2014 American Occupational Health Conference (AOHC) Program

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 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

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

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
10:30am-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)

Tuesday, April 29, 2014 ~ CME: 7.0
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
10:30am-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)

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

Board of Directors – 2013-2014
Officers
President
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
Marianne Cloeren, MD, MPH, FACOEM
Michael L. Fischman, MD, MPH, FACOEM
Michael G. Holland, MD, FACOEM
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
Kathyrn L. Mueller, MD, MPH, FACOEM
ACOEM lEADERSHIP
Board of Directors

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.**
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.
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.**
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.
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.

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
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

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.

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
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
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.

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
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
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
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
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.

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
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
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
(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
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.

8:30 a.m. - 10:00 a.m.
Session 207: Sleep Apnea:
Transportation Concerns and Science.... CME/MOC: 1.5
Indira Gurubhagavatula, MD, MPH, University of Pennsylvania,
Philadelphia, 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
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
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
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
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
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.

10:30 a.m. - 12:00 p.m.
Session 213: OSHA Best Practices 2013:
Spirometry Testing in Occupational Health
Programs................................................ CME/MOC: 1.5
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
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
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
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
1:30 p.m. - 5:00 p.m.
Session 215: Update on Evaluation of Traumatic Brain
Injury/Concussion................................... CME/MOC: 3.0
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
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.

1:30 p.m. - 5:00 p.m. (con’t)
Session 218: MRO Controversies........... CME/MOC: 3.0
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
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
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
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

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
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
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
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
(Moderator)
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.

Tuesday,April 29, 2014
8:30 a.m. - 12:00 p.m. (con’t)
Session 305:
International Travel Health Issues.......... CME/MOC: 3.0
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
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
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
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.

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
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
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
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
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
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.

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
Jeffrey S. Harris, MD, MPH, MBA, FACOEM*,
The Permanente Medical Group, San Rafael, CA (Moderator)
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
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
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.

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
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
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

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
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
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
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
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
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

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
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
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
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
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
Session 412: A Framework for a Heat-stress
Prevention Program Based on National
Guidelines............................................... CME/MOC: 1.0
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
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.

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