2014 american occupational health conference (aohc) program

AntonioSan Antonio Marriott Rivercenter APRIL 27-30, 2014

conference program

AOHC San

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

CourseDay 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

CourseDay 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: 3.51:00pm-5:00pm

[3.5]Session 099

CHAA Examiner Training

Sunday, April 27, 2014 ~ CME: 7.0

7:00am-8:00am[0]

Session 101New Member Orientation

8:00am-12Noon ACOEM House of Delegates Meeting

9:00am-12:15pm[3]

Session 102-RIntroduction to

OEM

Session 103The Future of Occupational

Medicine: Where Will Our Expert Practitioners Come From?

Session 104Underserved Occupational Populations:

Current Clinical, Regulatory, and

Legislative Issues

Session 105Maximizing

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 106Emergent Medical

Evacuations from the Gulf of

Mexico

Session 108Individual

Scientific Abstract Presentations

Session 109-RHands-on

Workshop for RRG and OEM

Physicians in Career

Transitions: Building Basic Business Skills

for the Corporate World and

Constructing a Virtual Resume

Session 110Low Back Pain: Thinking Outside

the Disc

Session 111Occupational

Health Systems from Around the

Globe

4:15pm-4:30pm BREAK

4:30pm-5:30pm[1]

Session 112Telemedicine in Remote Work

Locations

Session 113Why 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 114Individual

Scientific Abstract Presentations

Session 115-RACOEM

Apprentice: Practical

Guidance on How to Survive and

Thrive in Various Sectors of OEM

Practice

Session 110,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 202Medical

Screening: Is There a Need for Annual Physicals?

Session 203Carpal Tunnel

Syndrome: Work-relatedness from an Epidemiologic

Perspective

Session 204-RBecoming Board

Certified and Maintaining Board

Certification in Occupational

Medicine

Session 205Becoming an ACOEM Fellow

Session 206Don’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-RSleep Apnea: Transportation Concerns and

Science

Session 208State-of-the-Art Review of Hearing

Conservation

Session 209Hazards of

the Operating Room: A

omprehensive View and

Exploration of Simulation

Metrics to Support

Surgeons & Teams in High Performance

Roles

Session 210Didactics in Toxicology:

Neurotoxicology, Diesel Exhaust,

and Human Health Risk Assessment

Session 211-RResident Research Abstract

Presentations

Session 212NIOSH-OSHA

Workplace Investigations


10:30am-12Noon[1.5]

Session 213-ROSHA Best

Practices 2013: Spirometry

Testing in Occ. Health Programs






12Noon-1:15pm COMPLIMENTARY LUNCH: Located in Exhibit Hall

1:30pm-3:00pm[1.5]

Session 214An Overview of Occupational

Health within the Federal Bureau of

Prisons

Session 215Update on

Evaluation of TBI/Concussion

Session 216Public Safety

Medicine Update 2014

Session 217-RHydraulic

Fracturing: NIOSH Update, API View, and Perspective on the Research

Session 218-RMRO

Controversies

Session 219Industrial Hygiene

for the OEM Physician

3:00pm-3:30pm BREAK: Located in Exhibit Hall

3:30pm-5:00pm[1.5]

Session 220New Prescription for Prevention: The Role of the

Occupational and Environmental Physician in Promoting

Policies and Partnerships for Healthier Built Environments



Session 221-RHydraulic

Fracturing:Health Effects, Public Policy,

and Community Outreach



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-RCommercial

Driver Medical Examinations: Beyond the

Medical Examiner Handbook and

Update

Session 302The

Convergence of Occupational Medicine and Urgent Care Medicine:

Impact and Insight

Session 303Obesity in the

Workplace

Session 304The NIOSH Consortium

Upper Extremity Studies: Findings

from Pooling Prospective Data from

3,515 Employees at

50 Workplaces

Session 305International Travel Health

Issues

Session 306Physician Health, Impairment, and Work Capacity: A Challenge for Occupational

Medicine


10:30am-12Noon[1.5]


Session 308Superstorm

Sandy Disaster Management and Firefighter

Chemical Exposures

Session 309Army Aviation

Focused Occupational

Medicine Residency

Session 310The Independent

Medical Examination



12Noon-1:15pm Lunch on Own

1:30pm-3:00pm[1.5]

Session 311Occupational

Issues of Color Vision and Color Vision Testing:

What’s Up

Session 312-ROccupational

Exposures and the Respiratory System: Tip of the Nose to

the Alveoli and Beyond

Session 313ACOEM

Guidelines: Update on Opioids for

Chronic Non-cancer

Pain with Live Online Access to the ACOEM

Guidelines

Session 314Dealing with Biohazards,

Fitness-for-Duty, and Return-to-

Work Challenges in Select

Populations

Session 315-RA Brave New

World: Healthcare Reform

Opportunities and Practice Strategies for OEM Practice

Settings

Session 316Work 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 317Critical Issues for Corporate

Medical Directors: Shaping Health Benefits in a

Rapidly Changing Environment

Session 318-REvaluation and Management of Bloodborne

Pathogen Exposures





5:15pm-6:15pm[1]

Session 319ACOEM’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 401CMO Strategic

Communications to Drive Change and Integration

Session 402Blast and Crush Injuries:

From the Field to the Hospital

Session 403The Past Becomes the

Present

Session 404Current Directions in TB

Screening of AF Accessions

8:00am-10:00am[1]

Session 400ACOEM Annual Membership Meeting & Breakfast

(W.B. Patterson Memorial Presentation)

10:00am-10:15am BREAK

10:15am-11:15am[1]

Session 405-RMobile Medical Tech: Medical Apps, Websites, and Devices - What You and Your Patients

Might Find Interesting

Session 407Hydrofracturing and the PCP

Session 408Conflict Resolution in the OEM

Setting

11:15am-11:30am BREAK

11:30am-12:30pm[1]

Session 410-RYour ACOEM: Finding You,

Finding Each Other, Finding Great Tools Online

Session 411-RWork, Stress, and Health:

An Update from NIOSH Total Worker Health

Session 412A Framework for a Heat-stress Prevention Program Based on

National Guidelines

Session 413Occupational 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

OfficersPresident Ronald R. Loeppke, MD, MPH, FACOEM

President-Elect Kathryn L. Mueller, MD, MPH, FACOEM

Vice President Mark A. Roberts, MD, PhD, MPH, FACOEM

Secretary/Treasurer James A. Tacci, MD, JD, MPH, FACOEM

Immediate Past President Karl Auerbach, MD, MBA, MS, FACOEM

Directors – 2011-2014Alan Engelberg, MD, MPH, FACOEMConstantine J. Gean, MD, MBA, MS, FACOEMMark C. Taylor, MD, MPH, FACOEMAmanda C. Trimpey, MD, MPH, FACOEM

Directors – 2012-2015Marianne Cloeren, MD, MPH, FACOEMMichael L. Fischman, MD, MPH, FACOEMMichael G. Holland, MD, FACOEM

Directors – 2013-2016Steven Pike, MD, JD, MBA, MS, FACOEMJames P. Seward, MD, MPP, MMM, FACOEMCharles M. Yarborough III, MD, MPH, FACOEM, FACPM

House of Delegates – 2012-2013SpeakerJames W. Butler, MD, MPH, FACOEM

Speaker-ElectPaul J. Papanek, MD, MPH, FACOEM

Recorder Philip Adamo, MD, MPH, FACOEM

2014 AOHC Program Planning Committee

ChairRobert M. Bourgeois, MD, MPH, FACOEM

Committee MembersTony L. Alleman, MD, MPH, MS, FACOEMRosalyn B. Beaty, MD, MPH, FACOEMStephen A. Frangos, MD, MPH, FACOEMPhyllis A. Gerber, MD, FAADEP, MRO, FACOEMSteve M. Hetrick, MD, MPHAllison L. Jones, MD, MS, FACOEMPatrick Laraby, MD, MPH, MS, MBA, FACOEMVerba A. Moore, MD, MPH, FACPMPaul P. Rountree, MD, FACOEMTanisha K. Taylor, MD, MPH, FACOEM

Early Career RepresentitiveJudith G. McKenzie, MD, MPH, FACOEM

Advisory PanelMarianne Cloeren, MD, MPH, FACOEM, FACPTifani Grizzell, MDMichael J. Hodgson, MD, MPHT. Warner Hudson, MD FACOEM, FAAFPRonald R. Loeppke, MD, MPH, FACOEMKathyrn 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

Saturday, April 26, 2014 1:00 p.m. - 5:00 p.m.

