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American Occupational Health Conference (AOHC® 2010) 

Pre-Conference Courses | Sunday Sessions | Monday Sessions | Tuesday Sessions | Wednesday Sessions 

MONDAY SESSIONS – MAY 3

Conference Session / Activity

Time

Credit Hours

7200: Metrics to Manage By 

7:00 am - 8:15 am

1.0 CME / ABPM

7201: ACOEM's Maintenance of Certification Part IV Program: What Re-certifying ABPM Diplomates Need to Know 

7:00 am - 8:15 am

1.0 CME / 0 ABPM

7202: Practical Steps to Establish On-site Employee Clinics and Managing Data to Demonstrate a Positive ROI 

7:00 am - 8:15 am

1.0 CME / ABPM

7207: Computer Users: Update on Preventing Vision and Musculoskeletal Symptoms 

7:00 am – 8:15 am

1.0 CME / ABPM

2200: Legal Implications Associated with Corporate Medical Department Responses to Pandemics, Including H1N1  8:30 am – 10:00 am

1.5 CME / ABPM

2201: Emerging and Contemporary Issues in Military OEM 

8:30 am – 10:00 am

1.5 CME / ABPM

2202: Update and Case Studies in Commercial Driver Medical Fitness  8:30 am – 12:00 pm

3.0 CME / ABPM

2203: Protection of Healthcare Workers from Novel H1N1 Influenza: Public Health Guidance and the Debate Over Airborne Viral Transmission 

8:30 am – 12:00 pm

3.0 CME / ABPM

2204: Current Research in OEM & Resident Research Session   8:30 am – 12:00 pm

3.0 CME / ABPM

2205: Electronic Medical Records in Occupational Medicine Practice: A State-of-the-Art Review 

10:30 am – 12:00 pm

1.5 CME / ABPM

2206: Strategic Use of Occupational Medicine Reviews in Federal Workers' Compensation Cases  10:30 am – 12:00 pm

1.5 CME / ABPM

7203: Operationalizing Health and Productivity in Management: The Value of Integrated Data Management 

12:00 pm – 1:15 pm

1.0 CME / ABPM

7204: Leave and Reasonable Accommodation Claims in Federal Civil Service Workers: Perspective and Data Analysis from Federal Occupational Health 

12:00 pm – 1:15 pm

1.0 CME / ABPM

7205: The Independent Medical Examination  12:00 pm – 1:15 pm

1.0CME / ABPM

7206: Update on Vision Issues in the Workplace 

12:00 pm – 1:15 pm

1.0 CME / ABPM

8100: Lights, Camera, Action - Explore Digital Media 

1:00 pm – 5:00 pm

3.0 CME / ABPM

8101: SeaWorld 

1:00 pm – 5:00 pm

3.0 CME / ABPM

2207: Occupational Health Services: Organization and Competencies 

1:30 pm – 3:00 pm

1.5 CME / ABPM

2208: Inside the Mysterious Realm of Utilization Review 

1:30 pm – 3:00 pm

1.5 CME / ABPM

2209: Individual Scientific Abstract Oral Presentation 

1:30 pm – 3:00 pm

1.5 CME / ABPM

2210: MRO Controversies 

1:30 pm – 5:00 pm

3.0 CME / ABPM

2211: Respirators and FIT Testing: Current and Future Approaches 

1:30 pm – 5:00 pm

3.0 CME / ABPM

2212: Heavy Metals…Not Your Typical Metallica!  3:30 pm – 5:00 pm 1.5 CME / ABPM
2213: Integrating Environment, Social and Health Impact Assessments  3:30 pm – 5:00 pm 1.5 CME / ABPM
2214: Individual Scientific Abstract Oral Presentation  3:30 pm – 5:00 pm 1.5 CME / ABPM

 

Meal Session 7200
Metrics to Manage By
Track: Management and Administration in OEM

