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Antonio
San Antonio Marriott Rivercenter APRIL 27-30, 2014
conference
program
AOHCSan
ii | 2014 American Occupational Health Conference
American Occupational Health Conference (AOHC)
2014
2014 American Occupational Health Conference | 1
Dear Colleagues, Friends, and Guests:
I look forward to seeing you in San...
2 | 2014 American Occupational Health Conference
Saturday, April 26, 2014 ~ CME: 3.5
1:00pm-5:00pm
[3.5]
Session 099
CHAA ...
2014 American Occupational Health Conference | 3
Monday, April 28, 2014 ~ CME: 7.0
7:00am-8:00am
[1]
Session 202
Medical
S...
4 | 2014 American Occupational Health Conference
Tuesday, April 29, 2014 ~ CME: 7.0
8:00am-8:30am BREAK: Located in Exhibi...
2014 American Occupational Health Conference | 5
Wednesday, April 30, 2014 ~ CME: 4.0
7:00am-8:00am
[1]
Session 401
CMO St...
6 | 2014 American Occupational Health Conference
Board of Directors – 2013-2014
Officers
President
Ronald R. Loeppke, MD, ...
2014 American Occupational Health Conference | 7
Pre-Conference Courses
Pre-and-post-conference courses are designed to en...
8 | 2014 American Occupational Health Conference
Thursday, May 1, 2014
Work Disability Prevention for Clinicians:
Your Rol...
2014 American Occupational Health Conference | 9
opening session
Sunday,April 27, 2014
Sunday, April 27, 2014
1:30 p.m. - ...
10 | 2014 American Occupational Health Conference
Sunday,April 27, 2014
9:00 a.m. - 12:15 p.m. (con’t)
Session 104: Unders...
2014 American Occupational Health Conference | 11
Session 111: Occupational Health Systems from
Around the Globe.............
12 | 2014 American Occupational Health Conference
Monday,April 28, 2014
7:00 a.m. - 8:00 a.m.
Session 202: Medical Screeni...
2014 American Occupational Health Conference | 13
Monday,April 28, 2014
8:30 a.m. - 10:00 a.m.
Session 207: Sleep Apnea:
T...
14 | 2014 American Occupational Health Conference
Monday,April 28, 2014
10:30 a.m. - 12:00 p.m.
Session 213: OSHA Best Pra...
2014 American Occupational Health Conference | 15
Monday,April 28, 2014
1:30 p.m. - 5:00 p.m. (con’t)
Session 218: MRO Con...
16 | 2014 American Occupational Health Conference
Tuesday,April 29, 2014
8:30 a.m. - 10:00 a.m.
Session 302: The Convergen...
2014 American Occupational Health Conference | 17
Tuesday,April 29, 2014
8:30 a.m. - 12:00 p.m. (con’t)
Session 305:
Inter...
18 | 2014 American Occupational Health Conference
Tuesday,April29,2014
10:30 a.m. - 12:00 p.m. (con’t)
Session 309: Army/A...
2014 American Occupational Health Conference | 19
Tuesday,April29,2014
1:30 p.m. - 5:00 p.m.
Session 313: ACOEM Guidelines...
20 | 2014 American Occupational Health Conference
Tuesday,April29,2014
3:30 p.m. - 5:00 p.m.
Session 317: Critical Issues ...
2014 American Occupational Health Conference | 21
Wed.,April 30, 2014
7:00 a.m. - 8:00 a.m.
Session 401: CMO Strategic Com...
22 | 2014 American Occupational Health Conference
Wed.,April 30, 2014
10:15 a.m. - 11:15 a.m. (con’t)
Session 407: Hydrofr...
2014 American Occupational Health Conference (AOHC) Program
2014 American Occupational Health Conference (AOHC) Program
2014 American Occupational Health Conference (AOHC) Program
2014 American Occupational Health Conference (AOHC) Program
2014 American Occupational Health Conference (AOHC) Program
2014 American Occupational Health Conference (AOHC) Program
2014 American Occupational Health Conference (AOHC) Program
2014 American Occupational Health Conference (AOHC) Program
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2014 American Occupational Health Conference (AOHC) Program

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2014 American Occupational Health Conference (AOHC) Program

  1. 1. Antonio San Antonio Marriott Rivercenter APRIL 27-30, 2014 conference program AOHCSan
  2. 2. ii | 2014 American Occupational Health Conference American Occupational Health Conference (AOHC) 2014
  3. 3. 2014 American Occupational Health Conference | 1 Dear Colleagues, Friends, and Guests: I look forward to seeing you in San Antonio for the 2014 American Occupational Health Conference (AOHC)! Our AOHC 2014 Planning Committee, chaired by Robert M. Bourgeois, MD, MPH, FACOEM, has developed an excellent program this year, featur- ing a wide variety of educational options and social events. Here are just a few highlights: Sappington Lecture. This year’s lecture will be presented by Molly Joel Coye, MD, MPH, Chief Innovation Officer for UCLA Health. Dr. Coye also heads the Institute for Innovation in Health and the Global Lab for Innovation at UCLA, where she leads the health system in identifying new strategies, technologies, prod- ucts and services to support the large-scale transformation of healthcare. Dr. Coye is an internationally recognized leader in advancing innovative approaches to healthcare delivery, adopting new technologies and shaping national health policy. Dr. Coye has extensive experience in academia, government and the private sector and will be an informative and engaging speaker. New educational sessions. In addition to all of the great edu- cational offerings you have come to expect at AOHC, ranging from Medical Review Officer (MRO) training to health and productivity management, our 2014 conference will offer new programming, including an outstanding new post-conference course on Work Disability Prevention. Other comprehensive training courses are back, including sessions on Spirometry Testing and skills training for the Independent Medical Examiner and Commercial Driver Medical Examiner (CDME). PRESIDENT’S MESSAGE Friday, April 25 8:00am-5:00pm Occupational Medicine Board Review Course Day 1 of 2 Medical Review Officer Comprehensive Course Day 1 of 2 Foundations in Occupational Medicine, Seg. 2 Day 1 of 2 Saturday, April 26 8:00am-5:00pm Occupational Medicine Board Review Course Day 2 of 2 Medical Review Officer Comprehensive Course Day 2 of 2 Foundations in Occupational Medicine, Seg. 2 Day 2 of 2 Commercial Driver Medical Examiner Course Spirometry Testing in Occupational Health: Physician Update Course Advanced Skills for the Independent Medical Examiner CONFERENCE SCHEDULES AT-A-GLANCE Pre-Conference Courses* * Advanced registration strongly encouraged; Additional fee applies Outstanding entertainment. The Marriott Rivercenter Hotel, site of this year’s AOHC, is located on the banks of the River Walk and is just steps from San Antonio’s Rivercenter Mall, which features shopping, dining and entertainment. This year we are offering a special River Barge Cocktail Cruise and a unique social event—“After Hours at the Alamo”—that will provide special ac- cess to this historical landmark. With so many things to do in San Antonio, we encourage you to bring family and friends to our 2014 conference. Pre-conference events begin on Friday, April 25, and AOHC of- ficially kicks off on Sunday, April 27 with our House of Delegates meeting in the morning and our Opening General Session in the afternoon. Post-conference courses will be held on Thursday, May 1. I look forward to greeting you in San Antonio for what promises to be a truly outstanding meeting, filled with diverse educational offerings and great networking and social opportunities. Ronald R. Loeppke, MD, MPH, FACOEM President, ACOEM
  4. 4. 2 | 2014 American Occupational Health Conference Saturday, April 26, 2014 ~ CME: 3.5 1:00pm-5:00pm [3.5] Session 099 CHAA Examiner Training Sunday, April 27, 2014 ~ CME: 7.0 7:00am-8:00am [0] Session 101 New Member Orientation 8:00am-12Noon ACOEM House of Delegates Meeting 9:00am-12:15pm [3] Session 102-R Introduction to OEM Session 103 The Future of Occupational Medicine: Where Will Our Expert Practitioners Come From? Session 104 Underserved Occupational Populations: Current Clinical, Regulatory, and Legislative Issues Session 105 Maximizing the Health of the Workforce: Case Studies on Management of Chronic Diseases 1:30pm-3:00pm [1] Session 100 – AOHC Opening Session: C. O. Sappington Memorial Lecture 3:00pm-3:15pm BREAK 3:15pm-4:15pm [1] Session 106 Emergent Medical Evacuations from the Gulf of Mexico Session 108 Individual Scientific Abstract Presentations Session 109-R Hands-on Workshop for RRG and OEM Physicians in Career Transitions: Building Basic Business Skills for the Corporate World and Constructing a Virtual Resume Session 110 Low Back Pain: Thinking Outside the Disc Session 111 Occupational Health Systems from Around the Globe 4:15pm-4:30pm BREAK 4:30pm-5:30pm [1] Session 112 Telemedicine in Remote Work Locations Session 113 Why Is This Seemingly Healthy, Able- bodied Veteran I am Seeing for Pre-employment Physical Examination Rated 80% Disabled by the VA? Understanding the VA’s Disability System Session 114 Individual Scientific Abstract Presentations Session 115-R ACOEM Apprentice: Practical Guidance on How to Survive and Thrive in Various Sectors of OEM Practice Session 110, Continued Session 111, Continued 5:30pm-7:30pm Exhibits Opening Reception & Abstract Poster Presentations 7:30pm-8:30pm [1] Session 116 - International Panel Discussion Management and Administration in OEM OEM Education and Scientific Research Regulatory, Legal, Military, and Governmental OEM TRACK KEY Other Environmental Health and Risk Management OEM Clinical Practice R Resident Friendly Sessions * Separate registration required; additional fee applies ** Advanced registration required; additional fee applies
  5. 5. 2014 American Occupational Health Conference | 3 Monday, April 28, 2014 ~ CME: 7.0 7:00am-8:00am [1] Session 202 Medical Screening: Is There a Need for Annual Physicals? Session 203 Carpal Tunnel Syndrome: Work- relatedness from an Epidemiologic Perspective Session 204-R Becoming Board Certified and Maintaining Board Certification in Occupational Medicine Session 205 Becoming an ACOEM Fellow Session 206 Don’t Be Afraid: It’s Only Accreditation and I like It 8:00am-12:00pm [3] Worksite Visit 802** San Antonio Fire Training Academy 8:00am-8:30am BREAK: Located in Exhibit Hall 8:30am-10:00am [1.5] Session 207-R Sleep Apnea: Transportation Concerns and Science Session 208 State-of-the- Art Review of Hearing Conservation Session 209 Hazards of the Operating Room: A omprehensive View and Exploration of Simulation Metrics to Support Surgeons & Teams in High Performance Roles Session 210 Didactics in Toxicology: Neurotoxicology, Diesel Exhaust, and Human Health Risk Assessment Session 211-R Resident Research Abstract Presentations Session 212 NIOSH-OSHA Workplace Investigations 10:00am-10:30am BREAK: Located in Exhibit Hall 10:30am-12Noon [1.5] Session 213-R OSHA Best Practices 2013: Spirometry Testing in Occ. Health Programs Session 208, Continued Session 209, Continued Session 210, Continued Session 211, Continued Session 212, Continued 12Noon-1:15pm COMPLIMENTARY LUNCH: Located in Exhibit Hall 1:30pm-3:00pm [1.5] Session 214 An Overview of Occupational Health within the Federal Bureau of Prisons Session 215 Update on Evaluation of TBI/ Concussion Session 216 Public Safety Medicine Update 2014 Session 217-R Hydraulic Fracturing: NIOSH Update, API View, and Perspective on the Research Session 218-R MRO Controversies Session 219 Industrial Hygiene for the OEM Physician 3:00pm-3:30pm BREAK: Located in Exhibit Hall 3:30pm-5:00pm [1.5] Session 220 New Prescription for Prevention: The Role of the Occupational and Environmental Physician in Promoting Policies and Partnerships for Healthier Built Environments Session 215, Continued Session 216, Continued Session 221-R Hydraulic Fracturing: Health Effects, Public Policy, and Community Outreach Session 218, Continued Session 219, Continued 5:15pm-6:15pm Yoga/Meditation/Nature Walk (Details to Come) 5:30pm-8:00pm (Flow) Optional Event: River Barge Cocktail Cruise (Additional Fee/Ticket Required)
