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Canadian Medico-Legal Experts and Insurance Medical Officers

Block A - Mandatory Courses (11 credits)

MMD6220 : Insurance and Expertise Medicine (3 credits)
MMD6221 : Legal Aspects (3 credits)
MMD6226 : Advanced Expertise Medicine - Part 3 (3 credits)
MMD6227 : Advanced Expertise Medicine - Part 4 (2 credits)

Objectives

The goal of the University Curriculum in Insurance and Expertise Medicine

is to give the physicians involved in such activities a formal and thorough training, to allow a better performance in these medico-legal tasks.

Next

Who can register ?

Any health professional allowed to practice in Canada can enroll in the curriculum. Physicians, dental surgeons, dentists, orthodontists and neuropsychologist can follow the training.

How is the curriculum organized ?

The first year is introductory and common to medical experts and medical officers of Insurance Companies

Next

Course MMD6220 - Insurance and Expertise Medicine

Click on each chapter for a brief description of the lecture.

MMD6220 - Lecture A01 - Introduction to the field of IME'S

INTRODUCTION TO THE FIELD OF IME`S (3hrs)
LECTURERS:
Drs. David Berbrayer, Georges L’ Espérance, Michel Lacerte, Barry Malcolm, Tim Meagher, Jack Richman, Michael Ross, Francois Sestier

The objectives and organization of this web-based curriculum will be exposed. A brief history of medicolegal evaluation in North America will be made. The nature of the mandates will be discussed, as well as the different types of IME's. Ethics and independence of the evaluators will be stressed.

MMD6220 - Lecture A02 - Disability Evaluation in the...

Disability Evaluation in the Context of the ICF (3hrs)
LECTURERS:
Dr. Michel Lacerte, Ms. Catherine Barral

The international classification of functioning has been developed by the World Health Organization to promote a more elaborate and uniform approach to disability assessment. ICF will be explained and compared to other functioning evaluations.

MMD6220 - Lecture A03 - Medico Legal Opinion: Critical ...

MEDICO LEGAL OPINION : CRITICAL THINKING AND REASONING (3hrs)
LECTURERS :
Dr. Serge Dubé, Dr. Paul Gallina

Critical thinking principles will be discussed along with the review of what constitute scientifically reliable and sound methodology in the context of a medicolegal evaluation.

MMD6220 - Lecture A04 - Medico Legal Causal Analysis

Medico Legal Causal Analysis (3hrs)
LECTURERS :
Dr. Michel Lacerte, Mr. Larry Abey

Causal analysis criteria will be discussed in the context of trauma and personal injury, chemical exposure and occupational disease, and common pain disorder and disability.

MMD6220 - Lecture A05a - Auto Insurance Systems ...

Auto Insurance Systems: Considerations for the Medical Examiner/Evaluator: Ontario, Alberta, Maritimes (3hrs)
LECTURERS :
Dr. Michel Lacerte, Ms. Viivi Riis, Mr. Lee Samis

Automobile insurance varies according to the provinces; the case of Ontario, a no-fault province but allowing tort litigation will be discussed.

MMD6220 - Lecture A05b - Auto Insurance Systems ...

Auto Insurance Systems: Considerations for the Medical Examiner/Evaluator NO FAULT PROVINCES : Ontario, Saskatchewan, Manitoba,British Columbia (3hrs)
LECTURERS :
Dr. Michel Lacerte, Ms. Viivi Riis, Mr. Lee Samis

The legislation regulating the no-fault automobile insurance provinces will be reviewed and critically appraised.

MMD6220 - Lecture A06a - What the WSIB expects ...

What the WSIB expects from the experts (3hrs)
LECTURERS :
Dr. Michel Lacerte, Dr. Michel Schofield, Dr. John Dudley

The role and structure of WSIB will be reviewed particularly related to operational policy, entitlement process and appeals including hearings and WSIAT. The role of the office of workers advisor (OWA) and occupational health clinics will be explained.