Moderator/Faculty:
Richard A. Covert, MD, MPH*, SSM WorkHEALTH, Hazelwood, MO

Occupational health clinics, like all medical clinics, need to perform a self analysis to assess their performance. With the advent of electronic medical records, it is easier than ever to mine the data from computer systems. However, the data extracted may or may not be useful in helping clinics to achieve their strategic goals. The session will identify the “metrics” or key performance indicators (KPIs) that may be of use for such analysis and a framework for using them.  Further, it is important for clinics to compare their outcomes to local, regional, and nationally recognized benchmarks. Current healthcare benchmarks are often of little value to managing “occupational health” clinics, based on their skewed population and the nature of services that are provided. A full time OH clinic is a different kind of animal compared to an urgent care or primary care clinic. Looking at similar data points from each does not represent a fair comparison. This session will discuss the pitfalls of using standard benchmarks vs. those that are based on an OH population.  Finally, discussion will include consideration of key data points that demonstrate the added value that an OH clinic brings to a health care system, above and beyond its revenue from day-to-day operations. Additional fee required. Seating is limited: Pre-registration is required.

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Meal Session 7201
ACOEM's Maintenance of Certification Part IV Program: What Re-certifying ABPM Diplomates Need to Know
Track: OEM Clinical Practice

Moderator/Faculty:
Denece O. Kesler, MD, MPH, FACOEM*, University of New Mexico, Albuquerque, NM

As directed by the American Board of Medical Specialties, diplomates in all specialties must complete a Maintenance of Certification (MOC) process for recertification. At the request of the American Board of Preventive Medicine (ABPM), ACOEM administers a practical and relevant program for diplomates to satisfy this requirement. ABPM diplomates whose certificates expire in 2011 and beyond are required to complete Part IV of the MOC process. Part IV of the MOC requires completion of a self-evaluation of the diplomate’s medical practice and implementation of an improvement plan. This session will introduce ACOEM’s program. Additional fee required. Seating is limited: Pre-registration required.

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Meal Session 7202
Practical Steps to Establish On-site Employee Clinics and Managing Data to Demonstrate a Positive ROI
Track: Management and Administration in OEM

Moderator/Faculty: 
Craig D. Thorne, MD, MPH, FACP, FACOEM*, Erickson Retirement Communities, Catonsville, MD 

Faculty: 
Sheri Nidiffer, RN, MSN/MBA, ANP, FNP, DNP, Erickson Retirement Communities/Greenspring, Springfield, MD 

In this session, individuals will learn how to obtain employee input and ongoing management support for on-site employee health clinics; understand the latest research results that demonstrate the most cost-effective occupational and personal health services that also cover health care gaps; understand practical steps in establishing integrated employee health services, including work related care and personal health care; apply tools to monitor utilization and financial outcomes; learn how to calculate and present hard dollar return on investment (ROI) figures to demonstrate how on-site employee health clinics directly combat rising healthcare costs.  The target audience for this session would be medical providers, clinic administrators, and HR professionals.  Additional fee required.  Seating is limited: Pre-registration is required.

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Meal Session 7207
Computer Users: Update on Preventing Vision and Musculoskeletal Symptoms

Track: OEM Clinical Practice

Moderator:
David Rempel, MD, MPH, FACOEM*, University of California San Francisco, Richmond, CA

Faculty:
James Sheedy, OD, PhD, Pacific University College of Optometry, Forest Grove, OR

Recent randomized controlled trials (RCTs) of computer users and laboratory studies provide new insights on factors related to visual and musculoskeletal symptoms and their prevention.  This presentation will discuss the role of lighting, glare, font type, font size, new types of progressive addition lenses, and computer monitor placement on reading productivity, visual symptoms, head ache, and neck pain.  The location of multiple (2-6) monitors on head and torso posture will also be reviewed with recommendations for minimizing neck muscle loads.  Findings from a systematic review of RCT studies among computer users will be reviewed to summarize the effects of exercise, ergonomics training, workstation changes, work breaks, alternative keyboards and mice on upper body pain.  Practical information will be provided on effective approaches to preventing or reducing upper body pain and vision discomfort among computer users.  Additional fee required.  Seating is limited: Pre-registration is required.