Session 099: CHAA Examiner Training ... CME/MOC: 3.5TRACK(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 [email protected]

Concurrent Conference Sessions


opening session

Sunday, April 27, 2014Sunday, 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: 3.0TRACK(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, VAConsol 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: 1.0TRACK(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: 0.0TRACK(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: 3.0TRACK(S): Other

Robert M. Bourgeois, MD, MPH, FACOEM*, Bourgeois Medical Clinic, Morgan City, LA

Natalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PADouglas W. Martin, MD, FACOEM, FAAFP, FAADEP*,

UnityPoint Clinic - Occupational Medicine, Sioux City, IAMark Roberts, MD, PhD*, Exponent, Inc., Chicago, ILChris 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, 20149:00 a.m. - 12:15 p.m. (con’t)

Session 104: Underserved Occupational Populations: Current Clinical, Regulatory, and Legislative Issues ........................... CME/MOC: 3.0TRACK(S): Environmental Health and Risk Management

Joseph A. Fortuna, MD, MACOEM*, PRISM, New Orleans, LADeliana Garcia, MA, Migrant Clinicians Network, Inc., Austin, TXBruce Goldstein, Farmwork Justice, Washington, DCTee L. Guidotti, MD, MPH*, Medical Advisory Services, Rockville, MDAmir Hamidi, PhD, Veteran, Immigrant, and Refugee Trauma Institute

of Sacramento (VIRTIS), Sacramento, CAMatthew Keifer, MD, MPH*, National Farm Medicine Center,

Marshfield Clinic Research Foundation, Marshfield, WIPatrick Marius Koga, MD, MPH, FRSPH, University of California

School of Medicine, Department of Public Medicine, Davis, CAAmy K. Liebman, MPA, MA, Migrant Clinicians Network, Inc.,

Austin, TXScott 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: 3.0TRACK(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, NYRaymond J. Fabius, MD, FACPE*, HealthNEXT, Newton Square, PAJohn Ross Maclean, MD, Bristol-Myers Squibb, Co., Plainsboro, NJDavid Shepperly, MD, MHS, FACOEM*, Bristol-Myers Squibb, Co.,

New Brunswick, NJCynthia 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: 1.0TRACK(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: 1.0TRACK(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: 1.0TRACK(S): Management and Administration in OEM

Phyllis Gerber, MD, FACOEM*, Biomotion Labs, LLC., Richmond, VA (Co-Moderator)

Allison L. Jones, MD, MS, FACOEM*, Carle Clinic, Urbana, IL (Co-Moderator)

Michelle M. Olson, MD, MACM, FACS, FASCRS, Carle Foundation Hospital, Urbaba, IL

Come and meet with a group of business and medical education ex-perts who will help you hone your image and business acumen for the best personal presentation possible. Prepare for your career transition from residency to first job to dream job! Traditional and novel ways to promote and competitively market yourself using best practices and modern techniques will be explored. Skills of how to develop your own virtual resume in a career e-portfolio will be highlighted. This session may be of particular interest to residents and recent graduates.

3:15 p.m. - 5:30 p.m.

Session 110: Low Back Pain: Thinking Outside the Disc ...................... CME/MOC: 2.0TRACK(S): OEM Clinical Practice

John Galin Sandness, MD, MS, FACOEM*, Physical and Occupational Medicine Associates, PA, Bloomington, MA

Low back pain is one of the most common, challenging, costly and controversial conditions treated by occupational medicine specialists. This session will review recent research on low back pain; demonstrate how applying a knowledge of anatomy, physiology, and biomechanics can give us a deeper understanding of normal function, explain what can go wrong with these mechanisms to produce symptoms of low back pain; and show how a careful, expanded physical examination can help us formulate a more specific diagnosis and guide rational treatment.


Session 111: Occupational Health Systems from Around the Globe ................................... CME/MOC: 2.0TRACK(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: 1.0TRACK(S): OEM Clinical Practice

Darryl Camp, MD, Us-Telehealth, Kyle, TXDonald 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: 1.0TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Bradley Flohr, Veterans Benefits Administration, Compensation Service, Washington, DC

Patrick R. Laraby, MD, MS, MPH, MBA, FACOEM*, US Navy, Bureau of Medicine and Surgery, Washington, DC (Moderator)

This session will provide information on how the U.S. Veterans Adminis-tration (VA) determines whether any particular disability was incurred in or aggravated by active military service and how a disability determined to be service connected is evaluated under the regulatory provisions of VA’s Schedule for Rating Disabilities (VASRD). This session will include a discussion of the different bases of determining service connection – direct, secondary, and presumptive.

Session 114: Individual Scientific Abstracts ............... CME/MOC: 1.0TRACK(S): OEM Education and Scientific Research

Verba A. Moore, MD, MPH, FACPM*, InoMedic Health Applications Inc, Kennedy Space Center, FL (Moderator)

The objective of this session is to present important research findings on current occupational and environmental medicine topics. All pre-sentations were selected through a peer-review process of submitted abstracts to ensure the highest quality science and relevance. T

Session 115: ACOEM Apprentice: Practical Guidance on How to Survive and Thrive in Various Sectors of OEM Practice ......................................... CME/MOC: 1.0TRACK(S): Management and Administration in OEM

George Reed Grimes, MD, MPH*, Naval Branch Health Clinic, Indian Head, MD

Tifani Lowe Grizzell, MD, MPH*, Uniformed Services University, Bethesda, MD

Allison L. Jones, MD, MS, FACOEM*, Carle Clinic, Urbana, IL (Moderator)

Lora S. Regan, MD, MPH, FACOEM*, Lancaster General Hospital, Lancaster, PA

James A. Tacci, MD, JD, MPH, FACOEM, FACPM*, Rochester General Health System, Rochester, NY

Kevin Trangle, MD, MBA, BCIM, FACOEM, FAADEP, CIME, CMRO*, Benefti Advisors Network, Mayfield Heights, IL

This session provides practical guidance to residents, recent gradu-ates, and any OEM professional contemplating a move into a new or unfamiliar sector of OEM practice. Established OEM professionals in various sectors of their practice (corporate, academic, federal/military, and pharmaceutical) will provide high-level tips for successful entry into and advancement in these industry sectors. Then, in a highly inter-active session, attendees will be divided into groups and assigned real-world problems to address, with their proposed solutions assessed by the on-site panel of experts. This session is sponsored by the Residents and Recent Graduates Special Interest Section. This session may be of particular interest to residents and recent graduates.

