Occ Med WWW Links
A1. Regulations and Government Agencies
Comply with and explain applicable regulations, as well as their interpretation and enforcement, to employers and employees.
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A1. 1a- OSHA regulations, including the General Duty Clause.
- Hazard Communication
- NHCA ALERT OHSA Recordkeeping
- Occupational Safety & Health Administration - OSHA HOME PAGE
- OSHA - Hazard Communication Course
- OSHA First Aid Recordkeeping Summary
- OSHA Medical and First Aid
- OSHA Record Keeping Guidelines
- OSHA Recordkeeping Changes
- OSHA Recordkeeping overview
- OSHA Standards Oveview & Occ Med
A1. 1b- Legislation and regulations protecting the employment rights of persons with disabilities (eg, ADA).
- Americans with Disabilities Act - U of Iowa
- Americans with Disabilities Act Document Center
A1. 1c- DOT regulations, including those of Federal Highway Administration and the Federal Railroad Administration.
- DOT-FHWA Medregs
- Federal Motor Carrier Safety Administration - Regulations
- Transportation Medicine
A1. 1e- EPA regulations.
- ENVIRONMENTAL COMPLIANCE REQUIREMENTS - Bechtel Jacobs
- Environmental Health Legislation
A1. 1f- Family Medical Leave Act.
- Family Medical Leave Act - menu
- Family Medical Leave Act Summary
- FMLA Complete Reference Guide and Procedures (UI Employment Relations)
- FMLA Medical certification form
A1. 1g- Other federal regulations.
- CFR Code of Federal Regulations Titles on GPO Access
A1. 1h- State and local regulations.
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A1. 2a- Explain the rights of an employee or citizen in requesting assistance from a government agency or in filing a complaint
- Pregnancy Discrimination
A1. 3a- Respond to the requirements of employee/community right-to-know regulations and advise individuals about their rights to access information
- Community Right to Know (EPCRA)
- NJ Worker and Community Right to Know Act
- RTK - Hazardous Substance Fact Sheets
- The Emergency Planning & Community Right-to-Know Act
A1. 4a- Understand, develop protocols, and protect patients’ legal rights to confidentiality of medical records information, while reporting necessary information to employers and others
- ACOEM Confidentiality of Medical Information in the Workplace
- AHIMA's Recommendations to Ensure Privacy and Quality of Personal Health Information on the Internet
- AMA (Legal Issues) Patient Confidentiality
- Confidential Health Information and the Internet
- HHS Proposes Changes That Protect Pirvacy, Access to Care
- HIPAA Final Privacy Rules
- Medical Privacy Rules - HHS Guidelines Clarifying
- Myths and Facts about the HIPAA Privacy Regulation
- Patient Record Confidentiality - AMA
- Patient Rights - Privacy
- Protecting the Privacy of Patients' Health Information - HHS
- Standards for Privacy of Individually Identifiable Health Information - HHS
A1. 5a- Understand the basic elements of workers’ compensation (WC) law, complete the necessary forms, and file WC claims and receive reimbursement
- All 50 States' and D.C.'s Home Pages and Workers' Compensation Agencies
- BWC - Injured Worker Information Index
- BWC - Managed Care Information
- BWC - What will happen AFTER I file a claim
- BWC Telephone Numbers
- BWC-After a Work Injury occurs
- Ohio BWC Home Page
- Provider Manual - HCFA 1500 form
- State Workers' Compensation Laws
- The Industrial Commission of Ohio homepage
- Workers' Compensation Basics - California
- Workers' Compensation from Emergency Medicine - Legal Aspects Of Emergency Medicine
A1. 6a- Report cases of occupational injury, illness, and/or death according to existing regulations
- First Report of Injury (FROI) - Introduction
A2. Environmental Health and Risk Assessment
Environmental Health and Risk Assessment - Society has become increasingly concerned about contamination of the environment and its resultant effects on health. OEM physicians rely on the principles of environmental toxicology and risk assessment
- An Introductory Lecture to Environmental Epidemiology Part 1. Introductory Examples
- An Introductory Lecture to Environmental Epidemiology. Part 2. Time Series Studies
- An Introductory Lecture to Environmental Epidemiology. Part 3. Issues in Design.
- An Introductory Lecture to Environmental Epidemiology. Part 4. Some Issues in Exposure Assessment
- An Introductory Lecture to Environmental Epidemiology. Part 5. Ecological Studies.
- ATSDR - Case Studies in Environmental Medicine
- ATSDR - Environmental Data Needed for Public Health Assessments
- ATSDR Env Health Tutorials
- ATSDR Science center
- Environmental Epidemiology on Small Areas
- Environmental Medicine (1995), Table of Contents
- EPA's Integrated Risk Information System (IRIS) - Home Page
- OPPT Chemical Fact Sheets Office of Pollution Prevention and Toxics US Environmental Protection Ag
- Summary - Environmental Public Health Surveillance
- Welcome to EnviroDx Enivronmental Medicine 2 Cases
- Workshop 1 - Surveillance System Structure
- Workshop 2 - Data Collection and Analysis - Envir Public health
- Workshop 3 - Surveillance System Outputs Form and Content of Reports and Alerts
SUB-TOPIC A2. 1- Identify sources and routes of occupational and environmental exposure and recommend methods of reducing environmental health risks.
- Assessment and Remediation of Contaminated Sediments (ARCS) Program
- Exposure History, Taking ATSDR (online book)
A2. 1a- Identify and manage population exposure to environmental toxins (eg, heavy metals, solvents, pesticides, asbestos, silica, carbon monoxide, hydrogen sulfide, dioxin, PCBs).
- Epidemiology of Minamata Disease
- Toxic Oil Syndrome
A2. 1b- Identify and manage concerns about the health effects of human exposure to contaminated water, sewage, and human waste.
- Cryptosporidium- The Milwaukee Case
A2. 1c- Explain outdoor air pollution sources and health effects.
- Air Quality - the Six Common Air Pollutants
- Plain English Guide to The Clean Air Act
- Regulatory Air Models (Dispersion, Receptor Models)
A2. 1d- Explain the causes, health effects, and controls for indoor air pollution, including "sick building syndrome" and "building-related illness."
- EPA's Indoor Air Quality (IAQ) Home Page
- Indoor Air Quality (IAQ) in Homes-Residences - EPA
- Indoor Air Quality Publications - Online from EPA
- Mitigating IAQ Problems - CDC
A2. 1e- Explain water pollution sources and health effects.
- Drinking water analysis
- WHO Guidelines for Drinking Water Quality Training Pack - Table of contents
A2. 1f- Explain health risks associated with exposure to hazardous waste.
- Superfund Ecology Technical Center Glossary
A2. 1g- Explain the risks associated with household chemicals.
- Household Chemicals Checklist, CHMC
- Household Poisonous Plants
- Making Your Home Environment More Healthy!
- Poisoning Brochure
- POISONOUS AND TOXIC SUBSTANCES in the Home
A2. 1h- Explain and control the health risks associated with exposure to radon and ultraviolet radiation.
- Residential Radon and Lung Cancer Case-Control Study
A2. 1I- Explain the psychological effects associated with acute or chronic exposure to actual or perceived environmental hazards.
- Environmental Medicine Treatment Clinic - Dr. Rea
- MCS - ACOEM
- MCS - Interagency Workgroup on 1998
- Multiple chemical sensitivities-index.html
SUB-TOPIC A2. 2- Perform a risk assessment (formal and informal).
- Epidemiology and Risk Assessment (4th of 10 Lectures on Toxicologic Epidemiology)
- Proposed Guidelines for Carcinogen Risk Assessment
- Public Health and Risk Assessment(2nd of 10 Lectures on Toxicologic Epidemiology)
- Risk Assessment - Carcinogens
- Toxicology and Risk Assessment(3rd of 10 Lectures on Toxicologic Epidemiology)
A2. 2a- Explain the basic methodology of risk assessment.
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A2. 2b- Identify exposure-related health hazards.
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SUB-TOPIC A2. 3- Communicate to target groups, including health professionals, the public, and the media, in a clear and effective manner, both orally and in writing, the levels of risk from real or potential hazards and the rationale for selected interventions.
- ATSDR - Health Risk Communication Primer
- Risk Communication
A2. 3a- Manage communication and reactions to a perceived or actual cluster of disease.
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A2. 3b- Manage communication and reactions to an episode of mass psychogenic illness.
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A2. 3c- Manage communication and reaction to widespread exposure or perceived exposure to toxic materials.
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A2. 3d- Explain the health impact of global environmental changes, including global warming, ozone depletion, ultraviolet radiation exposure, and persistent organic chemicals.
- EPA & Ozone Depletion
- EPA Global Warming Site Climate
A2. 3e- Manage communication with communities affected by pesticide applications, hazardous waste sites, transportation accidents, and other environmental and industrial exposures.
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A2. 3f- Explain the controversies associated with electromagnetic field exposure.