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Session 2200
Legal Implications Associated with Corporate Medical Department Responses to Pandemics, Including H1N1

Track: Regulary, Legal, Military, and Governmental OEM Practice; Management and Administration in OEM

Moderator/Faculty: 
Robert M. Wolin, JD, Baker Hostetler, Houston, TX

A number of corporate medical departments are beginning to face a significant number of medico-legal issues relating to how they respond to pandemic threats such as the H1N1 virus/bird flu and bioterrorism (e.g. anthrax).  This presentation will include the discussion of possible solutions such as distribution agreements with national pharmacy providers, contracts with local health care providers and pharmaceutical supplier distribution and inventory agreements.  Additional issues are presented when corporate medical departments attempt to import or export medications for employees outside of the United States. 

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Session 2201
Emerging and Contemporary Issues in Military OEM

Track: Regulary, Legal, Military, and Governmental OEM Practice

Moderator/Faculty: 
Timothy M. Mallon, MD, MPH, FACOEM*, Uniformed Services University, Bethesda, MD

Faculty:
Coleen B. Weese, MD, MPH, FACOEM*, United States Army Public Health Command, Provisional, Bel Air, MD

The US Department of Defense executes cutting edge occupational and environmental medicine (OEM) programs that span the full spectrum of OEM practice.  For many years, the US military has supported training the largest number of OEM residency trained physicians who are the future of ACOEM. This session will cover the unique practice of OEM in federal and military settings and the DOD Civilians that go to war-OSHA needs on the battle field; supratentorial preventive and  occupational medicine-building "resilience" for PTSD/TBI; OEM mentoring of Afghan national army's physician providers-progress and problems; global public health surveillance efforts in emerging infectious diseases.  This session is sponsored by the Federal and Military Occupational and Environmental Medicine Special Interest Section.

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Session 2202
Update and Case Studies in Commercial Driver Medical Fitness
Track: OEM Clinical Practice

Moderator/Faculty: 
Natalie P. Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Maple Glen, PA

Faculty:
Kurt T. Hegmann, MD, MPH, FACOEM*, University of Utah RMCOEH, Salt Lake City, UT

The commercial driver medical certification process is in the middle of significant changes. This session will review recent and pending changes in regulations and guidance and would be geared towards anyone involved with commercial driver medical issues. Complex cases submitted by course registrants prior to session will be discussed by speakers and audience. Course participants are encouraged to submit cases at least 4 weeks prior to AOHC to occumedix@comcast.net.  This session is sponsored by the Transportation Special Interest Section.

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Session 2203
Protection of Healthcare Workers from Novel H1N1 Influenza: Public Health Guidance and the Debate Over Airborne Viral Transmission

Track: OEM Clinical Practice; Environmental Health and Risk Management

Moderator:
Mark Russi, MD, MPH, FACOEM*, Yale - New Haven Hospital, New Haven, CT

Faculty: 
Michael L. Bell, MD, MPH, U.S. Centers for Disease Control and Prevention
Michael J. Hodgson, MD, MPH*, Veterans Health Administration, Washington, DC
Lewis J. Radonovich, MD, Veterans Health Administration, Gainesville, FL

The novel H1N1 pandemic refreshed an ongoing debate regarding whether influenza viruses are transmitted via the airborne route.  While most studies have demonstrated larger respiratory droplets to be the principal mode of person-to-person spread, some studies suggest otherwise.  How the matter is resolved and what public health guidance will follow may impact substantially both resource allocation and health care worker safety during a pandemic response. In this session we will explore the epidemiology of influenza transmission with specific attention to novel H1N1 virus.  The scientific basis of airborne particle transmission and small particle viral viability will also be discussed, as will scientific issues requiring further research.  Finally, the process of public health decision-making pertaining to novel H1N1 from the onset of the epidemic will be reviewed, with specific attention to how CDC and WHO guidance unfolded, what lessons can be learned in retrospect, and what can be anticipated in the future.  This session is sponsored by the Medical Center Occupational Health Special Interest Section.