  6. 6. 4 | 2014 American Occupational Health Conference Tuesday, April 29, 2014 ~ CME: 7.0 8:00am-8:30am BREAK: Located in Exhibit Hall 8:30am-11:30am [3] Worksite Visit 803** Lackland Air Force Base Flightline 10:45am-12:45pm [2] Worksite Visit: 804** Center for the Intrepid 8:30am-10:00am [1.5] Session 301-R Commercial Driver Medical Examinations: Beyond the Medical Examiner Handbook and Update Session 302 The Convergence of Occupational Medicine and Urgent Care Medicine: Impact and Insight Session 303 Obesity in the Workplace Session 304 The NIOSH Consortium Upper Extremity Studies: Findings from Pooling Prospective Data from 3,515 Employees at 50 Workplaces Session 305 International Travel Health Issues Session 306 Physician Health, Impairment, and Work Capacity: A Challenge for Occupational Medicine 10:00am-10:30am BREAK: Located in Exhibit Hall 10:30am-12Noon [1.5] Session 301, Continued Session 308 Superstorm Sandy Disaster Management and Firefighter Chemical Exposures Session 309 Army Aviation Focused Occupational Medicine Residency Session 310 The Independent Medical Examination Session 305, Continued Session 306, Continued 12Noon-1:15pm Lunch on Own 1:30pm-3:00pm [1.5] Session 311 Occupational Issues of Color Vision and Color Vision Testing: What’s Up Session 312-R Occupational Exposures and the Respiratory System: Tip of the Nose to the Alveoli and Beyond Session 313 ACOEM Guidelines: Update on Opioids for Chronic Non-cancer Pain with Live Online Access to the ACOEM Guidelines Session 314 Dealing with Biohazards, Fitness-for-Duty, and Return-to- Work Challenges in Select Populations Session 315-R A Brave New World: Healthcare Reform Opportunities and Practice Strategies for OEM Practice Settings Session 316 Work Related Shoulder Disorders: Overcoming Barriers to Return-to-Work: A Hands-on Experience with Physical Therapists 3:00pm-3:30pm BREAK: Located in Foyer 3:30pm-5:00pm [1.5] Session 317 Critical Issues for Corporate Medical Directors: Shaping Health Benefits in a Rapidly Changing Environment Session 318-R Evaluation and Management of Bloodborne Pathogen Exposures Session 313, Continued Session 314, Continued Session 315, Continued Session 316, Continued 5:15pm-6:15pm [1] Session 319 ACOEM’s Maintenance of Certification Part IV Program 5:15pm-6:15pm Yoga/Meditation/Nature Walk (Details to Come) 5:30pm-7:30pm (Flow) Optional Tour: After Hours at The Alamo (Ticket Required)
  7. 7. 2014 American Occupational Health Conference | 5 Wednesday, April 30, 2014 ~ CME: 4.0 7:00am-8:00am [1] Session 401 CMO Strategic Communications to Drive Change and Integration Session 402 Blast and Crush Injuries: From the Field to the Hospital Session 403 The Past Becomes the Present Session 404 Current Directions in TB Screening of AF Accessions 8:00am-10:00am [1] Session 400 ACOEM Annual Membership Meeting & Breakfast (W.B. Patterson Memorial Presentation) 10:00am-10:15am BREAK 10:15am-11:15am [1] Session 405-R Mobile Medical Tech: Medical Apps, Websites, and Devices - What You and Your Patients Might Find Interesting Session 407 Hydrofracturing and the PCP Session 408 Conflict Resolution in the OEM Setting 11:15am-11:30am BREAK 11:30am-12:30pm [1] Session 410-R Your ACOEM: Finding You, Finding Each Other, Finding Great Tools Online Session 411-R Work, Stress, and Health: An Update from NIOSH Total Worker Health Session 412 A Framework for a Heat-stress Prevention Program Based on National Guidelines Session 413 Occupational and Environmental Challenges in the Pharmaceutical Industry: Cradle to Grave Thursday, May 1 8:00am-5:00pm Work Disability Prevention for Clinicians: Mastering Your Role in the SAW/RTW Process CAOHC Professional Supervisor Workshop Post-Conference Courses* * Advanced registration strongly encouraged; Additional fee applies
  8. 8. 6 | 2014 American Occupational Health Conference Board of Directors – 2013-2014 Officers President Ronald R. Loeppke, MD, MPH, FACOEM President-Elect Kathryn L. Mueller, MD, MPH, FACOEM Vice President Mark A. Roberts, MD, PhD, MPH, FACOEM Secretary/Treasurer James A. Tacci, MD, JD, MPH, FACOEM Immediate Past President Karl Auerbach, MD, MBA, MS, FACOEM Directors – 2011-2014 Alan Engelberg, MD, MPH, FACOEM Constantine J. Gean, MD, MBA, MS, FACOEM Mark C. Taylor, MD, MPH, FACOEM Amanda C. Trimpey, MD, MPH, FACOEM Directors – 2012-2015 Marianne Cloeren, MD, MPH, FACOEM Michael L. Fischman, MD, MPH, FACOEM Michael G. Holland, MD, FACOEM Directors – 2013-2016 Steven Pike, MD, JD, MBA, MS, FACOEM James P. Seward, MD, MPP, MMM, FACOEM Charles M. Yarborough III, MD, MPH, FACOEM, FACPM House of Delegates – 2012-2013 Speaker James W. Butler, MD, MPH, FACOEM Speaker-Elect Paul J. Papanek, MD, MPH, FACOEM Recorder Philip Adamo, MD, MPH, FACOEM 2014 AOHC Program Planning Committee Chair Robert M. Bourgeois, MD, MPH, FACOEM Committee Members Tony L. Alleman, MD, MPH, MS, FACOEM Rosalyn B. Beaty, MD, MPH, FACOEM Stephen A. Frangos, MD, MPH, FACOEM Phyllis A. Gerber, MD, FAADEP, MRO, FACOEM Steve M. Hetrick, MD, MPH Allison L. Jones, MD, MS, FACOEM Patrick Laraby, MD, MPH, MS, MBA, FACOEM Verba A. Moore, MD, MPH, FACPM Paul P. Rountree, MD, FACOEM Tanisha K. Taylor, MD, MPH, FACOEM Early Career Representitive Judith G. McKenzie, MD, MPH, FACOEM Advisory Panel Marianne Cloeren, MD, MPH, FACOEM, FACP Tifani Grizzell, MD Michael J. Hodgson, MD, MPH T. Warner Hudson, MD FACOEM, FAAFP Ronald R. Loeppke, MD, MPH, FACOEM Kathyrn L. Mueller, MD, MPH, FACOEM ACOEM lEADERSHIP Board of Directors
  9. 9. 2014 American Occupational Health Conference | 7 Pre-Conference Courses Pre-and-post-conference courses are designed to enrich participant’s understanding of concepts and issues related to OEM, giving physi- cians the knowledge necessary to sustain a competitive edge. Content is driven by research, the latest in regulatory issues, and the expertise of the faculty. Pre-registration is strongly encouraged; a separate reg- istration fee is required. Friday-Saturday, April 25-26, 2014 MRO Comprehensive Course................... CME/MOC: 15 Course Director: Kent Peterson, MD This course offers current and aspiring medical review officers (MROs) an excellent opportunity to increase and update their knowledge and familiarity with changes in substance abuse testing and federal regula- tions affecting the role of MROs. ACOEM has been the educational provider of choice for MROs since 1990. More than 14,000 physicians have completed ACOEM’s highly acclaimed training. This course is an elective for the OEM curriculum.** Friday-Saturday, April 25-26, 2014 Occupational Medicine Board Review Course......................................... CME/MOC: 15 Course Director: John Meyer, MD If you are striving to reach – or maintain – the definitive credential in your profession – occupational medicine certification by the American Board of Preventive Medicine (ABPM) – look no further for expert as- sistance and instruction. Now you can prepare confidently for the cer- tifying or recertifying examination. By taking the ACOEM Occupational Medicine Board Review course, you can refresh your knowledge of the exam’s content, identify strengths and weaknesses in your preparation, and learn how to concentrate on areas needing more review. Friday-Saturday, April 25-26, 2014 Foundations of Occupational Medicine Segment 2............................................... CME/MOC: 15 Course Director: Chris Stewart-Patterson, MD For physicians and health professional’s interested in – but not particu- larly familiar with – occupational medicine (OM), ACOEM’s Foundations of Occupational Medicine courses provide an excellent and compre- hensive introduction. You will obtain practical information that will be useful in managing the clinical, regulatory, and administrative functions of an OM practice – at a primary care level. Topics for Segment 2 include: Industrial Hygiene; Cardiology; Hematology; Biological Monitoring; Infectious Diseases; Neurotoxicity; Reproductive Health; Fibrotic Lung Diseases; Metals; Airway Disorders; Disaster Management and Chronic Pain. This course is a requirement for the OEM curriculum.** Saturday, April 26, 2014 Commercial Driver Medical Examiner Course.................................................... CME/MOC: 7.5 Course Director: Natalie Hartenbaum, MD Led by Dr. Hartenbaum and her faculty for more than a decade, the highly successful Commercial Driver Medical Examiner (CDME) course will prepare those eligible to serve as examiners to sit for the National Registry of Certified Medical Examiners (NRCME) certification examina- tion. The compliance date: May 21, 2014. This course is an elective for the OEM curriculum.** Saturday, April 26, 2014 Spirometry Testing in Occupational Health – Physician Update.................................... CME/MOC: 7.5 Course Director: Mary Townsend, MD Occupational medicine physicians frequently use spirometry in their practices, but traditional training rarely prepares them to appreciate the impact and scope of the technical pitfalls of pulmonary function testing, nor does it introduce them to optimal spirometry interpreta- tion algorithms. Practitioners may also evaluate workers with complex respiratory conditions who they determine require further diagnostic tests to confirm or refute a diagnosis of lung disease, in some cases without understanding the role that these additional tests play in es- tablishing a diagnosis. This ACOEM course addresses both of these limitations, drawing information on spirometry from a comprehensive NIOSH-approved course, and selecting case examples for a physician audience to illustrate the roles of spirometry and other diagnostic tests in the evaluation of workers for occupational lung disease. Saturday, April 26, 2014 Advanced Skills for the Independent Medical Examiner................................... CME/MOC: 7.5 Course Director: Mohammed Ranavaya, MD, JD, MS, FRCPI, FFOM, CIME This ABIME-led course will provide 7.5 hours of instruction on medico- legal issues and other skills pertinent to the role of Independent Medi- cal Examiner.