7:30 pm. - 8:30 pm.

Session 116: International Panel Discussion .............. CME/MOC: 1.0TRACK(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, 20147:00 a.m. - 8:00 a.m.

Session 202: Medical Screening: Is There a Need for Annual Physicals? .................................. CME/MOC: 1.0TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Robert S. Goldsmith, MD, MPH*, Novartis Pharmaceuticals Corporation, East Hanover, NJ (Moderator)

Martin Kuster, MD, MOH, Novartis International AG, Basel, Switzerland

Klaus E. Stadtmuller, MD*, SUVA - Swiss Accident Insurance Fund, Lucerne, Switzerland

Within the framework of workplace risk management lies the principle of medical surveillance. In the U.S. and in some European countries the “annual physical” was or still is scheduled by regulators, especially when employees are exposed to hazardous substances. The Swiss regulator moved away from annual examinations to mostly 3-year in-tervals. This session will present the Swiss perspective and provide the risk management rationale for less frequent surveillance for certain chemical exposures. Recommendations will be based on the 10-year medical surveillance experience at Novartis Pharmaceuticals, and will include the following components: the incidence of exposure-related illness; the frequency with which occupational illness is detected dur-ing medical surveillance; review of the Novartis risk characterization system and the company’s targeted strategy for worker protection.

Session 203: Carpal Tunnel Syndrome: Work-relatedness from an Epidemiologic Perspective .................... CME/MOC: 1.0TRACK(S): OEM Education and Scientific Research

Russell Gelfman, MD, MS*, Mayo Clinic College of Medicine, Rochester, MN

Experts have used various epidemiologic studies to either support or refute the relationship of carpal tunnel syndrome (CTS) to work. This session will explore the epidemiologic debate in detail, including the strengths and weaknesses of the various studies, in an effort to en-lighten the attendee about the possible role of various work activities as risk factors for the development of CTS. This review will include discussion of studies involving work and non-work populations and the sociologic context in which they were conducted.

Session 204: Becoming Board Certified and Maintaining Board Certification in Occupational Medicine ...................... CME/MOC: 1.0TRACK(S): Other

William W. Greaves, MD, MSPH, FACOEM, FACPM*, American Board of Preventive Medicine, Chicago, IL

Kristine Pasciak, American Board of Preventive Medicine, Chicago, ILRon 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: 1.0TRACK(S): Other

Natalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PA (Moderator)

Fellow is the highest classification of membership in ACOEM. Fellow-ship distinguishes and recognizes members of the College for their training, accomplishments, and experience in occupational medicine at the national, component, and local levels, as well as the member’s academic and scientific contributions. The Committee of Fellowship Examiners feels passionately that the College needs more Fellows and that those who are making significant contributions to the College and the field of occupational and environmental medicine deserve special recognition. Come to this session to learn about the application pro-cess of Fellowship.

Session 206: Don’t Be Afraid: It’s Only Accreditation and I Like It ....... CME/MOC: 1.0TRACK(S): Management and Administration in OEM

Jordan Firestone, MD, PhD, MPH*, NASA-Ames Research Center, Moffett Field, CA

Michael Kulczycki, MBA, The Joint Commission, Oakbrooke Terrace, IL (Moderator)

Employers are shifting to providing more primary healthcare in the work setting for employees and their families. What assurance is there that these paid-for benefits are of a high-quality? Accreditation is a process whereby healthcare providers invite an independent, outside evalua-tion of the health services and the supporting delivery systems being offered. The accreditor’s determination—based on state-of-the-art- national standards—serves as a review of the healthcare provider’s delivery of service value.

8:00 a.m. - 12:00 p.m.

Worksite Visit 802: San Antonio Fire Training Academy ....... CME/MOC: 3.0TRACK(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.

http://www.theabpm.org


Monday, April 28, 20148:30 a.m. - 10:00 a.m.

Session 207: Sleep Apnea: Transportation Concerns and Science ... CME/MOC: 1.5TRACK(S): OEM Clinical Practice

Indira Gurubhagavatula, MD, MPH, University of Pennsylvania, Philadelphia, PA


Mary Pat McKay, MD, MPH, National Transportation Safety Board, Washington, DC

This session will discuss the findings and recommendations of the Na-tional Transportation Safety Board with respect to sleep apnea. Current science, logistics, and practical matters related to diagnosis and treat-ment will also be reviewed. This session is sponsored by the Trans-portation Special Interest Section. This session may be of particular interest to residents and recent graduates.

8:30 a.m. - 12:00 p.m.

Session 208: State-of-the-Art Review of Hearing Conservation ............................ CME/MOC: 3.0TRACK(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, TXPatrick 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, MNMark 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: 1.5TRACK(S): Management and Administration in OEM

William G. Buchta, MD, MS, MPH, FACOEM*, Mayo Clinic, Rochester, MN

Michael J. Hodgson, MD, MPH*, OSHA, Washington, DCAllison L. Jones, MD, MS, FACOEM*, Carle Clinic, Urbana, ILMark 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: 3.0TRACK(S): Environmental Health and Risk Management

J. Michael Berg, Phd, Center for Toxicology and Environmental Health, LLC, Houston, TX

Thomas W. Hesterberg, PhD, MBA*, Center for Toxicology and Environmental Health, LLC, Littleton, CO

Michael G. Holland, MD, FACOEM, FACMT, FAACT, FACEP*, Center for Toxicology and Environmental Health, LLC, North Little Rock, AR (Moderator)

John Kind, PhD, CIH, Center for Toxicology and Environmental Health, LLC, North Little Rock, AR

Jonathan S. Rutchik, MD, MPH*, UCSF, Mill Valley, CA

The session will deal with current topics in toxicology, occupational neurology, and neurotoxicology. The toxicology of diesel exhaust will then be examined, with a discussion of non-cancerous health effects followed by a section on lung cancer, in addition to a discussion of health-based exposure guidelines and human health risk assessment. The session will delve into how these exposure guidelines and stan-dards are derived and delineate their intended use.

Session 211: Resident Research Abstract Presentations ........................................ CME/MOC: 3.0TRACK(S): OEM Education and Scientific Research

John D. Meyer, MD, MPH, FACOEM*, Mount Sinai School of Medicine, New York, NY (Moderator)

This session will provide residents in occupational and environmental medicine with a forum to present current and cutting-edge research in OEM. This session may be of particular interest to residents and recent graduates.

Session 212: NIOSH-OSHA Workplace Investigations ...................... CME/MOC: 3.0TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Patricia A. Bray, MD, MPH, FACOEM*, OSHA, Washington, DCKay A. Dellinger, MD, MPH*, US Dept of Labor-OSHA,

Washington, DCKathleen Fagan, MD, MPH*, OSHA, Washington, DC (Moderator)Michael J. Hodgson, MD, MPH*, OSHA, Washington, DCKristin M. Musolin, DO, MS*, NIOSH, Cincinnati, OHMinda Nieblas, MD, MPH*, OSHA, Washington, DCElena Page, MD, MPH*, NIOSH, Cincinnati, OHLoren 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.


Monday, April 28, 201410:30 a.m. - 12:00 p.m.

