Impact of Metabolic Disease on Patients, Complex Comorbidities and the Future of Obesity Management
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
The Obesity Society
American College of Surgeons
Obesity Medicine Association
American Board of Obesity Medicine
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)