  10. 10. 8 | 2014 American Occupational Health Conference Thursday, May 1, 2014 Work Disability Prevention for Clinicians: Your Role in the SAW/RTW Process......... CME/MOC: 7.5 Course Director: Jennifer Christian, MD Deliver more practical value to patients, employers, and insurers by attending this workshop. It will increase the accuracy and usefulness of the guidance you give others in the stay-at-work and return-to-work process – and your effectiveness at preventing needless work disability and helping people stay employed. The main intended target audience for this course is physicians involved in the medical process as treaters, consultants, peer reviewers, or medical directors. This course is a requirement for the OEM curriculum.** Post-Conference Courses Thursday, May 1, 2014 Professional Supervisor of the Audiometric Monitoring Program Workshop............... CME/MOC: 7.5 The Professional Supervisor of the Audiometric Monitoring Program© (PS/A) Workshop is an intermediate-level, full-day course. It empha- sizes the real-world application of audiology expertise as encountered in occupational settings. Lectures review the current literature and practice guidelines. Instructors present employee case studies for par- ticipant problem-solving, critical thinking and small-group discussion. Case presentations discuss PS responsibilities, guidelines for manag- ing problem audiograms and determination of work-relatedness. The OEM Essentials Curriculum **The OEM Essentials Curriculum was created for practicing physicians new to the fields of occupational and environmental medicine. Designed around the ACOEM OEM Competencies, the curriculum supplies participants with practical information that is useful in management of the clinical, regulatory, and administrative functions of an OM practice. Upon completion of the stated criteria, OEM Essentials Curriculum participants will be equipped to serve as knowledgeable representatives of the specialty. For more information, go to www.acoem.org/oemessentials.aspx Saturday, April 26, 2014 1:00 p.m. - 5:00 p.m. Session 099: CHAA Examiner Training.... CME/MOC: 3.5 TRACK(S): Other The Corporate Health Achievement Award (CHAA) Session is open to all ACOEM members. The CHAA meets ACOEM’s long-term goal of providing education about the importance of the health of workers and promoting quality health, safety, productivity, and environmental management. This session will discuss the recent article “The Link be- tween Workforce Health and Safety and the Health of the Bottom Line: Tracking Market Performance of Companies that Nurture a “Culture of Health” and discuss the mechanism for reviewing company programs on health and safety. Through the CHAA Examiners Training program, participants will be able to identify factors in successful occupational medicine and environ- mental health programs; understand and implement the current CHAA scoring process for assessing levels of achievement; and experience peer consensus development for determining strengths and areas for improvement in applications. If you are interested in attending as a CHAA Examiner of would like additional information about the program, contact Doris Konicki at dkonicki@acoem.org Concurrent Conference Sessions
  11. 11. 2014 American Occupational Health Conference | 9 opening session Sunday,April 27, 2014 Sunday, April 27, 2014 1:30 p.m. - 3:00 p.m. Session 103: The Future of Occupational Medicine: Where Will Our Expert Practitioners Come From?............................................ CME/MOC: 3.0 TRACK(S): Other Arch “Chip” Carson, MD, PhD*, University of Texas School of Public Health, Houston, TX (Moderator) Phyllis Gerber, MD, FACOEM*, Biomotion Labs, LLC., Richmond, VA Consol Serra, MD, PhD, Universitat Pompeu Fabra, Barcelona, Spain This session will address national concerns related to the ongoing shortage of occupational medicine and allied occupational health pro- fessionals. Discussion will focus on several different perspectives re- garding the future of the specialty of OM and on projected long-term needs and potential solutions, as well as the effects on state and fed- eral regulations, insurance reimbursement, and sustainability of train- ing programs. This session is sponsored by the Academic Occupational Medicine Special Interest Section. *ACOEM Member Session 100: AOHC Opening Session: C. O. Sappington Memorial Lecture.... CME/MOC: 1.0 TRACK(S): Other The opening session of the 99th annual meeting of the American College of Occupational and Environ- mental Medicine will feature presentation of the ACOEM annual awards followed by the C. O. Sappington Memorial Lecture. This lecture was named for Clarence Olds Sappington, MD, DrPH (1889-1949), a noted consultant in occupational diseases and industrial hygiene and is presented annually at AOHC to honor this pioneer and serves as a forum to address major issues in occupational and environmental medicine. This year’s lecture will be presented by Molly Joel Coye, MD, MPH Chief Innovation Officer of the UCLA Health. 7:00 a.m. - 8:00 a.m. Session 101: New Member Orientation........................ CME/MOC: 0.0 TRACK(S): Other Are you a potential or new member of ACOEM? Are you a current mem- ber who would like to become more involved? Then come to this infor- mal event and network with component, section, and national leaders of the College. Discover ways to get involved and reach the maximum potential of your membership. Continental breakfast will be served. 9:00 a.m. - 12:15 p.m. Session 102: Introduction to Occ Med... CME/MOC: 3.0 TRACK(S): Other Robert M. Bourgeois, MD, MPH, FACOEM*, Bourgeois Medical Clinic, Morgan City, LA Natalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PA Douglas W. Martin, MD, FACOEM, FAAFP, FAADEP*, UnityPoint Clinic - Occupational Medicine, Sioux City, IA Mark Roberts, MD, PhD*, Exponent, Inc., Chicago, IL Chris Stewart-Patterson, MD, CCBOM, FACOEM*, Khatsahlano Corporate Medical Services, Vancouver, CA Are you aware of family, urgent care, or internal medicine physicians, nurse practitioners, or physician assistants who are not trained in OEM but are interested in adding some OEM competencies to their “tool kits”? If so, please let them know about this great opportunity to learn more about OEM! Are you seeing patients with occupational illnesses or injuries, such as musculoskeletal injuries with impairment for joints and the spine or opioid-related issues in the workplace? Are you asked to develop return-to-work plans for your patients? This session will pro- vide a brief introduction on the ways that primary care physicians and other practitioners can benefit from the many resources of occupa- tional and environmental medicine. This session may be of particular interest to residents and recent graduates.
  12. 12. 10 | 2014 American Occupational Health Conference Sunday,April 27, 2014 9:00 a.m. - 12:15 p.m. (con’t) Session 104: Underserved Occupational Populations: Current Clinical, Regulatory, and Legislative Issues............................ CME/MOC: 3.0 TRACK(S): Environmental Health and Risk Management Joseph A. Fortuna, MD, MACOEM*, PRISM, New Orleans, LA Deliana Garcia, MA, Migrant Clinicians Network, Inc., Austin, TX Bruce Goldstein, Farmwork Justice, Washington, DC Tee L. Guidotti, MD, MPH*, Medical Advisory Services, Rockville, MD Amir Hamidi, PhD, Veteran, Immigrant, and Refugee Trauma Institute of Sacramento (VIRTIS), Sacramento, CA Matthew Keifer, MD, MPH*, National Farm Medicine Center, Marshfield Clinic Research Foundation, Marshfield, WI Patrick Marius Koga, MD, MPH, FRSPH, University of California School of Medicine, Department of Public Medicine, Davis, CA Amy K. Liebman, MPA, MA, Migrant Clinicians Network, Inc., Austin, TX Scott D. Morris, MD, MPH, FACOEM*, Valley Medical Center, Renton, WA (Moderator) Ismail Nabeel, MD, MPH, FACOEM*, Ohio State University, Wexner Medical Center, Columbus, OH Underserved occupational populations are exposed to increased risk of occupational injury and illness, yet lack adequate health and safety resources. Effects of this disparity upon workers, their families, and the community will be explored. Specific issues faced by certain un- derserved groups such as women farm workers, international migrant and immigrant workers, dairy workers, construction workers, and con- tingent workers will be examined. This session is sponsored by the Underserved Occupational Populations Special Interest Section. Session 105: Maximizing the Health of the Workforce: Case Studies on Management of Chronic Diseases................................................. CME/MOC: 3.0 TRACK(S): Management and Administration in OEM Pamela Allweiss, MD, MPH*, CDC Division of Diabetes Translation, Atlanta, GA (Moderator) Colin Baigel, MD*, Bristol-Myers Squibb, Co., New York, NY Raymond J. Fabius, MD, FACPE*, HealthNEXT, Newton Square, PA John Ross Maclean, MD, Bristol-Myers Squibb, Co., Plainsboro, NJ David Shepperly, MD, MHS, FACOEM*, Bristol-Myers Squibb, Co., New Brunswick, NJ Cynthia E. Vona, DDS, MD*, Bristol-Myers Squibb, Co., Princeton, NJ This session is sponsored by the Health and Productivity Special Inter- est Section. 3:15 p.m. - 4:15 p.m. Session 106: Emergent Medical Evacuations from the Gulf of Mexico......................................... CME/MOC: 1.0 TRACK(S): OEM Clinical Practice Robert M. Bourgeois, MD, MPH, FACOEM*, Bourgeois Medical Clinic, Morgan City, LA (Moderator) Donald P. Thibodaux, MD*, Safety Management Systems, Lafayette, LA This session will cover the most common situations for an emergent evacuation and will review the five year retrospective study (2008- 2012) on the reasons for and cost implications of emergent medical evacuations of oilfield workers from the Gulf of Mexico. Most com- panies assume that the majority of emergent evacuations are occu- pational injuries, but greater than 75% are non-occupational medical illnesses. Medical evacuations are costly and have inherent risks with each flight. Several cases requiring medical evacuations from remote locations will be presented. This session is sponsored by the Transpor- tation Special Interest Section. Session 108: Individual Scientific Abstracts................ CME/MOC: 1.0 TRACK(S): OEM Education and Scientific Research Tanisha K. Taylor, MD, MPH, FACOEM*, Barnabas Health Corporate Care, Lakewood, NJ (Moderator) The objective of this session is to present important research findings on current occupational and environmental topics. All presentations were selected through a peer-review process of submitted abstracts to ensure the highest quality science and relevance. Session 109: Hands-on Workshop for RRG and OEM Physicians in Career Transitions: Building Basic Busi- ness Skills for the Corporate World and Constructing a Virtual Resume.................................... CME/MOC: 1.0 TRACK(S): Management and Administration in OEM Phyllis Gerber, MD, FACOEM*, Biomotion Labs, LLC., Richmond, VA (Co-Moderator) Allison L. Jones, MD, MS, FACOEM*, Carle Clinic, Urbana, IL (Co- Moderator) Michelle M. Olson, MD, MACM, FACS, FASCRS, Carle Foundation Hospital, Urbaba, IL Come and meet with a group of business and medical education ex- perts who will help you hone your image and business acumen for the best personal presentation possible. Prepare for your career transition from residency to first job to dream job! Traditional and novel ways to promote and competitively market yourself using best practices and modern techniques will be explored. Skills of how to develop your own virtual resume in a career e-portfolio will be highlighted. This session may be of particular interest to residents and recent graduates. 3:15 p.m. - 5:30 p.m. Session 110: Low Back Pain: Thinking Outside the Disc....................... CME/MOC: 2.0 TRACK(S): OEM Clinical Practice John Galin Sandness, MD, MS, FACOEM*, Physical and Occupational Medicine Associates, PA, Bloomington, MA Low back pain is one of the most common, challenging, costly and controversial conditions treated by occupational medicine specialists. This session will review recent research on low back pain; demonstrate how applying a knowledge of anatomy, physiology, and biomechanics can give us a deeper understanding of normal function, explain what can go wrong with these mechanisms to produce symptoms of low back pain; and show how a careful, expanded physical examination can help us formulate a more specific diagnosis and guide rational treatment.