Session 213: OSHA Best Practices 2013: Spirometry Testing in Occupational Health Programs ............................................... CME/MOC: 1.5TRACK(S): OEM Clinical Practice

Mary C. Townsend, DrPH*, M. C. Townsend Associates, LLC, Pittsburgh, PA

Occupational spirometry testing is often performed to comply with OSHA regulations and industry requirements. However, the technical quality of such testing is often mediocre, producing inaccurate results, and the interpretation of test results often fails to follow best practice guidelines. In 2013, OSHA released the Guidance Document “Spi-rometry Testing in Occupational Health Programs: Best Practices for Healthcare Professionals”, to address these problems. OSHA’s recom-mendations were strongly influenced by ACOEM’s own Spirometry in the Occupational Health Setting – 2011 Update. This session sum-marizes key points of the OSHA guidance to familiarize occupational medicine practitioners with this comprehensive reference. This session is sponsored by the Lung Disorders Committee. This session may be of particular interest to residents and recent graduates.

1:30 p.m. - 3:00 p.m.

Session 214: An Overview of Occupational Health within the Federal Bureau of Prisons ..... CME/MOC: 1.5TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Sylvie I. Cohen, MD, MPH, FACOEM*, Department of Justice, Washington, DC

This session will provide the attendee with an overview of occupational health within a correctional environment, specifically the Federal Bu-reau of Prisons. This session will provide a glimpse into the various industries within this working environment including the associated injuries and workers’ compensation, and return to work issues. This session is sponsored by the Federal and Military Occupational and En-vironmental Medicine Special Interest Section.

Session 217: Hydraulic Fracturing: NIOSH Update, API View, and Perspectives on the Research ................................................ CME/MOC: 1.5

TRACK(S): Environmental Health and Risk ManagementMargaret M. Kitt, MD, MPH*, NIOSH, Morgantown, WVRussell D. White, PhD, DABT, American Petroleum Institute,

Washington, DC

Most of the attention in the unconventional oil and gas industry (hydrau-lic fracturing) has focused on environmental issues. Although workplace safety hazards in the general industry have been documented, there is little published on health hazards to workers. Engineering controls have been put into place at some worksites and assessment of these control measures is ongoing. Assessments of other potential hazards are being prioritized to include exposure to hydraulic fracturing fluids, diesel par-ticulate and exhaust gases from equipment, lead and other toxic metals, volatile organic compounds such as benzene, and naturally occurring radioactive materials. This session will review the current work being con-ducted by NIOSH in the hydraulic fracturing industry and discuss poten-tial solutions to eliminate or minimize exposures. This session may be of particular interest to residents and recent graduates.

1:30 p.m. - 5:00 p.m.

Session 215: Update on Evaluation of Traumatic Brain Injury/Concussion .................................. CME/MOC: 3.0TRACK(S): OEM Clinical Practice

Robert J. Barth, PhD, FNAN*, Barth NeuroScience, Chattanooga, TNFrank Conidi, DO, MS, Florida Center for Headache and Sports

Neurology, Palm Beach Gardens, FLDiana Dolan, Wilford Hall Ambulatory Surgical Center, San Antonio, TXSusan E. Ladley, MD, Denver Health, University of Colorado,

Denver, COSteven 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: 3.0TRACK(S): OEM Clinical Practice

Fabrice Czarnecki, MD, MA, MPH, FACOEM*, Northwestern Memorial Physicians Group, Lake Forest, IL

Edward I. Galaid, MD, MPH*, Northeast Georgia Physicians Group, Gainesville, GA

Tee L. Guidotti, MD, MPH*, Medical Advisory Services, Rockville, MDThomas Hales, MD, MPH*, NIOSH, Cincinnati. OHStefanos N. Kales, MD, MPH, FACP, FACOEM*, Harvard School of

Public Health, Boston, MAPaul 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.


Monday, April 28, 20141:30 p.m. - 5:00 p.m. (con’t)

Session 218: MRO Controversies .......... CME/MOC: 3.0TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Karl Auerbach, MD*, Pulse Occupational Medicine, Pittsford, NYNatalie Hartenbaum, MD, MPH, FACOEM*, OccuMedix, Dresher, PADouglas W. Martin, MD, FACOEM, FAAFP, FAADEP*, UnityPoint Clinic -

Occupational Medicine, Sioux City, IA (Moderator)Donna R. Smith, PhD, Employers Drug Program Management, Inc.,

Birmingham, ALColin 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: 3.0TRACK(S): OEM Education and Scientific Research

John P. Holland, MD, MPH, FACOEM*, Private Practice, Lacey, WA (Moderator)

Physicians and industrial hygienists will walk attendees thru common scenarios in the workplace that present opportunities for collaboration between the industrial hygienist and the physician. This session will in-clude hands-on opportunities to explore and experience a wide variety of industrial hygiene tools and equipment.

3:30 p.m. - 5:00 p.m.

Session 220: New Prescription for Prevention: The Role of the Occupational and Environmental Physician in Promoting Policies and Partnerships for Healthier Built Environments ................. CME/MOC: 1.5TRACK(S): OEM Clinical Practice

Mitzi Alex Baker, AICP, Rochester-Olmstead Planning Development, Rochester, MN

Robin G. Molella, MD, MPH*, Mayo Clinic, Rochester, MN (Moderator)

Chronic diseases decrease employee productivity and increase absen-teeism and disability costs and the burden of these diseases is projected to continue to increase. There are opportunities to decrease the impact of chronic disease risks by changing the built environment in which we live. In order to fully realize the power of these changes in improving quality of life and decreasing chronic disease risks, OEM physicians need to be able to demonstrate and communicate the business case and the health case of these strategies. The activities planned in this session will leave the attendee well prepared to discuss the merits of complete streets policies, active living strategies, and other approaches to improve individual wellbeing through systems, policy and environmental change. Through real cases of success and failure, attendees will be able to use their expertise and position to gently advocate, or to champion meaning-ful improvements in the built environment.

Session 221: Hydraulic Fracturing: Health Effects, Public Policy, and Community Outreach ................................................ CME/MOC: 1.5TRACK(S): Environmental Health and Risk Management

Marilyn V. Howarth, MD, FACOEM*, Center of Excellence in Environmental Toxicology, University of Pennsylvania, Philadelphia, PA

Reynold A. Panettieri, Jr., MD, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA

Richard V. Pepino, MS, MSS, Center of Excellence in Environmental Toxicology, University of Pennsylvania, Philadelphia, PA

The consequences of hydraulic fracturing (HF) on air and water quality and health outcomes remain unclear. The Environmental Health Sci-ences Core Centers from the University of Pennsylvania and Columbia University performed a pilot study funded by the NIEHS comparing data from the states of New York and Pennsylvania including water quality and healthcare utilization. In this session, faculty will plan to describe these findings including demonstrating that well density of active drill-ing sites is significantly associated with health care utilization. The spectrum of health care utilization in HF counties and those without HF will be detailed. Community Outreach and Engagement has been inte-gral to exposure assessment and risk communication. Strategies that have been used to work with polarized communities with environmental health problems will be summarized. Faculty will illustrate the impact of federal and state regulation on environmental health impacts of HF and discuss potential environmental health policy using a panel question and answer format. This session is sponsored by the Environmental Health Special Interest Section. This session may be of particular inter-est to residents and recent graduates.

No trip to San Antonio is complete without a beautiful cruise along the San Antonio River Walk. Twenty feet below street level, the Paseo del Rio, better known as the River Walk, awaits. Along the banks of the meandering San Antonio Riv-er, stone pathways connect shops, restaurants, hotels and museums with a blend of historic and modern architecture.

