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Canadian Medico-Legal Experts and Insurance Medical Officers

Block B - Optional Courses (6 credits)

Option 1 - Insurance Medicine (6 credits)
MMD6222 : (3 cr.) Insurance Medicine
MMD6223 : (3 cr.) Underwriting and Claims Analysis

Course MMD6222 - Insurance Medicine

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

MMD6222 - Lecture A01 - Introduction and role of ...

Introduction and role of the medical officer (3hrs)
LECTURERS: Dr Tim Meagher, Dr François Sestier

The objectives of this course will be developed : train the medical officer or the senior underwriter to make a proper risk assessment, according to the most recent literature for life, DI , CI, health, LTC or travel insurance; the course will allow also claim analysis for the main conditions of each system.

MMD6222 - Lecture A02 - Mortality analysis - MIB - ...

Mortality analysis - MIB - Life expectancy (3hrs)
LECTURERS : Dr Pierre Vachon, Dr François Sestier

The tasks of the actuary will be described; how to calculate in one minute a MR using cumulative survival tables will be explained; the functions and role of MIB will be explained; the different methods used to calculate Life expectancy will be exposed.

MMD6222 - Lecture A03 - Life Insurance

Life Insurance (3hrs)
LECTURERS : Dr François Sestier, Mr Jonathan Ferron, Ms Fran Bowdridge

The different types of Life insurance will be explained; the limit of substandard rating will be explained as well as the translation from a MR to a rating.

MMD6222 - Lecture A04 - Group Insurance

Group Insurance (3hrs)
LECTURERS : Dr Francois Sestier, Ms Claire Léger, Ms Yvonne Diotte, Ms Christine Thibault

The principles and coverage of group insurance will be explained, as well as the added values items included in such products.

MMD6222 - Lecture A05 - Disability Insurance

Disability Insurance (3hrs)
LECTURERS: Dr François Sestier, Ms Claire Léger, Mr André Després, Dr Robert Grossman

The principles of DI insurance will be exposed; exclusions and substandard rating will be explained. Guidelines to claim analysis will be discussed.

MMD6222 - Lecture A06 - Critical Illness Product

Critical Illness Product (3hrs)
LECTURERS: Dr François Sestier, Ms Claire Léger, Ms Yvonne Diotte, Ms Christine Thibault

The history, objectives, types, difficulties, and evolution of these products will be discussed.

MMD6222 - Lecture A07 - Health Insurance

Health Insurance (3hrs)
LECTURERS : Dr Jacques Chaoulli, Ms Helen Sava, Mr Dominique Duchesne, Dr Francois Sestie

Principles of Health insurance will be discussed; exclusions and rating will be discussed.

MMD6222 - Lecture A08 - Travel Insurance

Travel Insurance (3hrs)
LECTURERS: Mr Richard Lachance, Dr François Sestier, Mr Michel Courtemanche

Principles of Travel insurance will be discussed; exclusions and rating will be discussed.

MMD6222 - Lecture A09 - Long Term Care

Long Term Care (3hres)
LECTURERS: Dr Rubin Becker, Mr André Legault, Dr Sestier

The different types of LTC products will be discussed, with emphasis on the dependence insurance products.

MMD6222 - Lecture A10 - Canadian Pension Plan

Canadian Pension Plan (3hrs)
LECTURERS: Justice Gordon Killeen, Dr Michel Lacerte, Dr Raymond Aubin, Ms Gay Wrye, Dr François Sestier

CPP will be discussed; the use of structured settlements in litigation will be discussed.

MMD6222 - Lecture A11 - Principles of pharmaco...

Principles of pharmaco-economy (3hrs)
LECTURERS: Dr Jacques LeLorier, Dr James Brophy, Dr François Sestier

Reimbursement of drugs; formularies and principles of pharmaco-economy will be discussed.

MMD6222 - Lecture A12 - Laboratory Test Assessment

Laboratory Test Assessment (3hrs)
LECTURERS: Dr Tim Meagher, Dr Richard Braun, Dr François Sestier

Risk assessment using recent statistical analysis will be made.

MMD6222 - Lecture A13 - Build and Blood Pressure

Build and Blood Pressure (3hrs)
LECTURERS: Dr Tim Meagher, Dr François Sestier

Build and BP are the base of any risk assessment; population trends and effect on morbidity-mortality will be discussed.

MMD6222 - Lecture A14 - Orthopedics

Orthopedics (3hrs)
LECTURERS: Dr Jim Sullivan, Dr Georges L'Espérance, Dr François Sestier

The main conditions will be discussed both for underwriting and claim analysis purposes.

