Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Ragui Sadek MD FACS

Chief of Bariatric Surgery service line RWJ Barnabas Healthcare System

Somerset, NJ

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...]]>This episode discusses high-risk patients with advanced co-morbid conditions of obesity, mechanism of action of medications recently coming to market for diabetes and weight loss, and a discussion of obesity as a chronic disease.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Ragui Sadek MD FACS

Chief of Bariatric Surgery service line RWJ Barnabas Healthcare System

Somerset, NJ

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. Sadek

Ragui W. Sadek, MD, FACS, is Chief of the Bariatric Service Line for RWJBarnabas Health and Clinical Assistant Professor of Surgery at Rutgers Robert Wood Johnson Medical School.

A graduate of University of Alexandria Faculty of Medicine in Alexandria, Egypt, Dr. Sadek completed his residency and an Advanced Laparoscopic and Bariatric Surgery Fellowship at Staten Island University Hospital in Staten Island, New York. He also completed a Surgical Critical Care and Trauma Fellowship at University of Medicine & Dentistry of New Jersey in Newark, New Jersey.

Renowned as a top physician in his field by International Association of Healthcare Professionals and as a Jersey Choice Top Doctor 2018 by New Jersey Monthly Magazine, Dr. Sadek launched the Bariatric Surgery program at RWJUH where, prior to his arrival, weight loss surgery was not being performed. He is now the senior most minimally invasive bariatric surgeon utilizing cutting edge laparoscopic, robotic and bariatric surgery techniques.

Dr. Sadek is a Clinical Assistant Professor of Surgery at Rutgers-Robert Wood Johnson Medical School and a Fellow of the American College of Surgeons. He holds affiliations with the American Society of Metabolic and Bariatric Surgery and the Society of American Gastro Endoscopic Surgeons.

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.

Ragui Sadek, MD has no relevant financial relationships to disclose.

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 2.0 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=555

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.

Selected References

Brunetti, Luigi, Andrew Wassef, Ragui Sadek, Kiran Deshpande, Jane Ziegler, Sung Shin Na, Paul Riley, and Leonid Kagan. "Anticoagulant activity of enoxaparin and unfractionated heparin for venous thromboembolism prophylaxis in obese patients undergoing sleeve gastrectomy." Surgery for obesity and related diseases 15, no. 3 (2019): 363-373.

Sadek, Ragui, and Andrew Wassef. "Endoscopic sleeve gastroplasty versus laparoscopic longitudinal sleeve gastrectomy: a comparable outcome." Surgery for Obesity and Related Diseases 13, no. 10 (2017)

Sarkar, Avik, Ragui Sadek, Matthew Lissauer, and Swati Pawa. "Case report of EUS-guided endoscopic transduodenal necrosectomy in a patient with sleeve gastrectomy." BMC obesity 3 pp. 1-5. (2016)

Sadek, Ragui, Andrew Wassef, Jacob Mikhail, and Lora Melman. "Prevalence of non alcoholic fatty liver disease in an obese population: Expected versus actual correlation." Surgery for Obesity and Related Diseases 12, no. 7 (2016)

King, Keith, Omar Gonzalez-Vega, and Ragui Sadek. "A570 Combined Magnetic Sphincter Augmentation and Hiatal Hernia Repair for Treatment of Refractory GERD after Sleeve Gastrectomy." Surgery for Obesity and Related Diseases 15, no. 10 (2019)

Filtes, P., A. Wassef, R. Sadek, L. Brunetti, and L. Kagan. "Estimating glomerular filtration rate in patients with obesity receiving longitudinal sleeve gastrectomy Basic science and research in bariatric surgery." In OBESITY SURGERY, vol. 29, pp. 465-465.

Wassef, A., and R. Sadek. "Endoscopic versus laparoscopic revisional pouch reduction of longitudinal sleeve gastrectomy: 103 patient analysis Revisional surgery." In OBESITY SURGERY, vol. 27, pp. 275-275.

Wassef, A., K. Keith, J. Mikhail, and R. Sadek. "Simple score grading system of non-alcoholic fatty liver disease in an obese population: expected versus actual correlation Basic science and research in bariatric surgery." In OBESITY SURGERY, vol. 27, pp. 447-447.

Sadek, Ragui, and Andrew Wassef. "Two Step Conversion of Longitudinal Sleeve Gastrectomy to Roux-En-Y Gastric Bypass: Optimal Technique for Increased Diabetes Resolution." Surgery for Obesity and Related Diseases 13, no. 10 (2017)

Sadek, R., and A. Wassef. "Laparoscopic sleeve gastrectomy with 0.1% leak rate: stapling techniques to guarantee success." In OBESITY SURGERY, vol. 28, pp. 135-135. (2018)

Sadek, R., and A. Wassef. "Conversion of prior Nissen fundoplication to Roux-en-Y gastric bypass: a safe technique Revisional surgery." In OBESITY SURGERY, vol. 27, pp. 1140-1140. (2017)

Sadek, R., and A. Wassef. "First established situs inversus revision of longitudinal sleeve gastrectomy to Roux-en-Y gastric bypass Revisional surgery." In OBESITY SURGERY, vol. 29, pp. 1305-1305. (2019)

King, Keith J., and Ragui Sadek. "Endoscopic Versus Laparoscopic Gastrojejunal Revision as Therapeutic Options for Weight Regain after Roux-en-Y Gastric Bypass." Surgery for Obesity and Related Diseases 14, no. 11 (2018)

Sadek, Ragui M., Lora Melman, and Andrew M. Wassef. "Enhanced recovery after bariatric surgery (erabs): high volume single site protocol." Surgery for Obesity and Related Diseases 14, no. 11 (2018)

