2023 IAIME Mid-Year MedicoLegal Conference

IAIME 2023 Mid-Year Virtual MedicoLegal Training Conference

June 2 - June 4, 2023

Thank you for participating in the 2023 Mid-Year Conference.

Below is the CME/QME evaluation form. You must receive a 70% passing score on the question sections to receive the applicable CME/QME credits. Should you not receive a 70%, the form will be returned to you for another opportunity.

Please only rate the sessions you participated in.

Rate the quality of speaker presentations and answer the question(s) for each topic

1. Perspectives on Pain in the Workplace: Yngvild Olsen, MD, SAMSHA

Poor

Outstanding

Which of these is NOT a physiological factor in opioid use disorder?

Tolerance

Withdrawal

Compulsive use

Please share any comments about this presentation or the presenter

0/500

2. Pain and Return to Work: Mark Hyman, MD, FIAIME

Poor

Outstanding

Ignoring the results of an FCE is likely to cause permanent impairment in a patient with back pain.

True

False

Please share any comments about this presentation or the presenter

0/500

3. Marijuana in the Workplace: Jennifer Melamed, MBChB, FIAIME

Poor

Outstanding

Impairment can persist for several hours after blood THC becomes undetectable.

True

False

Please share any comments about this presentation or the presenter

0/500

4. Interventional Pain in the Context of Medicolegal Evaluations: Yuri Tsirulnikov, DO, FIAIME

Poor

Outstanding

Which statement is correct regarding the diagnosis facetogenic pain in the lumbar spine?

Abnormal findings on routine imaging studies always have a meaningful correlation with the patient's condition.

Facetogenic pain typically presents as a combination of low back and leg pain.

The amount of local anesthetic injected to block each medial branch nerve is recommended to be no more than 0.5 ml.

The physical examination can reliably diagnose facetogenic pain.

Please share any comments about this presentation or the presenter

0/500

5. Panel Discussion: Pain and Substance Abuse in the Workplace

Poor

Outstanding

Please share any comments about this presentation or the presenter

0/500

6. Objective Findings in the Physical Examination: Mark Ross, MD, FIAIME

Poor

Outstanding

Which of the following physical examination findings are objective?

Examinee reports discomfort/tenderness to palpation of the left lumbar paraspinal muscles

A 4cm difference in girth measurements around the knees

Demonstrated strength of 4/5 in knee extension against resistance

All of the above

Please share any comments about this presentation or the presenter

0/500

7. The Independent Electrodiagnostic Evaluation - Michael Sellman, MD, FAAN

Poor

Outstanding

You are performing an IME on an individual who reportedly has carpal tunnel syndrome for which surgery is being considered. The physical examination is equivocal. The electrodiagnostic study report diagnosis is median neuropathy at the wrist based exclusively on a slightly prolonged distal sensory latency of the median nerve. Which of the following factors would cause you to question validity of the diagnostic conclusion of CTS?

Individual's BMI was not recorded

Individual's limb length was not recorded

Skin surface temperatures were not recorded

The angle of the elbow during testing was not recorded

Please share any comments about this presentation or the presenter

0/500

8. Meet Your Colleagues for Further Q&A

Poor

Outstanding

Please share any comments about this presentation or the presenter

0/500

9. Pathway to Fellowship: Diana Kraemer, MD, FIAIME

Poor

Outstanding

Please share any comments about this presentation or the presenter

0/500

10. The Shoulder and Worker's Compensation: Ed McFarland, MD, FAAOS

Poor

Outstanding

With regard to rotator cuff tears, which of the following statement is FALSE?

Acute injury rarely shows edema on MRI.

Asymptomatic rotator cuff tears are in general population older than 40 years of age

A chronic rotator cuff tear rarely demonstrates muscular atrophy and fatty infiltration of muscle tissue on MRI

All of these statements are false

Please share any comments about this presentation or the presenter

0/500

11. MRI: Injury or Degeneration?: Lorelei Ma, MD, PhD

Poor

Outstanding

In the evaluation of trauma what is the most important MRI sequence?

Fat saturated T2 weighted image

Gradient echo image

Proton density image without fat saturation

Diffusion weighted image

Please share any comments about this presentation or the presenter

0/500

12. Risk Factors for Substance Abuse: Daniel Bruns, Psy.D

Poor

Outstanding

Which of the following psychological tests is strongly recommended by ACOEM?