- Health Effects of Power Lines - NIEHS
A2. 4a- Interpret and explain the results of environmental monitoring studies.
- Environmental Monitoring and Assessment Home Page (EMAP)
A3. Clinical Preventive Services
Clinical Preventive Services - The OEM physician has the knowledge and skills to define, develop, and administer programs to improve the health of employee and dependent populations, as well as counsel employees about their lifestyle risk factors and
- Canadian Task Force on Preventive Health Care - Evidence Based Medicine
- Guide To Clinical Preventive Services 1989; An Assessment of the Effectivenes
- Guide to Clinical Preventive Services Second Edition (1996)
A3. 1a- Design, implement and evaluate worksite health-promotion and disease-prevention programs, incorporating DHHS and other authoritative guidelines as appropriate.
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A3. 2a- Describe the appropriate use and limitations of health risk assessment and screening for well populations and the applications of screening, assessment, and early intervention for targeted high-risk groups.
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A3. 3a- Interpret abnormal laboratory findings in asymptomatic workers and recommend further evaluation and/or treatment as indicated.
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A3. 4a- Counsel employees about health risks and lifestyle.
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A4. Management and Administration
Management and Administration The OEM physician has the administrative and management knowledge and skills to plan, design, implement, manage, and evaluate comprehensive occupational/environmental health programs, projects, and protocols that enha
- Accounting
- Business Open Learning Archive - BOLA UK
- Business Structures
- Health Information Management Web List of Links
- New Business Issues - IRS
- Office Depot Online - Free Downloadable Forms
- Risk Management for Business
- SBA Online Library - Publications Room
- Small Business Information - ChamberBiz
- Small Business Letters & Forms_ BusinessTown
- Small Business Owner's Toolkit
A4. 2a- Design and evaluate clinical practice guidelines (see T04. 11a), quality management/quality improvement programs (see A8. 7a), utilization management, case management, and other activities to enhance an organization’s performance
- Practice parameters for Medical Decision Making - ACMQ
- Utilization Review - Managed Care
SUB-TOPIC A4. 3- Use appropriate management principles in conflict resolution, negotiation, consensus building, problem-solving, team building, and change management.
- Management Styles - BOLA
- Power, Organizations and Management - BOLA
A4. 3a- Partner with employers, labor unions, and others in addressing the health, safety and welfare of employees, their dependents, and retirees.
- Labor Relations-Union Issues
A4. 4a- Use personnel management principles in selection, retention, promotion, motivation, appraisal, and discipline of employees, and in managing workforce diversity
- Avoiding Employee Theft
- Guide to Progressive Discipline for Supervisors and Managers
- Human Resources - Employee Labor Relations - U of Iowa
- Parting Ways_ Effective Termination Techniques
- Personnel Policies for UC Staff Members
- Preventing Employee Fraud
- Small Business - Legal - Nolo
- WORK RULES at UNIVERSITY OF IOWA
A4. 5a- Identify potential customers and develop a marketing plan for an occupational/environmental health program
- Marketing Plan - SBA
A4. 6a- Communicate technical and clinical information to professional and lay audiences.
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A4. 6b- Give presentations to employees, employers, labor unions, and others on occupational and environmental health and safety topics.
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SUB-TOPIC A4. 7- Determine management information needs and apply medical informatics, electronic health and patient care data, management information systems, and other computer technologies to an OEM program.
- AltaVista
- Dogpile. All results, no mess.
- Medical Informatics - Managing The ED
- Yahoo!
A4. 7a- Apply information systems to medical surveillance programs (eg, scheduling exams, documenting clinical data, and tracking, reporting and analyzing outcomes).
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A4. 7f- Use information technology (eg, e-mail, local and wide area networks, Internet) to communicate with colleagues, clients, and others.
- Email and Patients
- McAfee - Virus Scan Update Download
A4. 7g- Use information technology to write reports (eg, word processing), as well as to manage and present data (spreadsheets, databases, presentation graphics).
- Microsoft Support Knowledge Base
SUB-TOPIC A4. 8- Manage data effectively.
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A4. 8a- Design a data-collection strategy.
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A4. 8b- Collect and prepare data for analysis.
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A4. 8c- Analyze data and present results in tabular, graphical, and verbal formats.
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A4. 9a- Establish protocols to manage patient records and protect confidentiality (see A1. 4a)
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A4. 10b- Respond to patient dissatisfaction or complaints.
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A4. 10c- Understand prevention of malpractice (altered).
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SUB-TOPIC A4. 12- Prepare a business plan for an occupational health service, program, or project.
- Business Plans - sample from IRS
- Business Plans from SBA
- SBA - Business Plans Tutorial
- Sensitivity Analysis - Decision Analysis.xls
- The Elements of a Business Plan.doc
A4. 12a- Define an organization’s or program’s vision, mission, goals, objectives, and strategies.
- Clear Mission Statements
- How to Write a Mission Statement
- Mission Statements
A4. 12b- Perform a SWOT (strengths, weaknesses, opportunities, threats) analysis.
- SWOT Analysis - Tutorial
A4. 12c- Prepare an operational budget for an occupational/environmental health service or program.
- Costing Methodology
- Lecture Costs.xls
- Practice Expense Measurement - Pulmonary Practices
A4. 12d- Define staffing and personnel requirements for an occupational/environmental health service.
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A4. 12e- Specify facilities, equipment, and supplies required by an occupational/environmental health service.
- Doc's Depot Medical and Office Supply Catalog
A4. 12f- Establish a pricing structure for occupational health services, including fee-for-service and capitated arrangements.
- Capitation and Risk - AMA
- Contract Negotiations (incl. Managed Care Contracts)
- Discounted Fee for Service and MCOs - AMA
A4. 12g- Understand the 3 main types of Financial statements
- Occ Med Business - Integrated Spreadsheet.xls
A4. 12h- Understand Fixed and Variable Costs, Break-even analysis, and Profit-Loss Forecasting
- Break Even Analysis
- Internal Rate of Return
- NPV - Discounting Future Income
- NPV and IRR -- Measures for Evaluating Investments
- Revenue Projections.xls
A4. 13a- Comply with WC health care services rules, reimbursement, and reporting requirements (see A1. 5a)
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A4. 14a- Develop and implement corporate health policies, procedures, protocols, and guidelines
- Corporate Health Checklist
- Corporate Health Model
- Corporate Health Policy
- Corporate Workplace Health - Netherlands
A4. 15a- Work effectively as a team member with administrators, occupational health nurses, nurse practitioners, and physician assistants, demonstrating an understanding of their roles in an occupational health service
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SUB-TOPIC A4. 16- Design cost-containment strategies for WC, health benefits, and disability management programs to allocate and manage clinical and financial resources.
- Financial Management in Small For-Profit Businesses
- How Your Worker's Compensation Premium is Modified by Claims Experience
- Introduction to Health Economics
- Medical Cost Containment - Colorado
- Ohio Manufacturor's Report (OMA) MCO Performance Report 2000.
- Overall MCO Performance Excellence - Ohio
- Risk Management resources - Ohio Manufacturers Association
- Work Comp Cost Benchmarks - WCRI
- Work Injuries - Managing
- Workers' Compensation benefits and Costs
A4. 16a- Obtain necessary demographic and cost data.
- BWC - MCO Report Card
- BWC - Premium Determination
- Workers Compensation Costs - National Academy of Social Insurance
A4. 16b- Ensure patient/individual confidentiality in the process. (see A1. 4a)
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SUB-TOPIC A4. 17- Evaluate the effectiveness of occupational health services and risk reduction methods.
- Evidence-Based Medicine
A4. 17a- Design and implement process and outcome measures and be able to benchmark with other organizations.
- Benchmarking
- Benchmarking - Reality Check
- Benchmarking Occupational Health and Safety
- Preventing Illness & Injury -- Benchmarking - Ontario Canada
A4. 17c- Demonstrate program cost-effectiveness.
- Cost Effective - Benefit.xls
SUB-TOPIC A4. 18- Participate in the development of emergency or disaster plans for the workplace and/or the community.
- Disaster Planning from Emergency Medicine - Emergency Medical Systems
- Disaster Preparedness Manual
- Emergency Response to Chemical-Biological Terrorist Incidents
- EMS and Terrorism from Emergency Medicine - Emergency Medical Systems
- Environmental Emergency - LLNL
A4. 18a- Applying knowledge of occupational hazards, the workplace, and local medical and community resources, review and report on an actual disaster response plan (altered).
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A4. 18b- Review and report on actual emergency response plans ranging from developing patient treatment protocols for a specific chemical to evacuation and community planning for catastrophic industrial emergencies (altered).