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...]]>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.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Michel M Murr, MD, FACS

Medical Director, WFD Digestive Health Institute

Medical Director, WFD Bariatric & Metabolic Institute

Professor of Surgery, University of Central Florida

Tampa, FL

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...]]>In this broad ranging episode we discuss with Dr. Michel Murr the many co-morbidities associated with obesity, the impact of obesity on orthopedic conditions and the multidisciplinary approach to helping patients manage morbid obesity.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Michel M Murr, MD, FACS

Medical Director, WFD Digestive Health Institute

Medical Director, WFD Bariatric & Metabolic Institute

Professor of Surgery, University of Central Florida

Tampa, FL

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. Murr

Michel Murr, MD is certified by the American Board of Surgery and specializes in bariatric surgery. For over 30 years, he has been dedicated to helping individuals regain their health by providing cutting edge treatment in a caring and nurturing environment. Through a comprehensive, interdisciplinary approach, Dr. Murr and his team focus on the whole health of each person and apply a customized approach for improved well-being.

As a pioneer of bariatric surgery, Dr. Murr has served in leadership roles in many national scientific organizations. He maintains an active role in education and research. Founder of the American Society for Metabolic and Bariatric Surgery (ASMBS) Florida State Chapter, Dr. Murr has been instrumental in working with Florida Legislature, encouraging insurance companies and employers to support comprehensive obesity management.

Voted by his peers as the Top Bariatric Surgeon in Tampa, Dr. Murr is embedded in the community and has lived in Tampa for the last 20 years.

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 relationship between weight loss and orthopedic patients.

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.

Michel Murr, MD has no relevant financial relationships to disclose.

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 1.25 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=553

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.

Selected References

Gonzalez, Rodrigo, Michael G. Sarr, C. Daniel Smith, Mercedeh Baghai, Michael Kendrick, Samuel Szomstein, Raul Rosenthal, and Michel M. Murr. "Diagnosis and contemporary management of anastomotic leaks after gastric bypass for obesity." Journal of the American College of Surgeons 204, no. 1 (2007): 47-55.

DeMaria, Eric J., Michel Murr, T. Karl Byrne, Robin Blackstone, John P. Grant, Amanda Budak, and Luke Wolfe. "Validation of the obesity surgery mortality risk score in a multicenter study proves it stratifies mortality risk in patients undergoing gastric bypass for morbid obesity." Annals of surgery 246, no. 4 (2007): 578-584.

Balsiger, Bruno M., Michel M. Murr, Juan Lucas Poggio, and Michael G. Sarr. "Bariatric surgery: surgery for weight control in patients with morbid obesity." Medical Clinics of North America 84, no. 2 (2000): 477-489.

Fakhry, Tannous K., Rahul Mhaskar, Theresa Schwitalla, Elnara Muradova, John Paul Gonzalvo, and Michel M. Murr. "Bariatric surgery improves nonalcoholic fatty liver disease: a contemporary systematic review and meta-analysis." Surgery for Obesity and Related Diseases 15, no. 3 (2019): 502-511.

Haines, Krista L., Lana G. Nelson, Rodrigo Gonzalez, Tracy Torrella, Taylor Martin, Ali Kandil, Robert Dragotti, William M. Anderson, Scott F. Gallagher, and Michel M. Murr. "Objective evidence that bariatric surgery improves obesity-related obstructive sleep apnea." Surgery 141, no. 3 (2007): 354-358.

Kaly, Perry, Susan Orellana, Tracy Torrella, Curtis Takagishi, Lisa Saff-Koche, and Michel M. Murr. "Unrealistic weight loss expectations in candidates for bariatric surgery." Surgery for Obesity and Related Diseases 4, no. 1 (2008): 6-10.

Rasheid, Sowsan, Magdalena Banasiak, Scott F. Gallagher, Anna Lipska, Shadi Kaba, Daniel Ventimiglia, W. McDowell Anderson, and Michel M. Murr. "Gastric bypass is an effective treatment for obstructive sleep apnea in patients with clinically significant obesity." Obesity surgery 13, no. 1 (2003): 58-61.

Nelson, Lana G., Rodrigo Gonzalez, Krista Haines, Scott F. Gallagher, and Michel M. Murr. "Amelioration of gastroesophageal reflux symptoms following Roux-en-Y gastric bypass for clinically significant obesity." The American Surgeon 71, no. 11 (2005): 950-954.

Taitano, Andrew A., Michael Markow, Jon E. Finan, Donald E. Wheeler, John Paul Gonzalvo, and Michel M. Murr. "Bariatric surgery improves histological features of nonalcoholic fatty liver disease and liver fibrosis." Journal of Gastrointestinal Surgery 19 (2015): 429-437.

Gonzalez, Rodrigo, Lana G. Nelson, Scott F. Gallagher, and Michel M. Murr. "Anastomotic leaks after laparoscopic gastric bypass." Obesity surgery 14, no. 10 (2004): 1299.

Shalhub, Sherene, Anna Parsee, Scott F. Gallagher, Krista L. Haines, Chris Willkomm, Stephen G. Brantley, Haim Pinkas, Lisa Saff-Koche, and Michel M. Murr. "The importance of routine liver biopsy in diagnosing nonalcoholic steatohepatitis in bariatric patients." Obesity Surgery 14, no. 1 (2004): 54-59.

Al-Bahri, Shadi, Tannous K. Fakhry, John Paul Gonzalvo, and Michel M. Murr. "Bariatric surgery as a bridge to renal transplantation in patients with end-stage renal disease." Obesity surgery 27 (2017): 2951-2955.

