American Occupational Health Conference (AOHC® 2010)
Pre-Conference Courses | Sunday Sessions | Monday Sessions | Tuesday Sessions | Wednesday Sessions
Meal Session 7300
Travel Health Consultation Services in the Occupational Health Clinic: Enhancing Health and Productivity in the Global Workplace and Enchancing Your Clinic's Revenue
Track: OEM Clinical Practice
Moderator/Faculty:
Francesca K. Litow, MD, MPH, FACOEM*, Main Line HealthCare, Wynnewood, PA
Preparation for international travel, including risk education, appropriate vaccinations and chemoprophylaxis is essential to prevention of travel-related injuries and illnesses. Travel consultation services are an integral part of a comprehensive occupational medicine service, and support the health and productivity of the global workforce and their family members. This session is targeted at physicians working in occupational health clinics, and will discuss the scope and content of a travel consultation to prepare workers for short-term international travel or long-term residence in a non-US country. Additional fee required. Seating is limited: Pre-registration is required.
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Meal Session 7301
The Company Doctor Game
Track: Management and Administration in OEM
Moderator/Faculty:
Robert B. Sussman, MD*, The Medical Corner, Kailua, HI
This game that helps explain the role of The Company Doctor, as well as the many functions these professionals perform. In this interactive session, attendees learn about various aspects of occupational medicine from drug screening, physical exams, surveillance testing and immunizations, workers’ comp, first aid, corporate wellness, as well as health and productivity management. Players have to answer the questions to win prizes and stay in the game. Discussion with others is encouraged in order to facilitate the learning experience. Additional fee required. Seating is limited: Pre-registration is required.
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Meal Session 7302
Medical Issues in Diverse and Underserved Populations: Benchmark Activities in South Florida
Track: Other
Faculty:
Alberto J. Caban-Martinez, MPH*, University of Miami, Miller School of Medicine & Nova Southeastern University College of Osteopathic Medicine, Coral Gables, FL
Issues and concerns about providing quality care to large and diverse populations in our workforces has risen to a heighten level. Financial constraints place burdens on the workers and the workplace. Dialogue with enthusiasm as our Faculty, who is directly engaged in serving diverse and underserved populations, shares his insights and suggestions. Additional fee required. Seating is limited: Pre-registration is required.
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Meal Session 7303
Being Smart About Your Financial Security
Track: Management and Administration in OEM
Moderator:
Phyllis A. Gerber, MD, FACOEM, FAADEP*, BioMotion of America LLC, Zurich North America. Osprey, FL
Faculty:
Steven Podnos, MD, CFP, MBA, Wealth Care LLC, Merritt Island, FL
The global financial crisis has impacted the financial security of everyone. Have an opportunity to dialogue with a professional, certified financial advisor who understands the unique needs and concerns of physicians. As an MD, MBA, and CFA, our expert will walk you through financial issues from the perspective of physicians at various stages in their careers. Additional fee required. Seating is limited: Pre-registration is required.
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Work-site Visit Session 8200
The Nature Conservancy’s Disney Wilderness Preserve
This work-site visit will take place on the more than 11,000 acres of protected land that is the headwaters of the Everglades. The staff at the Disney Wilderness Preserve will address the environmental and health issues created by previous endeavors in the Everglades. Remote areas of the Everglades will be visited via specially designed swamp vehicles to witness the ongoing restoration efforts which may inlcude sampling and cataloging activities and weather conditions permitted, a controlled burn. Attendees must bring suncreen, comfortable shoes, hat, long-sleeved garment, and a rain poncho. 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 8201
Rosen Shingle Creek
Participants will have an opportunity to see first-hand some of the requirements of various staff positions within a hotel, such as housekeepers, foodservice workers and maintenance crews. Understand the key challenges for maintaining the health of this specialized work force. Safety aspects will be covered, along with discussion of Rosen Hotels’ focus on prevention and outcomes, which enables insurance and health-care costs that are half the national average. Additional fee required. Seating is limited: Advanced registration is required (on-site registrations will not be accepted).
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Session 2300
Quantifying the Return on Investment for Worksite Clinics
Track: Management and Administration in OEM
Moderator/Faculty:
Bruce W. Sherman, MD, FACOEM*, Goodyear Tire & Rubber Co, Akron, OH
Worksite clinics are gaining in popularity as one means to address continuing increases in healthcare costs. However, data regarding measurement of the return on investment (ROI) for worksite clinics is scant. A survey regarding ROI measurement of worksite clinics was recently jointly distributed through a number of channels, including ACOEM's Corporate Medicine Section, to employers with worksite clinics to better understand how ROI is being calculated for these services. The results are intriguing, and illustrate the variability in approach to ROI measurement that exists in the employer setting. This session will review the findings of the survey, and discuss the implications for OEM clinicians. Session attendees will leave with a better understanding of the issues related to quantifying worksite clinic ROI, and how to more effectively quantify the value of the provided services. This session is sponsored by the Corporate Medicine Special Interest Section.