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A4. 19a- Work effectively with both labor and management to maximize workplace health, safety, and productivity
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A5. Medical/Legal
Medical/Legal - The OEM physician is a recognized expert on issues relating to the causation of occupational and environmental injuries and illnesses, as well as the ability to perform work with or without reasonable accommodations. As a result,
- Public Health Law - recent Important Cases
A5. 1a- Perform independent medical evaluations
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A5. 2a- Provide expert opinions and testimony on OEM issues
- ACOEM - Position Statements- Ethics for Occ Med Expert Witnesses
- Expert Witnesses and IME reports - Books
- The 10 Biggest Mistakes Experts Make During Depositions
A5. 3a- Write medical-legal reports
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A5. 4a- Provide peer reviews
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A6. Research and Education
Research and Education - The profession of medicine requires ongoing scholarly inquiry, lifelong learning, and the ability to teach others. The techniques and methodologies of research and education are required of a competent OEM physician in or
- ACOEM recommended books
- ScienceWise
- U.C. - Academic Calendar
- U.C. - Bookstores
- U.C. - Schedule of Classes
A6. 1a- Use occupational and environmental information resources to conduct a literature search or to research the health effects of a chemical substance.
- How to Conduct a Meta-Analysis
- U.C. - Libraries
A6. 2a- Interpret and apply the medical, toxicological, and environmental literatures
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SUB-TOPIC A6. 3- Design and conduct a scientific investigation.
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A6. 3a- Formulate a hypothesis.
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A6. 3b- Perform a literature review.
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A6. 3c- Select and apply research design methods.
- Epidemiologic Design I - Descriptive Studies
- Epidemiologic Design II - Analytic Studies
- Injury Epidemiology
- Introduction to Injury Epidemiology
A6. 3d- Seek and secure human or animal subjects review panel approval when indicated.
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A6. 3e- Identify and secure necessary resources.
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A6. 3f- Collect and prepare data for analysis.
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A6. 3g- Analyze data and present results in tabular, graphical, and verbal formats.
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A6. 3h- Draw conclusions, and discuss the implications of the research findings.
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A6. 4a- Write a report suitable for publication
- How to start to write a scientific paper
A6. 5a- Give a lecture and evaluate learning outcomes (altered)
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SUB-TOPIC A6. 6- Interpret and present technical and clinical data for a variety of audiences.
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A6. 6a- Apply principles of adult learning.
- Journal of Occupational and Environmental Medicine
A6. 6b- Handle oral presentations in a professional manner.
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A6. 6c- Prepare effective written reports for a variety of audiences.
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A6. 6d- Defend conclusions and recommendations, using appropriate data and logical reasoning.
- Probability of Causation
A6. 6e- Evaluate learning outcomes.
- ACGME Program Requirements
A7. Social Sciences
Social Sciences - Cultural, ethnic, socioeconomic, and occupational characteristics can influence a worker’s definition and reaction to health, illness and injury. The OEM physician applies medical anthropologic and sociologic insights in order to communi
- Cross Cultural Health Care Program (CCHCP) - CCHCP Library
- Cross Cultural Health Care Program (CCHCP) - Ethnic Health Advocacy
- Cross Cultural Health Care Program (CCHCP) - Links and Resources
- Cultural Competence - BPHC
- Cultural Diversity A Guide for Health Professionals - Home Page
- EthnoMed Home Page
- National Center for Cultural Competence
- National Centre for Social Research Publications Health
- Part 2 Linking Poverty to Child Outcomes - Income and Child Well-being A new perspective on the pove
- Pearls of Cross Cultural Care
- TRANSCULTURAL AND MULTICULTURAL HEALTH LINKS
A7. 1a- Identify social, cultural, and ethnic issues that relate to policies, risks, research, and interventions in occupational and environmental medicine
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A7. 2a- Recognize the effects of cultural, ethnic, and social factors, including health beliefs and practices, on the health and safety of workers
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A7. 3a- Accommodate cultural, ethnic, educational, and language variations among workers when providing information on occupational hazard prevention, disease prevention, and health promotion
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A7. 4a- Provide clinical care and health counseling with an awareness of how cultural and social beliefs influence patient knowledge, attitudes, and behaviors.
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A8. Professionalism
Professionalism - The OEM physician uniquely interacts with patients, employees, employers, labor unions, attorneys, payers, and others in the community on issues relating to workers, the workplace, and the community environment. The attitudes, b
- ACOEM - Code of Ethical Conduct
SUB-TOPIC A8. 1- Recognize and address ethical dilemmas in the practice of OEM, using relevant guidelines, such as the ACOEM, Association of Occupational and Environmental Clinics, International Commission on Occupational Health, and AMA codes of ethics.
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A8. 1a- Educate employers, clients, attorneys, employees, and their representatives on the ethical issues and the codes that apply to the practice of OEM.
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SUB-TOPIC A8. 2- Apply principles of risk management to the practice of occupational and environmental medicine.
- A Medical Malpractice Primer, Part I
- A Medical Malpractice Primer, Part II
- Handling Malpractice Litigation
- Hospital Risk Factors - Office Procedures
- Malpractice - Medical Team Relationships
- Malpractice Insurance Pitfalls
- Medical Office Risk Factors, Part I
- Medical Office Risk Factors, Part II
- Medical Office Risk Factors, Part III
- Medication Errors
- Professional Liability Insurance
- Relationship Issues, Part I
- Relationship Issues, Part II
- Relationship Issues, Part III
- Risk Management
A8. 2a- Ensure that patients clearly understand their medical conditions, their recommended and prescribed treatments, their work status (ie, restrictions and accommodations), and the urgency of any follow-up plans.
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A8. 2b- Maintain clear, concise documentation of patient and employee encounters, including telephone encounters and encounters with company representatives on patient issues. Demonstrate that assessments and plans follow logically from clinical findings
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A8. 2c- Review all diagnostic, screening, and surveillance studies ordered in the context of the individual’s medical and occupational profile, including examining data for temporal or work-group trends, and do so in a timely manner
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A8. 2d- Maintain communication with referral physicians that is adequate to ensure follow up on important clinical findings.
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A8. 2e- Consistently use informed consent and release of information documentation when indicated and ensure patient understanding before they apply their signature.
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A8. 2f- Interact with individuals with a clear understanding of when a doctor-patient relationship exists and when it does not
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A8. 2g- Use appropriate procedures when terminating a doctor-patient relationship with difficult, non-compliant, or otherwise incompatible patients.
- Handling Non-Compliant Patients - Termination of Dr-Pt. relationship
A8. 3a- Interact with patients, employees, employers, and other clients to achieve health-related goals.
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A8. 4a- Maintain current medical, scientific, and regulatory knowledge, recognizing one’s limits and seeking additional resources as needed.
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A8. 5a- Communicate current medical, environmental, and/or other scientific knowledge effectively to target groups, including patients, employees, employers, unions, community groups, and the media.
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A8. 6a- Document patient encounters accurately and completely
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A8. 7a- Understand Total Quality management, Continuous Quality Improvement, and Apply time-management principles incl. PERT/CPM, Gannt charts
- CQI - Healthcare - NEJM 1989
- Healthcare Management Engineering (TQM/PERT…)
- Pert - Gannt.xls
- Project Planning Gannt, CPM, PERT
- TQM - Deming The 14 Points
- TQM - Healthcare
A8. 8a- Develop and implement a personal lifelong learning plan.
- ABPM Res Letter Template
- ACGME Outcome Project
- ACOEM - Careers in Occupational Medicine
- AOEC - Lending Library
- PFDPF Home Page
- Search Online Books - National Academy Press
- UC AIT&L Current Class Schedule - Microsoft
T01. Disability and Work Fitness
Disability Management and Work Fitness - The OEM physician has the clinical and administrative knowledge and skills to assist employees and employers to ensure that recovery from illness or injury is as rapid and complete as possible. With broad
- Disability Management - Disability, Employment, & Related Links - Disability, Medical, & Legal - Vol
SUB-TOPIC T01. 1- Design and implement integrated systems of disability prevention and management.
- Managing Rehabilitation for Injured Workers - British Columbia
T01. 1a- Develop protocols for early identification of the disabled employee and the risk factors for delayed recovery.
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T01. 1b- Assure quality in the diagnostic process.
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T01. 1c- Identify the impact of psychological conditions, substance abuse, and family stresses on the natural history of illness and injury (altered).
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T01. 1d- Establish and apply protocols for the implementation of appropriate therapeutic plans.
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T01. 1e- Track progress against prognostic indicators.
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T01. 1f- Identify and manage delayed recovery.
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T01. 1g- Communicate recommendations for temporary (transitional work) or permanent accommodations for disabled workers.
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T01. 1h- Prescribe preventive maintenance plans for recovered employees and track compliance.
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SUB-TOPIC T01. 2- Design protocols to evaluate employees for conditions creating an undue risk to self or others in the workplace, in compliance with the Americans with Disabilities Act (ADA).
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T01. 2a- Design plant specific programs for pre-placement and return-to-work evaluations.
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T01. 2b- Explain and make clinical decisions as well as placement/accommodation recommendations relating to the concept of "direct threat" as defined under the ADA.