MMD6220 - Lecture A06b - WCB'S: Role and Structure

WCB'S: Role and Structure - Association of WBC`S of Canada and IAIABC (3hrs)
LECTURERS : Dr. Michel Lacerte, Mr. Dan Revington

The similarities and differences between Canadian Workers' Compensation Boards will be reviewed and compared to other North American and European systems. All will be explained. The Association of WBC's of Canada, as well as the role of the IAIABC.

MMD6220 - Lecture A07 - Maximal Medical Improvement ...

Maximal Medical Improvement (MMI) Recovery or Rehabilitation/Exacerbation/Aggravation/Approtionment (3hrs)
LECTURERS :
Mr. Larry Abey, Mr. Frank Sampson, Dr. Alfred Marguiles, Dr. Michel Lacerte

The variable definitions of these key terms will be reviewed and illustrated with examples.

MMD6220 - Lecture A08 - Pain: Pathophysiology

Pain: Pathophysiology (3hrs)
LECTURERS :
Dr. Gary J. Bennett, Dr. Pierre Beaulieu, Dr. Francois Sestier

The pathophysiology of pain will be reviewed along with common pharmacological and surgical interventions.

MMD6220 - Lecture A09 - Pain: Evaluation and Treatment

Pain: Evaluation and Treatment (3hrs)
LECTURERS:
Dr. Jim Robinson, Dr. Eldon Tunks, Dr. Angela Mailis, Mr. Peter Rousmaniere, Dr. Michel Lacerte

How pain impairment can be measured more objectively will be reviewed. The different approaches to pain control will be made with a review of the pros and cons of the use of opioids.

MMD6220 - Lecture A09b - Treatment of Chronic Pain with Focus on Opiod Use, Misuse and Abuse

Treatment of Chronic Pain with Focus on Opiod Use, Misuse and Abuse (3hrs)
LECTURERS:
Dr. Mary-Ann Fitzcharles, Mr. Peter A. Ste. Marie

PAIN: a changed paradigm

MMD6220 - Lecture A9c - Fibromyalgia: pertinence in the medico legal arena

Fibromyalgia: pertinence in the medico legal arena (3hrs)
LECTURERS:
Dr. Mary-Ann Fitzcharles, Mr. Peter A. Ste. Marie

The objectives of this lecture is to understand:

- The evidence for pathogenesis of FM

- Relevance of clinical criteria in diagnosis

- Pertinence in the setting of causation and disability

MMD6220 - Lecture A10 - EBM and legal evidence

EBM and legal evidence (3hrs)
LECTURERS :
Dr. Jacques LeLorier, Dr. James Brophy, Dr. Georges L’Espérance, Dr. Francois Sestier

Or how to well choose references to support a medicolegal reasoning.

MMD6220 - Lecture A11 - IME Report Format

IME Report Format (3hrs)
LECTURERS:
Dr. John Mount, Dr. Jack Richman, Dr. Michel Lacerte

Generic

MMD6220 - Lecture A11a - Format of the IME in Medicine

Format of the IME in Medicine (3hrs)
LECTURERS:
Dr. Tim Meagher, Dr. François Sestier

Different medicolegal evaluation formats will be presented and discussed.

MMD6220 - Lecture A11b - Format of the IME in Ortho...

Format of the IME in Orthopaedics (3hrs)
LECTURERS:
Dr. Jim Sullivan, Dr. François Sestier

Different medicolegal evaluation formats will be presented and discussed.

MMD6220 - Lecture A11c - Format of the IME in Surgery

Format of the IME in Surgery (3hrs)
LECTURERS:
Dr. Ted Tewfik, Dr. François Sestier

Different medicolegal evaluation formats will be presented and discussed.

MMD6220 - Lecture A11d - Format of the IME in Psychiatry

Format of the IME in Psychiatry (3hrs)
LECTURERS:
Dr. Robert Notkin, Dr. Edouard Beltrami, Dr. François Sestier

Different medicolegal evaluation formats will be presented and discussed.

