Maine Medicine Weekly Update - 05/07/2018  (Plain Text Version)

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In this issue:
IN THE SPOTLIGHT
•  MMA Listening Session in Presque Isle on Tuesday, May 15 6-8pm
•  Jeffrey Barkin, MD, DFAPA Receives MAPP Lifetime Achievement Award
•  Update Will Change Buprenorphine MME Display in Most State PMPs
•  New Scrutiny for an Old Drug
•  New Interactive Online Course Ups Physicians’ Nutrition Knowledge, Supports Patients in Diabetes Prevention
•  Consumer and Healthcare Groups File Suit for Medicaid Expansion Implementation
•  Maine Physicians Participate in Regional State Medical Society Meeting in Connecticut Last Weekend
•  APM Set Forth for Opioid-use Disorder Treatment
•  The Honorable George J. Mitchell to Keynote MMA's 165th Annual Session
128th MAINE LEGISLATURE
•  Legislative Report: Is This a Wrap-up?
UPCOMING EVENTS
•  Introduction to LEAN in Healthcare: Full-Day Workshop on Tuesday, May 8
•  MaineHealth MORE Conference - Managing the Opioid Response Effort - May 17th
•  Maine Chapter, American College of Surgeons Annual Meeting in Kennebunkport, ME - May 18-20
•  Monday, May 21 in Brewer: Next Steps in Addressing Maine's Opioid Crisis
•  Inspiring Hope: How to Support Recovery Ready Communities - May 24 Conference
•  One River, One Ocean: June 2-14, 2018
•  MCMI Training Programs - Level 1 and Level 2 - June 22
•  New Free CME on Alzheimer's Risk, Detection, and Management
•  Peer Navigation Program from Facing Our Risk of Cancer Empowered (FORCE)
•  Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
•  Northern New England Society of Addiction Medicine 2018 Annual Conference & Meeting - Nov 2-3
HEALTHCARE EMPLOYMENT OPPORTUNITIES
•  Internal Medicine Outpatient Physician Opportunity
•  Ob/Gyn Physician Opportunity
•  Outpatient Internal Medicine Physician – Bangor, Maine
•  Family Practice Physician - Bucksport Regional Health Center
•  Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
•  Psychiatry Faculty, Division of Child & Adolescent Psychiatry
•  Psychiatric Medical Director
•  Maine's Largest FQHC in need of Physician for Geriatric Program
•  Multiple Family Med Opportunities in Beloved Community Health Centers
•  Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
•  Internal Medicine Outpatient Physician
•  Clinical Cardiology Opportunity
•  Opportunities at the VA for Volunteer Physicians

 

New Interactive Online Course Ups Physicians’ Nutrition Knowledge, Supports Patients in Diabetes Prevention

An important part of preventing type 2 diabetes is lifestyle changes. Research conducted by the Centers for Disease Control and Prevention (CDC) revealed that people with prediabetes can reduce their risk of developing type 2 diabetes by nearly 60 percent when they participate in a structured lifestyle change program.

 

An important part of preventing type 2 diabetes is lifestyle changes. Research conducted by the Centers for Disease Control and Prevention (CDC) revealed that people with prediabetes can reduce their risk of developing type 2 diabetes by nearly 60 percent when they participate in a structured lifestyle change program.

"Early risk detection and educational interventions for diabetes have tremendous potential for engaging people more meaningfully in their own wellness and for reducing the risk of developing diabetes and all of its complications and costs," said Noah Nesin, MD, Vice President of Medical Affairs at Penobscot Community Health Care, and Physician Champion for MMA's diabetes prevention efforts.

Part of lifestyle changes include learning how to eat properly to maintain a healthy weight, which is often a contributing factor for type 2 diabetes. In fact, the CDC study found that people could lose between 5 percent and 7 percent of body weight through healthier eating. However, learning how to eat properly isn’t always intuitive and requires education about nutrition.

Most patients usually look to their physicians for help as a starting point. Unfortunately, many physicians may simply not be armed with enough education and training on nutrition to provide sufficient education. In turn, this makes trying to help patients challenging.

Although patients can work with health coaches and be referred out to a CDC-recognized diabetes prevention program (DPP) to help improve eating habits, physicians now have access to nutrition tools as well. A new self-paced online course on nutrition helps physicians begin the conversation with patients at risk for chronic disease such as type 2 diabetes and hypertension.

Nutrition training through modules

Research reveals that medical schools provide less than 20 hours of nutrition training, and very little continuing medical education (CME) that’s relevant is offered. To fill in the gap, the American Medical Association partnered with the Gaples Institute for Integrative Cardiology to develop a three-hour interactive course called Nutrition Science for Health and Longevity: What Every Physician Needs to Know.

The course provides evidence-based information, encourages a team approach and offers tools necessary to make referrals to nutrition professionals. Broken up into four modules of 45 minutes each, the course addresses the following topics:

  • Module 1: Why does nutrition matter to your patients?
  • Module 2: Dietary fats and patient health
  • Module 3: Helping your patients understand carbohydrates and protein
  • Module 4: Making nutrition counseling work in a busy practice

The first three modules address core nutrition concepts while the fourth module offers practical tools for implementation and then uses realistic patient scenarios to test your knowledge and provide customized feedback. Links to the original studies are also provided, which allows you to dig deeper in the materials, and all the modules offer a printable summary sheet of each module to help you put the education into practice.

Upon completion of the course, physicians earn three hours of AMA PRA Category 1 credit.

Additional tools to support patients

Screening tools can help you identify your patients who have prediabetes. Once you’ve identified these patients, you can begin the conversation on nutrition with them and help refer them to a DPP to get the necessary support they need to make lifestyle changes.

Some tools physicians may find useful include:

Most chronic diseases can in part be prevented by eating a healthy diet. In fact, the No. 1 contributing factor to premature death and disability in the United States is poor nutrition. Equip yourself with the knowledge and tools you need to meet this challenge head on and partner with patients on chronic disease prevention.