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SUB-TOPIC T01. 3- In compliance with regulations, including the ADA, conduct clinical evaluations to assess level of impairment and fitness for duty
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T01. 3a- Translate impairment assessments into safe work functional capacity statements for the use of employers in placing employees in jobs.
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T01. 3b- Express impairment in terms required by relevant legal or benefit systems.
- Disability Guidelines - Calif. Industrial Medical Council
T01. 3c- Perform Department of Transportation (DOT) examinations.
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T01. 3e- Perform fitness for duty examinations and baseline clinical assessments for workers who perform heavy exertional work or work that stresses the musculoskeletal system.
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T01. 3f- Perform fitness for duty examinations and baseline clinical assessments for workers potentially exposed to chemicals on the job.
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T01. 3g- Perform fitness for duty examinations and baseline clinical assessments for hazardous waste workers.
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T01. 3h- Perform fitness for duty examinations and baseline clinical assessments for pregnant workers.
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T01. 3I- Perform fitness for duty examinations and baseline clinical assessments for persons with disabilities or medical conditions which may require special accommodations.
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T01. 3j- Perform fitness for duty evaluations for employees who have recently undergone surgery, been hospitalized, or otherwise have recovered or are recovering from a significant medical condition.
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T01. 3l- Establish physical and psychological fitness for travel, and recommend accommodations as indicated.
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T01. 3m- Perform fitness for duty examinations for employees working in any other environment or capacity.
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T01. 3o- Assess impairment ratings in accordance with the American Medical Association (AMA) Guides to the Evaluation of Permanent Impairment.
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T02. Public Health and Surveillance
Public Health and Surveillance - The OEM physician has the knowledge and skills to recognize and address conditions of public health importance with an emphasis on prevention, as well as to monitor populations for indicators of occupational/envir
- CDC - Public Health Achievements in the 20th Century
- Hardin MD Public Health & Preventive Medicine
- Public Health Foundation Links to Public Health Related Sites
- UC Berkeley. Public Health Library. Public Health Resources on the Internet
SUB-TOPIC T02. 1- Develop, implement, evaluate, and refine screening programs for groups to identify risks for disease or injury and opportunities to promote wellness.
- Screening
- Screening and Disease Prevention
T02. 1a- Characterize the population to identify target exposures, risk factors, and/or conditions of concern.
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T02. 1b- Assess the utility of screening tools.
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T02. 1c- Assess the screening programs using standard criteria.
- The Canadian Handbook on Health Impact Assessment
T02. 1d- Assess resources.
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T02. 1e- Create structures (clinic staffing, etc)
- Public Health in America
- Public Health Infrastructure
T02. 1f- Report results.
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T02. 2a- Review proactive systems of care that effectively reach all members of a population, including those at high risk and those who do not normally seek care (altered)
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SUB-TOPIC T02. 3- Design and conduct surveillance programs in workplace and/or community settings.
- Health Surveillance
- Medical Surveillance and the Biosafety Program - References
- Medical Surveillance in Work-Site Safety and Health Programs - May 1, 2000 - American Academy of Fam
- Medical Surveillance Program - Testing-Regulations
- NIOSH Surveillance Systems
- Occupational Medical Surveillance Manual, May 1998 - DoD 6055.5-M
- OSHA Medical Screening-Surveillance
T02. 3a- Develop and implement medical surveillance programs in the workplace and/or in communities exposed to environmental contamination.
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T02. 3b- Utilize biomarkers to identify exposure, within limitations of the methodology, and interpret results in both clinical and public health contexts.
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T02. 3c- Intervene in response to positive findings when indicated, in order to measurably improve health outcomes.
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T02. 3d- Evaluate the effectiveness of surveillance and screening programs.
- IWH Publications - Evaluating the effectiveness of strategies for preventing work injuries
T02. 4a- Recognize and investigate potential sentinel events
- Sentinel Events, Root Cause Analysis and Peer Review in Healthcare FAQs
- The Epidemiology of Human-Animal Interactions Part III Animals as Sentinels of Environmental Hazards
T02. 5a- Apply validated epidemiologic and biostatistical principles and techniques to analyze injury/illness data in a defined worker and community populations
- Commonly Used Statistical Tests
- Data Collection and Sampling
- Descriptive Statistics
- Pitt Lectures on Epidemiology
- Rates, Ratios, and Proportions
- Standardization of Rates
- Surveys Sample Size revised
T02. 6a- Design and/or conduct an outbreak and/or cluster investigation
- Disease Clusters in Occupational and Environmental Health
SUB-TOPIC T02. 7- Apply individual or community-based interventions to prevent or mitigate exposure and/or resultant health effects.
- 1998 Accident Facts
- Dangerous Jobs
T02. 7a- Characterize the population to identify target conditions or exposures.
-
T02. 7b- Prioritize areas for prevention and mitigation.
-
T02. 7c- Identify efficient and effective interventions.
- Framework for Program Evaluation in Public Health
T02. 7d- Develop a strategy or plan for intervention.
-
T02. 7e- Implement the interventions.
-
T02. 7f- Evaluate the effectiveness of prescribed interventions.
-
T02. 8a- Review and report on a medical response plan for mass casualty events in industry or in the general environment (altered).
- Terrorism - Nuclear, Bacterial, Chemical
T03. Hazard Recognition, Evaluation and Control
Hazard Recognition, Evaluation, and Control - The OEM physician has the knowledge and skills to: (1) recognize and evaluate, or assist in evaluating, potentially hazardous workplace and environmental conditions; (2) recommend or implement control
- Army Industrial Hygiene Homepage
- Hazard and Risk
- Haz-Map Bibliography and Web Links
SUB-TOPIC T03. 1- Characterize existing and potential occupational and environmental hazards within a defined population.
- AOEC Exposure Codes
- Dictionary of Occupational Titles (DOT)
- Standard Industrial Classification (SIC) Codes
- Standard Occupational Classification (SOC) Codes
T03. 1a- Perform a workplace walk-through assessment of occupational health and safety concerns.
- Guidelines for Confined Entry Work
- Identifying Plant Hazards Checklist - Australia
- Office Hazard Identification - Australia
T03. 1b- Perform an environmental site visit.
-
T03. 2a- Evaluate and interpret the results of industrial hygiene surveys
- Air Sampling - by Chemical
T03. 3a- Evaluate the health effects of toxic chemical exposures, including mixtures
-
T03. 4a- Interpret and apply Occupational Safety and Health Administration (OSHA) permissible exposure limits (PELs), the American Conference of Governmental Industrial Hygienists (ACGIH) threshold limit values (TLVs) and biologic exposure indices (BEIs), Envi
- NIOSH- Online NIOSH Pocket Guide to Chemical Hazards-chemical name and synonym index
T03. 5a- Apply ergonomic principles to optimize comfort and reduce risk at work, including evaluation and redesign of hazardous lifting jobs, repetitive motion work, and jobs with special visual demands
- ERGONOMICS - A BASIC OVERVIEW
- Ergonomics Program - LLNL
- NIOSH Elements of Ergonomics Programs - Workplace evaluations
- The RSI Network
- Typing Injury FAQ Home Page
SUB-TOPIC T03. 6- Recognize and reduce exposures to certain physical hazards.
- Cold Injury
- Electrical Injuries from Emergency Medicine - Environmental
- Extreme Cold
- Extreme Heat
- Frostbite from Emergency Medicine - Environmental
- Heat Exhaustion and Heat Stroke from Emergency Medicine - Environmental
T03. 7a- Explain health-related information on a material safety data sheet (MSDS) to workers and patients
- Vermont SIRI MSDS Collection
T03. 8a- Advise patients regarding industrial hygiene controls, such as work practices, respirator use, and engineering controls
- ASHRAE Research &
- Control of risks to health from work
- Industrial Hygiene Controls - Controlling Chemical exposures
- Personal Protective Equipment - OSHA
T03. 9a- Recommend and implement policies and control measures to reduce or mitigate safety and health hazards
- Employee Safety Instructional Manual - Cincinnati
- ES&H Manual - Lawrence Livermore
- Occupational Health and Safety Manual - BC teachers
- OCCUPATIONAL SAFETY AND HEALTH POLICY - Bechtel-Jacobs
- Preparation of Work Procedures
- Safer Workplace recommendations
SUB-TOPIC T03. 10- Design and manage a hearing conservation program for workers exposed to loud noise.
- Effective Hearing Conservation Programs - NIOSH
- Hearing Conservation Program
- NIOSH- Rec. Standard--Occupational Noise Exposure, 1998
- OCCUPATIONAL NOISE EXPOSURE STANDARDS
- Occupational noise exposure. - OSHA 1910.95
- OSHA - Hearing Conservation
T03. 10a- Advise employees and employers regarding the use of hearing protection.
-
T03. 10b- Design programs to comply with the OSHA noise standard.