MMD6220 - Lecture A11d-bis - DSM-5

DSM-5 (3hrs)
LECTURERS:
Dr. Gerard Montagne, Dr. Francois Sestier

The objectives of this lecture is to:

Enhance reliability, validity and clinical utility of DSM for clinicians and researchers

MMD6220 - Lecture A11e - Format of the IME in Rehabil...

Format of the IME in Rehabilitation (3hrs)
LECTURERS:
Dr. Michel Lacerte, Dr. David Berbrayer

The objectives of this lecture is: to describe the components of IME in rehab; to demonstrate how the IME is organized; to reflect on the complexity of the IME; to highlight the distinctiveness of rehab.

MMD6220 - Lecture A12 - Neuropsychological Assessment

Neuropsychological Assessment (3hrs)
LECTURERS:
Dr. Ronald D. Kaplan, Dr. Maryse Lassonde

The nature and different purpose of independent neuropsychological evaluation will be reviewed.

MMD6220 - Lecture A13 - The Difficult Claimant

The Difficult Claimant (3hrs)
LECTURERS:
Dr. David Berbrayer, Dr. Robert Notkin, Dr. François Sestier

Practical skills required to handle difficult claimants will be taught.

MMD6220 - Lecture A14 - IME'S - Practice, Management ...

IME'S - Practice, Management and Responsibilities (3hrs)
LECTURERS:
Dr. Michel Lacerte, Dr. John Mount, Dr. Jack Richman

Billing, contracts, delays, confidentiality and other obligations of the medicolegal evaluator will be illustrated by examples.

MMD6220 - Lecture A15 - Examination

Examination (3hrs)

A 3 hour MCQ exam will be offered on internet to validate the learning process.

Course MMD6221 - Legal Aspects

Click on each chapter for a brief description of the lecture.

MMD6221 - Lecture B01 - Structure and Functions of ...

Structure and Functions of the Canadian Judiciary System (3hrs)
LECTURERS :
Prof. Karen Eltis, Dr. François Sestier

An overview of the Canadian justice system, structure and function and how it impacts on the medicolegal evaluator's work.

MMD6221 - Lecture B02 - Ethics and Confidentiality

Ethics and Confidentiality (3hrs)
LECTURERS:
Dr. John Carlisle, Mr. Pierre Deschamps, Dr. Francois Sestier

Ethical and confidentiality issues faced by the medicolegal evaluators will be reviewed and illustrated by examples.

MMD6221 - Lecture B2b - CSME Medicolegal Ethics Guidelines

CSME Medicolegal Ethics Guidelines (3hrs)
LECTURERS:
Drs. Michel Lacerte, Arthur Ameis and Francois Sestier

The Guidelines are meant to supplement the World Medical Association International Code of Medical Ethics in areas of medicolegal practice.

MMD6221 - Lecture B03 - Genetics and Insurance Medicine

Genetics and Insurance Medicine (3hrs)
LECTURERS:
Mr. Trudo Lemmens, Dr. François Sestier

The rules adopted by different countries regarding use of genetic material by insurance companies for risk assessment will be discussed.

MMD6621 - Lecture B04 - The Pre-Existing Medical Condition

The Pre-Existing Medical Condition (3hrs)
LECTURERS:
Mr. Darryl Cruz, Dr. François Sestier

The assessment of pre-existing and coexisting conditions in the process of apportionment.

MMD6221 - Lecture B05 - Criminal Code

Criminal Code (3hrs)
LECTURERS :
Dr. Dominique Bourget, Mr. Patrick Healy, Dr. François Sestier

Forensic psychiatric evaluation requires knowledge of the Canadian criminal code.

MMD6221 - Lecture B06 - Disability Duration Guidelines

Disability Duration Guidelines (3hrs)
LECTURERS:
Dr. Jennifer Christian, Dr. Michel Lacerte, Dr. Patrick Loisel

Explore how different disability duration guidelines can assist in disability claims assessment.

