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Medico-Legal Experts and Insurance Medical Officers Outside Canada

Block A - General Training (5 credits)

MMD6230 : Insurance and Expertise Medicine (3 cr.)
MMD6231 : Legal Aspects (2 cr.)

Course MMD6230 - Insurance Medicine, Medicolegal Expertise

Brief description of the lectures

MMD6230 - Lecture A01 - Introduction to the field of IME's

INTRODUCTION TO THE FIELD OF IME`S (3hrs)
LECTURERS:Doctors Michel Lacerte, Tim Meagher, François Sestier, Georges L'Espérance, Barry Malcolm, David Berbrayer, Michael Ross

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.

MMD6230 - 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 Organisation to promote a more elaborate and uniform approach to disability assessment. ICF will be explained and compared to other functioning evaluations.

MMD6230 - Lecture A03 - Medico-Legal Opinion: ...

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.

MMD6230 - 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.

MMD6230 - Lecture A05 - Maximal Medical Improvement ...

MAXIMAL MEDICAL IMPROVEMENT (MMI) RECOVERY OR REHABILITATION/EXACERBATION/
AGGRAVATION/ACCELERATION/APPROTIONMENT (3hrs)
LECTURERS: Dr Michel Lacerte, Dr Alfred Marguiles, Mr Larry Abey, Mr Frank Sampson

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

MMD6230 - Lecture A06 - Pain: Pathophysiology

PAIN: PATHOPHYSIOLOGY (3hrs)
LECTURERS: Dr Gary J. Bennett, Dr Pierre Beaulieu

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

MMD6230 - Lecture A07 - Pain: Evaluation and Treatment

PAIN: EVALUATION AND TREATMENT (3hrs)
LECTURERS: Dr J. Robinson, Dr E. Tunks, Dr A Mailis, 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.

MMD6230 - Lecture A07b - Treatment of chronic pain with focus on opioid use, misuse and abuse

Treatment of chronic pain with focus on opioid use, misuse and abuse (3hrs)
Lecturers: Dr. Mary-Ann Fitzcharles, Peter A. Ste. Marie

Pain: a changed paradigm

MMD6230 - Lecture A07c - Fibromyalgia: pertinence in the medico legal arena

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

Objectives: To understand

- The evidence for pathogenesis of FM

- Relevance of clinical criteria in diagnosis

- Pertinence in the setting of causation and disability

MMD6230 - Lecture A08 - EBM and Legal Evidence

EBM AND LEGAL EVIDENCE (3hrs)
LECTURERS: Dr J. Lelorier, Dr J. Brophy, Dr G. L'Espérance, Dr F. Sestier

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

MMD6230 - Lecture A09 - IME Report Format

IME REPORT FORMAT (3hrs)
LECTURERS: Dr J. Mount, Dr J. Richman, Dr M. Lacerte

Generic.

MMD6230 - Lecture A09a - Format of the IME in Medicine

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

Different medicolegal evaluation formats will be presented and discussed.

MMD6230 - Lecture A09b - Format of the IME in Orthopedics

Format of the IME in Orthopedics (3hrs)
LECTURERS: Dr J. Sullivan, Dr F. Sestier

Different medicolegal evaluation formats will be presented and discussed.

MMD6230 - Lecture A09c - Format of the IME in Surgery

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

Different medicolegal evaluation formats will be presented and discussed.

MMD6230 - Lecture A09d - Format of the IME in Psychiatry

Format of the IME in Psychiatry (3hrs)
LECTURERS : Dr R. Notkin, Dr E. Beltrami, Dr F. Sestier

Different medicolegal evaluation formats will be presented and discussed.

MMD6230 - Lecture A9d-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

MMD6230 - Lecture A09e - Format of the IME in Rehabilitation

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 the IME in rehabilitation to demonstrate how the IME is organized; to reflect on the complexity of the IME; to highlight the distinctiveness of Rehab.

MMD6230 - Lecture A10 - Neuropsychological Assessment

Neuropsychological Assessment (3hrs)
LECTURERS : Dr R. Kaplan, Dr M. Lassonde

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

MMD6230 - Lecture A11 - Ime's - Practice - Management ...

Ime's - Practice - Management and Responsabilities (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.

MMD6230 - Lecture A12 - Admission of Scientific Evidence

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.

MMD6230 - Lecture A13 - The Difficult Claimant

The Difficult Claimant (3hrs)
LECTURERS: Dr D. Berbrayer, Dr R. Notkin, Dr F. Sestier

Practical skills required to handle difficult claimants will be taught.

MMD6230 - Lecture A14 - Return to Work Tools and Guidelines

Return to Work Tools and Guidelines (3hrs)
LECTURERS : Dr Presley Reed, Dr Jim Sullivan, Dr François Sestier

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

MMD6230 - Lecture A15 - Examination

Examination (3hrs)

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

Course MMD6231 - Legal Aspects

Brief description of the lectures

MMD6231 - Lecture B01 - Ethics and confidentiality

Ethics and confidentiality (3hrs)
LECTURERS : Dr John Carlisle, Mr Pierre Deschamps

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

MMD6231 - Lecture B1b - 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.

MMD6231 - Lecture B02 - Genetics and insurance medicine

Genetics and insurance medicine (3 hrs)
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.

MMD6231 - Lecture B03 - The pre-existing medical condition

The pre-existing medical condition (3hrs)
LECTURERS : Justice Gordon Killeen, Mr Darryl Cruz, Dr François Sestier

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

MMD6231 - Lecture B04 - 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.

MMD6231 - Lecture B05 - The AMA Guide to the evaluation...

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.

MMD6231 - Lecture B05b - The AMA Guide to the Evaluation...

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.

MMD6231 - Lecture B06 - The Medical Expert Testimony

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

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

MMD6231 - Lecture B07 - Insurance: Legal Aspects

Insurance: Legal Aspects (3hrs)
LECTURERS : Ms Claire Léger, Ms Helen Sava

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

MMD6231 - Lecture B08 - 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.

MMD6231 - Lecture B09 - 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.

MMD6231 - 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