Adult Occupational Lead Poisoning in California for Occupational Medicine Providers
CDPH series

Fee: There is no charge for this activity.

Format: Adobe PDF Slide presentation
Content reviewed and released: September 21, 2017
Expires: September 20, 2020


Course description/GAP/Need

This course is tailored for occupational medicine providers and reviews:

• Epidemiology of lead poisoning in California
• Toxicology
• Sources of exposure
• Health effects
• Health-based diagnostic and management guidelines
• Legal context including evolving lead standards and physician responsibilities under the lead standards
• State public health response in California in the setting of occupational lead poisoning
  
  
  

Occupational medicine physicians may not be aware of efforts to update the Cal/OSHA lead standards based on recent data regarding the toxicity of lead, particularly at low levels.  These providers also may not be informed about the most recent management guidelines.

Many occupational medicine physicians were trained before data on the harms of low level lead exposure emerged. In addition, this training often entails only a limited overview of the lead standards and in most cases, would not have included discussion of evolving lead standards in California.

Learning Objectives
Upon completion of this course, the participant should be able to do the following:

• State at least three health effects associated with chronic low level lead exposure.
• List at least three services that occupational medicine physicians are responsible for providing to employees at risk of lead overexposure.
• Discuss two changes to the current Cal/OSHA lead standards that are under consideration.
• Explain the clinical discretion permitted in Appendix C of the lead standards when physicians remove workers from lead exposure under "Medical Removal Protection."
• List at least one reference document related to the clinical management of lead poisoning published by OLPPP.
• List at least three requirements of the OSHA lead standards that employers must follow with respect to medical surveillance of exposed workers.

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Target Audience
The intended audience consists of Occupational Medicine Providers and other health care professionals.
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Course consists of the following elements:
Adobe PDF Slide presentation (Slides will open up in full screen - click ESC button to reduce/close)
Test  (require to pass with 80% or better)
Evaluation

Participation is accomplished through self-directed viewing of the web-based material. CME credit is obtained upon completion of the program content, passing the test with 80% or better and submission of the program evaluation. The test can be taken up to three times. An electronic CME certificate will be available after successfully completing the evaluation. Please be patient while certificate is processing, system will need to refresh your test score and results. This CME course should take approximately 2 hour to complete.

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Accreditation  

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of University of California, Davis, Health and the California Department of Public Health. The University of California, Davis, Health is accredited by the ACCME to provide continuing medical education for physicians.

Physician Credit: The University of California, Davis, Health designates this enduring material activity for a maximum of 2.0 AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Credits acceptable for multidisciplinary team members

Nursing: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME.  For the purpose of relicensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report hours of credit and fill in "CME Category 1" for the provider number).

Physician Assistant: The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification.


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Disclosures
The author, planning members, and content reviewers have indicated that no relevant financial relationships exist. 

Saeher Muzaffar, MD, MS, MPH – Author
Michael Kosnett, MD, MPH – Content Reviewer
Paul Papanek, MD, MPH – Content Reviewer
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Software Requirements
Adobe Reader


 If you have any questions please email cme@ucdavis.edu or phone (916) 734-5352.