MMD6221 - Lecture B07 - The AMA Guide to the Evaluation of Permanent Impairment

The AMA Guide to the Evaluation of Permanent Impairment (3hrs)
LECTURERS:
Dr. Arthur Ameis, Dr. Michel Lacerte

The general principles and evolution of the different editions of the AMA guides will be discussed using examples.

MMD6221 - Lecture B07b - The AMA guide to the evaluation of permanent impairment, 6th Edition

The AMA guide to the evaluation of permanent impairment, 6th Edition (3hrs)
LECTURERS: Dr Robert D. Rondinelli, Dr Michel Lacerte, Dr François Sestier

The 6th Edition, published in 2008, incorporates the definitions and terminology of the ICF and provides a simple means of assessment of ADL's as part of the rating process

MMD6221 - Lecture B08 - The Medical Expert Testimony

The Medical Expert Testimony (3hrs)
LECTURERS :
Mr. Greg Moore, Dr. François Sestier

Expert testimony pre-trial preparation and cross-examination techniques will be illustrated through a mock trial.

MMD6221 - Lecture B09 - Insurance: Legal Aspects

Insurance: Legal Aspects (3hrs)
LECTURERS:
Ms. Claire Léger, Ms. Helen Sava, Dr. Francois Sestier

The different types of insurances and the Canadian legislation regulating Insurance companies will be reviewed.

MMD6221 - Lecture B10 - The Insurance Contracts

The Insurance Contracts (3hrs)
LECTURERS:
Ms. Diana Clarke, Mr. Luke C. Mullin, Dr. Michel Lacerte

Contract nature, definitions and scope will be discussed. This should provide health professionals with a better understanding/interpretation of contract language.

MMD6221 - Lecture B11 - Workers' Compensation: Medical Issue

Workers' Compensation: Medical Issue (3hrs)
LECTURERS:
Ms. Diana Clarke, Dr. Michel Lacerte, Mr. Doug Paolini

The law of evidence will be covered in the context of WCB and medical information.

MMD6221 - Lecture B12 - SSDI and other American pension plans

SSDI and other American pension plans (3hrs)
LECTURERS:
Dr. Steven Leclair, Dr. Michel Lacerte

A review of American disability systems.

MMD6221 - Lecture B13 - Medical Malpractice

Medical Malpractice (3hrs)
LECTURERS :
Dr. Jacques Guilbert, Dr. François Sestier

The difficult and sensitive task of a medicolegal evaluation in a case of medical malpractice will be discussed.

MMD6221 - Lecture B14 - Is a no-fault coverage foreseeable for adverse medical events

Is a no-fault coverage foreseeable for adverse medical events (3hrs)
LECTURERS:
Mr. Daniel Gardner, Dr. François Sestier

CMPA will provide general advice based on real cases brought to court.

MMD6221 - Lecture B15 - Examination

Examination (3hrs)

A 3 hour MCQ exam will be offered on internet to validate the learning process.

MMD6226 : Advanced Expertise Medicine - Part 3

Click on each chapter for a brief description of the lecture.

MMD6226 - Lecture A01 - Life care planning and future ...

Life Care Planning and Future Care Cost (3hrs)
LECTURERS:
Keith C. Hayes, Dr. Gail Delaney, Mr. Chris Collins

Review of the fundamentals of Life Care Plans and the critical appraisal of these by the medico-legal expert. Review of the fundamentals of Future Care Cost (Long-Term Needs Assessment) and the critical appraisal of same with the emphasis on “what is reasonable and necessary for an individual with catastrophic injury and/or chronic health care needs to maximize his or her health and independence”.

MMD6226 - Lecture A02 - Myofascial Pain Syndrome

Myofascial Pain Syndrome (3hrs)
LECTURERS :
Dr. Michel Lacerte, Dr. François Sestier

The Pathophysiology diagnosis and the treatment of this common disorder will be explained in details by Dr M Lacerte

MMD6226 - Lecture A03 - Loss of Earning Capacity

Loss of Earning Capacity (3hrs)
LECTURERS:
Mr. Nigel Gilby, Mr. Frank Samson

Review of the concept and application of loss or impairment of earning capacity and its relevance to medico-legal evaluations.

