Medicine Grand Rounds - Work as a Health Outcome: Understanding the Clinician Role in Supporting Work

Tuesday, July 1, 2025, 12:00 PM - Saturday, July 1, 2028, 1:00 PM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), ASWB Social Work Credit(s) (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Most healthcare professionals do not receive training on stay-at-work/return-to-work best practices and do not know that unemployment is a risk factor for poor health outcomes. As a result, many healthcare professionals inadvertently contribute to patients' long-term work disability, which negatively affects the health of their patients and their patients' families. At the conclusion of this learning activity, participants will be able to implement changes in practice to identify work disability to best support patients with injuries or illnesses to either stay at or return to work.

Presenter

Karen Huyck, MD, PhD, MPH, FACOEM
Medical Director, VT RETAIN
Dartmouth Health

1. Explain the healthcare professional's role in addressing work as a health outcome.
2. Identify patients at risk for or experiencing work disability.
3. Use simple strategies to document patient work-health status that save time and improve patient outcomes.

In support of improving patient care, Dartmouth Health 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. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours.

Association of Social Work Boards (ASWB)

As a Jointly Accredited Organization, Dartmouth Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.0 general continuing education credits.

Social Worker Account Setup

If you wish to apply for ASWB credit, you will need to enter your license number in your CE Profile by following these steps:

1. Log in to Dartmouth Health's CE portal (https://dh.cloud-cme.com).

2. From the My Account Menu, select Profile.

3. Ensure your degree and profession are accurately reflected.

4. Enter the state license type, License #, and Expiration date.

5. Scroll down to the bottom of the screen and click Submit.

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

Registration/Requirements for Successful Completion
You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:

1. Click the Register tab above. If you are not logged into your account, you will need to log in. Use the Forgot Your Password? button if you need to reset your password.

2. Register for the activity.

3. Click the Content/Tests tab and then View Content to view the recording. View the entire presentation.

4. Complete the Post-Test (attestation - return to the Content/Tests tab to find it).

5. Click the Complete Evaluation button, or click My Account in the menu bar; then click Evaluations.

6. Complete and Submit the Evaluation.

Bibliographic Material

• Social Security Associaiton Bluebook. Social Security Administration; 2024. https://www.ssa.gov/disability/professionals/bluebook/12.00-MentalDisorders-Adult.htm

• Annual Statistical Report on the Social Security Disability Insurance Program.; 2022.

• Inova Measure Guide for Quality Committees. Published August, 2023. Accessed at

• https://issuu.com/inovaourpatientskpi/docs/our_patients_kpi_2023

• Wojik J. Integrated EAP. Business Insurance; 2008.

• Documenting Disability for Medical Providers Handbook. SAMHSA. https://soarworks.samhsa.gov/sites/soarworks.prainc.com/files/jurisdiction-files/DocumentingDisability.pdf

• Documenting Disability for Medical Providers. National Health Care for the Homeless Council. https://nhchc.org/online-courses/documenting-disability/

• Pransky G, Katz JN, Benjamin K, Himmelstein J. Improving the physician role in evaluating work ability and managing disability: a survey of primary care practitioners. Disabil Rehabil. 2002;24(16):867-874. https://doi.org/10.1080/09638280210142176

• McKee-Ryan F, Song Z, Wanberg CR, Kinicki AJ. Psychological and Physical Well-Being During Unemployment: A Meta-Analytic Study. Journal of Applied Psychology. 2005;90(1):53-76. https://doi.org/10.1037/0021-9010.90.1.53

• Mathers CD, Schofield DJ. The health consequences of unemployment: the evidence. Med J Aust. 1998;168(4):178-182. https://doi.org/10.5694/j.1326-5377.1998.tb126776.x

• Annual Statistical Report on the Social Security Disability Insurance Program.; 2023.

• Social Security Trial Work Period. Accessed June 17, 2025. https://www.ssa.gov/oact/COLA/twp.html

• ASPE Poverty Guidelines. Accessed June 17, 2025. https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines

• IBI Costs of Poor Health Infographic.; 2019. https://f.hubspotusercontent10.net/hubfs/8926463/Resource%20Assets/Infographics/IBI-Costs-of-Poor-Health-Infographic-2018.pdf

• The Accountable Health Communities Health-Related Social Needs Screening Tool. https://www.cms.gov/priorities/innovation/files/worksheets/ahcm-screeningtool.pdf

• Thomas N, Paul S, Bach S, Houtenville A. Annual Disability Statistics Compendium.; 2024.

• Soklaridis S, Tang G, Cartmill C, Cassidy JD, Andersen J. “Can you go back to work?”: Family physicians’ experiences with assessing patients’ functional ability to return to work. Can Fam Physician. 2011;57(2):202-209.

• Fan JK, Amick BC 3rd, Richardson L, Scott-Marshall H, McLeod CB. Labor market and health trajectories during periods of economic recession and expansion in the United States, 1988?2011. Scand J Work Environ Health. 2018;44(6):639-646. https://doi.org/10.5271/sjweh.3743

• Busin, Winkler, Goltermann. Aon Hewitt 2014 Health Care Survey.; 2014. https://www.aon.com/attachments/human-capital-consulting/2014-Aon-Health-Care-Survey.pdf

• Barry S. Compensation Managed Care: Costs, Controls, Outcomes. Journal of Workers Compensation. 1996;6:9-21.

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
ACE Office
Dartmouth Health
[email protected]

Mitigation of Relevant Financial Relationships

Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.