- Text of the OSHA Noise Exposure Standard
T03. 11a- Recommend appropriate environmental monitoring studies
-
T03. 12a- Describe the key elements of a good respirator program
- NIOSH Respirator Use Policy Statement
- OSHA Respirator Questionnaire
- Respiratory Protection Program - NJ
T03. 13a- Assist employees and employers with the management of the effects of shift work, jet lag, and other chronobiological stressors
-
T03. 14a- Identify and minimize exposure to ionizing radiation (eg, radon, x-ray, radioisotopes).
- 10 CFR 835 - Occupational Radiation Protection DOE
- 19941221 - Gaseous Diffusion Plants.
- CalTOX, A Multimedia Total Exposure Model For Hazardous Waste Sites (Version 2.3) (on diskette)
- DOE Openness - Search
- EPA Radfacts
- Exposure to Radiation in an Emergency - LLNL
- Fernald Site IntraNet
- Guidance for Radiation Accident Management
- Health Effects of Exposure to Radon BEIR VI - Executive Summary
- Hospital Emergency Care of the Radiation Accident Patient
- Iodine-131 from Nevada Nuclear-Bomb Tests (1999)
- Ionizing radiation. - 1910.1096 OSHA
- Military radiation exposure
- NIOSH-Health Care Workers Guidelines-Ionizing Radiation
- Nuclear Criticality - LLNL
- Radiation Protection - LLNL
- Radiation Protection Implementation Guides -DOE
- RADIOLOGIC CASUALTIES - CHERNOBYL
- Radiological Emergencies
- The DOE Worker Health and Safety Web Site
- Thorium - ATSDR - Public Health Statements
- Thorium RPD Vol 97 No 2 (2001)
T03. 14b- Identify and minimize exposure to non-ionizing radiation (eg, ultraviolet, infrared, microwave, radiofrequency, electromagnetic).
- LASER HAZARDS - Ocular
- Lasers - Lawrence Livermore
- Nonionizing Radiation and Fields (les than 300 GHz) - LLNL
T03. 14c- Appropriately engage the services of a radiation protection officer and health physicist.
-
T03. 14d- Prevent, diagnose, and manage health effects associated with high-altitude living and working.
- Altitude Illness - Cerebral Syndromes from Emergency Medicine - Environmental
- Altitude Illness - Pulmonary Syndromes from Emergency Medicine - Environmental
T03. 14e- Explain the hazards of barotrauma and decompression sickness.
- Barotrauma from Emergency Medicine - Environmental
- Decompression Sickness from Emergency Medicine - Environmental
- Dysbarism from Emergency Medicine - Environmental
T04. Clinical - General
Clinical—General - The OEM physician has the clinical knowledge and skills to provide high quality, cost-effective medical care in diagnosing and treating occupational and environmental injuries and illnesses. The physician provides care with an
- Abnormal Liver Function Tests - Solvents
- Liver Function Tests Abnormalities
- Multiple Chemical Sensitivity - ACSH Booklet
- OSHA Search Page
- Physician's role in helping patients return to work
T04. 1a- Obtain brief, as well as comprehensive, patient histories, with an emphasis on occupation and exposure
- Recognizing Occupational Disease-- Taking an Effective Occupational History - September 15,
- Taking an Occupational History
T04. 2a- Perform complete or focused physical examinations as indicated
-
T04. 3a- Select appropriate diagnostic studies in the evaluation of patients
- Lab Tests Online
- Medical Tests - WebMD - Encyclopedia - Adam
T04. 4a- Identify the potential relationship between patient symptoms and occupational/environmental exposures
-
T04. 5a- Diagnose and manage occupational/environmental illnesses and injuries, with the use of consultants in related disciplines when indicated
-
T04. 6a- Identify non-occupational/environmental factors that may contribute to occupational/environmental disease or injury
-
T04. 7a- Refer and follow up or manage patients with serious occupational or environmental injuries and illnesses
-
T04. 8a- Elicit patients’ concerns about exposures and establish a therapeutic alliance incorporating risk communication
-
T04. 9a- Report all findings to affected individuals and pertinent information to organizations and employers as appropriate (considering medical confidentiality issues), advocating for the health and safety of patients and employees (see A1. 4a)
-
T04. 10a- Evaluate and treat medical conditions commonly seen by a general medical practitioner
-
T04. 11a- Apply clinical practice guidelines in one’s practice of medicine
- Evidence-based Practice - AHRQ
- Health Services-Technology Assessment Text (Clinical Guidelines) - NLM
- Medical Treatment Guidelines
- Colorado
- Milliman and Robertson - Pros and Cons - AAOS January 1998
- National Guideline Clearinghouse - Evidence Based
- Return-to-Work - Milliman and Robertson
- Worker's Comp Guidelines - Colorado
- Workers Compensation - Milliman and Robertson Guidelines
SUB-TOPIC T04. 12- General Medicine
-
T04. 12a- Prescribe and evaluate the use of medications effectively in the Practice of Medicine
- Clinical Pharmacology Monograph Service
- Drug search results page
- ePocrates, Inc. ePocrates RxÖ clinical drug database for the Palm
- Martindale's Health Science Guide Pharmacy Center
- Medications in Mental Health
- MEDLINEplus Drug Information
T04. 12b- General Medicine - Online searches for information
- Electronic Resources
- Entrez-PubMed
- Healthworks - Medical Information on the Internet
- Medline Search Form
- MEDLINEplus Health Information from the National Library of Medicine - Home Page
- PubMed
T04. 12c- General Medicine - Links
- Biomedical and Nursing Databases
- Hospitals - USA
- Indiana Physician Guide
- JAMA
- Mayo Clinic Medicine Center - Search By Name
- Medical tests Guide - WebMD - Yale
- The Merck Manual of Medical Information - Home Edition
- THE MERCK MANUAL, Sections
- U.C. Berkeley. Public Health Library. Alternative Medicine Resources
- Virtual Hospital Home Page
- Virtual Naval Hospital
- Virtual Naval Hospital Providers HomePage
- Welcome to Harrisons's Online
T04. 12d- General Medicine - Organizations
- American Academy of Family Physicians
- OSMA Welcome to the OSMA
SUB-TOPIC T04. 13- Occupational and Environmental Medicine - Online resources
-
T04. 13a- OEM - Organizations
- American Board of Preventive Medicine
- American College of Occupational and Environmental Medicine
- Association of Occupational and Environmental Clinics
- Intl Assoc of Fire Fighters
T04. 13b- OEM - Set of Useful Links
- AOEC Educational Resources - Lending Library
- Duke Occ. & Environ. Medicine WWW page
- Index of Occupational-Environmental Health Resources
- NIOSH-OSHA-DOE Health Guidelines - Alphabetical Listing
- Occupational & Environmental Medicine - Teaching Resources
- Occupational and Environmental Medicine Resources - Kelafant
- SAFETY and OEM Discussion list archives
- The Occ-Env-Med-L Archives
- University of Wisconsin EHS Links
T05. Clinical - Cardiology
Clinical—Cardiology - Individuals with underlying cardiac risk factors and disease may encounter special concerns in safety-sensitive jobs, while working around certain chemical agents, and in performing exertional labor. OEM physicians assi
- AED Guidelines
- Cardiology
T05. 1a- Recognize, evaluate, and manage the cardiac effects of chemical asphyxiants such as carbon monoxide, methylene chloride, and cyanide
- Hydrogen Cyanide
- Occupational Exposure to Methylene Chloride
- Toxicity - Cardiac, Carbon Monoxide
T05. 2a- Evaluate a person’s ability to perform exertional work after a major cardiac event such as a myocardial infarction or coronary artery bypass graft surgery
- Exercise Testing GuidelinesAfter Myocardial Infarction
- Guidelines for Assessing and Managing the Perioperative Risk from Coronary Artery Disease Associated
- MI, Discharge Guidelines
- Perioperative Assessment and Management of Risk from Coronary Artery Disease
T05. 3a- Address employment concerns for patients with cardiac conditions such as hypertension, coronary artery disease, heart failure, arrhythmias, etc
- Cardiology Clinical Guidelines - Amer Coll Cardiology
T05. 4a- Perform or arrange for cardiovascular diagnostic tests when indicated to evaluate fitness for duty
-
T05. 5a- Identify abnormal electrocardiograms and refer for follow-up as appropriate
- EKG Interptretation - Virtual Naval Hospital
- Electrocardiogram (ECG, EKG) library
T06. Clinical - Dermatology
Clinical—Dermatology - Occupational dermatoses are one of the leading causes of occupational disease in the United States. Dermatoses also occur as a result of exposure to hazardous compounds in the home environment. OEM physicians can provi
- Atlas of Dermatology
- Burns, Thermal from Emergency Medicine - Environmental
- Dermatology
SUB-TOPIC T06. 1- Differentiate occupational skin disorders by history, examination, and diagnostic evaluation.
-
T06. 1a- Diagnose and determine the cause of allergic contact dermatitis (including urticaria), particularly those caused by common antigens such as latex, epoxy monomer, and nickel.
