The Endocrinologist's Perspective on Management of Obese patients and Medical Interventions

Reset Diabesity

This episode engages an endocrinologist, often an important part of an obese patient's regimen of care, and delves into medical management of obesity and comorbid conditions not addressed by weight loss surgery alone.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Daniel N. Berger MD

Department Head Endocrinology

Sansum Clinic (Now part of Sutter Health)

Santa Barbara, CA

Useful resources

ASMBS

https://asmbs.org/search/

The Obesity Society

https://www.obesity.org/

American College of Surgeons

https://www.facs.org/

Obesity Medicine Association

https://obesitymedicine.org/

American Board of Obesity Medicine

https://www.abom.org/

About Rob Johnston

Dr. Rob Johnston is a computational social scientist and applied ethnographer specializing in technology and political-national security. Rob is the Chief Scientist at Johnston Analytics, Inc., a data science, machine learning, and national security consultancy. He is a Distinguished Visiting Scholar in the School for Public and International Affairs at North Carolina State University. Rob is also a Research Scholar at the Laboratory for Analytic Sciences (a National Security Agency partner Laboratory) at North Carolina State University focused on the intersection of Artificial Intelligence, Machine Learning, and Social Science.

Prior to this Rob was the Deputy Chief of Globalization and Workforce Modernization at the Central Intelligence Agency supervising over hundreds of staff and contractors, he served as Program Manager for Business and Workforce Modernization, he was the founder and first Chief of the Lessons Learned Program at CIA, was the Director of the Lessons Learned Program at the Office of the Director of National Intelligence, and was a research scientist in the Center for the Study of Intelligence and the Office of the Chief Scientist at CIA.

Rob is a former Associate of the National Intelligence Council for both Warning and Transnational Threats. He served as a team lead and member of several global crisis task forces that monitored, prepared, and responded to emerging threats, forced migration, ethnic violence, and political crises. Rob is a former Visiting Scholar at the Sherman Kent Center, a CIA Postdoctoral Research Fellow, the author of “Analytic Culture in the US Intelligence Community: An Ethnographic Study” published by CIA and producer of the award-winning Intelligence Community 2011 Best Documentary “Extraordinary Fidelity.”

Rob was a research analyst at the Institute for Defense Analyses where he conducted research for the White House Office of Science and Technology Policy, the Department of Defense, and the Intelligence Community. He has worked on science and technology policy with the JASONS, the Intelligence Science Board, and the Defense Science Board. Rob served at NASA during graduate school where he conducted research for the Virtual Environment Research Institute at the Johnson Space Center to support the Space Flight Training Division for manned missions: STS-82 Hubble Space Telescope Servicing, STS-88 International Space Station Assembly, STS-96 International Space Station Supply, and STS-103 Hubble Space Telescope Servicing.

Rob is a former Fellow of the Royal Anthropological Institute, the Society for Applied Anthropology, and the Inter-University Seminar on Armed Forces and Society. He has been a Lecturer at Yale University, an adjunct instructor at the University of California San Francisco, and the Baylor College of Medicine. Rob has conducted fieldwork in North and Central America, China, Europe, Eurasia, the Caucasus, East and South Asia, Africa, and the Middle East. He has published over 50 articles, book chapters, and books, and has been a guest speaker at over 200 national and international conferences and events.

About Dr. Berger

Dr. Daniel N. Berger is currently the Department Head of Endocrinology at the Sansum Clinic in Santa Barbara, CA. He is Board certified in Endocrinology, Diabetes and Metabolism and a member of the Endocrine Society, American Association of Clinical Endocrinology and American Diabetes Association. He serves on the Board of Trustees at the Sansum Diabetes Research Institute.

He received his undergraduate degree at UCLA and went on to the David Geffen School of Medicine at UCLA where he received his Medical Degree, Internal Medicine residency training, Endocrinology fellowship and was a Clinical Instructor and Co-Director of training medical house staff in the Division of Endocrinology, Metabolism and Hypertension before relocating to Santa Barbara in 1998 and starting his endocrinology practice.

Dr. Berger has been involved in clinical research primarily related to diabetes and has also been an abstract reviewer for endocrinology related research. He has maintained a keen interest in medical education and has served as a volunteer Clinical Instructor at the USC Keck School of Medicine as well as being an invited lecturer to multiple institutions and has ben recognized with teaching awards.

Hardware / Software Requirements

•An internet connection speed of at least 4Mbps and a modern browser

•Modern browsers have a built in PDF reader which would be necessary for you to view your completion certificates.

Release Date: 7/15/24

Expiration Date: 7/15/27

Target Audience

This activity is designed for internal medicine physicians and supporting staff who treat patients with obesity and associated co-morbid conditions.

Learning Objectives

At the completion of this activity, learners should be able to:

• Recognize patient risk factors for negative outcomes associated with obesity.
• Identify treatment options for obesity, including but not limited to medications, dietary changes, exercise and surgery.
• Describe the team approach to managing patients with obesity.
• Discuss dietary and exercise changes that can be beneficial to patients with obesity.
• Identify indications and contraindications for bariatric surgery for the treatment of obesity.
• Discuss GLP-1 medications and mechanisms of action.

Activity Goal

This activity is designed to address the following core and team competencies:

Patient Care, Medical Knowledge, Professionalism, Employ evidence-based practice, Value & Ethics, Team & Teamwork, Interprofessional Collaboration, and Interprofessional Communication.

Non-Endorsement

The accredited provider verifies that sound education principles have been demonstrated in the development of this educational offering as evidenced by the review of its objectives, teaching plan, faculty, and activity evaluation process. The accredited provider does not endorse or support the actual opinions or material content as presented by the speaker(s) and/or sponsoring organization.

Disclosures

The accredited provider adheres to accreditation requirements regarding industry support of continuing medical education.

Disclosure of the planning committee and faculty's commercial relationships will be made known at the activity. Speakers are required to openly disclose any limitations of data and/or any discussion of any off-label, experimental, or investigational uses of drugs or devices in their presentations. - All employees in control of content have no relevant financial relationships to disclose.

All relevant financial relationships have been mitigated.

Relevant financial relationships:

Daniel Berger, MD

Novo Nordisk Speaker

Astra Zeneca Speaker

Mannkind Speaker

Dexcom Speaker

Abbott Speaker

Bayer Speaker

Accreditation

In support of improving patient care, Cine-Med is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Cine-Med designates this live activity for a maximum of 1.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses / Physician Assistants

All other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for activities designated for AMA PRA Category 1 Credits™, consult your professional licensing board(s).

Other Healthcare Professionals

All other healthcare professionals will receive a Certificate of Participation. For information on the applicability and acceptance of Certificates of Participation for activities designated for AMA PRA Category 1 Credits™, consult your professional licensing board.

Certificates: To claim your CME/CE credits, complete the online Credit and Evaluation form using the following URL: https://cine-med.com/certificate.php?id=554

This is a one-time credit submission. Credits should be tracked at the completion of the activity. Participants will be able to download or print a certificate once the form has been submitted.

American Board of Surgery (ABS) Reporting: Successful completion of this CME activity enables the learner to earn credit toward the CME requirement(s) of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. Claimed credits will be reported to the ABS one-time, in December of the calendar year.

Support

This activity is being supported by an unrestricted educational grant from Medtronic.