Key Discussion Points:

• Significance of the Five-Year Post-Surgery Milestone: Dr. Gonzalez stresses the five-year mark as pivotal for long-term success, highlighting challenges between years two and four, advocating for sustained support.
• Understanding Obesity as an Addiction: Comparing obesity to other addictions, Dr. Gonzalez highlights the challenge of food as essential for survival, cautioning against extreme dietary restrictions for sustainable habits.
• Innovations in Bariatric Surgery: Excitement over GLP-1 agonists and robotic advancements, noting benefits like improved outcomes and cost-effectiveness, sharing his journey into robotic surgery.
• Interdisciplinary Collaboration for Better Outcomes: Primary care, endocrinologists, orthopedists, and cardiologists play roles in recognizing obesity, with bariatric surgery offering health improvements beyond weight loss.
• Future of Patient Monitoring and Technological Integration: Vision for continuous, remote monitoring through advanced tech, exploring AI's potential in enhancing surgical practices and decision-making.
• Finding Qualified Bariatric Surgeons: Encouraging ASMBS website use, stressing education and acceptance among healthcare providers and patients for better outcomes.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Anthony Gonzalez, MD

Baptist Health Medical Group

Miami, FL

Learn more about Reset Diabesity

https://cine-med.com/diabesity-education

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...]]>In a compelling discussion, Dr. Anthony Gonzalez, Chief of Surgery at Baptist Hospital and Medical Director of Bariatric Surgery at South Miami Hospital, shares insightsfrom his illustrious career and his dedication to advancing bariatric care. Dr. Gonzalez delves into the critical milestones post-surgery, the complexities of obesity as an addiction, and the promising future of robotic surgery.

Key Discussion Points:

• Significance of the Five-Year Post-Surgery Milestone: Dr. Gonzalez stresses the five-year mark as pivotal for long-term success, highlighting challenges between years two and four, advocating for sustained support.
• Understanding Obesity as an Addiction: Comparing obesity to other addictions, Dr. Gonzalez highlights the challenge of food as essential for survival, cautioning against extreme dietary restrictions for sustainable habits.
• Innovations in Bariatric Surgery: Excitement over GLP-1 agonists and robotic advancements, noting benefits like improved outcomes and cost-effectiveness, sharing his journey into robotic surgery.
• Interdisciplinary Collaboration for Better Outcomes: Primary care, endocrinologists, orthopedists, and cardiologists play roles in recognizing obesity, with bariatric surgery offering health improvements beyond weight loss.
• Future of Patient Monitoring and Technological Integration: Vision for continuous, remote monitoring through advanced tech, exploring AI's potential in enhancing surgical practices and decision-making.
• Finding Qualified Bariatric Surgeons: Encouraging ASMBS website use, stressing education and acceptance among healthcare providers and patients for better outcomes.

Host

Rob Johnston, PhD - Chief Scientist, Johnston Analytics

Houston, TX

Guest

Anthony Gonzalez, MD

Baptist Health Medical Group

Miami, FL

Learn more about Reset Diabesity

https://cine-med.com/diabesity-education

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. Gonzalez

Anthony Gonzalez, M.D., FACS, FASMBS, is chief of surgery at Baptist Hospital of Miami and medical director of bariatric surgery at South Miami Hospital. He is also a member of Baptist Health Medical Group, an organization of more than 180 physicians in multiple specialties closely aligned with Baptist Health South Florida. Dr. Gonzalez is a general surgeon with a specialty in laparoscopic and bariatric surgery. He has presented at national and international medical conferences on bariatric, abdominal, colon and robotic surgery.

Dr. Gonzalez is founding program director of Baptist Health's MIS/Bariatric Surgery Fellowship. He has published in medical journals, including the official journal of the American Society for Metabolic and Bariatric Surgery, Hernia and the Journal of Obesity Surgery. Dr. Gonzalez is a senior member of the American Society for Metabolic and Bariatric Surgery, Society of Laparoendoscopic Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons. He is a Diplomate of the American Board of Surgery and a Fellow of the American College of Surgeons.

Dr. Gonzalez is a graduate of the University of Miami Miller School of Medicine and completed his residency at the University of Miami/Jackson Memorial Hospital. He is an associate professor of surgery at Florida International University's Herbert Wertheim College of Medicine and a voluntary assistant professor of surgery at the University of Miami Miller School of Medicine.

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: 5/8/24

Expiration Date: 5/8/27

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

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.

Anthony Gonzalez, MD has no relevant financial relationships to disclose.

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 0.75 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=538

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.

Key Discussion Points:

• Obesity Epidemic and Contributing Factors: Examination reveals various causes like lifestyle, diet, socioeconomics, and environment, advocating for a comprehensive approach.
• Patient Journey and Preparation: Patients undergo years of consideration, seminars, and rigorous prep, emphasizing the importance of preoperative measures for better outcomes.
• Insurance Challenges: Variability in coverage and financial hurdles often deter surgery, reflecting insurers' short-term focus over long-term savings.
• Patient Outcomes and Surgical Procedures: Modern techniques like sleeve gastrectomy show lower failure rates, considering factors such as BMI and comorbidities in procedure choice.
• Mental Health and Behavioral Support: Mental evaluations pre/post-surgery are vital, while family support ensures compliance and success.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Anthony Gonzalez, MD

Baptist Health Medical Group

Miami, FL

Learn more about Reset Diabesity

https://cine-med.com/diabesity-education

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...]]>Join us as we delve into an enlightening conversation with Dr. Anthony Gonzalez, the esteemed Chief of Surgery at Baptist Hospital and Medical Director of Bariatric Surgery at South Miami Hospital. With a remarkable career spanning general and bariatric surgery, Dr. Gonzalez offers a deep insight into the evolution of surgical techniques, and the holistic approach required for better patient outcomes.