- Latex Allergy - CDC
- Latex Allergy Links
- Mgmt of Natural Rubber Latex Allergy -NJ
T06. 1b- Diagnose primary irritant-induced dermatoses.
-
T06. 1c- Diagnose actinic skin damage, as well as photosensitization dermatitis, including cases due to exposure to coal tar, psoralens, and polychlorinated biphenyls (PCBs).
-
T06. 1d- Diagnose occupational acne, including chloracne.
-
T06. 1e- Differentiate work-aggravated dermatoses.
-
T06. 1f- Diagnose occupational cutaneous infections (eg, herpetic whitlows).
-
T06. 1g- Identify skin neoplasias, especially as caused by coal tar, ultraviolet radiation, or ionizing radiation.
- Melanoma Information Page
T06. 1h- Diagnose occupational pigmentary disorders, including vitiligo.
-
SUB-TOPIC T06. 2- Manage occupational and environmental skin injuries and dermatoses.
-
T06. 2a- Treat and prevent recurrence of contact dermatitis.
-
T06. 2b- Treat chemical burns, including those caused by caustics, acids, and hydrofluoric acid.
- Burns, Chemical from Emergency Medicine - Environmental
- Hydrofluoric Acid Burns from Emergency Medicine - Environmental
T06. 2c- Manage occupational bullae and calluses.
-
T06. 2d- Manage folliculitis barbae in workers who may be required to shave.
-
T06. 3a- Identify and control occupational/environmental risk factors for the development of skin disorders
-
SUB-TOPIC T06. 4- Use patch tests to evaluate patients with contact dermatitis and other conditions.
-
T06. 4a- Interpret patch test reports obtained from a dermatologist and use as a basis for establishing the etiology and nature of contact dermatitis and other potentially atopic conditions.
-
T07. Clinical - Emergency Medicine and Surgery
Clinical—Emergency Medicine and Surgery - The OEM physician has the knowledge and skill to provide acute medical care for a wide variety of common injuries and illnesses, as well as to stabilize and refer individuals for emergency care.
- Acute MI, Treatment (AHA)
- eMedicine Online Text - Emergency Medicine
- Emergency Management - LLNL
- Emergency Medicine - Table of Contents
- Emergency Medicine Residents Page
- Emergency Response Guidebook
- Managing Hazardous Materials Incidents - Hospital Emergency Departments
- Medical Management Guidelines for Acute Chemical Exposure
- Poisoning - WebMD - Encyclopedia
- Surgeries - WebMD - Encyclopedia
T07. 1a- Establish emergency procedures and protocols for the clinical management of individuals involved in hazardous materials incidents, including substance-specific first-aid and medical management protocols
- Hazardous Material Protocols
T07. 2a- Define the basic procedures associated with disaster planning and the delivery of emergency medical services
-
T07. 3a- Identify medical and surgical emergencies and manage or refer as indicated
-
T07. 4a- Provide acute medical and surgical care in an emergency situation, including the treatment of traumatic injuries and lacerations, referring as indicated.
- ACLS Algorithms
- Single-Rescuer Adult Basic Life Support
- Universal Advanced Life Support Algorithm
T07. 5a- Diagnose and manage the work-related implications of surgical conditions
-
SUB-TOPIC T07. 6- Diagnose and manage injuries associated with physical hazards including:
-
T07. 6a- Heat (eg, heat stress, heat stroke, heat syncope, heat exhaustion, and heat cramps).
-
T07. 6b- Cold (eg, hypothermia, frostbite, chilblains, and immersion foot).
-
T07. 6c- Radiation.
-
T07. 6d- Lasers.
-
T07. 6e- Vibration.
-
T08. Clinical - Hematology / Oncology
Clinical—Hematology/Oncology - Occupational and environmental exposures may have potential to cause adverse hematologic effects or may be carcinogenic. The OEM physician has the knowledge and skills to evaluate, diagnose, and prevent the hem
-
T08. 1a- Interpret hematologic laboratory studies in the context of medical surveillance and post-exposure examinations
-
T08. 2a- Perform clinical evaluations to detect the health effects of exposure to hematologic toxins such as benzene, lead, and arsine
- Arsine
- Benzene and Leukaemia
- Benzene Case Study
T08. 3a- Evaluate patients, clinical data, and exposure data to render opinions regarding causation in cases of suspect occupational or environmental cancer.
- Carcinogens (Cancer-Causing Agents)
- Carcinogens (Cancer-Causing Agents) by Occupation
- Carcinogens (Cancer-Causing Agents) I
- Causation of Cancer Nature vs. Nurture
T09. Clinical - Ear, Nose, and Throat
Clinical—Ear, Nose, and Throat - The OEM physician has the clinical knowledge and skills to identify, evaluate, diagnose, and manage the care of patients with common occupational and environmental otolaryngological conditions.
- audiological tests
- Ear Nose and Throat Patient Information
- Otitis Externa
- Otolaryngology and Facial Plastic Surgery
T09. 1a- Diagnose and manage nasopharyngeal conditions caused or aggravated by occupational and environmental exposure, including allergies, rhinitis, pharyngitis, laryngeal polyps, and granulomata
-
SUB-TOPIC T09. 2- Evaluate and manage a patient with hearing loss or other occupationally related otologic conditions.
- NIOSH - A Practical Guide to Preventing Hearing Loss - 96-110
T09. 2a- Identify, clinically manage, and prevent further injury to individuals with noise-induced hearing loss.
- Noise-Induced Hearing Loss
T09. 2b- Evaluate and manage individuals with external otitis related to, or complicated by, the use of hearing protection.
-
T09. 3a- Perform and interpret an audiogram, identify a standard threshold shift, and implement appropriate treatment and preventive interventions
-
T10. Clinical - Infectious Disease
Clinical—Infectious Disease - Bloodborne, waterborne, and airborne pathogens pose unique challenges for travelers and in occupational and/or environmental settings. Early recognition and preventive action by the OEM physician can minimize th
- CDC Bioterrorism Page
- CDC Division of Healthcare Quality Promotion Home Page
- CDC Guideline for Infection Control in Healthcare Personnel, 1998
- CDC mostly ID Health Topics A to Z
- FDA - Bioterrorism
- Guidelines for Infection Control in Health Care Personnel, 1998
- Infections - Healthcare Worker Restrictions
- Infectious Diseases
- MMWR Immunization of Health-Care Workers 12-97
- US Army Center for Health Promotion and Preventive Medicine
- Varicella Pt. Info - CDC
T10. 1a- Identify, manage, and prevent bloodborne, airborne, waterborne, foodborne, and fomiteborne pathogen exposure and associated illnesses
- Additional Options for Preventive Treatment for Persons Exposed to Inhalational Anthrax
- Anthrax Bioterrorism Virtual Flight Surgeons Aviation Medicine FAA Medical
- Anthrax PreventiveTreatment - Options.PDF
- CDC - Foodborne Illnesses
- CDC - Viral Hepatitis C
- FDA-CFSAN Bad Bug Book Introduction to Foodborne Pathogenic Microorganisms and Natural Toxins
- Hepatitis C Part I. Routine Serologic Testing and Diagnosis - January 1, 1999 - American Academy of
- Hopkins HIV postexposure prophylaxis
- Monitoring and Follow-Up Evaluation for TB Treatment
- PHS Guidelines for Management of Health-Care Worker Exposures to HIV
- Prevention of Bacterial Endocarditis
- Public Health Service Guidelines for the Management of Health-Care Worker Exposures to HIV and Recom
- Recommendations for Prevention and Control of Hepatitis C Virus ...
- Serious Adverse Events Attributed to Nevirapine Regimens for Postexposure Prophylaxis
- Updated U.S. Public Health Service Guidelines for the Management of Occ Exposures to HBV, HIV, etc
T10. 2a- Identify, manage, and prevent diseases of travelers
- Blue Sheet - CDC Travelers' Health
- CDC Travelers' Health
- MCW HealthLink Travel Medicine
- Travel Health Online
- Virtual Hospital Travel Medicine
T10. 3a- Order appropriate immunizations for employees and travelers
- Measles, Mumps, and Rubella -- Vaccine Use and Strategies for ...
- MMR Info sheet
- TB skin testing
T10. 4a- Identify, manage, and prevent infestations and zoonotic conditions
- ZOONOTIC DISEASES
T10. 5a- Identify, manage, and prevent health effects associated with poor sanitation, exposure to human waste, and/or water contaminated by human pathogens
-
T10. 6a- Identify, manage, and prevent building-related infectious diseases
- Fungi in Indoor Environments
- Remediation of Fungi
T10. 7a- Identify, manage, and prevent sexually transmitted infections and diseases
- Sexually Transmitted Diseases Bacterial -Part I-
- Sexually Transmitted Diseases Bacterial -Part II-
- Sexually Transmitted Diseases Viral -Part I-
- Sexually Transmitted Diseases Viral -Part II-
T11. Clinical - Musculoskeletal
Clinical—Musculoskeletal - Musculoskeletal injuries comprise a majority of the acute occupational injuries seen by the OEM physician and cause major productivity, financial, and human losses for employees and employers alike. Thorough unders
- Anatomy & Biomechanics of the Shoulder. Part I.