  13. 13. 2014 American Occupational Health Conference | 11 Session 111: Occupational Health Systems from Around the Globe.................................... CME/MOC: 2.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Ronald R. Loeppke, MD, MPH, FACOEM*, US Preventive Medicine Inc., Brentwood, TN (Moderator) Nayake Bandaralage Parakrama Balalla, Occupational Health Division, Ministry of Health, Brunei, Darussalam (Invited) Herman Spanjaard, MD, Dutch Society for Occupational Medicine (NVAB), Utrecht, The Netherlands This session will highlight different occupational health systems in sev- eral countries, including The Netherlands and Brunei. Topics of dis- cussion include surveillance of worker’s health , occupational health clinical service, surveillance of working environment, investigation of complaints and workplace accidents and work-related diseases, health education and health promotion, training, collaboration with other agencies and conducting research on occupational health and safety, back-to-work strategies, and rehabilitation and disability systems. 4:30 p.m. - 5:30 p.m. Session 112: Telemedicine in Remote Work Locations.CME/MOC: 1.0 TRACK(S): OEM Clinical Practice Darryl Camp, MD, Us-Telehealth, Kyle, TX Donald P. Thibodaux, MD*, Safety Management Systems, Lafayette, LA (Moderator) This session will discuss the history of and progress made in tele- medicine, including applications for remote locations and telemedicine equipment. We will also have a live feed from a remote site (i.e. oil platform in the Gulf of Mexico). Session 113: Why Is This Seemingly Healthy, Able-bodied Veteran I’m Seeing for Pre-employment Physical Examination Rated 80% Disabled by the VA? Understanding the VA’s Disability System............................ CME/MOC: 1.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Bradley Flohr, Veterans Benefits Administration, Compensation Service, Washington, DC Patrick R. Laraby, MD, MS, MPH, MBA, FACOEM*, US Navy, Bureau of Medicine and Surgery, Washington, DC (Moderator) This session will provide information on how the U.S. Veterans Adminis- tration (VA) determines whether any particular disability was incurred in or aggravated by active military service and how a disability determined to be service connected is evaluated under the regulatory provisions of VA’s Schedule for Rating Disabilities (VASRD). This session will include a discussion of the different bases of determining service connection – direct, secondary, and presumptive. Session 114: Individual Scientific Abstracts................ CME/MOC: 1.0 TRACK(S): OEM Education and Scientific Research Verba A. Moore, MD, MPH, FACPM*, InoMedic Health Applications Inc, Kennedy Space Center, FL (Moderator) The objective of this session is to present important research findings on current occupational and environmental medicine topics. All pre- sentations were selected through a peer-review process of submitted abstracts to ensure the highest quality science and relevance. T Session 115: ACOEM Apprentice: Practical Guidance on How to Survive and Thrive in Various Sectors of OEM Practice.......................................... CME/MOC: 1.0 TRACK(S): Management and Administration in OEM George Reed Grimes, MD, MPH*, Naval Branch Health Clinic, Indian Head, MD Tifani Lowe Grizzell, MD, MPH*, Uniformed Services University, Bethesda, MD Allison L. Jones, MD, MS, FACOEM*, Carle Clinic, Urbana, IL (Moderator) Lora S. Regan, MD, MPH, FACOEM*, Lancaster General Hospital, Lancaster, PA James A. Tacci, MD, JD, MPH, FACOEM, FACPM*, Rochester General Health System, Rochester, NY Kevin Trangle, MD, MBA, BCIM, FACOEM, FAADEP, CIME, CMRO*, Benefti Advisors Network, Mayfield Heights, IL This session provides practical guidance to residents, recent gradu- ates, and any OEM professional contemplating a move into a new or unfamiliar sector of OEM practice. Established OEM professionals in various sectors of their practice (corporate, academic, federal/military, and pharmaceutical) will provide high-level tips for successful entry into and advancement in these industry sectors. Then, in a highly inter- active session, attendees will be divided into groups and assigned real- world problems to address, with their proposed solutions assessed by the on-site panel of experts. This session is sponsored by the Residents and Recent Graduates Special Interest Section. This session may be of particular interest to residents and recent graduates. 7:30 pm. - 8:30 pm. Session 116: International Panel Discussion............... CME/MOC: 1.0 TRACK(S): Other Karl Auerbach, MD*, Pulse Occupational Medicine, Pittsford, NY (Moderator) Representatives of various international occupational groups will dis- cuss issues of common concerns, challenges, and opportunities facing occupational medicine across the world. Audience participation is a key part of the program and session participants will be encouraged to raise questions and offer additional insights.
  14. 14. 12 | 2014 American Occupational Health Conference Monday,April 28, 2014 7:00 a.m. - 8:00 a.m. Session 202: Medical Screening: Is There a Need for Annual Physicals?................................... CME/MOC: 1.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Robert S. Goldsmith, MD, MPH*, Novartis Pharmaceuticals Corporation, East Hanover, NJ (Moderator) Martin Kuster, MD, MOH, Novartis International AG, Basel, Switzerland Klaus E. Stadtmuller, MD*, SUVA - Swiss Accident Insurance Fund, Lucerne, Switzerland Within the framework of workplace risk management lies the principle of medical surveillance. In the U.S. and in some European countries the “annual physical” was or still is scheduled by regulators, especially when employees are exposed to hazardous substances. The Swiss regulator moved away from annual examinations to mostly 3-year in- tervals. This session will present the Swiss perspective and provide the risk management rationale for less frequent surveillance for certain chemical exposures. Recommendations will be based on the 10-year medical surveillance experience at Novartis Pharmaceuticals, and will include the following components: the incidence of exposure-related illness; the frequency with which occupational illness is detected dur- ing medical surveillance; review of the Novartis risk characterization system and the company’s targeted strategy for worker protection. Session 203: Carpal Tunnel Syndrome: Work-relatedness from an Epidemiologic Perspective..................... CME/MOC: 1.0 TRACK(S): OEM Education and Scientific Research Russell Gelfman, MD, MS*, Mayo Clinic College of Medicine, Rochester, MN Experts have used various epidemiologic studies to either support or refute the relationship of carpal tunnel syndrome (CTS) to work. This session will explore the epidemiologic debate in detail, including the strengths and weaknesses of the various studies, in an effort to en- lighten the attendee about the possible role of various work activities as risk factors for the development of CTS. This review will include discussion of studies involving work and non-work populations and the sociologic context in which they were conducted. Session 204: Becoming Board Certified and Maintaining Board Certification in Occupational Medicine....................... CME/MOC: 1.0 TRACK(S): Other William W. Greaves, MD, MSPH, FACOEM, FACPM*, American Board of Preventive Medicine, Chicago, IL Kristine Pasciak, American Board of Preventive Medicine, Chicago, IL Ron Stout, MD, MPH, FACOEM, FACPM, FAAFP*, Procter & Gamble, Mason, OH Members of the American Board of Preventive Medicine will be on hand to discuss specifics regarding the rules for acceptance as a candidate to sit for the initial certification examination, as well as for the four parts required for recertification under Maintenance of Certification: professionalism, lifelong learning, cognitive examination, and practice performance. Extensive Q&A with attendees has been a hallmark of this session. Additional information is available on the ABPM web site at www.theabpm.org. This session may be of particular interest to resi- dents and recent graduates. Session 205: Becoming an ACOEM Fellow.................... CME/MOC: 1.0 TRACK(S): Other Natalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PA (Moderator) Fellow is the highest classification of membership in ACOEM. Fellow- ship distinguishes and recognizes members of the College for their training, accomplishments, and experience in occupational medicine at the national, component, and local levels, as well as the member’s academic and scientific contributions. The Committee of Fellowship Examiners feels passionately that the College needs more Fellows and that those who are making significant contributions to the College and the field of occupational and environmental medicine deserve special recognition. Come to this session to learn about the application pro- cess of Fellowship. Session 206: Don’t Be Afraid: It’s Only Accreditation and I Like It........ CME/MOC: 1.0 TRACK(S): Management and Administration in OEM Jordan Firestone, MD, PhD, MPH*, NASA-Ames Research Center, Moffett Field, CA Michael Kulczycki, MBA, The Joint Commission, Oakbrooke Terrace, IL (Moderator) Employers are shifting to providing more primary healthcare in the work setting for employees and their families. What assurance is there that these paid-for benefits are of a high-quality? Accreditation is a process whereby healthcare providers invite an independent, outside evalua- tion of the health services and the supporting delivery systems being offered. The accreditor’s determination—based on state-of-the-art- national standards—serves as a review of the healthcare provider’s delivery of service value. 8:00 a.m. - 12:00 p.m. Worksite Visit 802: San Antonio Fire Training Academy........ CME/MOC: 3.0 TRACK(S): OEM Clincial Practice This site visit will give OM physicians first-hand experience with the physical demands of firefighter training enhancing the doctor’s decision making when performing pre-placement and incumbent medical evalu- ations. Attendees will experience the most widely used pre-placement functional evaluation - the Candidate Physical Abilities Test – and will have the opportunity to climb stairs, drag hose, carry equipment, force entry, raise ladders, navigate tunnels, drag dummies, breach ceilings and experience what firefighters should be able to do as part of their academy training. The tour of the training facilities will allow partici- pants to learn more about the demands of a fire academy and have an opportunity to discuss with expert trainers the policies, practices and procedures used to safely train effective firefighters. This session is designed for those who want to observe and experience the stresses of firefighting. Advanced registration is required, additional fee applies. Attendees must wear long pants, closed-toed athletic shoes, and clothing that can be soiled.
  15. 15. 2014 American Occupational Health Conference | 13 Monday,April 28, 2014 8:30 a.m. - 10:00 a.m. Session 207: Sleep Apnea: Transportation Concerns and Science.... CME/MOC: 1.5 TRACK(S): OEM Clinical Practice Indira Gurubhagavatula, MD, MPH, University of Pennsylvania, Philadelphia, PA Natalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PA (Moderator) Mary Pat McKay, MD, MPH, National Transportation Safety Board, Washington, DC This session will discuss the findings and recommendations of the Na- tional Transportation Safety Board with respect to sleep apnea. Current science, logistics, and practical matters related to diagnosis and treat- ment will also be reviewed. This session is sponsored by the Trans- portation Special Interest Section. This session may be of particular interest to residents and recent graduates. 8:30 a.m. - 12:00 p.m. Session 208: State-of-the-Art Review of Hearing Conservation............................. CME/MOC: 3.0 TRACK(S): Environmental Health and Risk Management; OEM Clinical Practice Robert A. Dobie, MD, University of Texas Health Science Center, San Antonio, TX Thomas R. Jayne, BNSF Railway Company, San Antonio, TX Patrick R. Laraby, MD, MS, MPH, MBA, FACOEM*, US Navy, Bureau of Medicine and Surgery, Washington, DC (Moderator) Ted Madison, MA, CCC-A, 3M Company, St. Paul, MN Mark Packer, MD, USAF, Lackland AFB, Lackland, TX A panel of experts will provide updates concerning occupational noise exposure regulations, causality assessment, approaches to hearing protection, and noise-induced hearing loss research. This session is sponsored by the Federal and Military Occupational and Environmental Medicine Special Interest Section. Session 209: Hazards of the Operating Room: A Comprehensive View and Exploration of Simulation Metrics to Support Surgeons and Teams in High Performance Roles......................... CME/MOC: 1.5 TRACK(S): Management and Administration in OEM William G. Buchta, MD, MS, MPH, FACOEM*, Mayo Clinic, Rochester, MN Michael J. Hodgson, MD, MPH*, OSHA, Washington, DC Allison L. Jones, MD, MS, FACOEM*, Carle Clinic, Urbana, IL Mark Russi, MD, MPH*, Yale University, Yale-New Haven Hospital, New Haven, CT (Moderator) Exposures to bloodborne pathogens occur in up to 15% of surgical procedures. Ergonomic and psychosocial stresses are severe among peri-operative and nursing staff, and incidental exposures to anesthetic gases, lasers, smoke plumes and airborne pathogens occur commonly. This session will summarize the exposures, review reasonable and ef- fective interventions, and discuss successful implementation strategies and will explore and highlight novel physician practice models featuring new opportunities for data collection using state of the art surgical sim- ulation centers. Proposals of how we can protect and advance physi- cians physical and psychological health in these environments at early, mid, late and re-entry career stages will be explored and presented. Session 210: Didactics in Toxicology: Neurotoxicology, Diesel Exhaust, and Human Health Risk Assessment.................................... CME/MOC: 3.0 TRACK(S): Environmental Health and Risk Management J. Michael Berg, Phd, Center for Toxicology and Environmental Health, LLC, Houston, TX Thomas W. Hesterberg, PhD, MBA*, Center for Toxicology and Environmental Health, LLC, Littleton, CO Michael G. Holland, MD, FACOEM, FACMT, FAACT, FACEP*, Center for Toxicology and Environmental Health, LLC, North Little Rock, AR (Moderator) John Kind, PhD, CIH, Center for Toxicology and Environmental Health, LLC, North Little Rock, AR Jonathan S. Rutchik, MD, MPH*, UCSF, Mill Valley, CA The session will deal with current topics in toxicology, occupational neurology, and neurotoxicology. The toxicology of diesel exhaust will then be examined, with a discussion of non-cancerous health effects followed by a section on lung cancer, in addition to a discussion of health-based exposure guidelines and human health risk assessment. The session will delve into how these exposure guidelines and stan- dards are derived and delineate their intended use. Session 211: Resident Research Abstract Presentations......................................... CME/MOC: 3.0 TRACK(S): OEM Education and Scientific Research John D. Meyer, MD, MPH, FACOEM*, Mount Sinai School of Medicine, New York, NY (Moderator) This session will provide residents in occupational and environmental medicine with a forum to present current and cutting-edge research in OEM. This session may be of particular interest to residents and recent graduates. Session 212: NIOSH-OSHA Workplace Investigations....................... CME/MOC: 3.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Patricia A. Bray, MD, MPH, FACOEM*, OSHA, Washington, DC Kay A. Dellinger, MD, MPH*, US Dept of Labor-OSHA, Washington, DC Kathleen Fagan, MD, MPH*, OSHA, Washington, DC (Moderator) Michael J. Hodgson, MD, MPH*, OSHA, Washington, DC Kristin M. Musolin, DO, MS*, NIOSH, Cincinnati, OH Minda Nieblas, MD, MPH*, OSHA, Washington, DC Elena Page, MD, MPH*, NIOSH, Cincinnati, OH Loren C. Tapp, MD, MS*, NIOSH, Cincinnati, OH Medical officers from OSHA and NIOSH will present findings of recent workplace investigations and Health Hazard Evaluations. The present- ers will describe the cases, the approaches to the investigations, the investigation results, and the recommendations to employers. Implica- tions for occupational medicine practice, regulations, research, worker and employer education and public health will be explored, as relevant for each case. Time for questions and discussion will be included.
