Recognizing Waterborne Disease
 and The Health Effects of Water Pollution
Patricia L. Meinhardt, MD, MPH, MA, Author

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Continuing Medical Education Credit (CME) and Maintenance of Certification Credit (MOC) Information

NOTE: The following CME/MOC information must be reviewed PRIOR to starting this offering.

Recognizing Waterborne Disease and the Health Effects of Water Pollution:
A Physician Online Readiness Guide
On-line CME and MOC Credits
Max. 22 Credit Hours

Original Release: 12/01/02
Update: 06/01/11

Principal Faculty
Patricia L. Meinhardt, MD, MPH, MA

Author of Recognizing Waterborne Disease and the Health Effects of Water Pollution: A Physician Online Reference Guide and Physician Preparedness for Acts of Water Terrorism: A Physician Online Readiness Guide accessible at www.WaterHealthConnection.org

“I have no relevant financial disclosures to disclose.”

Minimum System Requirements

PC:
Hardware: Pentium III or compatible processor, 256 MB RAM
Operating System: Windows 2000, XP or Vista
Web browser: IE 5.5 or higher/ Netscape 4.7 or higher

Macintosh:

Hardware: G3 500 MHz processor and above, 256 MB RAM
Operating System: Mac OS 10.2 and above
Web browser: Safari 1.2 and above, IE 5.2

Media
Adobe Acrobat Reader may be needed in order to view some documents listed on the website. The software is free and available at www.adobe.com/reader.

Physician Participation
In order to receive CME credits, participants must read each CME chapter and then complete the corresponding post-tests and evaluation forms.

CME/MOC Credits
The American College of Preventive Medicine designates this Enduring Material for a maximum of 22.0 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CME credit can be earned for the entire course OR for individual sections. Estimated time to complete all available CME chapters is 22 hours. In addition to CME Credits, ABPM diplomates can earn lifelong learning Maintenance of Certification (MOC) credits by participating in this on-line educational activity. This CME module contains self-assessment exercises at the end of each CME chapter. Completion of these CME self-assessment exercises may be used by ABPM diplomates as a required component of the lifelong learning process. The termination date of this CME module is June 1, 2014.

Contact Us
If you have questions regarding CME credits or this process, please contact Jennifer Edwards, Director of Member Services and Development, at jedwards@acpm.org. If you have questions regarding MOC credits, please contact Maya Nath at mnath@acpm.org.

If you experience any technical difficulties with this CME module or website, please email us at webmaster@waterhealthconnection.org.

CME/MOC Learning Objectives

Chapter 1: Purpose of Physician Readiness Guide (Max 1.0 CME/MOC Credit Hours)

Understand the clinical challenges that complicate the accurate diagnosis and management of waterborne disease and the health effects of acute and chronic exposure to water pollutants in patients.
Describe the importance of medical practitioners as sources of information and education regarding water quality and safety to their patients.
Identify the important trends that healthcare providers will face in the future when attempting to accurately diagnose water-related disease in their patients.

Chapter 2: Focus and Key Points of Physician On-Line Reference Guide (Max 1.0 CME/MOC Credit Hours)

Understand the significant trends in patient use of the Internet to obtain medical information and the difficulty of locating online medical resources.
Define the important clinical resources necessary to accurately evaluate and manage water-related disease resulting from waterborne pathogen and chemical contaminant exposure in healthy and susceptible populations.
Identify the unique features and informational resources available for healthcare providers faced with attempting to diagnose and treat water-related disease at www.WaterHealthConnection.org.

Chapter 3: Introduction to the Problem of Waterborne Disease (Max 2.0 CME/MOC Credit Hours)

Recognize the importance of accurate and conscientious case reporting of waterborne diseases and water-related disease clusters by healthcare providers.
Identify the most common etiologic agents designated as the source of waterborne disease outbreaks in the US during the most recent reporting period.
Describe the role that healthcare providers play in protecting the water quality and safety.

Chapter 4: Understanding Water Protection and Water Pollution (Max 2 CME/MOC Credit Hours)

Understand the importance of protecting water resources from pollution and contamination and of preventing waterborne disease as the best approach to protecting the public's health.
List the four critical types of water pollution and contamination that may result in water-related disease that represent the greatest public health threat in America.
Describe the most recent trends in waterborne illness and water-related deaths from both drinking and recreational water exposure in the US.

Chapter 5: Environmental Contaminant Sources and Exposure Pathways for Microbial and Chemical Contaminants (Max 2.0 CME/MOC Credit Hours)

Explain the clinical utility of understanding the different sources of environmental contamination and the various routes of exposure that a patient may encounter prior to clinical presentation.
Define the patient susceptibility factors that are important to consider when assessing environmental contaminant exposure and illness.
Apply this information to improve environmental exposure history taking technique in a busy clinical setting.

Chapter 6: Evaluation and Management of Waterborne Diseases Resulting from Waterborne Pathogens (Max 3.5 CME/MOC Credit Hours)

Understand the impact of emerging and re-emerging microbial pathogens in water and the challenges that these organisms present to water quality and safety.
Identify the major bacterial, protozoan, and enteric viruses of public health significance that may be transmissible through contaminated water.
Describe the critical steps necessary to appropriately evaluate a patient for possible waterborne disease resulting from microbial pathogen exposure.

Chapter 7: Evaluation and Management of Disease Resulting from Chemical Contaminants (Max 3.5 CME/MOC Credit Hours)

Describe the problem of chemical contamination of water reserves in the US and the potential public health impact of these chemical contaminants.
List the major inorganic and organic chemicals, disinfectants and disinfectant by-products, and radionuclides found in water and regulated by the EPA that have potential human health effects.
Summarize the critical steps necessary to appropriately evaluate a patient for possible water-related disease resulting from chemical contaminant exposure.


Chapter 8: Evaluation and Management of Water-Related Disease in Susceptible Populations (Max 3.5 CME/MOC Credit Hours)

Demonstrate an understanding of the special health needs of susceptible individuals who are at increased risk for developing waterborne disease.
Identify the types of susceptible patients who are at increased risk for developing water-related disease subsequent to exposure to waterborne pathogens and chemical contaminants in water.
Describe the special clinical resources available for managing and preventing waterborne pathogen and chemical contaminant exposure and water-related disease in susceptible populations.

Chapter 9: Health Risk Communication and Patient Risk Evaluation for Waterborne Contaminant Exposure and Water-Related Disease (Max 2.0 CME/MOC Credit Hours)

Understand the important role that healthcare providers play in communicating the health risk associated with environmental exposure to waterborne contaminants for the general public.
Define the challenges that healthcare providers face when asked to explain the health risk associated with environmental exposure to water contaminants.
Describe the health risk communication resources available to medical practitioners that address water quality and safety including Consumer Confidence Reports.

Chapter 10: Clinician Internet Resource Guide and Search Engine (Max 1.5 CME/MOC Credit Hours)

Understand the clinical challenges inherent in the evaluation and management of waterborne disease including the difficulty of finding updated and current clinical information.
Describe the specialized array of water-related Internet resources included in the Clinician Internet Resource Guide and Search Engine accessible at www.WaterHealthConnection.org.
Explain the clinical utility of the comprehensive Internet resources and search engine tools available at www.WaterHealthConnection.org that address various health-related aspects of waterborne disease.


Patricia L. Meinhardt, MD, MPH, MA, Author

Original funding for this website was provided by the Environmental Protection Agency, the American Water Works Association, and the Arnot Ogden Medical Center.

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