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Session 2204
Current Research in OEM & Resident Research Session
Track: OEM Education and Scientific Research

Moderator:
John D. Meyer, MD, MPH, FACOEM*, University of Connecticut Health Center, Farmington, CT

This program will provide investigators in occupational and environmental health with a forum for presentation of current and cutting-edge research in OEM.  Presentations will be made both by established researchers and by residents in OEM training.  This half-day program will allow standard research presentations of submitted abstracts and late-breaking research, discussion of current resident research, and invited presentations by established investigators; all with the objective of providing a symposium and an in-depth exploration of selected current topics in occupational and environmental health research.  Panel discussion and audience questions and comments will be solicited and discussion encouraged.  Residents submitting the winning abstracts for the yearly AOHC research travel stipend will be recognized.  This session is sponsored by the ACOEM Academic and Residents & Recent Graduates Sections.

Eric D. Amster, Harvard, Boston, MA, Low-level Arsenic Exposure and Obstructive Pulmonary Disease in US Population” (Abstract 808447)
Diane Ballerino-Regan, MD, MPH, MS, Duke University, Supply, NC, “Pre-term Delivery of Tijuana’s Working Women – Associated Risk Factors: A Case-controlled study” (Abstract 804563)
Alberto J. Caban-Martinez, MPH, CPH*, University of Miami, Miller School of Medicine, Coral Gables, FL,Workplace Health Assessment and Prevention among Hispanic Construction Workers” (Abstract 807148)
Scott Cherry, Uniformed Services University, Bethesda, MD, “Investigating the Relationship of Age, Duration of Claims, and Costs: An Analysis of Federal Department of Defense Workers’ Compensation Data 2000-2007” (Abstract 808736)
Gerardo D. Durand, Harvard School of Public Health, Boston, MA, “Physical Activity Measures in Firefighters and their Relationship to Cardio-Respiratory Fitness and Cardiovascular Risk” (Abstract 809237)
Rachel C. Fisher, MD, MSPH, University of Washington, Seattle, WA, “Shift Work’s Association with Endometrial and Ovarian Cancer among Women Textile Workers in Shanghai, China”(Abstract 805093)
Nita Kohli, University of California, Los Angeles, Los Angeles, CA, “Occupational Skin Disease: A Review of Workers’ Compensation Claims from Southern California Occupational Health Clinics in a Health Maintenance Organization Setting” (Abstract 794820)
Erika Schwilk, University of California, San Francisco, San Francisco, CA, “Formaldehyde and Myeloid Leukemia in High Exposure Groups” (Abstract 807975)

 

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Session 2205
Electronic Medical Records in Occupational Medicine Practice: A State-of-the-Art Review

Track: OEM Clinical Practice

Moderator:
Kirk T. Harmon, MD, FACOEM*, Multicare Health System, Fife, WA

Faculty:
Steven C. Schumann, MD*, Doctors on Duty, Salinas, CA
Elpidoforos S. Soteriades, MD, SM, ScD*, Bank of Cyprus Oncology Center, Nicosia, Cyprus

The presenters will review the current landscape with respect to electronic medical records (EMR) and other information technology software programs as well as their use in clinical occupational medicine. They will also discuss the future developments in this emerging field. In addition, they will provide an up-to-date review on the research output published around the world on EMR and other information technology applications in medicine. Finally, they will present and discuss the results of a national survey among US occupational physicians on the use of EMR, potential barriers for its use and the physicians’ expectations on future developments in the area. The target audience includes occupational medicine physicians and other health care professionals who are involved in both the clinical practice of- and academic research performed in occupational medicine.