MMD6226 - Lecture A04 - Quality of Life Assessment and ...

Quality of Life Assessment and General Damages (3hrs)
LECTURERS :
Dr. Michel Lacerte, Mr. John Graham, Mr. Jim Virtue, Mr. Larry Abey

Review of the fundamentals of QOL assessments. The difference with Life Care Plans, Future Care Cost Analyses and General Damages awards.

MMD6226 - Lecture A05 - Medicolegal Writing or Bullet ...

Medicolegal Writing or Bullet Proofing your Report (and case Studies) (3hrs)
LECTURERS:
Mr. Adam Rawlings, Dr. Michel Lacerte

Review and critical appraisal of various writing techniques used in medico-legal report.

MMD6226 - Lecture A06 - Arguments, Fallacies and ...

Arguments, Fallacies and Legal Reasoning (3hrs)
LECTURERS :
Mr. Adam Rawlings, Dr. Michel Lacerte, Mr. Randy A. Harris

Recognizing, avoiding, and responding to various forms of arguments and fallacies commonly encountered in medico-legal reports and during expert testimony.

MMD6226 - Lecture A07 - Medicolegal Correspondence and ...

Medicolegal Correspondence and Attorney's Work (3hrs)
LECTURERS:
Dr. Arthur Ameis, Dr. Michel Lacerte, Mr. Larry Abey, Mr. Thomas Lacerte

Review common types of medico-legal correspondence and attorney’s work using case studies.

MMD6226 - Lecture A08 - How to Work with Lawyers

How to Work with Lawyers (3hrs)
LECTURERS:
Dr. Arthur Ameis, Dr. Michel Lacerte, Mr. Larry Abey, Mr. Thomas Lacerte

The nature and limits of the professional relationship between lawyers and experts. Conflict of interests and ethical issues will be presented using case studies.

MMD6226 - Lecture A09 - The Administrative Aspect of an ...

The Administrative Aspect of an IME Practice (3hrs)
LECTURERS:
Dr. Michel lacerte, Dr. François Sestier, Dr. Jordi Cisa

Beyond the file review, medicolegal report and/or expert testimony are a multitude of administrative steps that make the IME practice function. Review and discussion of administrative issues related to confidentiality, records keeping, use of technology and information systems, time management, billing, use of interpreters, professional insurance, etc.

MMD6226 - Lecture A10 - File Reviews and Tech...

File Reviews and Technical Reports (3hrs)
LECTURERS:
Mr. Thomas Lacerte, Mr. Larry Abey, Dr. Michel Lacerte, Dr. Arthur Ameis

How do File Reviews and Technical Reports differ from other medicolegal report and/or correspondence models?

MMD6226 - Lecture A11 - Case Management

Case Management (3hrs)
LECTURERS:
Dr. Liliane Demers, Dr. Michel Lacerte, Dr. François Sestier

A review of what is case management and how it can impact on the medical and rehabilitation process. The rehabilitation counselor code of ethics and practice guidelines will be reviewed.

MMD6226 - Lecture A12 - Alternative and Complementary ...

Alternative and Complementary Medicine (3hrs)
LECTURERS:
Mr. Allan M Freedman, Dr. Arthur Ameis, Dr. François Sestier

Role of alternative and complementary medicine in rehabilitation will be reviewed along with how to address the issue of reasonable and necessary.

MMD6226 - Lecture A13 - IME Rebuttal

IME Rebuttal (3hrs)
LECTURERS:
Dr. Arthur Ameis, Dr. Michel Lacerte, Mr. Larry Abey, Mr. Thomas Lacerte

Demonstration of IME rebuttal techniques using case studies.

