Osteopathic Biodynamic Phase Courses, and Biodynamic Pediatric courses throughout the United States and Europe. Her work in Biodynamics has led to a fascination with human embryologic development, which she utilizes both in her teaching and in treatment of patients. She also works closely with Functional Dentists and Oral Myologists interested in physiologic methods to develop the face and repair structural abnormalities and swallowing dysfunction.

An Assistant Clinical Professor for Western University of Health Sciences, College of Osteopathic Medicine, Dr. Gill also holds a Proficiency Certification from the Osteopathic Cranial Academy. She has acted as President for the West Coast Osteopathic Study Group, Treasurer for the Still-Sutherland Osteopathic Study Group, and has written articles for a number of publications. Dr. Gill has also participated in educational films explaining the benefits of Osteopathic Medical care.

 

Policy Consent

POLICY CONSENT NOTICE

NOTE: Prior to purchasing or registration for this program we ask that you review the Policies as stated above. 

These policies are in every Course Brochure and on the CE21 (registration) platform when you purchase or register for any product. Your enrollment in the Program constitutes your release, waiver and consent to the stated policies.

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 a 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 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.

DRESS CODE NOTICE

The dress code for osteopathic OMM (Osteopathic Manipulative Medicine) labs typically includes:

1. Comfortable Clothing: Wear loose-fitting, comfortable clothing that allows for easy movement. This often includes gym clothes such as t-shirts, athletic shorts, or yoga pants.

2. Avoid wearing jewelry, especially items like necklaces, bracelets, or rings, as they can get in the way during manipulations.

3. Socks: You may be required to remove your shoes during the lab, so bring clean socks.

4. Minimal Layers: Since OMM labs involve physical contact and often the examination of body landmarks, it's recommended to wear minimal layers. For example, a simple t-shirt and shorts or leggings are common.

FRAGRANCE-FREE POLICY STATEMENT

In consideration of all participants, we ask that you refrain from wearing perfumes, colognes, scented lotions, or any other fragranced personal care products to Osteopathic Manipulative Medicine (OMM) events and labs. This policy is in place to ensure a comfortable and safe environment for everyone, particularly those who may have sensitivities or allergic reactions to fragrances.

Why This Matters:

1. Sensitivity to Fragrances: Many individuals are sensitive to the chemicals found in scented products. Exposure to these can cause a range of symptoms, from mild discomfort like headaches and dizziness to severe allergic reactions, including respiratory issues.

2. Maintaining a Neutral Environment: OMM labs require close physical proximity and hands-on practice. A neutral, fragrance-free environment ensures that all participants can focus on their learning and practice without distractions or discomfort caused by strong scents.

3. Respect and Inclusivity: By avoiding the use of scented products, we create an inclusive atmosphere where all participants feel respected and are able to fully engage in the educational experience.

We appreciate your understanding and cooperation in adhering to this fragrance-free policy, ensuring a positive and healthy experience for everyone involved.

POLICY STATEMENT: INFECTIOUS DISEASE AND COVID-19 PROTOCOL FOR OMM EVENTS AND LABS IN THE OCSD CLINIC SETTING:

Osteopathy's Promise to Children is committed to ensuring the health and safety of all participants, faculty, staff, and patients involved in our Osteopathic Manipulative Medicine (OMM) events and labs. 

In light of ongoing concerns regarding infectious diseases, including COVID-19, we have established protocols to minimize the risk of transmission and promote a safe and productive learning environment. Please check the registration website and event tabs for specific requirements for each event.

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. 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.

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.

Target Audience and Eligibility

Target Audience

This course is designed for experienced physicians and international osteopaths who have a strong foundation in osteopathic manipulative medicine (OMM) and a background in Osteopathy in the Cranial Field. The course is particularly suited for practitioners who regularly incorporate OMM into patient care and seek to deepen their understanding of biodynamic principles.

Exemptions: Advanced students and fellows who have not yet met these prerequisites may submit a request for consideration. The Course Director will review eligibility on a case-by-case basis. To request an exemption, please send a formal request and supporting documentation to cme@the-promise.org.

Eligibility

To enroll in this course, participants must meet one of the following criteria:

1. Licensed Physicians – Must be a Doctor of Osteopathic Medicine (DO) or Doctor of Medicine (MD) with an active medical license.

2. International Osteopaths – Must have completed an accredited osteopathic training program outside the U.S. and provide documentation of their qualifications.

3. Advanced Students & Fellows – May be considered for an exemption if they demonstrate extensive osteopathic training. Requests must be approved by the Course Director and supported by documentation verifying their background in osteopathy.

Note: Meeting the eligibility criteria alone is not sufficient for enrollment. Participants must also fulfill the prerequisite training and experience requirements outlined below.

Prerequisites

This is an advanced course with the following minimum prerequisites:

* Completion of at least two OCA-qualified introductory courses in Osteopathy in the Cranial Field from OPC, SCTF, or OCA-approved programs.

* A minimum of five years of clinical practice in osteopathic manipulative medicine (OMM).

Agenda

Agenda

Reviews