Key Discussion Points:

• Obesity Epidemic and Contributing Factors: Examination reveals various causes like lifestyle, diet, socioeconomics, and environment, advocating for a comprehensive approach.
• Patient Journey and Preparation: Patients undergo years of consideration, seminars, and rigorous prep, emphasizing the importance of preoperative measures for better outcomes.
• Insurance Challenges: Variability in coverage and financial hurdles often deter surgery, reflecting insurers' short-term focus over long-term savings.
• Patient Outcomes and Surgical Procedures: Modern techniques like sleeve gastrectomy show lower failure rates, considering factors such as BMI and comorbidities in procedure choice.
• Mental Health and Behavioral Support: Mental evaluations pre/post-surgery are vital, while family support ensures compliance and success.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Anthony Gonzalez, MD

Baptist Health Medical Group

Miami, FL

Learn more about Reset Diabesity

https://cine-med.com/diabesity-education

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. Gonzalez

Anthony Gonzalez, M.D., FACS, FASMBS, is chief of surgery at Baptist Hospital of Miami and medical director of bariatric surgery at South Miami Hospital. He is also a member of Baptist Health Medical Group, an organization of more than 180 physicians in multiple specialties closely aligned with Baptist Health South Florida. Dr. Gonzalez is a general surgeon with a specialty in laparoscopic and bariatric surgery. He has presented at national and international medical conferences on bariatric, abdominal, colon and robotic surgery.

Dr. Gonzalez is founding program director of Baptist Health's MIS/Bariatric Surgery Fellowship. He has published in medical journals, including the official journal of the American Society for Metabolic and Bariatric Surgery, Hernia and the Journal of Obesity Surgery. Dr. Gonzalez is a senior member of the American Society for Metabolic and Bariatric Surgery, Society of Laparoendoscopic Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons. He is a Diplomate of the American Board of Surgery and a Fellow of the American College of Surgeons.

Dr. Gonzalez is a graduate of the University of Miami Miller School of Medicine and completed his residency at the University of Miami/Jackson Memorial Hospital. He is an associate professor of surgery at Florida International University's Herbert Wertheim College of Medicine and a voluntary assistant professor of surgery at the University of Miami Miller School of Medicine.

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: 5/8/24

Expiration Date: 5/8/27

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

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.

Anthony Gonzalez, MD has no relevant financial relationships to disclose.

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 1.0 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=537

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.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Mitchell Roslin, MD, FACS

Chief of Bariatric Surgery

Lenox Hill Hospital

New York, NY

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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,...]]>We get Dr. Roslin’s thoughts on ongoing obesity patient issues, pediatric obesity, post-surgery success factors, socio-cultural issues, economic and environmental issues, and ideas to help Primary Care Providers refer and manage obese patients.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Mitchell Roslin, MD, FACS

Chief of Bariatric Surgery

Lenox Hill Hospital

New York, NY

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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. Roslin

Dr. Roslin is frequently asked by private bariatric practices all over the country to teach established surgeons new techniques and procedures. Recently, Dr. Roslin has served as invited faculty and given talks in Israel, Mexico, and Europe. Additionally, Dr. Roslin has been an innovator in the search for new and better treatments. He holds several patents in the emerging field of Pacing Technology for the treatment of obesity. Most recently he has designed a method for the endoscopic treatment of relapse following gastric bypass surgery.

Dr. Mitchell Roslin was born in Brooklyn, New York. He graduated from Stuyvesant High School and completed his undergraduate studies at the University of Pennsylvania. He attended medical school at New York University and received his surgical training at Maimonides Medical Center in New York City.

In 1996, Dr. Roslin became the Director of Bariatric Surgery at the Maimonides Medical Center. In 2000, he was appointed the Chief of Obesity Surgery at Lenox Hill Hospital in New York City and has supervised its growth into one of the most prestigious programs in the United States.

Dr. Roslin is also the President of Manhattan Minimally Invasive and Bariatric Surgery PC.

Dr. Roslin is a faculty member at the Minimally Invasive Surgical Symposium, The Consensus conference on Sleeve Gastrectomy. He is the editor of the VideoTextBook of Bariatric Surgery, serves as the major teaching proctor for sleeve gastrectomy and duodenal switch, and is the course director for symposiums on revisional bariatric surgery.

Dr. Mitchell Roslin has received numerous awards during his career. He has been voted one of the outstanding doctors in New York, by both Castle and Connolly and New York Magazine. Dr. Roslin recently has been selected as one of the best minimally invasive surgeons in New York. He is the founding president of the NYS-ASMBS and co chair of the access committee of ASMBS.

Dr. Roslin has been an active advocate for breaking through insurance barriers to bariatric surgery.

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: 4/12/24 

Expiration Date: 4/12/27

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

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

Mitchell Roslin, MD - Johnson and Johnson - Consultant

Mitchell Roslin, MD - Medtronic - Consultant

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 1.0 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=497

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.

Background References

1.     Addison, P., Carsky, K., Patti, M.E. and Roslin, M., 2022. Hypoglycemia and dysautonomia after bariatric surgery: a systematic review and perspective. Obesity Surgery, 32(5), pp.1681-1688.

2.     Becker, A., Gaballa, D., Roslin, M., Gianos, E. and Kane, J., 2021. Novel nutritional and dietary approaches to weight loss for the prevention of cardiovascular disease: ketogenic diet, intermittent fasting, and bariatric surgery. Current Cardiology Reports, 23(7), p.85.

