Introduction to Occupational and Environmental Medicine (OEM)

Presented by the American College of Occupational and Environmental Medicine Overview

• What is Occupational and Environmental Medicine (OEM)? • Where do OEM physicians work? • Who does OEM work with? • How did OEM start? • Why choose OEM? • How do I enter OEM? • My Journey • What is ACOEM? What is Occupational and Environmental Medicine? • Workplace medicine

• Preventive (and clinical) • American Board of Preventive Medicine • Occupational and Environmental Medicine • Aerospace Medicine • General Preventive Medicine and Public Health What is Occupational and Environmental Medicine? • Occupational Injury and Illness • Musculoskeletal injuries • Eye injuries • Lacerations • Dermatitis • Pneumoconioses • Cancers • Hepatic and renal toxicity • Context clues • Noise‐induced hearing loss • We spend ~33% of our lives at work • Work‐related infections • Mental health • Knowledge of worksite / job tasks • Neuropathies • How is work impacting health? What is Occupational and Environmental Medicine?

• Patterns and Prevention • Epidemiologic trends • Exposure measurements • Protective measures

• Focus on function • What can the worker/patient do (or not do)? • Rehabilitative or adaptive options What is Occupational and Environmental Medicine?

• Environmental impacts • Where you live • Pollution • Climate change • Workplace environment

• Social justice • Underserved populations • Public policy and law • Fair compensation Where do OEM physicians work? Academic Occupational Medicine • Training/education • Medical students • OEM (and other) residents • Research • Clinical work • Employee health Dr. Akbar Sharip MD, MPH • Student health • OEM Residency Program Director, Loma Linda University • Travel medicine • Associate Professor, Loma Linda University • OSHA surveillance exams Federal and Military Occupational Medicine

• Public Health • Conduct health hazard evaluations of work settings • Perform epidemiologic studies in U.S. workplaces • Disaster preparedness & Dr. Reed Grimes, MD, MPH emergency response • Medical Officer, National Institute for • Prepare workers and responders Occupational Safety & Health for potential threats • United States Public Health Service Officer • Publish guidance to protect • Double‐board certified (Prev Med, OEM) worker safety and health Corporate Occupational Medicine • Clinical oversight • Occupational health clinics • 150 healthcare workers • > 100K employees • Park medical clinics for guests

Dr. Pamela Hymel MD, MPH • Policy and standards • Global health and safety • Chief Medical Officer, Walt Disney Parks and Resorts • Theme parks, hotels, cruise ships • Past President of ACOEM (2009‐2010) • Employee wellness programs • Dual‐board certified (Occupational Medicine, Internal Medicine) Occupational Behavioral Health • Clinical/academic work • Mental health return‐to‐work for Mayo Clinic employees (36,000) • Burnout prevention • Teach residents/students • Corporate work Dr. Greg Couser, MD, MPH • Mental wellness • Third party administration • Medical Director, Mayo Clinic Employee Assistance Program • Past CMO of Mayo Clinic Health Solutions • Past President, Academy of Organizational and Occupational • Current medical director of Psychiatry (2014‐2015) pharmacy benefit management venture • Dual‐board certified (Occupational Medicine, Psychiatry) Government/Environmental Medicine • Climate change health • ACOEM Task Force • Advocacy and education • Worker Compensation Medical Treatment Guideline Development • Consultant for the Colorado Department of Labor and Employment Dr. Maggie Cook‐Shimanek MD, MPH • Public Health practice • Medical Director, Montana Department of Labor and Industry • Montana Department of Health and • ACOEM Climate Change Work Group Human Services (opioid use, • President‐elect, Rocky Mountain Academy Occupational and environmental exposures and the Environmental Medicine COVID‐19 pandemic) • Dual board certified (Occupational Medicine, Preventive Medicine) Public Policy Occupational Medicine

