ACOEM Competencies Addressed:

• Primary

Clinical OEM - General

Obtain appropriately detailed patient histories, with an emphasis on occupation and exposure (ACGME PC2, PC8, PC10)

Identify the potential relationship between patient symptoms and occupational and environmental exposures; effectively communicate and support an opinion about work relatedness (ACGME PC8)

Diagnose and treat, or refer and manage occupational/environmental illnesses and injuries with the use of consultants in related disciplines when indicated (ACGME PC8)

Manage a workers’ compensation case treatment plan, including provision of required medical documentation, following the relevant jurisdictional rules (ACGME PC10)

Identify non-occupational/environmental factors that may contribute to occupational and environmental disease or injury (ACGME PC10)

Elicit patients’ concerns about exposures and establish a therapeutic alliance incorporating risk communication (ACGME PC2)

Report all findings to affected individuals and pertinent information to organizations and employers as appropriate (considering medical confidentiality issues), advocating for the health and safety of patients and employees (ACGME PC2, PC13, PC14)

Work as a team member with other professionals to identify and evaluate occupational or environmental hazards and recommend methods to reduce exposure, mitigate risk, and improve worker health and productivity (ACGME PC2, PC8, PC11, ICS1, SBP3)

Apply evidence-based clinical practice guidelines (ACGME PBLI1, PC8)

Use clinical knowledge to assess impact of personal medical conditions on ability to perform work tasks and advise about modifications or accommodations that would permit continued employment (ACGME PC11)

• Secondary

Clinical OEM - Infectious Disease

Blood-borne, airborne, waterborne, food-borne, and fomite-borne pathogen exposure and associated illnesses (ACGME PC8)

Infestations and zoonotic conditions (ACGME PC8)

Transmission risk in food service workers with active infectious diseases spread by fecal/oral route (ACGME PC8)

Understand and follow recommendations from public health authorities, such as the US Centers for Disease Control and Prevention (CDC) and World Health Organization, for immunization of the working populations seen clinically (ACGME PC2, PC8)

Apply CDC recommendations for tuberculosis surveillance and exposure evaluation, including contact investigation and testing for latent tuberculosis infection (ACGME PC2)

Naval Branch Health Clinic Indian Head Occupational Health

Wilson Road

Indian Head, MD 20640