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Session 2301
ACOEM Code of Ethics
Track: Other
Moderator/Faculty:
William G. Buchta, MD, MPH, MS, FACOEM*, Mayo Clinic, Rochester, MN
Speakers for this session will review the new ACOEM Code of Ethics. Panelists will present case studies illustrating how elements of the code apply within occupational and environmental medicine, and invite audience discussion.
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Session 2302
The ACOEM Hand, Wrist, and Forearm Disorder Practice Guidelines
Track: OEM Clinical Practice
Moderator:
David Rempel,MD, MPH, FACOEM*, University of California San Francisco, Richmond, CA
Faculty:
M. Felix Freshwater, MD*, University of Miami School of Medicine, Miami, FL
Kurt T. Hegmann, MD, MPH, FACOEM*, University of Utah RMCOEH, Salt Lake City, UT
The revised ACOEM Practice Guidelines on hand, wrist, and forearm were published in 2009. This presentation reviews the new features of the guidelines and the recent literature supporting the changes.
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Session 2303
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:
Raed M. Alazab, MD, Alazhar University, Public Health and Occupational Medicine, Cairo, Egypt: "Biopsychosocial Associated Disorders Among Workers Exposed to Unsafe Ergonomic Workplaces"
Marianne Cloeren, MD, MPH, FACOEM*, Managed Care Advisors, Inc, Bethesda, MD: "Successful Federal Agency and Contractor Workers' Compensation Case Management"
Jamie T. Stark, PhD, MS*, Select Medical Corporation, Chicago, IL: "Provider-based Prospective and Concurrent Peer-to-Peer Utilization Management Program Decreases Utlization in Workers' Compensation Outpatient Rehabilitation Patients"
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 2304
Everything You Always Wanted to Know About Seaman Medical Examinations But Were Afraid to Ask
Track: OEM Clinical Practice
Moderator:
Robert M. Bourgeois, MD, MPH, FACOEM*, Bourgeois Medical Clinic, Morgan City, LA
Faculty:
Tony L. Alleman, MD, MPH, MS, FACOEM*, Occupational Medicine Clinics of South Louisiana, New Iberia, LA
Darren J. Duet, MD*, Edison Chouest Offshore, Larose, LA
CAPT Mathew D. Hall, MD, MPH*, US Coast Guard National Maritime Center, Martinsburg, WV
The United States Coast Guard Guidelines for Merchant Mariner Medical Examinations, Navigation and Vessel Inspection Circular (NVIC) 04-08 have been issued. The new information provides guidance for physicians performing merchant mariner physicals. Additional recommended records and or studies are also listed for waiver applications. Vessel operators or marine companies are required to ensure that mariners are medically fit for sea duty. Very few health care providers have been aware of the NVIC guidance. Several of the recent maritime accidents revealed weaknesses in the medical exam process. This presentation will provide attendees with the information necessary to better perform merchant mariner medical evaluations. This session is sponsored by the Transportation Special Interest Section.
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Session 2305
The Patient-centered Medical Home, Worksite Clinics, and the OEM Clinician
Track: Management and Administration in OEM
Moderator/Faculty:
Bruce W. Sherman, MD, FACOEM*, Goodyear Tire & Rubber Co, Akron, OH
Faculty:
Raymond J. Fabius, MD*, HealthNEXT LLC, Newtown Square, PA
The patient-centered medical home (PCMH) is being increasingly recognized as an important component of a national health care reform strategy. Key attributes of the PCMH model include an expanded scope of health education and care management services offered by the primary care provider, as well as an enhanced focus on coordination and integration of care delivery. Implicit in this model is the development of a trusting, collaborative relationship between clinician and patient, to provide a better understanding of health issues, promote engagement and adherence to recommended treatment. This session will provide an orientation to the medical home model and the evidence in support of the value of PCMH. Evidence demonstrating the importance of the patient-provider relationship and its relevance to worksite clinics will be reviewed, followed by a presentation of considerations regarding PCMH and worksite clinic integrated care delivery. OEM clinicians will benefit from gaining a better understanding of the PCMH concepts, to provide them with practical insights into how this strategy can be best integrated with current worksite clinics and other workplace health and productivity-related initiatives to build “cultures of health.”