MMD6222 - Lecture A15 - Examination

Examination (3hrs)

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

MMD6223 - Underwriting and Claims Analysis

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

MMD6223 - Lecture B01 - Diabetes Mellitus

Diabetes Mellitus (3hrs)
LECTURERS: Dr. François Sestier, Dr. Minh Nguyen, Dr. Abdel Naslafkih

Outlines:

Epidemiology of diabetes, Classification and Diagnostic criteria of diabetes, Risk selection and Conclusions

MMD6223 - Lecture B02 - Coronary Artery Disease

Coronary Artery Disease (3hrs)
LECTURERS : Dr James Brophy, Dr Tim Meagher, Dr Abdelouahed Naslafkih, Dr François Sestier

The Cass registry used for CAD extent and LV function will be discussed. When neither function nor anatomy is known, underwriting guidelines will be developed. Claim analysis principles will be developed.

MMD6223 - Lecture B03 - Valvular Diseases...

Valvular Diseases; Ecg/Arrhytmias; Congenital Heart Diseases; Cardiomyopathies (3hrs)
LECTURERS: Dr James Brophy, Dr Tim Meagher, Dr Francois Sestier

Valvular disease natural history, long term results of valvular surgery will be exposed; ecg reading tips will be given; underwriting congenital disease and long-term results of surgery will be exposed.

MMD6223 - Lecture B04 - Respiratory Disorders

Respiratory Disorders (3hrs)
LECTURERS: Dr Paolo Renzi, Dr Abdelouahed Naslafkih, Dr François Sestier


The main conditions will be discussed both for underwriting and claim analysis purposes with emphasis on COPD, asthma and sleep apnea.

MMD6223 - Lecture B05 - Kidney and Urinary Tract Disorders

Kidney and Urinary Tract Disorders (3hrs)
LECTURERS: Dr Tim Meagher. Dr François Sestier, Dr Abdel Naslafkih

The main conditions will be discussed both for underwriting and claim analysis purposes.

MMD6223 - Lecture B06 - Gastro Enterology

Gastro Enterology (3hrs)
LECTURERS: Dr Tim Meagher, Dr Abdelouahed Naslafkih, Dr François Sestier

The main conditions will be discussed both for underwriting and claim analysis purposes.

MMD6223 - Lecture B07 - Ent'Ophtalmology and Skin Diseases

Ent'Ophtalmology and Skin Diseases (3hrs)
LECTURERS: Dr Tim Meagher, Dr François Sestier, Dr Abdel Naslafkih

The main conditions will be discussed both for underwriting and claim analysis purposes.

MMD6223 - Lecture B08 - Blood Disorders

Blood Disorders (3hrs)
LECTURERS: Dr Tim Meagher, Dr François Sestier, Dr Abdel Naslafkih, Dr Minh Nguyen

The main conditions will be discussed both for underwriting and claim analysis purposes, with emphasis on common lab abnormalities, anemia, lymphomas and chronic leukemias.

MMD6223 - Lecture B09 - Cancers; Tumors

Cancers; Tumors (3hrs)
LECTURERS: Dr Loraine Oman-Ganes, Dr François Sestier

The main conditions will be discussed both for underwriting and claim analysis purposes, with emphasis on prostate, breast and lung cancer.

MMD6223 - Lecture B10 - Neurologic Disorders

Neurologic Disorders (3hrs)
LECTURERS: Dr Tim Meagher, Dr Abdel Naslafkih, Dr François Sestier

The main conditions will be discussed both for underwriting and claim analysis purposes, with emphasis on MS, Parkinson disease , and MCI.

MMD6223 - Lecture B11 - Psychiatric Disorders

Psychiatric Disorders (3hrs)
LECTURERS: Dr Abdel Naslafkih, Dr François Sestier

The main conditions will be discussed both for underwriting and claim analysis purposes, with emphasis on depression disorders, and personality disorders.

MMD6223 - Lecture B12 - Rheumatology

Rheumatology (3hrs)
LECTURERS: Dr Tim Meagher, Dr Abdel Naslafkih, Dr François Sestier

The main conditions will be discussed both for underwriting and claim analysis purposes, with emphasis on rheumatoid arthritis.

MMD6223 - Lecture B13 - Gynecology

Gynecology (3hrs)
LECTURERS: Dr Tim Meagher, Dr François Sestier, Dr Abdel Naslafkih

The main conditions will be discussed both for underwriting and claim analysis purposes.

MMD6223 - Lecture B14 - Infectious Diseases

Infectious Diseases (3hrs)
LECTURERS: Dr Alain Quibeuf, Dr Antoine Rogier, Dr François Sestier

The main conditions will be discussed both for underwriting and claim analysis purposes.

MMD6223 - Lecture B15 - 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