• Public policy development • Applied healthcare quality improvement projects

• Occ health systems design Dr. Michael Hodgson MD, MPH • $403 million VA Occ Health • Chief Medical Officer, Occupational Medicine, OSHA program • Former Chief Consultant and Director, Occ Health, • Health promotion, worker safety, Veterans Health Administration injury care • Professor, Universities of Pittsburgh, Connecticut, etc. Clinical Occupational Medicine • Clinical Practice • Diverse working population • Pilots, commercial divers, mariners, crane operators, commercial drivers • Illness & injury care • Surveillance programs • Hearing, respirator, heavy metals Robert Bourgeois, MD, MPH • Foreign travel immunizations • Consulting • Medical Director, Bourgeois Medical Clinic • Corporate medical policies / procedures • Consultant, Seaworld, Walt Disney World, medicolegal projects • Wellness programs / benefits plans • President‐Elect of ACOEM (2020‐2021) • Expert witness testimony Underserved Populations Occupational Medicine • Underserved populations • Farmworker Justice • Gig economy workers • Lake Apopka, FL • Flint, MI • Clinical work Scott Morris, MD, MPH • Injury care • Director of Occ Health, Valley Medical Center (U Wash affiliate) • Federal Aviation Administration exams • Patient experience improvement • Chair, ACOEM Underserved Populations Section • Residency training: neurosurgery and OEM Who does OEM work with? • At the crossroads • Medical specialists • orthopedics, pulmonologists, mental health • Primary care • receive referrals as an OEM specialist • Business • HR, executive leadership, insurance • Law • Workers’ compensation, OSHA, ADA, EPA • Engineering • industrial hygiene, ergonomics, safety • Public health • epidemiologic trends How did OEM start? • Hippocrates • 400 B.C. • Described lead poisoning in miners

• Bernardino Ramazzini • De Morbis Artificum Diatriba – 1700

• Alice Hamilton • 1869 ‐ 1970 • First female faculty member at Harvard University • Industrial Poisons in the United States, Industrial Toxicology 2015 Why Choose a Career in OEM? • High satisfaction/low burnout rate 2015 Why Choose a Career in OEM?

• Excellent work/life balance • Outpatient hours • Limited to no call Why Choose a Career in OEM?

• Variety of practice settings • Administrative, clinical, research, policy… • A mix of different roles • High Demand for OEM physicians • 50 jobs for every graduating resident

• Leadership Opportunities • In clinical, governmental, business settings Compensation

Position Compensation Corporate Medical Director $270,000 ‐ $725,000 Consultant $280,000 ‐ $470,000 CEO/President/Partner/Owner $300,000 ‐ $450,000 Assistant/Associate Medical Director $260,000 ‐ $300,000 Staff Physician/Clinician $235,000 ‐ $315,000 2018 ACOEM Physicians’ Professor $180,000 ‐ $260,000 Practice Income and Benefits Survey OEM Residency Programs How do I enter OEM? Duke University U. of Cincinnati • ACGME‐accredited residency Harvard University U. of Colorado • 23 active programs (most ~2 slots per year) HealthPartners U. of Illinois (Chicago) • 3 years total (1 intern year + 2 OEM) (University of Minnesota) • Unique application/match timeline Johns Hopkins U. of Kentucky • Primary vs secondary residency Loma Linda U. of Pennsylvania • Masters of Public Health (MPH) Meharry Medical College U. of South Florida • Or equivalent degree (MOH) Mount Sinai U. of Texas (Houston) • Included in residency training program Rutgers U. of Texas (Tyler) • Rotations Uniformed Services University U. of Utah • Conferences U.S. Army (Fort Rucker) U. of Washington • Regional/national (AOHC) UC Irvine Yale • Student scholarships West Virginia UC San Francisco University My Journey into OEM

• Space for presenter to share their own story • Also consider including at the front? What is ACOEM?

• American College of Occupational and Environmental Medicine • OEM professional society • Promotes the optimal health and safety of workers, workplaces, and environments. • Educates health professionals and the public. • Stimulates research. • Advocates for the specialty. • Produces and promotes evidence‐based treatment guidelines. • Guides workplace and public policy. • Free Membership for Medical Students! • Join today! What are the benefits of ACOEM membership?

• Electronic access to the peer‐reviewed JOEM • Journal of Occupational and Environmental Medicine

• Free electronic access to MD Guidelines • Evidence‐based treatment guidelines for occupational injuries and illnesses

• Networking and educational opportunities • Local component societies • Special interest sections • National and regional conferences Questions? ACOEM: Your Professional OEM Home

acoem.org Customer Service: 847‐818‐1800 [email protected]

Get Social! Twitter: @ACOEM, @AOHC, @HealthyWork4ce Facebook: @americancollegeofOEM LinkedIn: American College of Occupational and Environmental Medicine