Take a guided cruise along the famed Paseo del Rio to learn about the history of the San Antonio River Walk. The cruise will take approximately 40-45 minutes and will depart from the lower level of the hotel. Departure times can be selected onsite, with each barge trip accommodating up to 30 people. Price includes two drinks. Adult guests may attend as well for $35 each. Children will be accommodated free of charge on a space-available basis. Advance registration is required.

Optional Off-site Event

River Barge Cocktail Cruise

Monday, April 28, 2014 5:30pm-8:00pm (Flow) $35.00 Per Person, Advance Registration Required Time Slot Sign-up Onsite at the Conference


Tuesday, April 29, 20148:30 a.m. - 10:00 a.m.

Session 302: The Convergence of Occupational Medicine and Urgent Care Medicine: Impact and Insight ................................. CME/MOC: 1.5TRACK(S): Management and Administration in OEM

Karl Auerbach, MD*, Pulse Occupational Medicine, Pittsford, NYRichard F. Johnson, MD, MPH, FACOEM*, Lakeside Occupational

Medicine Centers, Inc., Largo, FLBill Lewis, MD*, Concentra Medical, Phoeniz, AZDavid McKinney, MD, MPH*, California Occupational Medical

Professionals, Oroville, CAJames 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: 1.5TRACK(S): Management and Administration in OEM

Ralph Bovard, MD, MPH, FACSM*, University of Minnesota, Minneapolis, MN

Chuck Reynolds, MS, The Benfield Group, St. Louis, MOMark 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: 1.5TRACK(S): OEM Education and Scientific Research

Bradley A. Evanoff, MD, MPH*, Washington University School of Medicine, St. Louis, MO

Fred Gerr, MD*, College of Public Health, University of Iowa, Iowa City, IA

Kurt T. Hegmann, MD, MPH, FACOEM*, Rocky Mountain Center for OEH, University of Utah, Salt Lake City, UT

David Rempel, MD, MPH, FACOEM*, University of California, San Francisco, CA (Moderator)

Between 2001 and 2010, six research groups conducted coordinated, multi-year, prospective studies of upper extremity disorders including carpal tunnel syndrome, wrist tendonitis, and lateral epicondylitis. Per-sonal, psychosocial, and biomechanical factors were collected at the subject level. New results from the analyses of both pooled and site-specific analyses for these disorders will be presented with findings on the impact of personal risk factors such as age, gender, and BMI, and workplace risk factors such as psychosocial stress (e.g., job demands, skill discretion) and biomechanical factors (e.g., wrist posture, grip force, grip type, hand repetition rate and duty cycle). The large sample size allows for adjustment for important covariates and presentation of exposure-response relationships with substantial precision. The find-ings should clarify the role of risk factors and will be useful to those responsible for preventing and managing upper extremity disorders in the workplace.

8:30 a.m. - 12:00 p.m.

Session 301: Commercial Driver Medical Examinations: Beyond the Medical Examiner Handbook and Update ........................... CME/MOC: 3.0TRACK(S): OEM Clinical Practice



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, 20148:30 a.m. - 12:00 p.m. (con’t)

Session 305: International Travel Health Issues ......... CME/MOC: 3.0TRACK(S): OEM Clinical Practice

Amy J. Behrman, MD*, University of Pennsylvania, Philadelphia, PAMyles C. Druckman, MD*, International SOS Assistance, Inc., Los

Angeles, CAPhilip 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, GAElaine C. Jong, MD, FIDSA, FASTMH, University of Washington School

of Medicine, Seattle, WAMonika K. Shah, MD, Memorial Sloan-Kettering Cancer Center, New

York, NYSuzanne M. Shepherd, MD, Hospital of the University of Pennsylvania,

Philadelphia, PAWilliam Shoff, MD, Hospital of the University of Pennsylvania,

Philadelphia, PALeslie 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: 3.0TRACK(S): OEM Clinical Practice

Tony Alleman, MD, MPH, FACOEM*, Occupational Medicine Clinics of South Louisiana, Lafayette, LA

William G. Buchta, MD, MS, MPH, FACOEM*, Mayo Clinic, Rochester, MN

Philip Hagen, MD, FACPM*, Mayo Clinic, Rochester, MNRobin G. Molella, MD, MPH*, Mayo Clinic, Rochester, MNRichard Newcomb, MD, MPH, FACOEM*, Mayo Clinic, Rochester, MNMark Steffen, MD, MPH*, Mayo Clinic, Rochester, MNAndrew I. S. Vaughn, MD, MPH*, Mayo Clinic, Rochester, MNJay 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: 3.0TRACK(S): Regulatory, Legal, Military, and Governmental OEM

This site visit will focus on the spectrum of physical and chemical haz-ards posed to military aircraft maintainers and highlight strategies for mitigation and prevention. Advanced registration required, additional fee applies. This worksite visit is limited to U.S. citizens only. A copy of your driver’s license must accompany your registration. You will be required to show your license at the worksite visit. Attend-ees should wear closed toed shoes and clothing that is appropriate for climbing aboard an aircraft (surfaces may be dirty). No photography on the flightline.

10:30 a.m. - 12:00 p.m.

Session 308: Superstorm Sandy Disaster Management and Firefighter Chemical Exposures .............................. CME/MOC: 1.5TRACK(S): Environmental Health and Risk Management

Jaspal S. Arora, MD, MPH, MBA, FACOEM*, Aurora Health Care, Harford, WI (Co-Moderator)

Rupali Das, MD, MPH, FACOEM*, California Division of Workers’ Compensation, Oakland, CA (Co-Moderator)

Leslie Israel, DO, MPH, FACOEM*, University of California, Irvine, Center for Occupational and Environmental Health, Irvine, CA

P. Mona Khanna, MD, MPH, FACP, FACPM, FACOEM*, University of Illinois, Chicago, IL

In this session we will explore the nexus of occupational and environ-mental concerns during both disasters and routine work. A timeline of Sandy’s catastrophic effect and the process by which hundreds of the nation’s Disaster Medical Assistance Team (DMAT) members were deployed to mitigate the human toll will be discussed, along with the composition and role of the medical team, its stakeholders, and how it functions as a paramilitary organization to provide medical care. The session will review the various chemical exposures firefighters en-counter during routine and emergency response work, as well as dur-ing home activities. Gases, vapors, and particles are released during responses to structural or vehicular fire, building collapse, hazardous material spills, and during overhaul or clean up processes. Diet and various work and personal practices also contribute to chemical body burden. This session is sponsored by the Environmental Health Special Interest Section.


Tuesday, April 29, 2014 10:30 a.m. - 12:00 p.m. (con’t)

Session 309: Army/Aviation Focused Occupational Medicine Residency ......... CME/MOC: 1.5TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Timothy M. Burkhart, MD, MPH, Naval Aerospace Medical Institute, Pensacola, FL

Frederick A. Hauser, DO, MPH, US Army School of Aviation Medicine, Ft. Rucker, AL (Moderator)

John Houk, DO, FS, MAJ, MC, US Army School of Aviation Medicine - Naval Aerospace Medicine Institute, Pensacola, FL

Kristopher Wilson, MD, US Army School of Aviation Medicine, Pensacola, FL

This session will cover the development of a new joint Army and Navy Occupational Medicine Residency. For the past three years, the pro-gram has been located at the Naval Air Station Pensacola in Florida and has included active-duty Navy and Army residents who have also been accepted to complete an Aerospace Medicine Residency. The program is now scheduled to move in the summer of 2014 to the home of Army Aviation at Ft. Rucker in Alabama. This move will make many exciting educational opportunities available that are both Oc-cupational and Aerospace Medicine oriented. The unique opportunities and complications of running a joint military residency will be discussed from the perspective of current residents. A brief discussion of the op-portunities for occupational medicine trained physicians in the military as well as military specific hazards will be also incorporated.

