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Pain Management & Opioid Misuse Learning Collaborative - Session 3: Muscular-Skeletal Pain Management in a Farmworker Population

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MCN Webinar - Pain Management & Opioid Misuse Learning Collaborative
Date and Time
Description

We are pleased to offer this special series to clinicians working with Community Health Partnership of Illinois.  These three sessions will provide important information and give you an opportunity to have a more in-depth discussion about these critical issues when working with agricultural workers and other underserved populations experiencing pain.

Although agricultural workers are not to date, at high risk for opioid misuse, they do experience a disproportionate amount of musculoskeletal pain due to the arduous nature of the work that they do. Musculoskeletal pain develops from repeated exposures and cumulative forces may cause soft tissue damage, leading to inflammatory response and pain. Long-term exposure to heavy physical work, heavy lifting and carrying, whole-body vibration, and work in awkward postures with trunk flexion may be risk factors for low back pain. Kneeling, bending, heavy lifting and carrying, vibrations from tractor driving and work in uncomfortable postures cause a number of musculoskeletal difficulties. This session will explore some of the common musculoskeletal challenges for farmworkers with a discussion of how to better address pain in a primary care setting.

Watch the Webinar Recording

Presenters

Profile picture for user Laszlo Madaras

Laszlo

Madaras

MD, MPH, FAAFP, SFHM

Chief Medical Officer

Migrant Clinicians Network

As the Chief Medical Officer for Migrant Clinicians Network, Dr. Madaras is responsible for the oversight of MCN clinical activities. He also serves as a subject matter expert for various topics in migrant and immigrant health including COVID-19 clinical education. Since the first weeks of the SARS-CoV-2 pandemic, Dr. Madaras treated thousands of patients sick enough to need hospitalization and sometimes intensive care.  Over the last 30 years, in parts of Africa, Latin America, South America, the Pacific Islands, and the United States, Dr. Madaras has served thousands for wide ranging ailments, including newly emerging diseases such as Zika and most recently COVID-19. This interest began for him in the mid-1980s while serving as a Peace Corps Volunteer in the Congo where he learned to recognize schistosomiasis, onchocerciasis, filariasis, strongyloidiasis, and other tropical diseases, and witnessed the start of a newly detected virus soon to be named HIV. 

Dr. Madaras spent his early childhood in Hungary and Sweden, arriving in the United States as refugee in 1968 at the age of seven and eventually became a US citizen. He graduated from Dartmouth College with a degree in biochemistry in 1983. He served three years in the Peace Corps in Congo (Zaire) as a regional fisheries coordinator, and then as a PC Country Desk Assistant for Ghana/Liberia/Sierra Leone in Washington, DC. He also worked as a pesticide review manager in the EPA in Washington, with several publications in the Federal Register regarding the removal of chemicals harmful to human health. Dr. Madaras received his MD and Masters in Public Health from Tufts University School of Medicine in 1993, and worked in Gabon, West Africa as an Albert Schweitzer Fellow in pediatrics. Later he worked with the American Refugee Committee on the Congo/Rwandan border during the 1994 Rwandan genocide. He also worked on the Hungarian border with the former Yugoslavia in 1995. Since 1996, Dr. Madaras has worked as a board-certified family physician in both inpatient and outpatient medicine in Pediatrics, Adult Medicine and Obstetrics.  He served as a frontline clinician at the Keystone Health Center, a community health center, where he cared for farmworkers and their families and became Assistant Medical Director from 2001 to 2005. In 2005, he became a hospitalist in Chambersburg and Waynesboro Hospitals in south central Pennsylvania, where he continues to work part time. In 2016 he became a Senior Fellow of Hospital Medicine. In 2020, he became a Fellow of the American Academy of Family Physicians (FAAFP). 

In addition, Dr. Madaras has worked as a staff physician in Tuberculosis control at the Pennsylvania State Health Department since 2012, and regularly teaches US-based medical students on an international health rotation in Honduras. Dr. Madaras also teaches hospital medicine to Penn State nurse practitioner and physician assistant students and medical residents at Summit Health. He is a Clinical Assistant Professor of Medicine at the Penn State College of Medicine as well as the Medical Director of Educational Affairs at WellSpan Summit Health. Dr. Madaras is married with two grown children. He enjoys language, travel, scuba diving, and hiking. He has been a nationally ranked age-group triathlete and completed several marathons and a dozen 50-mile ultra marathons.
 

Continuing Education Credit (CEU)

To receive CME* or CNE credit after viewing this webinar, you must:

  1. Complete the Participant Evaluation associated with this webinar
  2. Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org