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Session 2206
Strategic Use of Occupational Medicine Reviews in Federal Workers' Compensation Cases
Track: Regulary, Legal, Military, and Governmental OEM Practice

Moderator/Faculty: 
Marianne Cloeren, MD, MPH, FACOEM*, Managed Care Advisors, Inc, Bethesda, MD

The federal workers' compensation system permits claimants free choice in selecting treating providers.  This, when combined with very limited medical case management by most federal agencies, can result in poor outcomes if employees select physicians with little experience or interest in injury care and disability prevention.  Use of occupational medicine case reviews can be used by federal agencies to provide additional clinical perspective for Department of Labor claims examiner consideration and support agency requests for actions by the Department of Labor, such as second opinion exams or claim closure.  Such reviews can also form the basis for physician to treating physician correspondence, which can be invaluable in steering cases back on track toward recovery and return to work.  This session will describe the effective use of such reviews in a national contract case management program supporting several federal agencies, with examples of reviews and correspondence and the outcomes.  This is a little used approach, even by federal agencies with internal occupational medicine resources, with great potential impact.  The target audience for this session would be workers' compensation and disability managers, occupational medicine consultants, federal, military and government sector.  This session is sponsored by the Federal and Military Occupational & Environmental Medicine Special Interest Section.

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Meal Session 7203
Operationalizing Health and Productivity in Management: The Value of Integrated Data Management

Track: Management and Administration in OEM

Moderator/Faculty:
Bruce W. Sherman, MD, FCCP, FACOEM*, Goodyear Tire & Rubber Co, Akron, OH

Faculty: 
Dennis D. Isernhagen, PT, DSI Work Solutions, Duluth, MN

As part of employer health and productivity management strategies, considerable attention has been focused on programs and processes to improve disability management and return to work.  While these interventions can help return injured workers to work in a more medically appropriate manner, a limiting factor has been the management of data to facilitate efficient workforce disability and return to work.  This session will present a series of perspectives related to disability management and the return-to-work process, demonstrating the value of integration of these program components on a single data management platform. Initial experience with a novel employer productivity management strategy will be presented from the perspective of fitness for duty evaluation and job matching with work restrictions, ongoing monitoring of functional capabilities to support advancement of work restrictions, and operational efficiency resulting from the use of a single, integrated software platform.  Additional fee required.  Seating is limited: Pre-registration is required.

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Meal Session 7204
Leave and Reasonable Accommodation Claims in Federal Civil Service Workers: Perspective and Data Analysis from Federal Occupational Health

Track: Regulary, Legal, Military, and Governmental OEM Practice

Moderator/Faculty: 
Jaspal Ahluwalia, MD, MPH*, Uniformed Services University, Bethesda, MD

Faculty:
Sylvie I. Cohen, MD, MPH, FACOEM*, Federal Occupational Health, Bethesda, MD

Federal Occupational Health (FOH), a division of the Department of Health and Human Services, serves as a medical advisor to many federal agencies in issues relating to the Family and Medical Leave Act (FMLA) and reasonable accommodations under the Americans with Disabilities Act (ADA).  This session will review the analysis of nearly 16,000 cases representing four years of leave and accommodation claims that were abstracted and analyzed to uncover patterns of usage by demographics of workers, agency type, agency location, claim type, and diagnosis.  The nature and importance of recent legislative changes to the FMLA and ADA and how they have impacted FOH’s evaluation of leave and reasonable accommodation claims will be discussed.  The target audience for this session is physicians at federal agencies and all OEM physicians.  This session is sponsored by the Federal and Military Occupational & Environmental Medicine Special Interest Section. Additional fee required.  Seating is limited: Pre-registration is required.