3.     Boyce, S.G., Goriparthi, R., Clark, J., Cameron, K. and Roslin, M.S., 2016. Can composite nutritional supplement based on the current guidelines prevent vitamin and mineral deficiency after weight loss surgery?. Obesity surgery, 26, pp.966-971.

4.     Casajoana, A., Borden, B., Zarabi, S. and Roslin, M., 2019. Conversion of laparoscopic roux en Y gastric bypass (RYGB) to single anastomosis duodenal switch (SADS). Obesity Surgery, 29, pp.3412-3413.

5.     Cooper, D.J., Zarabi, S., Farrand, B., Becker, A. and Roslin, M., 2022. Continuous glucose monitoring reveals similar glycemic variability in individuals with obesity despite increased HOMA-IR. Frontiers in Nutrition, 9, p.1070187. 

6.     Cottam, A., Cottam, D., Roslin, M., Cottam, S., Medlin, W., Richards, C., Surve, A. and Zaveri, H., 2016. A matched cohort analysis of sleeve gastrectomy with and without 300 cm loop duodenal switch with 18-month follow-up. Obesity surgery, 26, pp.2363-2369.

7.     Cripps, C. and Roslin, M., 2016. Endoluminal treatments for obesity and related hypertension: Updates, review, and clinical perspective.  Current hypertension reports, 18, pp.1-7.

8.     Matarasso, A., Roslin, M.S., Kurian, M. and Plastic Surgery Educational Foundation Technology Assessment Committee, 2007. Bariatric surgery: an overview of obesity surgery. Plastic and reconstructive surgery, 119(4), pp.1357-1362.

9.     Pearlstein, S., Sabrudin, S.A., Shayesteh, A., Tecce, E.R. and Roslin, M., 2019. Outcomes after laparoscopic conversion of failed adjustable gastric banding (LAGB) to laparoscopic sleeve gastrectomy (LSG) or single anastomosis duodenal switch (SADS). Obesity Surgery, 29, pp.1726-1733.

10.   Rincon, L., Becker, A., Zarabi, S. and Roslin, M., 2023. Duodenal Switch (DS) for the Surgical Treatment of Diabetes and Metabolic Disease. Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery: A Comprehensive Clinical Guide, pp.627-638.

11.   Roslin, M., 2016. Paired Editorial for “Insurance Mandated Medical Weight Management Prior to Bariatric Surgery”. Surgery for Obesity and Related Diseases, 12(3), pp.500-501.

12.   Roslin, M.S., 2015. Why it matters. A paired editorial for “Hypoglycemia after Roux-en-Y gastric bypass: detection rates of continuous glucose monitoring (CGM) versus mixed meal test”. Surgery for Obesity and Related Diseases, 11(3), pp.569-572.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Mitchell Roslin, MD, FACS

Chief of Bariatric Surgery

Lenox Hill Hospital

New York, NY

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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...]]>We discuss the state of underlying mechanisms of obesity, the US and global obesity epidemic, and a variety of treatments available for managing metabolic disease.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Mitchell Roslin, MD, FACS

Chief of Bariatric Surgery

Lenox Hill Hospital

New York, NY

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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. Roslin

Dr. Roslin is frequently asked by private bariatric practices all over the country to teach established surgeons new techniques and procedures. Recently, Dr. Roslin has served as invited faculty and given talks in Israel, Mexico, and Europe. Additionally, Dr. Roslin has been an innovator in the search for new and better treatments. He holds several patents in the emerging field of Pacing Technology for the treatment of obesity. Most recently he has designed a method for the endoscopic treatment of relapse following gastric bypass surgery.

Dr. Mitchell Roslin was born in Brooklyn, New York. He graduated from Stuyvesant High School and completed his undergraduate studies at the University of Pennsylvania. He attended medical school at New York University and received his surgical training at Maimonides Medical Center in New York City.

In 1996, Dr. Roslin became the Director of Bariatric Surgery at the Maimonides Medical Center. In 2000, he was appointed the Chief of Obesity Surgery at Lenox Hill Hospital in New York City and has supervised its growth into one of the most prestigious programs in the United States.

Dr. Roslin is also the President of Manhattan Minimally Invasive and Bariatric Surgery PC.

Dr. Roslin is a faculty member at the Minimally Invasive Surgical Symposium, The Consensus conference on Sleeve Gastrectomy. He is the editor of the VideoTextBook of Bariatric Surgery, serves as the major teaching proctor for sleeve gastrectomy and duodenal switch, and is the course director for symposiums on revisional bariatric surgery.

Dr. Mitchell Roslin has received numerous awards during his career. He has been voted one of the outstanding doctors in New York, by both Castle and Connolly and New York Magazine. Dr. Roslin recently has been selected as one of the best minimally invasive surgeons in New York. He is the founding president of the NYS-ASMBS and co chair of the access committee of ASMBS.

Dr. Roslin has been an active advocate for breaking through insurance barriers to bariatric surgery.

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: 4/12/24 

Expiration Date: 4/12/27

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

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

Mitchell Roslin, MD - Johnson and Johnson - Consultant

Mitchell Roslin, MD - Medtronic - Consultant

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 1.0 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=496

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.

Background References

1.     Addison, P., Carsky, K., Patti, M.E. and Roslin, M., 2022. Hypoglycemia and dysautonomia after bariatric surgery: a systematic review and perspective. Obesity Surgery, 32(5), pp.1681-1688.

2.     Becker, A., Gaballa, D., Roslin, M., Gianos, E. and Kane, J., 2021. Novel nutritional and dietary approaches to weight loss for the prevention of cardiovascular disease: ketogenic diet, intermittent fasting, and bariatric surgery. Current Cardiology Reports, 23(7), p.85.

