Session 400 
Maximizing the Health of an Aging Workforce
TRACK: Management and Administration in OEM

Pamela Allweiss, MD, MPH* (MODERATOR)
CDC, Atlanta, GA
L. Casey Chosewood, MD
NIOSH/CDC, Atlanta, GA
James W. Grosch, PhD
NIOSH/CDC, Cincinnati, OH

One of the most fundamental questions to be tackled in a national discussion about aging in the workplace is who will benefit from a new national focus on integration of health protection and promotion programs in the workplace and how can employers and employees adapt these programs t the ageing workforce. This session will discuss action steps and consensus statements (based on ACOEM/NIOSH Healthy Aging Worker Summit in April 2012) on effective health promotion initiatives that can be aligned with workplace safety programming to create a true culture of health - with the goal of maximinizing the productivity of an gaining workforce while minimizing their health and injury risks and chronic health conditions. This session may be of particular interest to residents and recent graduates.

Session 402
Protocol for Evaluation of Bloodborne Pathogen Exposures
TRACK: OEM Clinical Practice

James R. (Ron) Pace, BS, PA-C, DFAAPA*
Lakeside Medical Center-Regency, Orlando, FL

This will be a review of the recommendations for evaluation and treatment of an occupational exposure to bloodborne pathogens with the emphasis on setting up a standard protocol and medical record standardization. This will help clinics with multiple providers develop a system that can be utilized in handwritten records or adapted for EMR usage as well – and help ensure that all patients receive the same standard of care for evaluation of treatment and follow-up. This session may be of particular interest to residents and recent graduates.

Session 403
Medications in the Workplace: Fitness-for-Duty, Pain Management, and Abuse Issues
TRACK: OEM Clinical Practice

Tony Alleman, MD, MPH, FACOEM, UHM* (MODERATOR)
Occupational Medicine Clinics of South Louisiana, Lafayette, LA
Amanda Ruth Savoy-Phillips, MD, MPH, FACOEM, FAAFP*
LSU HSC UMC Department of Family Medicine, Lafayette, LA
Larry Studt, MD
St. Joseph's Hospital, Chippewa Falls, WI

This session will cover the following topics: current concepts in pain management techniques and medications; OTC and prescription use fitness-for-duty issues; and prescription drug abuse and the newer drugs of abuse – including bath salts and synthetic marijuana. This session may be of particular interest to residents and recent graduates. This session will break from 8:00 a.m. – 10:15 a.m. so that participants may attend the ACOEM Annual Membership Meeting and Breakfast.

Session 404
ACOEM 98th Annual Membership Meeting and Breakfast
TRACK: Other

Join your colleagues in honoring this year’s class of Fellows and to recognize ACOEM Outstanding Achievement Award recipient. Sandra M. Schneider, MD, FACEP from the University of Rochester, will present the William B. Patterson Memorial lecture on “The Interface Between Emergency Medicine and Occupational Health.”.

Session 405
Update from the NIOSH Total Worker HealthTM Program
TRACK: Management and Administration in OEM

L. Casey Chosewood, MD
NIOSH/CDC, Atlanta, GA   

In recognition that a multitude of work and non-work factors influence employees’ safety, health, ability to work, and well-being, the NIOSH Total Worker Health™ (TWH™) Program advocates the integration of workplace safety and health protection with the promotion of health and well-being. This type of integration can take many forms, ranging from communication between safety and health committees and health promotion committees that reside within different areas of an organization to integrated programs that address specific health or safety issues by focusing on both work and non-work contributing factors. In this session, we will discuss what it means to integrate safety and health protection and health promotion, taking both occupational and personal risk factors into account, using musculoskeletal disorders, insufficient sleep, and obesity as examples.

Session 406
How Can Electronic Health Records Better Meet the Needs of a Multifaceted Occupational Health and Safety Practice
TRACK: OEM Clinical Practice

Robert Harrison, MD, MPH*
University of California, San Francisco, CA
Lee Newman, MD, MA, FACOEM, FCCP* (MODERATOR)
Colorado School of Public Health/Axion Health, Inc., Aurora/Denver, CO
Bonnie Rogers, Dr.PH, COHN-S, LNCC, FAAN*
University of North Carolina, School of Public Health, Chapel Hill, NC

Occupational Health and Safety (OHS) practice does not fit neatly into the technology framework of most electronic health record systems, requiring practitioners to adjust to existing systems and create work-around solutions. These difficulties derive from differences in OHS and conventional medical practice. OHS practice/EHR must accommodate workflow related to hazard-based assessments, certification exams, ability to manage exposure and prevention events/investigations, analyze medical screening and surveillance data, and individual patient care. Clinical decision support tools must consider workplace hazards, incorporate public health and regulatory recordkeeping guidance, partition worker health records, and OHS clinical best practice guidelines algorithms. This session will examine OHS-specific technology solutions and potential solutions using a variety of practice examples. This session may be of particular interest to residents and recent graduates.

Session 407
Hands-on Orthopedics Expertise: Knee
TRACK: OEM Clinical Practice

Phyllis A. Gerber, MD, FACOEM, FAADEP* (MODERATOR)
Biomotionlabs, Inc, LLC, Orlando, FL
Travis B. Van Dyke, MD, MS
Orlando Orthopaedic Center, Orlando, FL

Knee problems, both acute and chronic, are frequently evaluated and treated in the occupational medicine settings. A local orthopedic surgeon, an expert who evaluates and treats knee problems, will address time-proven and new evaluation and treatment options using the ACOEM Practice Guidelines as reference. This expert will speak from the perspective of a team physician, an athlete, and a medical professional who spends long hours on his feet. We have challenged our speaker to approach work-related issues, especially work that requires prolonged standing and walking, as a form of athleticism. This session will assist in making a paradigm shift toward more effective and efficient treatment decisions and will provide the necessary tools to motivate patients during their rehabilitation. Attendees interested in the evaluation and treatment of knee problems will enjoy this hand-on session and lively interaction with the faculty. This session may be of particular interest to residents and recent graduates. 

Session 408
Healthy Workforce Now: A Look at ACOEM's National Advocacy Initiatives Promoting OEM
TRACK: Other

Pamela Hymel, MD, MPH, FACOEM*
Walt Disney Parks and Resorts, Anaheim, CA
Robert K. McLellan, MD, MPH, FACOEM*
Dartmouth-Hitchcock, Lebanon, NH
Charles M. Yarborough, MD, MPH, FACOEM*
Lockheed Martin Corporation, Bethesda, MD

Physicians who practice OEM have the potential to significantly impact health reform efforts in the US, but the strong advantages they can bring to the nation's health reform efforts are not widely understood. ACOEM has launched a national initiative, titled "Healthy Workforce Now," that seeks to raise awareness of the fundamental role OEM physicians can play in a new paradigm of care that would better integrate care between homes, communities, and the workplace and deliver improved health outcomes and enhance value. This session reviews ACOEM's multi-pronged efforts to raise the visibility of OEM, ranging from advocacy in Washington, DC to publication of white papers and distribution of educational resources.