MMD6226 - Lecture A14 - Tort Law in Canada

Tort Law in Canada (3hrs)
LECTURERS:
Mr. Robert Dale, Justice T. David Little, Dr. Michel Lacerte, Mrs. Barbara L. Legate

Review of the fundamentals of Tort Law and its relevance for the medico-legal expert.

MMD6226 - Lecture A15 - Examination

Examination (3hrs)

A 3 hour MCQ exam will be offered on internet to validate the learning process.

MMD6227 : Advanced Expertise Medicine - Part 4

Click on each chapter for a brief description of the lecture.

MMD6227 - Lecture B01 - Multidisciplinary IME's

Multidisciplinary IME's (3hrs)
LECTURERS:
Dr. Arthur Ameis, Dr. Michel Lacerte, Dr. Eric Renaud

Review of the advantages and pitfalls associated with Multidisciplinary IME's and the development of consensus opinions.

MMD6227 - Lecture B02 - Mitigation of Injury ...

Mitigation of Injury and Loss (3hrs)
LECTURERS:
Justice Tom Lederer, Dr. François Sestier, Dr. Michel Lacerte, Dr. Eric Renaud

Review of the legal concept of “Mitigation of Injury and Loss” and how to assess this from a medical and legal perspective.

MMD6227 - Lecture B03 - Determining Reasonable ...

Determining Reasonable Accommodation (3hrs)
LECTURERS:
Ms. Nancy J. Gowan, Mr. Matt Duffy

Review and discussion of the legal definition of “reasonable accommodation” from a human rights and ADA perspective.

MMD6227 - Lecture B04 - Admission of Scientific ...

Admission of Scientific Evidence (3hrs)
LECTURERS:
Justice Tom Lederer, Dr. François Sestier, Dr. Michel Lacerte Dr. Eric Renaud

An overview of the field of vocational rehabilitation and its use in determining future economic loss.

MMD6227 - Lecture B05 - Return to Work Tools ...

Return to Work Tools and Guidelines (3hrs)
LECTURERS:
Dr. Presley Reed, Dr. François Sestier, Dr. Patrick Loisel, Dr. James Brophy, Mr. Steven Leclair

Review of a model to facilitate RTW in musculoskeletal disorders. The utilization of the ACOEM clinical practice guidelines will be discussed.

MMD6227 - Lecture B06 - Foundations and Models ...

Foundations and Models for Impairment Rating and Disability Evaluation (3hrs)
LECTURERS:
Dr. Robert D Rondinelli, Dr. Michel Lacerte, Dr. François Sestier

The use of functional instruments will be addressed in regard to their reliability, predictable validity and relevancy to the field of personal injury.

MMD6227 - Lecture B07 - Catastrophic Injuries ...

Catastrophic Injuries (Spinal Cord Injury and Traumatic Brain Injury) (3hrs)
LECTURERS:
Dr. Michel Lacerte, Dr. François Sestier, Dr. Eric Renaud, Mr. Nigel Gilby, Mr Robert H. Rogers, Dr. Ron Kaplan

Life Care Planning in Catastrophic Injuries will be addressed using case studies.

MMD6227 - Lecture B08 - Automobile Insurance Reform ...

Automobile Insurance Reform 2009 (3hrs)
LECTURERS:
Dr. Michel Lacerte, Ms. Philippa Samworth, Mr. Jim Mays, Ms. Barbara Sulzenko-Laurie, Ms. Viivi Riis, Mr. Harry Brown

The Institute of Medicine developed in 2002 a monitoring system to capture all factors determining eligibility for disability benefits.

MMD6227 - Lecture B09 - Searching Canadian Legal ...

Searching Canadian Legal Decisions (3hrs)
LECTURERS:
Mr. Fréderic Pelletier, Dr. Michel Lacerte, Dr. Eric Renaud, Dr. François Sestier

MMD6227 - Lecture B10 - Examination

Examination (3hrs)

A 3 hour MCQ exam will be offered on internet to validate the learning process.


© Médecine d’assurance et expertise en sciences de la santé, 2010