Session 310: The Independent Medical Examination ............................. CME/MOC: 1.5TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Douglas W. Martin, MD, FACOEM, FAAFP, FAADEP*, UnityPoint Clinic - Occupational Medicine, Sioux City, IA

This session reviews the basics of providing an independent medical examination (IME). It has been stated that the performance of an IME is both an exercise in consistency and scientific rigor while at the same time an art form. The speaker, who has performed IMEs for 19 years for workers’ compensation, personal injury, long-term disability, and other medical and disability systems will review the current best practices. Tips regarding scheduling, billing, how to handle records and how to handle problem examinees will be shared. Real-life experiences will be discussed. The speaker has been involved in IME physician education for 15 years. This session is sponsored by the Private Practice in Oc-cupational Medicine Special Interest Section; Finances and Practice Management Special Interest Section; and the Medical Center Occu-pational Health Special Interest Section.

10:45 a.m. - 12:45 p.m.

Worksite Visit 804: Center for the Intrepid ........................... CME/MOC: 3.0TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Brooke Army Medical Center’s Center for the Intrepid’s mission is to provide rehabilitation for OIF/OEF casualties who have sustained ampu-tation, burns, or functional limb loss. Attendees will learn about educa-tion and research opportunities and will be guided through the facility and witness the collaboration of a multi-disciplinary team and state-of-the-art care, assisting patients as they return to the highest levels of physical, psychological and emotional function. Attendees will see multiple departments including physical medicine, case management, behavioral medicine, occupational therapy, physical therapy, wound care, and prosthetic fitting and fabrication. Participants will have the opportunity to learn how this team works together to maximize the patients’ rehabilitative potential and to facilitate reintegration whether or not patients remain on active duty or return to civilian life. Advanced registration required, additional fee applies. Attendees should wear business attire and bring a valid, government issued ID.

1:30 p.m. - 3:00 p.m.

Session 311: Occupational Issues of Color Vision and Color Vision Testing: What’s Up? ........... CME/MOC: 1.5TRACK(S): OEM Clinical Practice

Douglas J. Ivan, MD, FAsMA, FRAeS, Independent Consultant, San Antonio, TX

Visual performance constitutes an integral part of our daily lives, in-cluding for most vocational and occupational pursuits. While visual acuity represents the most basic of visual tenets, other visual attributes such as color perception and awareness of our physical relationship to threats around us, are particularly important to many specialized tasks. The use of color to transfer technical information has expanded dramatically, such that modern electronic displays now utilize technol-ogy capable of full spectral expression. Given that around 10% of the population, particularly males, are born with defective color vision and that a significant number of individuals, both males and females, can experience color vision loss from hundreds of acquired diseases and medications, color perception has the potential to impact performance and safety in many routine daily tasks, as well as across a diverse spec-trum of potentially hazardous occupations. This session is sponsored by the Transportation Special Interest Section.

Session 312: Occupational Exposures and the Respiratory System: Tip of the Nose to the Alveoli and Beyond................................. CME/MOC: 1.5TRACK(S): OEM Clinical Practice

James D. McCluskey, MD, PhD, MPH, FACOEM*, University of South Florida, Tampa, FL

Adult onset asthma is an ubiquitous disease, yet there are multiple clinical forms with potentially different physiology and causes. In this session attendees will learn to distinguish the various forms of adult onset asthma by history, by testing, and by clinical response. The ses-sion will also discuss the recognition and diagnosis of diseases that mimic asthma. This session may be of particular interest to residents and recent graduates.


Tuesday, April 29, 20141:30 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: 3.0TRACK(S): Management and Administration in OEM

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: 3.0TRACK(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, LASteven M. Hetrick, MD, MPH*, US Air Force, Lackland AFB, TXTufail Q. Shaikh, MD, FACOEM*, Consultant, Bellaire, TXSuzanne 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: 3.0TRACK(S): Management and Administration in OEM

Ronald Blum, MD, FACOEM*, Milliken Medical Center, Patten, MEMarianne Cloeren, MD, MPH, FACOEM*, Managed Care Advisors,

Bethesda, MD (Moderator)Ronald R. Loeppke, MD, MPH, FACOEM*, US Preventive Medicine

Inc., Brentwood, TNRobert K. McLellan, MD, MPH, FACOEM, FAFP*, Dartmouth-Hitchcock

Medical Center, Lebanon, NHPatrick C. O’Connor, Kent & O’Connor, Incorp., Washington, DCBruce W. Sherman, MD, FCCP, FACOEM*, Employers Health Coalition,

Canton, OHCraig D. Thorne, MD, MPH, MBA, FACP, FACOEM*, Erickson Living,

Washington, DCCharles 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: 3.0TRACK(S): OEM Clinical Practice

David A. Hoyle, PT, DPT, MA, OCS, MTC, CEAS, Select Medical, Storrs, CT

Katie McBee, PT, DPT, OCS, MS, CEAS, Select Medical, Louisville, KYJamie 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.


Tuesday, April 29, 20143:30 p.m. - 5:00 p.m.

Session 317: Critical Issues for Corporate Medical Directors: Shaping Health Benefits in a Rapidly Changing Environment ........................... CME/MOC: 1.5TRACK(S): Management and Administration in OEM

Richard A. Feifer, MD, MPH, FACP, Aetna, Hartford, CTRobert S. Goldsmith, MD, MPH*, Novartis Pharmaceuticals

Corporation, East Hanover, NJPhillip 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: 1.5TRACK(S): OEM Clinical Practice

Francesca K. Litow, MD, MPH, FACOEM*, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD

Management of occupational exposure to bloodborne pathogens is a core competency for occupational medicine physicians and non-oc-cupational medicine physicians in urgent care and/or emergency de-partment practice environments. Workers at risk include health care workers, nursing home and/or assisted living personnel, emergency responders, fire-fighters, law enforcement personnel, and educators. Policies for evaluation and management of occupational exposure to bloodborne pathogens are required by OSHA Standard 1910.1030. This case-based presentation will review the risks associated with ex-posure to HIV, hepatitis C, and hepatitis B, initial evaluation for ex-posures, and appropriate risk-based post-exposure prophylaxis mea-sures, including follow-up care. Complex exposures such as human bites and indication for use of advanced PEP agents will be discussed. Resources for development of organizational policies to standardize evaluation and management of these exposures will be provided. This session may be of particular interest to residents and recent graduates.

5:15 p.m. - 6:15 p.m.

Session 319: ACOEM’s Maintenance of Certification Part IV Program ..................................... CME/MOC: 1.0TRACK(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, 20145:30PM – 7:30PM Free; Advance Registration Required; Guests Welcome Come and Go at Your Leisure Between 5:30-7:30


Wed., April 30, 20147:00 a.m. - 8:00 a.m.