- Anatomy & Biomechanics of the Shoulder. Part II.
- Chapter-Thoracolumbar Spine Trauma
- COCHRANE BACK GROUP abstracts
- Complete Muscle Tables for the Human Body
- GUIDELINES FOR THE INITIAL EVALUATION OF THE ADULT PATIENT WITH ACUTE MUSCULOSKELETAL SYMPTO
- Low Back Pain Guidleines - ACHPR
- NIOSH-musculoskeletal
- Orthapedic Resource Links
- Orthopedic Surgery
- Physical Medicine and Rehabilitation
- Sports Medicine
- Virtual Naval Hospital_ Aeromedical Reference and Waiver Guide_ Orthopedics
- Wheeless' Textbook of Orthopaedics
T11. 1a- Perform focused and comprehensive musculoskeletal evaluations of the spine and extremities, including the history, physical examination, laboratory studies, and the investigation of occupational risk factors
-
T11. 2a- Select and interpret appropriate diagnostic tests in the evaluation of patients with musculoskeletal conditions involving the spine and extremities, with particular attention to low back conditions
-
SUB-TOPIC T11. 3- Identify, manage, and prevent acute and chronic musculoskeletal disorders and their associated disabilities, and determine when such conditions are work-related.
- Muscle pain - Neurology - Wash Univ
- Orthopedics - 5minconsult
T11. 3a- Diagnose, manage, and prevent spine disorders, including low back pain.
- Low Back Pain
- Management of Low Back Pain at Work - UK
- TOC 14. Acute Low Back Problems in Adults (Clinical Guide)
T11. 3b- Diagnose, manage, and prevent cumulative trauma disorders, with attention to specificity of diagnosis and etiology, and both occupational and non-occupational risk factors.
-
T11. 3c- Diagnose, manage, and prevent joint and extremity injuries and disorders.
-
T11. 4a- Prescribe rehabilitation services and ergonomic interventions for an injured worker
-
T11. 5a- Refer occupational musculoskeletal conditions for appropriate surgical intervention when indicated
-
T11. 6a- Assess and manage post-treatment, including post-operative, return-to-work for musculoskeletal injuries
-
T11. 7a- Identify delayed recovery and manage chronic musculoskeletal pain syndromes
- Choosing a Multidisciplanary Pain Program
- Chronic Pain Research SNCPR Home Page
- Definitions Related to the Use of Opiates for the treatment of Pain
- Diagnostic Criteria - American College of Rheumatology
- Fibromyalgia - Amer Coll of Rheumatology
- Oswestry Pain Questionnaire
T12. Clinical - Neurology
Clinical—Neurology - Occupational and environmental exposures can cause acute and chronic effects on the central and peripheral nervous systems. Both occupational and non-occupational neurologic conditions may also impact an employee’s abili
- CRPS (RSD)
- Neurology
- Neuromuscular Home Page
- Neurosurgery
- Porphyria
- Reflex Sympathetic Dystrophy - NINDS
T12. 1a- Perform focused neurological and mental status examinations in the evaluation of occupational/environmental injuries or illnesses
-
SUB-TOPIC T12. 2- When indicated, select and utilize the results of neurological and mental status examination procedures or consultations in the evaluation of occupational or environmental injuries or illnesses. Such studies may include:
-
T12. 2a- Magnetic resonance imaging.
- MRI PHYSICS A Nuts and Bolts Approach
T12. 2b- Computed tomography.
-
T12. 2c- Central nervous system (CNS) electrodiagnostic studies (eg, electroencephalogram, evoked potentials).
- PET
- SSEP - Neurology
T12. 2d- Peripheral nerve electrophysiologic studies (eg, nerve-conduction studies; electromyography).
- Carpal Tunnel
- Carpal Tunnel Syndrome
- Carpal Tunnel Syndrome at LSU
- Electrodiagnostic Studies in Carpal Tunnel Syndrome
- EMG Guidelines
- EMG Manuals
- Peripheral Neuropathy Lectures
T12. 2e- Neuropsychological batteries.
- Neuropsychological testing Guidelines
T12. 3a- Manage the interface between medical care and the workplace for neurologic conditions such as seizure disorders, cerebrovascular accidents, neuromuscular disorders, and mental impairments
-
T13. Clinical - Ophthamology
Clinical—Ophthalmology - The OEM physician has the clinical and administrative knowledge and skills to: (1) evaluate and treat occupational eye injuries; (2) develop and implement vision screening and protection programs; and (3) use informa
- Ophthalmology
SUB-TOPIC T13. 1- Interpret routine visual screening results in establishing fitness for duty in various occupational settings.
-
T13. 1a- Screen for near, distance, and color vision.
-
T13. 1b- Identify the visual requirements for various occupations (including regulatory requirements), and correlate these requirements with job tasks and job hazards in determining fitness for duty and accommodations.
-
T13. 2a- Identify the need for specialized ophthalmologic services and surveillance (eg, lasers, ethambutol use)
- LASER MANUAL APPENDIX -H Surveillance
SUB-TOPIC T13. 3- Recognize and treat occupational eye diseases and injuries and refer to an ophthalmologist when appropriate.
- Eyelid Disorders Diagnosis and Management - June 1998 - American Academy of Family Physicians
- Ocular injuries
T13. 3a- Diagnose and manage infectious and irritative conjunctivitis.
- Allergic Conjunctivitis and Vernal Keratoconjunctivitis
- Bacterial Conjunctivitis
- eMedicine - Conjunctivitis
T13. 3b- Diagnose and treat ultraviolet photokeratitis.
- Ultraviolet Keratitis - Ophthalmology
T13. 3c- Identify and remove superficial foreign bodies from the eye, with follow-up care as indicated.
- Assessment of Ocular Foreign Bodies
- eMedicine - Corneal Abrasion
- eMedicine - Corneal Ulceration and Ulcerative Keratitis Article by Wesley S Grigsby, MD
- Foreign Body Removal
T13. 3d- Identify and treat ocular chemical exposures and burns (including alkali, acid, and hydrofluoric acid).
- eMedicine - Burns, Ocular
T13. 3e- Use fluorescein stain to evaluate the cornea when indicated.
- Fluorescein and Lid Eversion Procedures
T13. 6a- Assess the workplace for potential hazards to the eye and address issues of eye protection, including the use of safety glasses and contact lenses.
- Protecting Your Eyes From Everyday Hazards
T14. Clinical - Psychology
Clinical—Psychiatry - The OEM physician has the clinical and administrative knowledge and skill to: (1) recognize, evaluate, and assist in the management or triage of workers with psychological or drug-related problems presenting in the work
- Psychiatry
T14. 1a- Take a psychiatric and psychosocial history and perform a mental status examination
-
T14. 2a- Identify the troubled or psychologically impaired employee and manage or refer appropriately to community resources, including employee assistance programs
-
T14. 3a- Identify and interpret danger signs of the violent, homicidal, or suicidal employee, manage the situation, and refer appropriately. Participate in the design of violence prevention and response programs
-
SUB-TOPIC T14. 4- Identify and manage the impact of psychological conditions on ability to work and on the natural history of occupational and environmental illnesses and injuries.
-
T14. 4a- Specify restrictions and accommodations for employees with psychiatric conditions, in compliance with the ADA.
-
T14. 4b- Specify restrictions and accommodations for employees taking psychotropic medications.
-
T14. 4c- Identify and treat or refer individuals with psychopathology aggravating and/or presenting as other medical conditions.
-
T14. 5a- Diagnose and manage workers who may be under the influence of psychoactive chemicals at work (eg, industrial exposure, medications, recreational drugs, alcohol)
- Faq's Page
- MRO - NCADI CSAP Technical Report - 15
- MRO Checklist - Adultered-Substituted-Cancelled
- MRO Checklist - Positive-Cancelled
T14. 7a- Identify and assist in the management of psychological stressors in the workplace
-
T15. Clinical - Pulmonary
Clinical—Pulmonary - With a thorough understanding of the anatomy, physiology, and pathology of the respiratory system, the OEM physician is able to assess the causes and occupational impact of respiratory disorders and pulmonary impairment. The OEM
- American Thoracic Society - About ATS
- Bronchiolitis obliterans organizing pneumonia
- Dyspnea Mechanisms, Assessment, and Management
- Pulmonary
- Smoke Inhalation from Emergency Medicine - Environmental
SUB-TOPIC T15. 1- Prevent, identify, diagnose, treat and/or refer occupational/environmental lung disorders, including:
- IAQ Questionnaire - NIOSH
T15. 1a- Occupational asthma and bronchoreactivity (eg, toluene diisocyanate sensitization, exposure to inhaled allergens, byssinosis, reactive airways dysfunction syndrome [RADS]).