3.     Boyce, S.G., Goriparthi, R., Clark, J., Cameron, K. and Roslin, M.S., 2016. Can composite nutritional supplement based on the current guidelines prevent vitamin and mineral deficiency after weight loss surgery?. Obesity surgery, 26, pp.966-971.

4.     Casajoana, A., Borden, B., Zarabi, S. and Roslin, M., 2019. Conversion of laparoscopic roux en Y gastric bypass (RYGB) to single anastomosis duodenal switch (SADS). Obesity Surgery, 29, pp.3412-3413.

5.     Cooper, D.J., Zarabi, S., Farrand, B., Becker, A. and Roslin, M., 2022. Continuous glucose monitoring reveals similar glycemic variability in individuals with obesity despite increased HOMA-IR. Frontiers in Nutrition, 9, p.1070187. 

6.     Cottam, A., Cottam, D., Roslin, M., Cottam, S., Medlin, W., Richards, C., Surve, A. and Zaveri, H., 2016. A matched cohort analysis of sleeve gastrectomy with and without 300 cm loop duodenal switch with 18-month follow-up. Obesity surgery, 26, pp.2363-2369.

7.     Cripps, C. and Roslin, M., 2016. Endoluminal treatments for obesity and related hypertension: Updates, review, and clinical perspective.  Current hypertension reports, 18, pp.1-7.

8.     Matarasso, A., Roslin, M.S., Kurian, M. and Plastic Surgery Educational Foundation Technology Assessment Committee, 2007. Bariatric surgery: an overview of obesity surgery. Plastic and reconstructive surgery, 119(4), pp.1357-1362.

9.     Pearlstein, S., Sabrudin, S.A., Shayesteh, A., Tecce, E.R. and Roslin, M., 2019. Outcomes after laparoscopic conversion of failed adjustable gastric banding (LAGB) to laparoscopic sleeve gastrectomy (LSG) or single anastomosis duodenal switch (SADS). Obesity Surgery, 29, pp.1726-1733.

10.   Rincon, L., Becker, A., Zarabi, S. and Roslin, M., 2023. Duodenal Switch (DS) for the Surgical Treatment of Diabetes and Metabolic Disease. Duodenal Switch and Its Derivatives in Bariatric and Metabolic Surgery: A Comprehensive Clinical Guide, pp.627-638.

11.   Roslin, M., 2016. Paired Editorial for “Insurance Mandated Medical Weight Management Prior to Bariatric Surgery”. Surgery for Obesity and Related Diseases, 12(3), pp.500-501.

12.   Roslin, M.S., 2015. Why it matters. A paired editorial for “Hypoglycemia after Roux-en-Y gastric bypass: detection rates of continuous glucose monitoring (CGM) versus mixed meal test”. Surgery for Obesity and Related Diseases, 11(3), pp.569-572.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Samer Gamil Mattar, MD, FACS

Professor and Chief, Division of Metabolic and Bariatric Surgery

Baylor College of Medicine

Houston, TX

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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,...]]>We will get Dr. Mattar’s thoughts on ongoing obesity patient issues, socio-cultural issues, economic and environmental issues, and ideas to help Primary Care Providers refer and manage obese patients.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Samer Gamil Mattar, MD, FACS

Professor and Chief, Division of Metabolic and Bariatric Surgery

Baylor College of Medicine

Houston, TX

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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. Mattar

Samer Mattar, MD was introduced to modern bariatric surgery in the clinical year of my Advanced Laparoscopy Fellowship at Emory University. As a resident, Dr. Mattar did assist in bariatric cases and managed bariatric patients, but that was in the open era, and most patients were not treated in the multi-disciplinary manner that is now practiced. Outcomes were less than favorable and both mortality and morbidity rates were unacceptably high.

The advent of laparoscopy ushered in a new approach that afforded markedly reduced pain and accelerated recovery. With accrued experience, the complication rates dramatically dropped and patients presented in large numbers for these life-saving operations, resulting in a renaissance of gastric surgery and a worldwide explosion in research efforts to understand the underlying mechanisms of these life-transforming operations. As a result, bariatric and metabolic surgery now occupies a pole position in disciplines that provide the multi-disciplinary, comprehensive, holistic continuum of care that has now become commonplace in many surgical fields.

Dr. Mattar was fortunate to be “in the right place at the right time” and rode this wave of exciting innovation and scientific progress. The dramatic improvements in overall health and wellbeing that he witnessed in patients had a captivating effect on him. Over the first few years of his career, Dr. Mattar’s case distribution became progressively bariatric in nature until it entirely dominated his practice. Dr. Mattar truly believes there is no surgical specialty that so much embodies compassionate care, technical prowess, intellectual curiosity, principled advocacy, and career satisfaction as that derived from bariatric and metabolic surgery.

Dr. Mattar has had the good fortune to develop, or expand, several bariatric programs at different institutions with gratifying results in volume growth, improvement of quality outcomes and increased patient satisfaction. His style of leadership is one that promotes building bridges and achieving consensus. Because of the high burden of comorbidities that bariatric patients carry, bariatric surgery is an ideal example of the benefits that can be achieved through multi-specialty collaborative efforts in clinical care and research opportunities. These collaborative efforts at local, regional and national levels have significantly advanced this field to the benefit to patients, their families and fellow practitioners. As president of ASMBS, the world’s largest association of bariatric and metabolic surgeons, Dr. Mattar  has both participated and witnessed, from a front seat position, the remarkable advancements that have been made in the fields of patient care and pertinent patient advocacy and health policy.