Session 401: CMO Strategic Communications to Drive Change and Integration ......................... CME/MOC: 1.0TRACK(S): Management and Administration in OEM

Ben Hoffman, MD*, General Electric Oil & Gas, Houston, TXChuck 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: 1.0TRACK(S): OEM Clinical Practice

Theodore S. Them, MD, MS, PhD, MPH, FACOEM*, Guthrie Clinic, Ltd., Sayre, PA

Recent acts of global violence and terror mandate broader medical understanding of mass human blast and crush injuries. Historical blast events of exceptional magnitude will be reviewed toward related types and numbers of injuries. Correlative blast physics, in terms of detona-tion, positive-phase duration, peak overpressure, impulse, and neg-ative-phase duration will be explained, via both diagrams and video. Primary, secondary, and tertiary blast injuries, blast-survival curves, and their organ-specific injuries will be reviewed. Relative incidence of anat-omy-specific blast injuries will be highlighted, with emphasis on multi-injury management. Crush injuries will be described in terms of their underlying physics, with emphasis on end-organ-specific damage and contemporary recommendations toward prevention of such, beginning in the field. Associated triage philosophies will be discussed, as will the collective psychological impacts of such injuries on medical personnel.

Session 403: The Past Becomes the PresentCME/MOC: .............. 1.0TRACK(S): OEM Clinical Practice

Bernard R. Blais, MD, FACOEM*, Blais Consulting, Ltd., Clifton Park, NY

James W. Butler, MD, MPH, FACOEM, FAsMA*, Orthopaedic Associates, Evansville, IN (Moderator)

Thomas J. Tredici, MD, Col USAF MC (ret), University of Texas Health Science Center, San Antonio, TX

Three distinct topics related to the history of occupational medicine will be discussed. This session is sponsored by the History and Archives Special Interest Section.

Session 404: Current Directions in TB Screening of Air Force Accessions ................................... CME/MOC: 1.0TRACK(S): Regulatory, Legal, Military, and Governmental OEM

Kevin West, MD, MPH, FAAFP, USAF, San Antonio, TX

The current policy for screening newly accessed Air Force members at Lackland Air Force Base is to universally screen all individuals with either PPD or IGRA assay. Medical interview, radiograph, and physical exam follow if PPD is 5mm or greater or IGRA is positive. Future policy may modify screening to questionnaire-based approach. Factors such as the reliability of military recruits accurately completing a question-naire and the growing demographic of foreign born recruits will be ex-plored in this presentation.

8:00 a.m. - 10:00 a.m.

William B. Patterson Memorial Lecture

Session 400: ACOEM Annual Membership Meeting and Breakfast…………..CME/MOC: 1.0TRACK(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: 1.0TRACK(S): OEM Clinical Practice

Constantine J. Gean, MD, MBA, MS, FACOEM*, Liberty Mutual, Glendale, CA (Moderator0

Keeping up for physicians now means understanding mobile medical tech, not just medical science. This session focuses on medical tech-nology for smart phones and tablets, and associated devices and web sites that are transforming the capability doctors and patients have to access information, monitor their health and interact with others. The session will demonstrate several physician-appropriate, and a few patient-appropriate, medical apps to illustrate the major areas where these apps are likely to transform medical practice and about which patients will be asking. Also discussed will be the shortcomings of these apps, and the dangers to patients and potential liability risks they likely represent for the incautious practitioner. This session may be of particular interest to residents and recent graduates.

ACOEM Annual Membership Meeting and Breakfast


Wed., April 30, 201410:15 a.m. - 11:15 a.m. (con’t)

Session 407: Hydrofracturing and the Primary Care Physician ............................................... CME/MOC: 1.0TRACK(S): Environmental Health and Risk Management

Theodore S. Them, MD, MS, PhD, MPH, FACOEM*, Guthrie Clinic, Ltd., Sayre, PA

Shale plates are being exploited for natural-gas content across the U.S.A. Hydrofracturing, or “fracking,” invokes high-pressure, high-volume hydrofracturing fluids (HVHFs) to crack the subsurface shale, releasing the natural gas, via well casings to the surface. The media has focused on potential HVHF-related air/water/ground pollution and human-health impact, with little regard for toxicologic principles and scientific evidence. Precise information on HVHF chemical contents are often proprietary or legally limited. Large, collective populations of humans live on or near land being drilled with HVHF technology and re-lated health claims result. Primary-care physicians are often the first to be approached to manage such cases in a relative vacuum of reliable information and available expertise. This presentation will characterize hydrofracturing, list HVHF content, address related toxicity concerns, and enable effective and defensible primary medical management of these cases.

Session 408: Conflict Resolution in the OEM Setting ................................................... CME/MOC: 1.0TRACK(S): Management and Administration in OEM

Les P. Kertay, PhD*, Lincoln National, Chattanooga, TN

Although there are jurisdictional safe guards for physician and other providers that provide a shelter from litigation, the nature of the prac-tice and the multiplicity of roles, set most OEM physicians for at least one daily dose of conflict. Learn how to the take the edge off the poten-tially, explosive conversation and in turn minimize office stress levels.

11:30 a.m. - 12:30 p.m.

Session 410: Your ACOEM: Finding You, Finding Each Other, Finding Great Tools Online ........... CME/MOC: 1.0TRACK(S): OEM Education and Scientific Research

Marianne Cloeren, MD, MPH, FACOEM*, Managed Care Advisors, Bethesda, MD

What’s the Dr. Finder? MyACOEM? What can I find there that is worth the trouble of logging in with my member number? And I keep getting messages about something called the ACOEM Idea Marketplace and I have no idea what this is! Sound familiar? If you have not yet enrolled in Dr. Finder, taken advantage of MyACOEM, or explored (or better yet, contributed to) the Idea Marketplace, this session is for you. This highly interactive session with a live link to your member only web site will help you get to know all the features that will help you market your business, network with other members, and get great practical tools that will help you be successful. This session may be of particular inter-est to residents and recent graduates.

Session 411: Work, Stress, and Health: An Update from NIOSH Total Worker Health ............ CME/MOC: 1.0TRACK(S): OEM Education and Scientific Research

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

This presentation provides an update to occupational health providers on the current research and recommendations related to workplace stress and its effects on worker health and safety. An examination of these issues in relationship to the changing nature of work, demo-graphic shifts, work organziation and demands, and global economic pressures will prepare practitioners to make sound workplace policy recommendations and craft meaningful interventions to improve work-er health, productivity, and retention. The session will alert attendees to the available resources of NIOSH on this topic and update progress of the Total Worker Health, a research-to-practice effort that provides research and recommendations to integrate the principles of tradition-al occupational health and worker protection programs with proven, innovative health promotion interventions to move workers to safer, healthier, and more productive work. This session may be of particular interest to residents and recent graduates.

Session 412: A Framework for a Heat-stress Prevention Program Based on National Guidelines .............................................. CME/MOC: 1.0TRACK(S): Environmental Health and Risk Management

Marilyn S. Radke, MD, MPH, MA, FACOEM, FACPM, FACPE, CPE, CDC, Atlanta, GA

The purpose of heat stress prevention programs is to avoid severe and irreversible adverse consequences of heat strain, such as death from heat stroke. For accountability, heat stress prevention programs should be based on external scientific criteria from national organizations such as the American Conference of Governmental Industrial Hygienists (ACGIH), the Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH). Heat stress prevention programs that are part of the process in the destruction of chemical warfare agents contain elements on which to build a heat stress prevention program based on ACGIH, OSHA, and NIOSH guidelines. Practical goals and objectives built on such ele-ments provide a case study from the Centers for Disease Control and Prevention (CDC) of how to design a framework for a heat stress pre-vention program based of nationally recognized guidelines. This session may be of particular interest to residents and recent graduates.