  16. 16. 14 | 2014 American Occupational Health Conference Monday,April 28, 2014 10:30 a.m. - 12:00 p.m. Session 213: OSHA Best Practices 2013: Spirometry Testing in Occupational Health Programs................................................ CME/MOC: 1.5 TRACK(S): OEM Clinical Practice Mary C. Townsend, DrPH*, M. C. Townsend Associates, LLC, Pittsburgh, PA Occupational spirometry testing is often performed to comply with OSHA regulations and industry requirements. However, the technical quality of such testing is often mediocre, producing inaccurate results, and the interpretation of test results often fails to follow best practice guidelines. In 2013, OSHA released the Guidance Document “Spi- rometry Testing in Occupational Health Programs: Best Practices for Healthcare Professionals”, to address these problems. OSHA’s recom- mendations were strongly influenced by ACOEM’s own Spirometry in the Occupational Health Setting – 2011 Update. This session sum- marizes key points of the OSHA guidance to familiarize occupational medicine practitioners with this comprehensive reference. This session is sponsored by the Lung Disorders Committee. This session may be of particular interest to residents and recent graduates. 1:30 p.m. - 3:00 p.m. Session 214: An Overview of Occupational Health within the Federal Bureau of Prisons...... CME/MOC: 1.5 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Sylvie I. Cohen, MD, MPH, FACOEM*, Department of Justice, Washington, DC This session will provide the attendee with an overview of occupational health within a correctional environment, specifically the Federal Bu- reau of Prisons. This session will provide a glimpse into the various industries within this working environment including the associated injuries and workers’ compensation, and return to work issues. This session is sponsored by the Federal and Military Occupational and En- vironmental Medicine Special Interest Section. Session 217: Hydraulic Fracturing: NIOSH Update, API View, and Perspectives on the Research................................................. CME/MOC: 1.5 TRACK(S): Environmental Health and Risk Management Margaret M. Kitt, MD, MPH*, NIOSH, Morgantown, WV Russell D. White, PhD, DABT, American Petroleum Institute, Washington, DC Most of the attention in the unconventional oil and gas industry (hydrau- lic fracturing) has focused on environmental issues. Although workplace safety hazards in the general industry have been documented, there is little published on health hazards to workers. Engineering controls have been put into place at some worksites and assessment of these control measures is ongoing. Assessments of other potential hazards are being prioritized to include exposure to hydraulic fracturing fluids, diesel par- ticulate and exhaust gases from equipment, lead and other toxic metals, volatile organic compounds such as benzene, and naturally occurring radioactive materials. This session will review the current work being con- ducted by NIOSH in the hydraulic fracturing industry and discuss poten- tial solutions to eliminate or minimize exposures. This session may be of particular interest to residents and recent graduates. 1:30 p.m. - 5:00 p.m. Session 215: Update on Evaluation of Traumatic Brain Injury/Concussion................................... CME/MOC: 3.0 TRACK(S): OEM Clinical Practice Robert J. Barth, PhD, FNAN*, Barth NeuroScience, Chattanooga, TN Frank Conidi, DO, MS, Florida Center for Headache and Sports Neurology, Palm Beach Gardens, FL Diana Dolan, Wilford Hall Ambulatory Surgical Center, San Antonio, TX Susan E. Ladley, MD, Denver Health, University of Colorado, Denver, CO Steven Mandel, MD, FACOEM*, Hofstra North Shore Long Island Jewish School of Medicine, New Hyde Park, NY (Moderator) Kathryn L. Mueller, MD, FACOEM*, University of Colorado Anschutz Medical Campus, Denver, CO Although clinical symptoms are the most important criteria for evalua- tion of traumatic brain injury (TBI) in most cases, many of these indi- viduals have undergone radiological, EMG, ENGs, Neuro-Psychological testing and other diagnostic procedures. Without baseline studies, and an abnormality on a test, employers and patients want to know if they are fully recovered and can return-to-work with or without restrictions. The expert faculty will address the latest research and management options. Session 216: Public Safety Medicine Update 2014...... CME/MOC: 3.0 TRACK(S): OEM Clinical Practice Fabrice Czarnecki, MD, MA, MPH, FACOEM*, Northwestern Memorial Physicians Group, Lake Forest, IL Edward I. Galaid, MD, MPH*, Northeast Georgia Physicians Group, Gainesville, GA Tee L. Guidotti, MD, MPH*, Medical Advisory Services, Rockville, MD Thomas Hales, MD, MPH*, NIOSH, Cincinnati. OH Stefanos N. Kales, MD, MPH, FACP, FACOEM*, Harvard School of Public Health, Boston, MA Paul Parrish, MD, MPH*, Austin Fire Department, Austin, TX (Moderator) Daniel G. Samo, MD, FACOEM*, Northwestern Medical Group, Chicago, IL This session is designed for those who need to keep up with the latest occupational medical guidance for firefighters, law enforcement offi- cers (LEOs), and EMS workers. Participants will learn about the com- plicated world of firefighter cancer presumption laws and the evidence linking firefighting and cancer. Attendees will also explore the causation of firefighter/LEO on-duty cardiovascular events and how physicians can help lower the risk of these events by addressing high-risk behav- iors and appropriately utilizing non-invasive tests to assess CVD risk. The newest section of the ACOEM Guidance for Medical Evaluation of Law Enforcement Officers covering sleep disorders will be discussed and will help improve participants ability to evaluate sleep disorders in applicants and incumbents. Finally, the faculty will dissect the impor- tant elements of a LEO pre-placement medical evaluation and teach participants how to construct and execute effective, evidenced-based LEO new hire exams. Beyond the lectures, this session will allow for plenty of time for questions and discussion with leading public safety medicine researchers and practitioners. This session is sponsored by the Public Safety Medicine Special Interest Section.
  17. 17. 2014 American Occupational Health Conference | 15 Monday,April 28, 2014 1:30 p.m. - 5:00 p.m. (con’t) Session 218: MRO Controversies........... CME/MOC: 3.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Karl Auerbach, MD*, Pulse Occupational Medicine, Pittsford, NY Natalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PA Douglas W. Martin, MD, FACOEM, FAAFP, FAADEP*, UnityPoint Clinic - Occupational Medicine, Sioux City, IA (Moderator) Donna R. Smith, PhD, Employers Drug Program Management, Inc., Birmingham, AL Colin Woods, DISA Global Solutions, Inc., Houston, TX The MRO Controversies session at AOHC has become a clearinghouse where medical review officers (MROs) come to learn about late-break- ing issues in the arena of drug testing from a unique expert faculty who addresses current controversies in the performance of MRO work. In the past, this has included such topics as medical and legal marijuana use, fitness for duty, preparation for DOT audits, foreign and spousal medication use, international drug testing issues and alternative test- ing methodologies. The session culminates with the “MRO Jeopardy” game that incorporates current events as well as a mix of important concepts for all practicing MROs. This session is sponsored by the Medical Review Officers Special Interest Section. This session may be of particular interest to residents and recent graduates. Session 219: Industrial Hygiene for the OEM Physician........................................ CME/MOC: 3.0 TRACK(S): OEM Education and Scientific Research John P. Holland, MD, MPH, FACOEM*, Private Practice, Lacey, WA (Moderator) Physicians and industrial hygienists will walk attendees thru common scenarios in the workplace that present opportunities for collaboration between the industrial hygienist and the physician. This session will in- clude hands-on opportunities to explore and experience a wide variety of industrial hygiene tools and equipment. 3:30 p.m. - 5:00 p.m. Session 220: New Prescription for Prevention: The Role of the Occupational and Environmental Physician in Promoting Policies and Partnerships for Healthier Built Environments.................. CME/MOC: 1.5 TRACK(S): OEM Clinical Practice Mitzi Alex Baker, AICP, Rochester-Olmstead Planning Development, Rochester, MN Robin G. Molella, MD, MPH*, Mayo Clinic, Rochester, MN (Moderator) Chronic diseases decrease employee productivity and increase absen- teeism and disability costs and the burden of these diseases is projected to continue to increase. There are opportunities to decrease the impact of chronic disease risks by changing the built environment in which we live. In order to fully realize the power of these changes in improving quality of life and decreasing chronic disease risks, OEM physicians need to be able to demonstrate and communicate the business case and the health case of these strategies. The activities planned in this session will leave the attendee well prepared to discuss the merits of complete streets policies, active living strategies, and other approaches to improve individual wellbeing through systems, policy and environmental change. Through real cases of success and failure, attendees will be able to use their expertise and position to gently advocate, or to champion meaning- ful improvements in the built environment. Session 221: Hydraulic Fracturing: Health Effects, Public Policy, and Community Outreach................................................. CME/MOC: 1.5 TRACK(S): Environmental Health and Risk Management Marilyn V. Howarth, MD, FACOEM*, Center of Excellence in Environmental Toxicology, University of Pennsylvania, Philadelphia, PA Reynold A. Panettieri, Jr., MD, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA Richard V. Pepino, MS, MSS, Center of Excellence in Environmental Toxicology, University of Pennsylvania, Philadelphia, PA The consequences of hydraulic fracturing (HF) on air and water quality and health outcomes remain unclear. The Environmental Health Sci- ences Core Centers from the University of Pennsylvania and Columbia University performed a pilot study funded by the NIEHS comparing data from the states of New York and Pennsylvania including water quality and healthcare utilization. In this session, faculty will plan to describe these findings including demonstrating that well density of active drill- ing sites is significantly associated with health care utilization. The spectrum of health care utilization in HF counties and those without HF will be detailed. Community Outreach and Engagement has been inte- gral to exposure assessment and risk communication. Strategies that have been used to work with polarized communities with environmental health problems will be summarized. Faculty will illustrate the impact of federal and state regulation on environmental health impacts of HF and discuss potential environmental health policy using a panel question and answer format. This session is sponsored by the Environmental Health Special Interest Section. This session may be of particular inter- est to residents and recent graduates. No trip to San Antonio is complete without a beautiful cruise along the San Antonio River Walk. Twenty feet below street level, the Paseo del Rio, better known as the River Walk, awaits. Along the banks of the meandering San Antonio Riv- er, stone pathways connect shops, restaurants, hotels and museums with a blend of historic and modern architecture. Take a guided cruise along the famed Paseo del Rio to learn about the history of the San Antonio River Walk. The cruise will take approximately 40-45 minutes and will depart from the lower level of the hotel. Departure times can be selected onsite, with each barge trip accommodating up to 30 people. Price includes two drinks. Adult guests may attend as well for $35 each. Children will be accommodated free of charge on a space-available basis. Advance registration is required. Optional Off-site Event River Barge Cocktail Cruise Monday, April 28, 2014 5:30pm-8:00pm (Flow) $35.00 Per Person, Advance Registration Required Time Slot Sign-up Onsite at the Conference