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Meal Session 7205
The Independent Medical Examination

Track: OEM Clinical Practice

Moderator/Faculty: 
Douglas W. Martin, MD, FAAFP, FAADEP, FACOEM*, St Luke's Center for Occupational Health Excellence, Sioux City, IA

This meal session will discuss the fundamentals of the independent medical examination (IME).  A review of the current medico-legal landscape will be presented, with attention to the skills that an occupational medicine physician can bring to this process.  The components of a basic IME will be reviewed, and semantics of this unique medical service will be discussed.  This session will be of interest to occupational medicine physicians who desire additional information on the start-up, continuation, or expansion of IME services as part of their practice.  Additional fee required.  Seating is limited: Pre-registration is required.

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Meal Session 7206
Update on Vision Issues in the Workplace

Track: OEM Clinical Practice

Moderator:
David Rempel, MD, MPH, FACOEM*, University of California San Francisco, Richmond, CA

Faculty:
James Sheedy, OD, PhD, Pacific University College of Optometry, Forest Grove, OR

This session will review measurement of basic visual skills and how they are related to performance of specific tasks in the workplace and will include visual acuity, stereo-acuity, visual fields, and color vision.  Also covered will be the primary sources of vision problems in the workplace and how they can be managed, such as new types of vision correction, correction of presbyopia, progressive addition and occupational lenses, dry eye problems, design and placement of computer displays, lighting in office and manufacturing, and use of handheld displays. Worksite and referral management issues are presented.  Additional fee required.  Seating is limited: Pre-registration is required.

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Work-site Visit Session 8100
Lights, Camera, Action - Explore Digital Media

Orlando is a global digital media leader. This work-site visit will explore the evolution of digital media with its current use in the human performace and medical simulation arenas, as well as touch on a few of the entertainment aspects.  Experts will present the latest and future innovations impacting the practice of medicine.  Participants will visit the House of Moves/VICON studio and the Orlando Technical Center to view the medical stimulation units and the Clinical Motion Analysis Laboratory and Training Facilities.  Attendees will have an opportunity to interact with the technical staff to address specific areas of interest.  Additional fee required.  Seating is limited: Advanced registration is required (on-site registrations will not be accepted).

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Work-site Visit Session 8101
SeaWorld

This activity will include a visit to first aid units throughout the park with a Health Services team member, and will highlight the common medical illnesses and injuries health services encounters and anticipates in a theme park setting. Participants will have an opportunity to see behind-the-scenes areas where care and treatment are provided to both guests and employees, and learn how Health Services works together with local emergency services agencies to provide the quality care to guests and employees.

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Session 2207
Occupational Health Services: Organization and Competencies
Track: Management and Administration in OEM

Moderator:
Kaochoy S. Saechao, MD*, University of California, Los Angeles, CA

Faculty: 
Douglas A. Benner, MD, FACOEM*, Kaiser Permanente, Oakland, CA
William B. Bunn III, MD, JD, MPH, FACOEM*, Navistar, Inc., Chicago, IL
Lucy O. Crane, MD, MPH, FACOEM*, Walgreens Co, Deerfield, IL

Different health care delivery models exist in occupational and environmental medicine.  They range from on-site clinics to vertically-integrated and horizontally-integrated systems.  This session will explore these models and discuss the various skills needed in each system.  Data from the UCLA occupational medicine practice research project will be discussed in the context of these models.

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Session 2208
Inside the Mysterious Realm of Utilization Review
Track: OEM Clinical Practice


Moderator
Phyllis A. Gerber, MD, FACOEM, FAADEP*, BioMotion of America LLC, Zurich North America. Osprey, FL

Faculty:
Avrom Simon, MD, MPH, CPE, UniMed Direct, Chicago, IL
Michael J. Webb, MD, FACOEM*, Liberty Mutual, Weirsdale, FL
Joseph S. Pachman, MD, MPH, FACOEM*, Liberty Mutual, Tarrytown, NY

Whether you are a physician-provider who is either frustrated or curious or a physician reviewer who wants to sharpen your skills, this is the session for you.  A group of medical directors from large carriers with nationwide books on business will provide a consensus opinion that addresses format, style, content and quality of utilization review responses and will discuss legal implications and concerns referencing recent case law.  Appropriate use of guidelines and jurisdictional issues will be addressed.

