High-volume hydraulic fracturing (HVHF) of shale is a relatively new method of natural gas extraction, emerging only recently over the past decade. The medical community's experience concerning the potential acute and chronic medical effects, injuries, and disabilities is therefore limited. This results in professional practice gaps concerning the diagnosis and management of diverse toxicological effects and illnesses, and in competencies related to obtaining toxicological history and physical exams of patients. Additional gaps exist in the competent performance of risk communication and public health education for individuals and communities.


This series of online educational modules has been developed, prepared, and implemented by Physicians Scientists and Engineers for Healthy Energy (PSE). You can access this Veomed platform to obtain AMA PRA Category 1 credit and for the highest quality viewing. While anyone can view these courses for free on VeoMed, you must register to do so. Alternatively, the videos can be accessed on Youtube.

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Module 1

Module 2

Module 3

Intro (Ingraffea) Fund. Toxicology (Brown) Health Impact Assess (Dyrszka)
Potential Impacts (Paulson) Endocrine Disruption Chem (Law) Study Design (Finkel)
Human & Animal Health Impacts (Bamberger & Oswald) Patient Eval (DeJohn) Air Emissions & Healthcare (Colburn)
    Worker Health (Saberi)
Click here to watch the lectures and complete courses for CME credit.



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1. Introduction to Shale Gas Extraction (Anthony Ingraffea, PhD, PE)


2. Potential Health Impacts of Natural Gas Extraction (Jerome Paulson, MD)


3. Impacts of Drilling on Human and Animal Health (Michelle Bamberger, DVM, MS & Robert Oswald, PhD)





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4. Fundamental Chemical Toxicology with Exposure Related to Shale Gas Development - David Brown, ScD


5. Endocrine Disrupting Chemicals - Adam Law, MD


6. Patient Evaluation - Denise DeJohn, RN, MSN, CRNP with Adam Law, MD (interview)




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7. Health Impact Assessment for Shale Gas Extraction - Larysa Dyrszka, MD


8. Understanding the Nuances of Study Design - Madelon Finkel, PhD



9. Air Emissions and Healthcare Recommendations - Theo Colborn, PhD


10. Unconventional Hydraulic Fracturing and Worker Health - Pouné Saberi, MD, MPH


The Southwest Pennsylvania Environmental Health Project (SWPA-EHP) has published a Medical Toolkit for medical professionals. The Toolkit consists of a series of interactive workshops focused on addressing patient concerns and symptoms related to gas extraction activities.

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