  18. 18. 16 | 2014 American Occupational Health Conference Tuesday,April 29, 2014 8:30 a.m. - 10:00 a.m. Session 302: The Convergence of Occupational Medicine and Urgent Care Medicine: Impact and Insight.................................. CME/MOC: 1.5 TRACK(S): Management and Administration in OEM Karl Auerbach, MD*, Pulse Occupational Medicine, Pittsford, NY Richard F. Johnson, MD, MPH, FACOEM*, Lakeside Occupational Medicine Centers, Inc., Largo, FL Bill Lewis, MD*, Concentra Medical, Phoeniz, AZ David McKinney, MD, MPH*, California Occupational Medical Professionals, Oroville, CA James A. Tacci, MD, JD, MPH, FACOEM, FACPM*, Rochester General Health System, Rochester, NY (Moderator) The ongoing trend of combining traditional occupational medicine services with urgent care services has engendered considerable dis- cussion among practitioners in both disciplines. This session will have industry leaders discuss their views of industry trends: occupational medicine clinics engaging in urgent care; urgent care clinics engaging in occupational medicine; and newly developing dual service clinics. Provider survey results will be shared. Leaders from the ACOEM Pri- vate Practice Section will provide insights and suggestions as to how ACOEM and its members can best position themselves for these trends in the occupational and urgent health care delivery systems. This ses- sion is sponsored by the Private Practice in Occupational Medicine Special Interest Section; Finances and Practice Management Special Interest Section; and the Medical Center Occupational Health Special Interest Section. Session 303: Obesity in the Workplace........................ CME/MOC: 1.5 TRACK(S): Management and Administration in OEM Ralph Bovard, MD, MPH, FACSM*, University of Minnesota, Minneapolis, MN Chuck Reynolds, MS, The Benfield Group, St. Louis, MO Mark Roberts, MD, PhD*, Exponent, Inc., Chicago,IL (Moderator) Obesity has formally been recognized as a disease. This session will present an overview of some of the issues concerning obesity in the workplace.  The epidemiology of the problem will be reviewed and its relationship to various laws (e.g., DA, HIPPA, Workers’ Compensation) will be discussed.  Information will be presented concerning various environmental, behavioral and medical interventions.  The relationship between obesity and knee disorders will be discussed. Session 304: The NIOSH Consortium Upper Extremity Studies: Findings from Pooling Prospective Data from 3,515 Employees at 50 Workplaces....... CME/MOC: 1.5 TRACK(S): OEM Education and Scientific Research Bradley A. Evanoff, MD, MPH*, Washington University School of Medicine, St. Louis, MO Fred Gerr, MD*, College of Public Health, University of Iowa, Iowa City, IA Kurt T. Hegmann, MD, MPH, FACOEM*, Rocky Mountain Center for OEH, University of Utah, Salt Lake City, UT David Rempel, MD, MPH, FACOEM*, University of California, San Francisco, CA (Moderator) Between 2001 and 2010, six research groups conducted coordinated, multi-year, prospective studies of upper extremity disorders including carpal tunnel syndrome, wrist tendonitis, and lateral epicondylitis. Per- sonal, psychosocial, and biomechanical factors were collected at the subject level. New results from the analyses of both pooled and site- specific analyses for these disorders will be presented with findings on the impact of personal risk factors such as age, gender, and BMI, and workplace risk factors such as psychosocial stress (e.g., job demands, skill discretion) and biomechanical factors (e.g., wrist posture, grip force, grip type, hand repetition rate and duty cycle). The large sample size allows for adjustment for important covariates and presentation of exposure-response relationships with substantial precision. The find- ings should clarify the role of risk factors and will be useful to those responsible for preventing and managing upper extremity disorders in the workplace. 8:30 a.m. - 12:00 p.m. Session 301: Commercial Driver Medical Examinations: Beyond the Medical Examiner Handbook and Update............................ CME/MOC: 3.0 TRACK(S): OEM Clinical Practice Natalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PA (Moderator) Kurt T. Hegmann, MD, MPH, FACOEM*, Rocky Mountain Center for OEH, University of Utah, Salt Lake City, UT Eric Wood, MD, MPH*, University of Utah, Rocky Mountain Center for OEH, Salt Lake City, UT The first part of this session will provide an update from the FMCSA on the National Registry of Certified Medical Examiners and other related issues. The second part will focus on complicated case studies and discuss resources that the medical examiner may want to consider in the determination process in addition to the FMCSA Medical Examiner Handbook. These resources will include a medical expert panel, medi- cal review board, and other industry groups, along with medical litera- ture. This session is sponsored by the Transportation Special Interest Section. This session may be of particular interest to residents and recent graduates.
  19. 19. 2014 American Occupational Health Conference | 17 Tuesday,April 29, 2014 8:30 a.m. - 12:00 p.m. (con’t) Session 305: International Travel Health Issues.......... CME/MOC: 3.0 TRACK(S): OEM Clinical Practice Amy J. Behrman, MD*, University of Pennsylvania, Philadelphia, PA Myles C. Druckman, MD*, International SOS Assistance, Inc., Los Angeles, CA Philip Harber, MD, MPH, FACOEM*, University of Arizona, Tucson, AZ (Co-Moderator) Kira Harvey, MPH, Division of Global Migration and Quarantine, Center for Disease Control and Prevention, Atlanta, GA Elaine C. Jong, MD, FIDSA, FASTMH, University of Washington School of Medicine, Seattle, WA Monika K. Shah, MD, Memorial Sloan-Kettering Cancer Center, New York, NY Suzanne M. Shepherd, MD, Hospital of the University of Pennsylvania, Philadelphia, PA William Shoff, MD, Hospital of the University of Pennsylvania, Philadelphia, PA Leslie M. Yee, MD, MPH, FACP, FACPM, FACOEM*, Skylark Health Strategies, Ltd., Cincinnati, OH (Co-Moderator) Physicians supporting multinational corporations, government agen- cies, NGOs and other transnational organizations must remain cur- rent on immunizations and other travel precautions to protect their expatriate and international travelers as well as their local national employees in many countries. Knowledge of the unique health risks of specific geographic settings may also be a critical element in decisions for international facilities. This session will also present approaches to anticipate the likelihood of requiring medical services, evaluating accessibility of medical services if needed and pre-departure methods to reduce risk. The session will address a number of important inter- national travel health issues for the OEM professional. This session is sponsored by the International Special Interest Section. Session 306: Physician Health, Impairment, and Work Capacity: A Challenge for Occupational Medicine........................... CME/MOC: 3.0 TRACK(S): OEM Clinical Practice Tony Alleman, MD, MPH, FACOEM*, Occupational Medicine Clinics of South Louisiana, Lafayette, LA William G. Buchta, MD, MS, MPH, FACOEM*, Mayo Clinic, Rochester, MN Philip Hagen, MD, FACPM*, Mayo Clinic, Rochester, MN Robin G. Molella, MD, MPH*, Mayo Clinic, Rochester, MN Richard Newcomb, MD, MPH, FACOEM*, Mayo Clinic, Rochester, MN Mark Steffen, MD, MPH*, Mayo Clinic, Rochester, MN Andrew I. S. Vaughn, MD, MPH*, Mayo Clinic, Rochester, MN Jay A.Weiss, MD, ASAM, ABAM, Palmetto Addiction Recovery Center, Rayville, LA Physicians represent a unique occupational cohort, and often ap- proach their own health care differently than they might a patient. The ill, injured, or impaired physician poses a number of challenges for occupational physicians when determining work capacity. This presen- tation will take the attendee through the challenges faced by physi- cians seeking care, the services physicians wished they had, and the challenges in returning ill, injured and impaired physicians back to their work. A series of both complex and simple cases will be reviewed with interactive discussion with the faculty. 8:30 a.m. - 11:30 a.m. Worksite Visit 803: Lackland Air Force Base Flightline................................................. CME/MOC: 3.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM This site visit will focus on the spectrum of physical and chemical haz- ards posed to military aircraft maintainers and highlight strategies for mitigation and prevention. Advanced registration required, additional fee applies. This worksite visit is limited to U.S. citizens only. A copy of your driver’s license must accompany your registration. You will be required to show your license at the worksite visit. Attend- ees should wear closed toed shoes and clothing that is appropriate for climbing aboard an aircraft (surfaces may be dirty). No photography on the flightline. 10:30 a.m. - 12:00 p.m. Session 308: Superstorm Sandy Disaster Management and Firefighter Chemical Exposures............................... CME/MOC: 1.5 TRACK(S): Environmental Health and Risk Management Jaspal S. Arora, MD, MPH, MBA, FACOEM*, Aurora Health Care, Harford, WI (Co-Moderator) Rupali Das, MD, MPH, FACOEM*, California Division of Workers’ Compensation, Oakland, CA (Co-Moderator) Leslie Israel, DO, MPH, FACOEM*, University of California, Irvine, Center for Occupational and Environmental Health, Irvine, CA P. Mona Khanna, MD, MPH, FACP, FACPM, FACOEM*, University of Illinois, Chicago, IL In this session we will explore the nexus of occupational and environ- mental concerns during both disasters and routine work. A timeline of Sandy’s catastrophic effect and the process by which hundreds of the nation’s Disaster Medical Assistance Team (DMAT) members were deployed to mitigate the human toll will be discussed, along with the composition and role of the medical team, its stakeholders, and how it functions as a paramilitary organization to provide medical care. The session will review the various chemical exposures firefighters en- counter during routine and emergency response work, as well as dur- ing home activities. Gases, vapors, and particles are released during responses to structural or vehicular fire, building collapse, hazardous material spills, and during overhaul or clean up processes. Diet and various work and personal practices also contribute to chemical body burden. This session is sponsored by the Environmental Health Special Interest Section.