Anxiety screening

PTSD screening

Depression screening

Psychometric testing

Anxiety psychometric testing

Please share any comments about this presentation or the presenter

0/500

13. Strengthen Your Report Using Causation Analysis: Fabrice Czarnecki, MD, FIAIME

Poor

Outstanding

What is the first step in the determination of the work relatedness of a medical condition?

Evidence of exposure

Evidence of disease

Epidemiologic data

Job hazard analysis

Opinion from the treating provider

Please share any comments about this presentation or the presenter

0/500

14. The Role of the Medical Expert: Thomas Vertetis, Esq.

Poor

Outstanding

A testifying expert needs to be prepared by retaining counsel before a deposition.

Yes

Please share any comments about this presentation or the presenter

0/500

15. Panel Discussion: Educating the Trier of Fact: Fabrice Czarnecki, MD, FIAIME and Thomas Vertetis, Esq.

Poor

Outstanding

A jury will appreciate the following in an expert.

A sense that the expert is one of the best in the field

The expert uses medical language instead of common terms to improve the accuracy of the opinion

The expert is polite and humble

The expert expresses disdain for questions regarding money paid for their opinion

Please share any comments about this presentation or the presenter

0/500

16. IME Principles & Ethics: Barry Gelinas, MD, DC, FIAIME

Poor

Outstanding

In keeping with their core obligations as medical professionals, physicians who practice as industry-employed physicians or independent medical examiners should:

A. Before the onset of the IME, the examiner should obtain proof of identity of the examinee by inspecting a source of government-issued picture identification, such as state or provincial driver's license

B. The examinee's explicit consent to participate in the independent assessment and to provide the report to the third party does not have to be obtained before proceeding with the evaluation

C. If the examinee declines to undergo the assessment, the examiner must not proceed and the party requesting the assessment should be informed as soon as possible

D. Both A and C are TRUE

E. All of the above are TRUE

Please share any comments about this presentation or the presenter

0/500

17. IME History and Physical Examination: Mark Ross, MD, FIAIME

Poor

Outstanding

Which of the following statements about differences between a medicolegal/forensic evaluation and a regular office visit evaluation is/are true?

The medicolegal/forensic physical evaluation tends to be more comprehensive with an emphasis on documenting objective findings

The medicolegal/forensic evaluation need not include a review of pre-incident records if the examinee reports a negative pre-incident history. (Explanation: Records must be reviewed from both pre and post injury/exposure incident).

After completing an IME, you should not write prescriptions for pain medicine for longer than 30 days nor should you provide a work excuse for longer than 30 days.

All of the above

Please share any comments about this presentation or the presenter

0/500

18. Causation and Biostatistics: Diana Kraemer, MD, FIAIME

Poor

Outstanding

A test that is 100% sensitive:

Will be positive in all people with the disease

Will be negative in all people with the disease

Will be positive in all people without the disease

Will be negative in all people without the disease

Please share any comments about this presentation or the presenter

0/500

19. Work Ability and Return to Work: Bhavesh Pandya, MD, FIAIME

Poor

Outstanding

An FCE (Functional Capacity Evaluation) objectively measures a person's ability to RTW (return to work).

True

False

Please share any comments about this presentation or the presenter

0/500

20. MMI and Impairment Rating: Barry Gelinas, MD, DC, FIAIME

Poor

Outstanding

According to the AMA Guides to the Evaluation of Permanent Impairment, when assessing impairment, there should be a consideration of the impact on Activities of Daily Living (ADLs). Which of the following is NOT considered an ADL?

Sexual function

Communication

Work

Transportation

Please share any comments about this presentation or the presenter

0/500

21. Writing Your Medical Expert Report: Bhavesh Pandya, MD, FIAIME

Poor

Outstanding

Being OOW (out of work) may cause increased cardiovascular disease, diminished mental health, increased alcohol abuse and increase risk of death by 50%. These all can be reversed by returning to work.

True

False

Please share any comments about this presentation or the presenter

0/500

Overall would you say training conference:

Exceeded your expectations

Met your expectations

Fell short of your expectations

Overall, were there any key points or 'pearls' that you discovered which can assist you in your IME practice?

0/500

Do you have any suggestions or ideas for future topics?

0/500

Please indicate below whether you would like to receive CME or QME credits.

CME

QME

* Full Name with Designations (as it should appear on certificate)

0/250

* Email Address

0/50

Cell Phone or easiest method to reach you.

0/250

When completed, please allow 1 to 2 weeks for receipt of your certificate. If we have any questions for you, we will be reaching out to you. Thank you again for participating in the 2023 Mid-Year Conference.

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