Dr. Mattar has devoted his career to patient care, student, resident and fellow education, and towards raising the global awareness of the art and science of metabolic and bariatric surgery. He is confident that the most appropriate and effective approach to reversing the ravages of metabolic dysfunction can only be achieved through a holistic multi-disciplinary approach. To achieve this ideal, there must be an entity that brings together a group of experts from various specialties whose common and unifying goal is to treat the patient with metabolic syndrome; all within a unified and shared location. This patient-centric approach would best serve patients and their families, and provide consistency and longevity of therapies, and provide ample opportunities for research and innovation. 

Dr. Mattar’s ambition is to develop such a program, while exerting an emphasis towards supporting and guiding the ascending generations of motivated and hard-working surgeons and physicians who are committed to answering this most noble of callings.

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: 4/12/24 

Expiration Date: 4/12/27

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

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

Samer Mattar, MD - B2M - Consultant, Stock options

Samer Mattar, MD - Intuitive - Consultant, received honorarium

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 healthcareteam.

Physicians

Cine-Med designates this live activity for a maximum of 1.0 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=495

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.

Background References

1.     Bendewald, F.P., Choi, J.N., Blythe, L.S., Selzer, D.J., Ditslear, J.H. and Mattar, S.G., 2011. Comparison of hand-sewn, linear-stapled, and circular-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass. Obesity surgery, 21, pp.1671-1675.

2.     Burchett, M.A., McKenna, D.T., Selzer, D.J., Choi, J.H. and Mattar, S.G., 2015. Laparoscopic sleeve gastrectomy is safe and effective in elderly patients: a comparative analysis. Obesity surgery, 25, pp.222-228.

3.  Collins, J., Mattar, S., Qureshi, F., Warman, J., Ramanathan, R., Schauer, P. and Eid, G., 2007. Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents. Surgery for Obesity and Related Diseases, 3(2), pp.147-152.

4.    Cottam, D.R., Mattar, S.G., Barinas-Mitchell, E., Eid, G., Kuller, L., Kelley, D.E. and Schauer, P.R., 2004. The chronic inflammatory hypothesis for the morbidity associated with morbid obesity: implications and effects of weight loss. Obesity surgery, 14(5), pp.589-600.

5.     Cottam, D.R., Mattar, S.G. and Schauer, P.R., 2003. Laparoscopic era of operations for morbid obesity. Archives of Surgery, 138(4), pp.367-375.

6.     Dallal, R.M., Mattar, S.G., Lord, J.L., Watson, A.R., Cottam, D.R., Eid, G.M., Hamad, G., Rabinovitz, M. and Schauer, P.R., 2004. Results of laparoscopic gastric bypass in patients with cirrhosis. Obesity surgery, 14(1), pp.47-53.

7.     Eid, G.M., Cottam, D.R., Velcu, L.M., Mattar, S.G., Korytkowski, M.T., Gosman, G., Hindi, P. and Schauer, P.R., 2005. Effective treatment of polycystic ovarian syndrome with Roux-en-Y gastric bypass. Surgery for Obesity and Related Diseases, 1(2), pp.77-80.

8.     Eid, G.M., Brethauer, S., Mattar, S.G., Titchner, R.L., Gourash, W. and Schauer, P.R., 2012. Laparoscopic sleeve gastrectomy for super obese patients: forty-eight percent excess weight loss after 6 to 8 years with 93% follow-up. Annals of surgery, 256(2), pp.262-265.

9.     English, W.J., DeMaria, E.J., Hutter, M.M., Kothari, S.N., Mattar, S.G., Brethauer, S.A. and Morton, J.M., 2020. American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States. Surgery for obesity and related diseases, 16(4), pp.457-463.

 10.   Filip, J.E., Mattar, S.G., Bowers, S.P. and Smith, C.D., 2002. Internal hernia formation after laparoscopic Roux-en-Y gastric bypass for morbid obesity. The American surgeon, 68(7), pp.640-643.

11.   Husain, F., Jeong, I.H., Spight, D., Wolfe, B. and Mattar, S.G., 2018. Risk factors for early postoperative complications after bariatric surgery. Annals of surgical treatment and research, 95(2), pp.100-110.

12.   Ibele, A.R. and Mattar, S.G., 2011. Adolescent bariatric surgery. Surgical Clinics, 91(6), pp.1339-1351.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Samer Gamil Mattar, MD, FACS

Professor and Chief, Division of Metabolic and Bariatric Surgery

Baylor College of Medicine

Houston, TX

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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...]]>We will discuss the state of the US and global obesity epidemic, and a variety of treatments available for managing metabolic disease.

Host

Rob Johnston, PhD

Chief Scientist, Johnston Analytics

Houston, TX

Guest

Samer Gamil Mattar, MD, FACS

Professor and Chief, Division of Metabolic and Bariatric Surgery

Baylor College of Medicine

Houston, TX

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/

Learn more about Reset Diabesity:

https://cine-med.com/diabesity-education

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. Mattar

Samer Mattar, MD was introduced to modern bariatric surgery in the clinical year of my Advanced Laparoscopy Fellowship at Emory University. As a resident, Dr. Mattar did assist in bariatric cases and managed bariatric patients, but that was in the open era, and most patients were not treated in the multi-disciplinary manner that is now practiced. Outcomes were less than favorable and both mortality and morbidity rates were unacceptably high.

The advent of laparoscopy ushered in a new approach that afforded markedly reduced pain and accelerated recovery. With accrued experience, the complication rates dramatically dropped and patients presented in large numbers for these life-saving operations, resulting in a renaissance of gastric surgery and a worldwide explosion in research efforts to understand the underlying mechanisms of these life-transforming operations. As a result, bariatric and metabolic surgery now occupies a pole position in disciplines that provide the multi-disciplinary, comprehensive, holistic continuum of care that has now become commonplace in many surgical fields.