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Session 2209
Individual Scientific Abstract Oral Presentation
Track: OEM Education and Scientific Research 

Moderator:
James D. McCluskey, MD, PhD, MPH*, University of South Florida, Tampa, FL

Faculty: 
Peter Angerer, MD, University of Munich, Munich, Germany: "A One Year Cohort Study on the Risk for Cardiac Disease When Working in Normobaric Hypoxia for Fire Protection"
Peter Angerer, MD, University of Munich, Munich, Germany: "A Randomized, Controlled Trail on the Effect of Stress Management Interventions in the Workplace"
Nathan L. Kleinman, PhD, Human Capital Management Services, Paso Robles, CA: "Employee Health Benefits Utilization Increases Preceding Voluntary Termination"
Mary Patricia Nowalk, PhD, RD, University of Pittsburgh, Pittsburgh, PA: "The Impact of Choice of Influenza Vaccines on Workplace Vaccination Rates: A Cluster Randomized Trail"
William S. Shaw, PhD*, Liberty Mutual Research Institute for Safety, Hopkinton, MA: "Patient-centered Communication and Short-term Recovery from Acute, Work-related Low Back Pain"
Jonathan V. Szalajda, NIOSH, Pittsburgh, PA: "Respirator and Surgical Mask Efficacy for Cough Aerosols"

The objective of this session is to present important research findings on selected current topics in occupational and environmental health.  The session will provide researchers in occupational and environmental medicine and related disciplines, such as occupational epidemiology and toxicology, with a forum to present their current research.  Presentations will be made by established researchers with topics addressing a range of important issues.  All presentations were selected through a peer-review process of submitted abstracts to ensure the highest quality science and relevance.  Discussion and audience questions and comments will be solicited and strongly encouraged.

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Session 2210
MRO Controversies
Track: Management and Administration in OEM
 

Moderator/Faculty:
Karl Auerbach, MD, MBA, MS, FACOEM*, University of Rochester, Rochester, NY

Faculty: 
Douglas W. Martin, MD, FAAFP, FAADEP, FACOEM*, St. Luke's Center for Occupational Health Excellence, Sioux City, IA
Donna R. Smith, PhD, FirstLab, Inc., North Wales, PA

In this session, common and not-so-common difficulties with federally regulated drug testing programs will be discussed and reviewed.  The role of the MRO in audits conducted by the various Department of Transportation operating agencies will be covered.  The duty of the MRO to report medications that may present a safety risk to the designated employer representative and Americans with Disabilities Act implications of these actions will be explored.  We will also spend time discussing varying scenarios that arise in non-regulated testing.  Real-life case scenarios will be presented that cover unusual or challenging issues for the MRO.  This session concludes with a brief legislative update of any proposed regulatory changes that might affect the MRO.  The target audience for this session is medical review officers and/or those involved with developing or overseeing employer drug and alcohol testing programs.  This session is sponsored by the Medical Review Officers Special Interest Section.

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Session 2211
Respirators and FIT Testing: Current and Future Approaches
Track: OEM Clinical Practice
 

Co-Moderators/Faculty:
Philip Harber, MD, MPH, FACOEM*, David Geffen School of Medicine at UCLA, Los Angeles, CA
Robert K. McLellan, MD, MPH, FAAFP, FACOEM*, Dartmouth-Hitchcock Medical Center, Lebanon, NH

Faculty:
Raymond Roberge, MD, MPH, National Personal Protective Technology Laboratory/NIOSH, Pittsburgh, PA

Respiratory personal protective devices (respirators) are increasingly used in service industries and community settings as well as in traditional industrial/mining situations. This session will review practical aspects as well as recent research/policy updates. This session will include discussion of medical assessment for respirator use, respirator programs for disaster/epidemic preparedness, policy challenges, fit testing, and current research/future directions. Formal presentations will be complemented by practical case discussions. This session will be particularly relevant to new applications such as community use, surge capacity for preparedness, and applications to unusual circumstances.