  20. 20. 18 | 2014 American Occupational Health Conference Tuesday,April29,2014 10:30 a.m. - 12:00 p.m. (con’t) Session 309: Army/Aviation Focused Occupational Medicine Residency.......... CME/MOC: 1.5 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Timothy M. Burkhart, MD, MPH, Naval Aerospace Medical Institute, Pensacola, FL Frederick A. Hauser, DO, MPH, US Army School of Aviation Medicine, Ft. Rucker, AL (Moderator) John Houk, DO, FS, MAJ, MC, US Army School of Aviation Medicine - Naval Aerospace Medicine Institute, Pensacola, FL Kristopher Wilson, MD, US Army School of Aviation Medicine, Pensacola, FL This session will cover the development of a new joint Army and Navy Occupational Medicine Residency. For the past three years, the pro- gram has been located at the Naval Air Station Pensacola in Florida and has included active-duty Navy and Army residents who have also been accepted to complete an Aerospace Medicine Residency. The program is now scheduled to move in the summer of 2014 to the home of Army Aviation at Ft. Rucker in Alabama. This move will make many exciting educational opportunities available that are both Oc- cupational and Aerospace Medicine oriented. The unique opportunities and complications of running a joint military residency will be discussed from the perspective of current residents. A brief discussion of the op- portunities for occupational medicine trained physicians in the military as well as military specific hazards will be also incorporated. Session 310: The Independent Medical Examination.............................. CME/MOC: 1.5 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Douglas W. Martin, MD, FACOEM, FAAFP, FAADEP*, UnityPoint Clinic - Occupational Medicine, Sioux City, IA This session reviews the basics of providing an independent medical examination (IME). It has been stated that the performance of an IME is both an exercise in consistency and scientific rigor while at the same time an art form. The speaker, who has performed IMEs for 19 years for workers’ compensation, personal injury, long-term disability, and other medical and disability systems will review the current best practices. Tips regarding scheduling, billing, how to handle records and how to handle problem examinees will be shared. Real-life experiences will be discussed. The speaker has been involved in IME physician education for 15 years. This session is sponsored by the Private Practice in Oc- cupational Medicine Special Interest Section; Finances and Practice Management Special Interest Section; and the Medical Center Occu- pational Health Special Interest Section. 10:45 a.m. - 12:45 p.m. Worksite Visit 804: Center for the Intrepid............................ CME/MOC: 3.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Brooke Army Medical Center’s Center for the Intrepid’s mission is to provide rehabilitation for OIF/OEF casualties who have sustained ampu- tation, burns, or functional limb loss. Attendees will learn about educa- tion and research opportunities and will be guided through the facility and witness the collaboration of a multi-disciplinary team and state- of-the-art care, assisting patients as they return to the highest levels of physical, psychological and emotional function. Attendees will see multiple departments including physical medicine, case management, behavioral medicine, occupational therapy, physical therapy, wound care, and prosthetic fitting and fabrication. Participants will have the opportunity to learn how this team works together to maximize the patients’ rehabilitative potential and to facilitate reintegration whether or not patients remain on active duty or return to civilian life. Advanced registration required, additional fee applies. Attendees should wear business attire and bring a valid, government issued ID. 1:30 p.m. - 3:00 p.m. Session 311: Occupational Issues of Color Vision and Color Vision Testing: What’s Up?............ CME/MOC: 1.5 TRACK(S): OEM Clinical Practice Douglas J. Ivan, MD, FAsMA, FRAeS, Independent Consultant, San Antonio, TX Visual performance constitutes an integral part of our daily lives, in- cluding for most vocational and occupational pursuits. While visual acuity represents the most basic of visual tenets, other visual attributes such as color perception and awareness of our physical relationship to threats around us, are particularly important to many specialized tasks. The use of color to transfer technical information has expanded dramatically, such that modern electronic displays now utilize technol- ogy capable of full spectral expression. Given that around 10% of the population, particularly males, are born with defective color vision and that a significant number of individuals, both males and females, can experience color vision loss from hundreds of acquired diseases and medications, color perception has the potential to impact performance and safety in many routine daily tasks, as well as across a diverse spec- trum of potentially hazardous occupations. This session is sponsored by the Transportation Special Interest Section. Session 312: Occupational Exposures and the Respiratory System: Tip of the Nose to the Alveoli and Beyond................................. CME/MOC: 1.5 TRACK(S): OEM Clinical Practice James D. McCluskey, MD, PhD, MPH, FACOEM*, University of South Florida, Tampa, FL Adult onset asthma is an ubiquitous disease, yet there are multiple clinical forms with potentially different physiology and causes. In this session attendees will learn to distinguish the various forms of adult onset asthma by history, by testing, and by clinical response. The ses- sion will also discuss the recognition and diagnosis of diseases that mimic asthma. This session may be of particular interest to residents and recent graduates.
  21. 21. 2014 American Occupational Health Conference | 19 Tuesday,April29,2014 1:30 p.m. - 5:00 p.m. Session 313: ACOEM Guidelines: Update on Opioids for Chronic Non-cancer Pain with Live Online Access to the ACOEM Guidelines........................ CME/MOC: 3.0 TRACK(S): Management and Administration in OEM Jeffrey S. Harris, MD, MPH, MBA, FACOEM*, The Permanente Medical Group, San Rafael, CA (Moderator) Kurt T. Hegmann, MD, MPH, FACOEM*, Rocky Mountain Center for OEH, University of Utah, Salt Lake City, UT Kathryn L. Mueller, MD, FACOEM*, University of Colorado Anschutz Medical Campus, Denver, CO Michael Weiss, MD, MPH, FACOEM, FAAPMR, FAANEM*, St. Luke’s Occupational Health Services, Boise, ID Diagnosing and treating chronic non-cancer pain (CNCP) has proven to be a frustrating endeavor, despite the rapid increases of opioid pre- scription in the last 15 years. Based on the newly updated ACOEM evidence-based guideline for opioids and CNCP, this session will re- view the definition and diagnosis of CNCP, the benefits and harms of opioids for CNCP, and best practices for opioids use for CNCP that protect patient and public safety and ensure effective treatment of CNCP. The session format will use lectures, interactive discussion, and small group clinical problem solving exercises to learn and improve clinical management of CNCP. Attendees should bring their laptops to navigate the new website under the watchful eye of those who created and use it. Session 314: Dealing with Biohazards, Fitness-for-Du- ty, and Return-to-Work Challenges in Select Popula- tions…………..CME/MOC: 3.0 TRACK(S): OEM Clinical Practice; Environmental Health and Risk Man- agement Amy J. Behrman, MD*, University of Pennsylvania, Philadelphia, PA (Co-Moderator) Faiyaz A. Bhojani, MD, DrPH, FACP, FACOEM, FACPM*, Shell & University of Texas School of Public Health, Houston, TX (Co- Moderator) James Fitko, MD, MPH, FACOEM*, Shell Health Americas, Norco, LA Steven M. Hetrick, MD, MPH*, US Air Force, Lackland AFB, TX Tufail Q. Shaikh, MD, FACOEM*, Consultant, Bellaire, TX Suzanne M. Shepherd, MD, Hospital of the University of Pennsylvania, Philadelphia, PA This session will provide a case-based approach to medical manage- ment of biohazards with an emphasis on acute presentations and early treatment to prevent sequelae. Decontamination principles, post-ex- posure prophylaxis, and the special needs of medically vulnerable staff will be included. The U.S. Air Force augments its deployment force with civilian employees across a variety of occupational specialties. For this presentation, the faculty looked at more than 100 pre-deployment evaluations of government employees serving in jobs across the spec- trum of teaching, plumbing, dog handling, and intelligence analysts. The presentation summarizes findings and dispositions of the pre-de- ployment assessments and compares group statistics with those of the general force. This session will discuss the six common misconceptions which act as barriers in the practice of evidence-based RTW decision making by those who provide health care to injured workers, along with case studies and practical tips for streamlining RTW process. Session 315: A Brave New World: Health Care Reform Opportunities and Practice Strategies for OEM Practice Settings.................................... CME/MOC: 3.0 TRACK(S): Management and Administration in OEM Ronald Blum, MD, FACOEM*, Milliken Medical Center, Patten, ME Marianne Cloeren, MD, MPH, FACOEM*, Managed Care Advisors, Bethesda, MD (Moderator) Ronald R. Loeppke, MD, MPH, FACOEM*, US Preventive Medicine Inc., Brentwood, TN Robert K. McLellan, MD, MPH, FACOEM, FAFP*, Dartmouth-Hitchcock Medical Center, Lebanon, NH Patrick C. O’Connor, Kent & O’Connor, Incorp., Washington, DC Bruce W. Sherman, MD, FCCP, FACOEM*, Employers Health Coalition, Canton, OH Craig D. Thorne, MD, MPH, MBA, FACP, FACOEM*, Erickson Living, Washington, DC Charles M. Yarborough, MD, MPH*, Lockheed Martin Corporation, Bethesda, MD The passage of the Affordable Care Act introduced several measures designed to increase cooperation, efficiency, access, prevention and accountability in health care.  Although the initial focus has been in patient populations under Medicare and Medicaid, the expansion of health care to more and more Americans including part-time work- ers, provides some opportunities for the OEM practice. The principles espoused by the ACA have been the cornerstone of OEM practice for decades and OEM practitioners are uniquely qualified to help steer the troubled US healthcare system toward needed change.  As in all change, there are early adopters who we have invited to share their experience with us, to help us see the opportunities that this reform movement offers to OEM practitioners in a variety of settings. This ses- sion is sponsored by the Finances and Practice Management Special Interest Section. This session may be of particular interest to residents and recent graduates. Session 316: Work-related Shoulder Disorders: Overcoming Barriers to Return-to-Work: A Hands-on Experience with Physical Therapists...... CME/MOC: 3.0 TRACK(S): OEM Clinical Practice David A. Hoyle, PT, DPT, MA, OCS, MTC, CEAS, Select Medical, Storrs, CT Katie McBee, PT, DPT, OCS, MS, CEAS, Select Medical, Louisville, KY Jamie Stark, Select Medical, Mechanicsburg, PA (Moderator) This session will address the evaluation and treatment of the non- surgical shoulder injury. Attendees will work in small groups for an op- portunity to practice shoulder evaluation techniques as well as exercise and manual techniques. OEM doctors will learn how to partner with physical therapists to overcome obstacles to efficient treatment and timely return to work. Evidence based physical therapy education and exercise prescription for at-risk injured workers will be presented.