- Asthma Questionnaire - NIOSH
- ATS Questionnaire - NIOSH
T15. 1b- Pneumoconioses (eg, silicosis, coal workers’ pneumoconiosis, asbestosis, hard-metal disease, benign radio-opaque pneumoconiosis, chronic beryllium disease).
- 1996 WoRLD Report --- Asbestosis Mortality
- Asbestos Definitions - DEHS, UMN
- Asbestos Questionnaires; Mandatory - 1910.1001AppD
- Asbestosis
- ATSDR - Public Health Statements Asbestos
- Chronic Beryllium Disease Prevention Program - DOE
- Fernald Beryllium Program
- Idiopathic Pulmonary Fibrosis - Diagnosis and Treatment
- Silicosis
- Virtual Hospital ElectricDiffuseLung The Diagnosis of Diffuse Lung Disease Asbestosis
T15. 1c- Irritant inhalations (eg, acids, alkalis, oxides of nitrogen, phosgene, phosphine).
-
T15. 1d- Chronic obstructive pulmonary disease (COPD).
- COPD - Standards for the Diagnosis and Care of Patients with Chronic Obstructive Pulmonary Disease (
T15. 1e- Hypersensitivity pneumonitis.
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T15. 2a- Develop a differential diagnosis for occupational/environmental lung disorders
- Brochoalveolar Lavage - Clinical Role of
- Bronchiolotis obliterans
- Diffuse infiltrative lung disease
- Pathology of Interstitial Lung Disease
T15. 3a- Manage work restrictions for both occupational and non-occupational lung diseases
- New York City Department of Health - Tuberculosis (TB) Medical Fact Sheet 3c - Identify and Treat
T15. 4a- Perform and interpret a spirogram according to American Thoracic Society standards
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SUB-TOPIC T15. 5- For the work-up of pulmonary conditions, order and interpret the appropriate diagnostic tests, including:
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T15. 5a- Pulmonary function testing.
- ACOEM - Spirometry in the Occupational Setting
- Pulmonary Function Tests Spirometry
T15. 5b- Imaging studies (eg, chest radiographs, magnetic resonance imaging, computed tomography, plain tomography).
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T15. 5c- Peak-flow testing and post-shift spirometry in the assessment of exposure-related bronchoreactivity.
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T15. 5d- Post-bronchodilator pulmonary function testing in the assessment of bronchoreactivity.
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T15. 5e- Methacholine and specific challenge testing in the assessment of exposure-related bronchoreactivity.
- Guidelines for Methacholine and Exercise Challenge Testing
T15. 5f- Exercise disability tests in the assessment of pulmonary impairment.
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T15. 5g- Allergy testing.
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T15. 6a- Interpret x-ray results reported by an International Labor Organization (ILO) B-Reader
- BForm
T15. 8a- Perform respirator certification examinations tailored to the anticipated workplace exposures, to the exertional demands of the job, and to the type of respiratory protection used
- Respiratory Protection Guidelines - ATS
T15. 9a- Design and oversee a medical surveillance program designed specifically to prevent occupational lung disease
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T15. 10a- Review, interpret, and explain the public health and clinical implications of epidemiological studies that address occupational lung hazards
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T16. Clinical - Reproductive Medicine
Clinical—Reproductive Medicine - The OEM physician has the clinical knowledge and skill to advise patients about reproductive risks of occupational and environmental exposures; the effects of exposure and work on fertility, pregnancy, and the fet
- NIOSH-The Effects of Workplace Hazards on Female Reproductive Health
- NIOSH-The Effects of Workplace Hazards on Male Reproductive Health
T16. 1a- Identify potential adverse reproductive outcomes to both men and women from chemical, biological, physical, biomechanical, and psychological exposures and provide advice to employees and employers regarding the management of such exposures
- ACOEM - Position Statements- Reproductive Hazards
T16. 2a- Advise individuals and communities about the reproductive implications of environmental exposure
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T16. 3a- Recommend appropriate accommodations and job placements for pregnant employees
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T16. 4a- Advise on corporate policies and procedures relating to the protection of fertility for both men and women and for the placement of pregnant or lactating workers
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T16. 5a- Identify and utilize up-to-date sources of reproductive toxicology information
- Reprotox, An Online Reproductive Toxicology Resource
T16. 6a- Establish a working relationship with the employee’s treating physician in the management of work-related reproductive concerns
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T17. Clinical - Toxicology
Clinical—Toxicology - Hazardous material exposures occur at work, at home, and in the general environment. Clinical acumen as well as knowledge of hazardous material databases equip the OEM physician to identify, manage, and prevent occupational
- Epidemiologic Side of Toxicology (6th of 10 Lectures on Toxicologic Epidemiology)
- Hazardous Chemicals and Occupational Diseases - Database
- Hepatotoxic Industrial Chemicals
- Human Exposure Assessment I (7th of 10 Lectures on Toxicologic Epidemiology)
- Human Exposure Assessment II (8th of 10 Lectures on Toxicologic Epidemiology)
- Medical
- Methemoglobinemia Primary Industrial Chemicals and Non-Occupational Exposures
- NIOSH-Documentation for Immediately Dangerous To Life or Health Concentrations(IDLHs)-chemical list
- Pesticide Information Profiles
- Search the EMCI Chemical References Web Pages
- Table of Contents California Air toxics - CAS Numbers
- The Medical and Public Health Law Site
- Toxicologic Side of Epidemiology (5th of 10 Lectures on Toxicologic Epidemiology)
- Toxicology and Epidemiology(1st of 10 Lectures on Toxiciologic Epidemiology)
SUB-TOPIC T17. 1- Determine the nature and extent of potential occupational and environmental chemical exposures, considering routes of exposure and routes of absorption.
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T17. 1a- Use appropriate written and computerized databases (eg, MSDSs, Registry of Toxic Effects of Chemical Substances [RTECS]) to identify the hazardous ingredients of chemical agents.
- ATSDR - Minimal Risk Levels for Hazardous Substances (MRLs)
- ATSDR - ToxFAQs (TM) Hazardous Substance Fact Sheets
- HSDB Basic Search
- NCMS Solvents Database
- RTK - Hazardous Substance Fact Sheets
- Search NTP Web Site
- TOXNET Home
- U.S. EPA Integrated Risk Information System (IRIS)
T17. 1b- Identify the physical characteristics of hazardous agents (eg, liquid/gas/vapor/particulate).
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T17. 1c- Estimate the likely degree of absorption based upon circumstances of exposure, considering factors such as the nature of the substance, the route of exposure, concomitant exposures, and characteristics of the patient (eg, age, susceptibility fact
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SUB-TOPIC T17. 2- Detect, insofar as possible, pre-clinical or clinical effects arising from chemical exposure and implement appropriate preventive measures.
- Information on Hazardous Chemicals by Class
- NIOSH - Health Effects of Occupational Exposure to Asphalt
T17. 2a- Identify, obtain, and evaluate biomarkers or other tests to assess exposure and/or health effects, including biological monitoring techniques that assay the substance, its metabolites, or other indices.
- Biological Monitoring in Occupational Settings
- Biomonitoring - overview
T17. 2b- Identify clinical or biochemical evidence of target organ damage when an exposure hazard is recognized.
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SUB-TOPIC T17. 3- Evaluate, treat, and/or properly refer persons whose health may be affected by acute or chronic contact with occupational and environmental chemicals.
- Guidelines for Acute Chemical Exposure
T17. 3b- Identify the likely toxic exposure on the basis of clinical signs and symptoms.
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T17. 3c- Identify chronic health effects (eg, hepatotoxicity, asthma, central and peripheral nervous system toxicity, interstitial fibrosis) resulting from toxic exposure and obtain necessary confirmatory testing.
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T17. 3d- Manage medical care and secondary preventive measures for individuals chronically affected by toxic exposure.
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SUB-TOPIC T17. 4- Assess clinical, worksite, and environmental data, along with literature reviews in the performance of patient evaluations.
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T17. 4a- Obtain detailed exposure information including exposure histories, MSDSs, industrial hygiene reports, and other data.
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T17. 4b- Evaluate the severity of exposure to hazardous agents, considering dose/response relationships
- Dose-Response Relationships In Toxicology
T17. 4c- Interpret exposure data in the context of the scientific literature (human and animal) and the patient’s presentation.
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T17. 5a- Understand, explain, and be able to apply toxicokinetic data (including absorption, metabolism, storage, and excretion) to clinical and employment-related decision-making
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T17. 6a- Determine if a person has a health condition that increases risk from the effects of exposure to chemical, physical, or biological agents
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T17. 7a- Distinguish health effects of exposure to chemicals from other etiologies
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T17. 8a- Manage an effective therapeutic alliance with the patient whose health is affected by toxic exposure or who fears that his or her health may beaffected by toxic exposure
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