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Session 2306
Hazards in Drinking Water from Private and Municipal Wells
Track: Environmental Health and Risk Management
Moderator/Faculty:
James D. McCluskey, MD, PhD, MPH*, University of South Florida, Tampa, FL
Safe drinking water supplies are critical for protecting public health. Naturally occurring, anthropogenic, and microbial contamination of drinking water can result in a variety of harmful human exposures. This session will discuss municipal drinking water risks, as well as the risks from unregulated private wells.
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Session 2307
Late Breaker
Content to be announced.
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Session 2308
The Collaborative MSD Program: First Findings from a Prospective Study of 2909 Employees at 27 US Companies
Track: Environmental Health and Risk Management
Moderator:
David Rempel, MD, MPH, FACOEM*, University of California San Francisco, Richmond, CA
Faculty:
Bradley A. Evanoff, MD, MPH, Washington University School of Medicine, St. Louis, MO
Fred Gerr, MD, University of Iowa, Iowa City, IA
Robert L. Goldberg, MD, FACOEM, FFOEM RCPI (Hon)*, University of California San Francisco, Richmond, CA
Kurt T. Hegmann, MD, MPH, FACOEM*, University of Utah RMCOEH, Salt Lake City, UT
Seven large prospective epidemiologic field studies were completed recently to estimate, with adequate statistical power, exposure-effect relationships between biomechanical risk factors (including force and repetition), personal, and psychosocial measures and the prevalence and incidence of specific upper extremity musculoskeletal disorders. Detailed workplace and personal data were collected for 2909 full-time employees from 27 US companies and participants were followed for up to three years with repeated physical examinations for new musculoskeletal disorders. A priori criteria were set for 12 specific disorders including carpal tunnel syndrome, epicondylitis, and tenosynovitis. The industrial sectors represented are primarily from production (food, ore) and manufacturing (furniture, appliances, construction materials). Data from the studies are being pooled to examine associations between workplace physical risk factors and upper limb musculoskeletal disorders. Prevalence and incidence rates of specific disorders from four of the studies will be presented along with initial exposure-effect relationships between biomechanical factors and specific disorders.
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Session 2500
ACOEM Annual Membership Meeting and Luncheon
Join your colleagues for the College’s 95th Annual Membership Meeting and Luncheon to honor this year’s Class of 2010 who will be elevated to Fellow status, as well as Presidential, Resident Research, and Grants for Innovation in OEH award recipients. Professor Dame Carol M. Black, U.K. National Director for Health and Work, will deliver the second annual William B. Patterson Memorial Lecture. She will present highlights from her report on “Working for a Healthier Tomorrow,” with an emphasis on the recommendations of how to improve the health of the working population. The meeting will conclude with Dr. Hymel’s presidential address, followed by the passing of the gavel to Dr. Natalie P. Hartenbaum, who will then present her inaugural address as ACOEM’s incoming President.
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Session 2309
A Primer on Osteopathy and Osteopathic Manual Manipulation
Track: OEM Clinical Practice
Moderator:
Phyllis A. Gerber, MD, FACOEM, FAADEP*, BioMotion of America LLC, Zurich North America. Osprey, FL
Faculty:
Tom Quinn, DO, LECOM, Bradenton, FL
Thomas J. Fotopoulos, DO, LECOM, Bradenton, FL
Faculty from Lake Erie College of Osteopathic Medicine will present a hands-on workshop on osteopathic manual manipulation. The introductory component targets MDs, PA-Cs, and NPs who have an interest in learning more about the practice of osteopathy and who value the opportunity to have actual hands-on instruction in osteopathic manual manipulation. Participants will be assigned to small groups and will rotate thru several stations that address conditions and anatomic regions that are frequently encounter in the treatment of injured workers and provide an opportunity to appreciate the osteopathic paradigm for evaluation and treatment. A concurrent advanced component is available to DOs who are interested in a refresher and or tutorial in advanced OMM techniques. Faculty will address the similarities and difference between osteopathy, allopath and chiropractic using a sampling of common conditions that are frequently encountered in the treatment of injured workers. This session is sponsored by the Florida Association of Occupational and Environmental Medicine.
