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Osteopathic Considerations in the Pre-Participation Physical Evaluation & Zero Tolerance in Gaps for Healthcare for Physicians

Total Credits: 1.75 including 1.75 AOA Category 1-A Credit(s)

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State Associations:
TOMA - Texas
Townes Leigh, DO |  Kayur Patel, MD
1 Hour 47 Minutes
Never expires.


Osteopathic Considerations in the Pre-Participation Physical Evaluation
This lecture will discuss the latest goals and guidelines from "PPE: Pre-Participation Physician Evaluation, 5th Edition," by the American Academy of Pediatrics for young athletes as well as considerations needed in specific populations prior to participating in competitive athletics. Additionally, osteopathic considerations will be presented that can support the goals of the PPE in the care of the athlete.


  • Define the requirements and goals of the Pre-Participation Physical Evaluation (PPE)
  • Compare and contrast the requirements and goals of the PPE in specific populations
  • Describe methods for how Osteopathic Principles & Practices can be integrated into the PPE
  • Outline the requirements of the PPE in Texas
  • Construct a treatment plan for an athlete presenting for a PPE

Zero Tolerance in Gaps for Healthcare for Physicians
For years we have focused on standard of care that is what we have been taught from medical school to residency to clinical practice. This has been the wrong focus for years we have never focused on what really matters. We need to redirect the entire healthcare industry’s energy from managing numbers to managing the pathophysiology. How can we restructure our thinking to treat the root cause and the pathophysiology at the grassroots and remove our focus from managing better numbers for your diabetics, our hypertensive, and for hyperlipidemia? As these numbers reach their norm as clinicians there is an innate desire to stop our management however this is the very thing that is wrong with the current system. This is when we need to act this is the right time to evaluate the root cause of the disease and manage it at that level Where is the disconnect? We do not lack resources, we have the best surgical procedures in the world, the best medications money can buy, the world’s best imaging techniques, etc., yet why do we fail our citizens in providing the best quality of care?


  • Gain an insight on what really matters when caring for a patient population
  • Working knowledge of the critical decision-making process
  • Identify over 80% of gaps in care.

Statement of Accreditation
The Texas Osteopathic Medical Association (TOMA) is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. TOMA designates is program for a maximum of 1.75 AOA Category 1-A credits and will report CME credits commensurate with the extent of the physician’s participation in this activity.

Grievance Policy
All grievances may be directed to TOMA's Executive Director at All grievances will receive an initial response within 30 days of receipt.  If the participant does not receive a satisfactory response, they can submit a complaint to the Bureau of Osteopathic Education of the AOA at 142 East Ontario Street, Chicago, IL 60611.



Kayur Patel, MD's Profile

Kayur Patel, MD Related seminars and products

Dr. Kayur Patel serves as the Chief Medical Officer of Proactive MD; a unique healthcare model with 33 Health Centers in Indiana and dozens more across the country. In his role, Dr. Patel is focused on improving methodology to better engage clinicians and patients into a culture of zero tolerance for gaps in healthcare by extending care beyond the walls to allow a global improvement of health. Dr. Patel also serves as consultant to KEPRO, the Quality Improvement Organization for over 30 states, wherein he reviews for gaps in standard of care delivered to patients. 

Dr. Patel is a widely respected ER physician with over 25 years of experience. He frequently speaks about quality in healthcare and has a unique perspective on Standard of Care vs Right Care. His recent years have been dedicated to improving health outcomes through innovation, patient engagement, access to care, and community leadership.  


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