  22. 22. 20 | 2014 American Occupational Health Conference Tuesday,April29,2014 3:30 p.m. - 5:00 p.m. Session 317: Critical Issues for Corporate Medical Directors: Shaping Health Benefits in a Rapidly Changing Environment............................ CME/MOC: 1.5 TRACK(S): Management and Administration in OEM Richard A. Feifer, MD, MPH, FACP, Aetna, Hartford, CT Robert S. Goldsmith, MD, MPH*, Novartis Pharmaceuticals Corporation, East Hanover, NJ Phillip J. Lerner, MD, MPH, FACOEM*, Aetna, Hartford, CT (Moderator) Bruce W. Sherman, MD, FCCP, FACOEM*, Employers Health Coalition, Canton, OH The pace of change in the way health care is provided and financed is accelerating. New solutions are being driven by medical inflation, a shortage of primary care providers, increasing prevalence of chronic illness, increase in health risks, advances in technology, and imple- mentation of the Affordable Care Act (ACA). Benefits managers are no longer able to address cost and quality challenges through subtle changes of copays or services. Real benefits innovation is now es- sential. This session will highlight opportunities for corporate medical directors to more strongly influence benefits strategy so that quality employee healthcare remains accessible and affordable, with an em- phasis on the following: creating medical benefit plans that maintain access and affordability while mitigating or delaying the ACA excise tax; understanding and addressing the implication of employer migration to healthcare exchanges; and determining and optimizing the value of onsite care. This session is sponsored by the Corporate Medicine Special Interest Section. Session 318: Evaluation and Management of Bloodborne Pathogen Exposures............ CME/MOC: 1.5 TRACK(S): OEM Clinical Practice Francesca K. Litow, MD, MPH, FACOEM*, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD Management of occupational exposure to bloodborne pathogens is a core competency for occupational medicine physicians and non-oc- cupational medicine physicians in urgent care and/or emergency de- partment practice environments. Workers at risk include health care workers, nursing home and/or assisted living personnel, emergency responders, fire-fighters, law enforcement personnel, and educators. Policies for evaluation and management of occupational exposure to bloodborne pathogens are required by OSHA Standard 1910.1030. This case-based presentation will review the risks associated with ex- posure to HIV, hepatitis C, and hepatitis B, initial evaluation for ex- posures, and appropriate risk-based post-exposure prophylaxis mea- sures, including follow-up care. Complex exposures such as human bites and indication for use of advanced PEP agents will be discussed. Resources for development of organizational policies to standardize evaluation and management of these exposures will be provided. This session may be of particular interest to residents and recent graduates. 5:15 p.m. - 6:15 p.m. Session 319: ACOEM’s Maintenance of Certification Part IV Program...................................... CME/MOC: 1.0 TRACK(S): Other William W. Greaves, MD, MSPH, FACOEM, FACPM*, American Board of Preventive Medicine, Chicago, IL Denece Kesler, MD, MPH, FACOEM*, University of New Mexico, Albuquerque, NM Kristine Pasciak, American Board of Preventive Medicine, Chicago, IL As one of the four parts required for recertification under Maintenance of Certification, ABPM diplomats are required to complete a practice performance assessment – also known as Part IV. This component uti- lizes a quality improvement model with opportunities for assessment of practice performance and improvement activities available in clinical practice, teaching, research, and administration. This session will cover ACOEM’s Part IV program. ACOEM has arranged a private after-hours “open house” tour of the Alamo shrine and grounds. A short walk from the conference hotel, the Alamo houses exhibits on the Texas Revolution and Texas History and is a “must see” for all who come to San Antonio. This is an open house tour only; no food or drink is provided or permitted. Come and go at your leisure during the hours listed. Personal guests of conference attendees are welcome, includ- ing children. Although there is no charge, advance registration is required and an AOHC conference badge must be worn for admit- tance. The Alamo Complex is operated by the Daughters of the Republic of Texas. Donations can be made online at thealamo.org or at the entrance of the shrine. Optional Off-site Event Alamo After-Hours Tour Tuesday, April 29, 2014 5:30PM – 7:30PM Free; Advance Registration Required; Guests Welcome Come and Go at Your Leisure Between 5:30-7:30
  23. 23. 2014 American Occupational Health Conference | 21 Wed.,April 30, 2014 7:00 a.m. - 8:00 a.m. Session 401: CMO Strategic Communications to Drive Change and Integration.......................... CME/MOC: 1.0 TRACK(S): Management and Administration in OEM Ben Hoffman, MD*, General Electric Oil & Gas, Houston, TX Chuck Reynolds, MS, The Benfield Group, St. Louis, MO (Moderator) For chief medical officers (CMOs) striving to improve health, safety & productivity across their company, having the right policies, programs, and people in place is necessary, but not sufficient. Inadequate or poorly-executed communications can undercut even the most well- conceived efforts. And, to a degree, effective communications can compensate for other weaknesses by engaging stakeholders in making things work. This session will identify critical communication challeng- es, frame solutions and reflect on lessons learned. The presentation will feature examples of communication strategy, message deliverables (e.g., targeted internal newsletters, campaign materials, video), and ‘how-to’ advice for CMOs looking to improve the effectiveness of their communications, whether communicating up (executives), across (HR, benefits, and EHS), or down (employees). Session 402: Blast and Crush Injuries: From the Field to the Hospital........................................ CME/MOC: 1.0 TRACK(S): OEM Clinical Practice Theodore S. Them, MD, MS, PhD, MPH, FACOEM*, Guthrie Clinic, Ltd., Sayre, PA Recent acts of global violence and terror mandate broader medical understanding of mass human blast and crush injuries. Historical blast events of exceptional magnitude will be reviewed toward related types and numbers of injuries. Correlative blast physics, in terms of detona- tion, positive-phase duration, peak overpressure, impulse, and neg- ative-phase duration will be explained, via both diagrams and video. Primary, secondary, and tertiary blast injuries, blast-survival curves, and their organ-specific injuries will be reviewed. Relative incidence of anat- omy-specific blast injuries will be highlighted, with emphasis on multi- injury management. Crush injuries will be described in terms of their underlying physics, with emphasis on end-organ-specific damage and contemporary recommendations toward prevention of such, beginning in the field. Associated triage philosophies will be discussed, as will the collective psychological impacts of such injuries on medical personnel. Session 403: The Past Becomes the PresentCME/MOC:............... 1.0 TRACK(S): OEM Clinical Practice Bernard R. Blais, MD, FACOEM*, Blais Consulting, Ltd., Clifton Park, NY James W. Butler, MD, MPH, FACOEM, FAsMA*, Orthopaedic Associates, Evansville, IN (Moderator) Thomas J. Tredici, MD, Col USAF MC (ret), University of Texas Health Science Center, San Antonio, TX Three distinct topics related to the history of occupational medicine will be discussed. This session is sponsored by the History and Archives Special Interest Section. Session 404: Current Directions in TB Screening of Air Force Accessions.................................... CME/MOC: 1.0 TRACK(S): Regulatory, Legal, Military, and Governmental OEM Kevin West, MD, MPH, FAAFP, USAF, San Antonio, TX The current policy for screening newly accessed Air Force members at Lackland Air Force Base is to universally screen all individuals with either PPD or IGRA assay. Medical interview, radiograph, and physical exam follow if PPD is 5mm or greater or IGRA is positive. Future policy may modify screening to questionnaire-based approach. Factors such as the reliability of military recruits accurately completing a question- naire and the growing demographic of foreign born recruits will be ex- plored in this presentation. 8:00 a.m. - 10:00 a.m. William B. Patterson Memorial Lecture Session 400: ACOEM Annual Membership Meeting and Breakfast…………..CME/MOC: 1.0 TRACK(S): Other Join your colleagues in honoring this year’s class of Fellows and the introduction of new ACOEM officers and directors, including ACO- EM’s new president. In addition, Attorney Peter M. Rosene, JD, with the Felhaber Larson Law Firm will present this year’s William B. Patterson Memorial Lecture. 10:15 a.m. - 11:15 a.m. Session 405: Mobile Medical Tech: Medical Apps, Web Sites, and Devices - What You and Your Patients Might Find Interesting...................................... CME/MOC: 1.0 TRACK(S): OEM Clinical Practice Constantine J. Gean, MD, MBA, MS, FACOEM*, Liberty Mutual, Glendale, CA (Moderator0 Keeping up for physicians now means understanding mobile medical tech, not just medical science. This session focuses on medical tech- nology for smart phones and tablets, and associated devices and web sites that are transforming the capability doctors and patients have to access information, monitor their health and interact with others. The session will demonstrate several physician-appropriate, and a few patient-appropriate, medical apps to illustrate the major areas where these apps are likely to transform medical practice and about which patients will be asking. Also discussed will be the shortcomings of these apps, and the dangers to patients and potential liability risks they likely represent for the incautious practitioner. This session may be of particular interest to residents and recent graduates. ACOEM Annual Membership Meeting and Breakfast
  24. 24. 22 | 2014 American Occupational Health Conference Wed.,April 30, 2014 10:15 a.m. - 11:15 a.m. (con’t) Session 407: Hydrofracturing and the Primary Care Physician................................................ CME/MOC: 1.0 TRACK(S): Environmental Health and Risk Management Theodore S. Them, MD, MS, PhD, MPH, FACOEM*, Guthrie Clinic, Ltd., Sayre, PA Shale plates are being exploited for natural-gas content across the U.S.A. Hydrofracturing, or “fracking,” invokes high-pressure, high- volume hydrofracturing fluids (HVHFs) to crack the subsurface shale, releasing the natural gas, via well casings to the surface. The media has focused on potential HVHF-related air/water/ground pollution and human-health impact, with little regard for toxicologic principles and scientific evidence. Precise information on HVHF chemical contents are often proprietary or legally limited. Large, collective populations of humans live on or near land being drilled with HVHF technology and re- lated health claims result. Primary-care physicians are often the first to be approached to manage such cases in a relative vacuum of reliable information and available expertise. This presentation will characterize hydrofracturing, list HVHF content, address related toxicity concerns, and enable effective and defensible primary medical management of these cases. Session 408: Conflict Resolution in the OEM Setting.................................................... CME/MOC: 1.0 TRACK(S): Management and Administration in OEM Les P. Kertay, PhD*, Lincoln National, Chattanooga, TN Although there are jurisdictional safe guards for physician and other providers that provide a shelter from litigation, the nature of the prac- tice and the multiplicity of roles, set most OEM physicians for at least one daily dose of conflict. Learn how to the take the edge off the poten- tially, explosive conversation and in turn minimize office stress levels. 11:30 a.m. - 12:30 p.m. Session 410: Your ACOEM: Finding You, Finding Each Other, Finding Great Tools Online............ CME/MOC: 1.0 TRACK(S): OEM Education and Scientific Research Marianne Cloeren, MD, MPH, FACOEM*, Managed Care Advisors, Bethesda, MD What’s the Dr. Finder? MyACOEM? What can I find there that is worth the trouble of logging in with my member number? And I keep getting messages about something called the ACOEM Idea Marketplace and I have no idea what this is! Sound familiar? If you have not yet enrolled in Dr. Finder, taken advantage of MyACOEM, or explored (or better yet, contributed to) the Idea Marketplace, this session is for you. This highly interactive session with a live link to your member only web site will help you get to know all the features that will help you market your business, network with other members, and get great practical tools that will help you be successful. This session may be of particular inter- est to residents and recent graduates. Session 411: Work, Stress, and Health: An Update from NIOSH Total Worker Health............. CME/MOC: 1.0 TRACK(S): OEM Education and Scientific Research L. Casey Chosewood, MD*, NIOSH/CDC, Atlanta, GA This presentation provides an update to occupational health providers on the current research and recommendations related to workplace stress and its effects on worker health and safety. An examination of these issues in relationship to the changing nature of work, demo- graphic shifts, work organziation and demands, and global economic pressures will prepare practitioners to make sound workplace policy recommendations and craft meaningful interventions to improve work- er health, productivity, and retention. The session will alert attendees to the available resources of NIOSH on this topic and update progress of the Total Worker Health, a research-to-practice effort that provides research and recommendations to integrate the principles of tradition- al occupational health and worker protection programs with proven, innovative health promotion interventions to move workers to safer, healthier, and more productive work. This session may be of particular interest to residents and recent graduates. Session 412: A Framework for a Heat-stress Prevention Program Based on National Guidelines............................................... CME/MOC: 1.0 TRACK(S): Environmental Health and Risk Management Marilyn S. Radke, MD, MPH, MA, FACOEM, FACPM, FACPE, CPE, CDC, Atlanta, GA The purpose of heat stress prevention programs is to avoid severe and irreversible adverse consequences of heat strain, such as death from heat stroke. For accountability, heat stress prevention programs should be based on external scientific criteria from national organizations such as the American Conference of Governmental Industrial Hygienists (ACGIH), the Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH). Heat stress prevention programs that are part of the process in the destruction of chemical warfare agents contain elements on which to build a heat stress prevention program based on ACGIH, OSHA, and NIOSH guidelines. Practical goals and objectives built on such ele- ments provide a case study from the Centers for Disease Control and Prevention (CDC) of how to design a framework for a heat stress pre- vention program based of nationally recognized guidelines. This session may be of particular interest to residents and recent graduates. Session 413: Occupational and Environmental Challenges in the Pharmaceutical Industry: Cradle to Grave....................................... CME/MOC: 1.0 TRACK(S): OEM Clinical Practice Mark Cunningham-Hill, MD, ChB, FFOM, FACOEM*, Johnson & Johnson, New Brunswick, NJ Ron Joines, MD, MPH*, GlaxoSmithKline, London, England Peter J. Nigro, MD, MPH*, Merck, Whitehouse Station, NJ Developing medicines and vaccines presents unique challenges to oc- cupational and environmental health practitioners as this process in- volves developing novel compounds or agents which are designed to be highly potent and biologically active in humans. The session will cover the challenges from the early stages of research and development through to manufacture, use in a clinical setting and finally through to environmental impact of medicines from disposal and patient use and excretion. Speakers will cover the unique challenges of handling cytotoxic compounds, hormones, and viruses, as well as, managing the risks of laboratory animal allergy. This session is sponsored by the Physicians in the Pharmaceutical Industry Special Interest Section.

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