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Session 2310
Questions of Causation/Questions of Practice: Investigations by OSHA and NIOSH
Track: Regulary, Legal, Military, and Governmental OEM Practice
Co-Moderators:
Melody M. Kawamoto, MD, MS*, US DHHS/CDC/NIOSH, Cincinnati, OH
Amanda McTier, MD, MPH*, OSHA, Washington, DC
Faculty:
Carlos Aristeguieta, MD, MPH, NIOSH, Cincinnati, OH
LCDR Rachel L. Bailey, DO, MPH*, NIOSH, Morgantown, WV
Kay A. Dellinger, MD, MPH*, OSHA, Washington, DC
Judith Eisenberg, MD, MS*, CDC NIOSH, Cincinnati, OH
Kathleen M. Fagan, MD, MPH*, OSHA, Washington, DC
Atkinson W. Longmire, MD*, OSHA, Washington, DC
Elena H. Page, MD, MPH, FACOEM*, NIOSH, Cincinnati, OH
Loren C. Tapp, MD, MS*, NIOSH, Cincinnati, OH
Theodore Yee, MD, MPH*, OSHA, Washington, DC
The OSHA Office of Occupational Medicine provides assistance for field enforcement inspections and the NIOSH Health Hazard Evaluation (HHE) Program responds to requests for workplace evaluations from employers, employees, and unions. Medical officers from NIOSH and OSHA will present recent or ongoing work, focusing on methods and findings for questions of causation and recommendations for work practices. The issues covered in this session are relevant to occupational health professionals who are required to evaluate adverse event causation or to establish or review work practices.
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Session 2311
Bioaerosols, Disease, and Toxicity: What Does Science Tell Us
Track: Environmental Health and Risk Management
Moderator:
Michael J. Hodgson, MD, MPH*, Veterans Health Administration, Washington, DC
Faculty:
Harriet M. Ammann, PhD, University of Washington School of Public Health, Seattle, WA
David J. Miller, PhD, Carleton University, Ottawa, Ontario, Canada
The many reviews in the peer-reviewed literature on bioaerosols, human disease, and [myco]toxins generally failed to cite the pertinent scientific literature and mostly quote each of their predecessors reviewing a limited set of pertinent publications. This session will present an evidence-based broad summary of disease and known pertinent mechanisms and diagnostic criteria; toxicological literature on dose, route of exposure, location of toxicity, and risk assessment; and public health practice implications, including the limitations of science, appropriate intervention strategies in the presence of uncertainty, and the consequences of failure to act.
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Session 2312
State-of-the-Art Update in Public Safety Medicine: Guidance for Law Enforcement Occupational Medicine and Hypertension and Sudden Death in Fire Fighters
Track: OEM Clinical Practice
Moderator:
David J. Louis, MD, MS, FACOEM*, HQ Air Force Materiel Command, Wright Patterson AFB, OH
Faculty:
Fabrice Czarnecki, MD, MA, MPH*, The Galbes Group, Inc, Baltimore, MD
Edward I. Galaid, MD, MPH*, Northeast Georgia Health System, Gainesville, GA
Thomas R. Hales, MD, MPH*, NIOSH/CDC, Cincinnati, OH
Daniel G. Samo, MD, FACOEM*, Northwestern Memorial Physicians Group, Chicago, IL
Maj. John W . Woltz, DO*, University of Cincinnati, Logan, OH
This session will cover important topics for physicians who work with police and fire fighters. The first half of the session will focus on cutting-edge issues in police occupational medicine. Then faculty will present the newest sections of ACOEM’s National Consensus Guidance for the Medical Evaluation of Law Enforcement Officers including infectious diseases (e.g. Hepatitis, HIV/AIDS), pregnancy (to include issues of trauma, toxins and noise), and medications and the so-called “green” weapons/munitions and frangible bullets, discussing their safety, risks and benefits, based on the latest literature. The group will also review important toxicology issues in law enforcement. This will include the toxicology of pepper spray, lead risks in firing ranges, and methamphetamine laboratories. The second half of the session will deal with hypertension (HTN) in fire fighters, one of the most common diseases in that group and a major risk factor in sudden cardiac death (SCD). SCD is the number one cause of on-duty, fire fighter death. During the second half, issues to be covered include review the JNC-7 definition of hypertension; review the current NFPA Standard for HTN and compare, this to other public safety occupational standards; the risk of SCD /sudden incapacitation due to hypertension and its complications; screening for HTN, and HTN complications; costs of these screening tests, and recommendations to revise NFPA 1582 regarding HTN. This session is sponsored by the Public Safety Medicine Special Interest Section.
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Session 2313
Legislative Advocacy for Physicians: An Interactive Workshop
Track: Regulary, Legal, Military, and Governmental OEM Practice
Co-Moderators/Faculty:
Robert M. Aurbach, JD*, Uncommon Approach Inc, Albuquerque, NM
Kathryn L. Mueller, MD, MPH, FACOEM*, University of Colorado, Denver, CO
Presentation of the medical community’s legislative positions takes more than just being “right”. This workshop describes, and then provides a practical and interactive opportunity to practice the special skill sets needed to be effective in a legislative venue. Key legislative techniques will be introduced with interactive case studies and ineffective approaches will be discussed. Participants will then have an opportunity to work on a complex case study, assisted by professional lobbyists and elected legislators.
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