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Session 2212
Heavy Metals…Not Your Typical Metallica!
Track: Environmental Health and Risk Management


Moderator/Faculty: 
James D. McCluskey, MD, PhD, MPH*, University of South Florida, Tampa, FL

Faculty: 
Theodore F. Them, MD, MS, PhD, MPH*, Guthrie Clinic, Ltd, Sayre, PA

This presentation will focus on the precise definition of a heavy metal, with emphasis on the exhaustive and detailed toxic properties of mercury, arsenic, silver, and lead.  Beryllium, while not a heavy metal, will be reviewed in a similar manner for the purpose of comparison and contrast.  Chelation science and clinical application will be discussed with respect to evidence based information on this topic.  The target audience includes active occupational medicine practitioners, medical professionals who evaluate and treat individuals with the potential for exposure to heavy metals, occupational medicine residents and individuals preparing for the board-certification examination in preventive medicine/occupational medicine.

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Session 2213
Integrating Environment, Social and Health Impact Assessments
Track: Environmental Health and Risk Management


Moderator/Faculty:

Stephen A. Frangos, MD, MPH, FACOEM*, Chevron, Houston, TX

Faculty: 
Tania Barron, Environmental Resource Management, Washington, DC

This session will discuss the merits and drivers for integrated environmental, social and health impact assessments (integrated ESHIAs), and discusses how the Health Impact Assessment within the ESHIA helps to integrate the entire process via the mapping of linkages between the physical environment, socio-economic factors and health.  The session will include a discussion of the societal and business value of integrating ‘public health’ into the impact assessment process; the components of an integrated ESHIA and the role HIA plays within the process; the rationale for conducting integrated ESHIAs; and how ESHIA can help companies fulfill their corporate level social responsibility commitments.  The application of the information will be of broad use to companies and impact assessment practitioners involved in the development and assessment of Greenfield projects and enhancement of existing operations where there are potential environmental, social and health impacts.

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Session 2214
Individual Scientific Abstract Oral Presentation
Track: OEM Education and Scientific Research


Moderator:
Phyllis A. Gerber, MD, FACOEM, FAADEP*, BioMotion of America LLC, Zurich North America. Osprey, FL

Faculty: 
James W. Allen, MD, MPH, Working Healthy Always LLC, Wilmington, DE: "Health Risks to Those Who Work on Aircraft: Professionals and Hobbyists"
Edward J. Bernacki, MD, MPH, FACOEM*, Johns Hopkins University, Baltimore, MD: "Evaluation of an Influenza Vaccination Campaign Among Healthcare Workers Using a Randomized Survey"
Leslie M. Israel, DO, MPH, FACOEM*, Center for Occupational and Environmental Health, University of California, Irvine, CA: "Sedentary Work, Low Physical Job Demand, and Obesity in the US Workers"
Ranga C. Krishna, MD, New York Cornell Methodist Hospital, Bronx,  NY: "Loss of Workers Productivity in Restrained Individuals of Minor Severity Motor Vehicle Accidents in New York City"
Meghan E. Short, MPH, Thomson Reuters, Washington, DC: "The Relationship Between Health Risks and Health and Productivity Costs Among Employees at Pepsi Bottling "

The objective of this session is to present important research findings on selected current topics in occupational and environmental health.  The session will provide researchers in occupational and environmental medicine and related disciplines, such as occupational epidemiology and toxicology, with a forum to present their current research.  Presentations will be made by established researchers with topics addressing a range of important issues.  All presentations were selected through a peer-review process of submitted abstracts to ensure the highest quality science and relevance.  Discussion and audience questions and comments will be solicited and strongly encouraged.

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Elk Grove Village, Illinois, 60007-1030
Telephone: 847/818-1800, Fax: 847/818-9266

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