Dr. Mattar was fortunate to be “in the right place at the right time” and rode this wave of exciting innovation and scientific progress. The dramatic improvements in overall health and wellbeing that he witnessed in patients had a captivating effect on him. Over the first few years of his career, Dr. Mattar’s case distribution became progressively bariatric in nature until it entirely dominated his practice. Dr. Mattar truly believes there is no surgical specialty that so much embodies compassionate care, technical prowess, intellectual curiosity, principled advocacy, and career satisfaction as that derived from bariatric and metabolic surgery.

Dr. Mattar has had the good fortune to develop, or expand, several bariatric programs at different institutions with gratifying results in volume growth, improvement of quality outcomes and increased patient satisfaction. His style of leadership is one that promotes building bridges and achieving consensus. Because of the high burden of comorbidities that bariatric patients carry, bariatric surgery is an ideal example of the benefits that can be achieved through multi-specialty collaborative efforts in clinical care and research opportunities. These collaborative efforts at local, regional and national levels have significantly advanced this field to the benefit to patients, their families and fellow practitioners. As president of ASMBS, the world’s largest association of bariatric and metabolic surgeons, Dr. Mattar  has both participated and witnessed, from a front seat position, the remarkable advancements that have been made in the fields of patient care and pertinent patient advocacy and health policy.

Dr. Mattar has devoted his career to patient care, student, resident and fellow education, and towards raising the global awareness of the art and science of metabolic and bariatric surgery. He is confident that the most appropriate and effective approach to reversing the ravages of metabolic dysfunction can only be achieved through a holistic multi-disciplinary approach. To achieve this ideal, there must be an entity that brings together a group of experts from various specialties whose common and unifying goal is to treat the patient with metabolic syndrome; all within a unified and shared location. This patient-centric approach would best serve patients and their families, and provide consistency and longevity of therapies, and provide ample opportunities for research and innovation. 

Dr. Mattar’s ambition is to develop such a program, while exerting an emphasis towards supporting and guiding the ascending generations of motivated and hard-working surgeons and physicians who are committed to answering this most noble of callings.

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: 4/12/24

Expiration Date: 4/12/27

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

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

Samer Mattar, MD - B2M - Consultant, Stock options

Samer Mattar, MD - Intuitive - Consultant, received honorarium

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 1.0 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=494

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.

Background References

1.     Bendewald, F.P., Choi, J.N., Blythe, L.S., Selzer, D.J., Ditslear, J.H. and Mattar, S.G., 2011. Comparison of hand-sewn, linear-stapled, and circular-stapled gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass. Obesity surgery, 21, pp.1671-1675.

2.     Burchett, M.A., McKenna, D.T., Selzer, D.J., Choi, J.H. and Mattar, S.G., 2015. Laparoscopic sleeve gastrectomy is safe and effective in elderly patients: a comparative analysis. Obesity surgery, 25, pp.222-228.

3.  Collins, J., Mattar, S., Qureshi, F., Warman, J., Ramanathan, R., Schauer, P. and Eid, G., 2007. Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents. Surgery for Obesity and Related Diseases, 3(2), pp.147-152.

4.    Cottam, D.R., Mattar, S.G., Barinas-Mitchell, E., Eid, G., Kuller, L., Kelley, D.E. and Schauer, P.R., 2004. The chronic inflammatory hypothesis for the morbidity associated with morbid obesity: implications and effects of weight loss. Obesity surgery, 14(5), pp.589-600.

5.     Cottam, D.R., Mattar, S.G. and Schauer, P.R., 2003. Laparoscopic era of operations for morbid obesity. Archives of Surgery, 138(4), pp.367-375.

6.     Dallal, R.M., Mattar, S.G., Lord, J.L., Watson, A.R., Cottam, D.R., Eid, G.M., Hamad, G., Rabinovitz, M. and Schauer, P.R., 2004. Results of laparoscopic gastric bypass in patients with cirrhosis. Obesity surgery, 14(1), pp.47-53.

7.     Eid, G.M., Cottam, D.R., Velcu, L.M., Mattar, S.G., Korytkowski, M.T., Gosman, G., Hindi, P. and Schauer, P.R., 2005. Effective treatment of polycystic ovarian syndrome with Roux-en-Y gastric bypass. Surgery for Obesity and Related Diseases, 1(2), pp.77-80.

8.     Eid, G.M., Brethauer, S., Mattar, S.G., Titchner, R.L., Gourash, W. and Schauer, P.R., 2012. Laparoscopic sleeve gastrectomy for super obese patients: forty-eight percent excess weight loss after 6 to 8 years with 93% follow-up. Annals of surgery, 256(2), pp.262-265.

9.     English, W.J., DeMaria, E.J., Hutter, M.M., Kothari, S.N., Mattar, S.G., Brethauer, S.A. and Morton, J.M., 2020. American Society for Metabolic and Bariatric Surgery 2018 estimate of metabolic and bariatric procedures performed in the United States. Surgery for obesity and related diseases, 16(4), pp.457-463.

 10.   Filip, J.E., Mattar, S.G., Bowers, S.P. and Smith, C.D., 2002. Internal hernia formation after laparoscopic Roux-en-Y gastric bypass for morbid obesity. The American surgeon, 68(7), pp.640-643.

11.   Husain, F., Jeong, I.H., Spight, D., Wolfe, B. and Mattar, S.G., 2018. Risk factors for early postoperative complications after bariatric surgery. Annals of surgical treatment and research, 95(2), pp.100-110.

12.   Ibele, A.R. and Mattar, S.G., 2011. Adolescent bariatric surgery. Surgical Clinics, 91(6), pp.1339-1351.