Session 413: Occupational and Environmental Challenges in the Pharmaceutical Industry: Cradle to Grave ...................................... CME/MOC: 1.0TRACK(S): OEM Clinical Practice

Mark Cunningham-Hill, MD, ChB, FFOM, FACOEM*, Johnson & Johnson, New Brunswick, NJ

Ron Joines, MD, MPH*, GlaxoSmithKline, London, EnglandPeter 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.


Additional Information

General Conference InformationACOEMEstablished in 1916, the American College of Occupational and Environmen-tal Medicine (ACOEM) is the pre-eminent organization of occupational health professionals who champion the health and safety of workers, workplaces, and environments. Its mission is to provide leadership by educating health profes-sionals and the public; stimulating research; enhancing the quality of practice; guiding public policy; and advancing the field of occupational and environmental medicine (OEM). In its leadership role, ACOEM sponsors educational activities for physicians and other health professionals, including courses and the annual spring AOHC.

AOHC 2014The 2014 American Occupational Health Conference (AOHC) is ACOEM’s 99th Annual Meeting.

AOHC serves two fundamental purposes: it is the premier professional meeting for physicians and other health professionals who have an interest in the fields of occupational and environmental medicine (OEM); and it is the annual member-ship meeting for ACOEM’s members.

Educational Needs and ObjectivesOEM is the medical specialty devoted to the prevention and manage-ment of occupational and environmental injury, illness, and disability, and the promotion of health and productivity of workers, their families, and communities.

ACOEM has identified core competencies in areas where the OEM-trained physi-cian should strive to remain current and serve as a knowledgeable representative of the specialty. The ten core competencies are available at www.acoem.org

The ACOEM CME mission is to provide educational activities that enhance the professional capabilities related directly to the professional work of physicians practicing occupational and environmental medicine and (1) to promote phy-sician lifelong and self-directed learning, (2) to improve worker/patient clinical outcomes, and (3) to facilitate physician effectiveness and efficiency in carrying out professional responsibilities.

To address the educational needs of OEM physicians, AOHC is planned within the context of desirable physician attributes and aligned with the OEM core competencies. AOHC content is designed to enhance physician competence and performance and to improve patient outcomes by providing learner-centered education in the most current issues relevant to the practice of OEM.

Upon completion of AOHC 2014, the learner should be able to:• evaluate current research; • analyze emerging issues in OEM; and• Exemplify effectiveness and efficiency in carrying out professional

responsibilities.

Target AudienceAOHC is designed for physicians who specialize in or have an interest in OEM as well as for non-physicians, such as industrial hygienists, nurses, safety profes-sionals, and environmental health specialists who are involved in the field. AOHC offers a variety of educational activities for participants new to OEM as well as for the experienced professional.

ACCME Accreditation Statement“The American College of Occupational and Environmental Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continu-ing medical education for physicians.”

AMA Credit Designation Statement“The American College of Occupational and Environmental Medicine designates this live activity for a maximum of 25.0 AMA PRA Category 1 Credit(s)TM. Physi-

cians should claim only the credit commensurate with the extent of their partici-pation in the activity.”

AAFP – Application for credit has been submitted to the American Academy of Family Physicians.

ABOHN – The American Board of Occupational Health Nurses may recognize AMA PRA Category 1 Credit(s)TM as applicable for the education requirements for certification by the ABOHN.

ABPM – Most AOHC sessions are eligible for ABPM MOC credits toward recer-tification with the American Board of Preventive Medicine. Those sessions are identified by “MOC.” The maximum number of ABPM MOC credits available for this educational activity is 25.0 and the course code is 1043.

Doctors of Osteopathy – This conference may be eligible for Category 2-A credit from the American Osteopathic Association.

Physician Assistants – AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may re-ceive a maximum of 25.0 hours of Category I credit for completing this program.

Attendees, particularly RNs, are also encouraged to consult their respec-tive certifying associations/agencies for the conversion of AMA PRA ap-proved credit to other educational credit.

2014 AOHC Distance Learning Activity – More CME!Earn credit for sessions that you were unable to attend in person at this year’s conference by completing the 2014 AOHC Distance Learning Activity. This activity will be available in summer 2014 and will require purchase and use of the AOHC 2014 conference recordings. Additional fees may apply for credit requested.

DisclaimerThe ideas represented in presentations at AOHC 2014 do not necessarily reflect ACOEM positions. ACOEM disclaims responsibility or liability for all products, services, or information presented at AOHC 2014. ACOEM does not endorse any product or service exhibited, nor necessarily support the content contained in the educational offerings.

Disclosure PolicyAs a provider accredited by the ACCME, ACOEM must ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commer-cial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant finan-cial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. In the case of an individual for whom a conflict cannot be resolved, that individual shall not participate in the development or presentation of the CME activity.

HandoutsIn an effort to be environmentally conscious and better manage our resources, ACOEM is reducing the use of paper. All handouts submitted by speakers as of March 28, 2014, will be available to conference attendees via a secured area of ACOEM’s web site two weeks before and two weeks after the meeting. Registrants will be able to access the site, allowing them to view and print all or any of the submitted handouts.

We will provide each attendee with a complimentary electronic copy of the hand-outs (those that were submitted by March 28, 2014) with registration materials on-site.

Session InformationAOHC Poster Presentations and DisplayPosters will be on display for viewing beginning Sunday, April 27 in the foyer outside the ACOEM Exhibit Hall. Poster authors will be available to discuss their research with attendees on April 27 from 5:30pm–7:30pm.

ACOEM Annual Membership Meeting and BreakfastACOEM’s Annual Membership Meeting and Breakfast will take place on Wednes-day, April 30 from 8:00am-10:00am. Highlights will include the ACOEM Fellow elevation ceremony, introduction of new ACOEM officers and directors, installa-tion of ACOEM’s new president.


This meeting and breakfast is open to any attendee who is registered for the full conference or who has a one-day conference registration for Wednesday. All ACOEM members may attend the membership meeting regardless of their AOHC registration status (meal ticket available for purchase for those members not registered for the conference).

We understand that not everyone will be able to attend due to other obliga-tions. Therefore, if you would like to attend this event, please indicate so on the registration form. This will assist us in ordering the proper amount of food and eliminating unnecessary waste.

SessionsAOHC consists of general and concurrent sessions, worksite visits, and early bird sessions.

Concurrent and early bird sessions offer focused presentations that cover criti-cally chosen, cutting-edge subjects related to OEM competencies. These ses-sions typically include single or multiple presenters and can be one hour, 90 minutes, or 3 hours in length. Sessions are designed for OEM physicians and related professionals who practice in a variety of work settings.

Sessions are identified by tracks. The tracks are:• OEM Clinical Practice• Management and Administration in OEM• OEM Education and Scientific Research• Environmental Health and Risk Management• Regulatory, Legal, Military, and Governmental OEM Practice

To help in assigning room capacities, please indicate your session preference by time slot on the registration form. This preference does not guarantee a seat in the session. Seating is on a first-come, first-served basis.

C. O. Sappington Memorial LectureThe Sappington Lecture serves as a forum from which to address major issues in the field of OEM. Molly Joel Coye, MD, MPH with the UCLA Health will present this year’s lecture. It will be held during the AOHC Opening Session on Sunday, April 27, from 1:30 pm-3:00 pm.

William B. Patterson Memorial LectureThe William B. Patterson Memorial Lecture will take place during the ACOEM An-nual Membership Meeting, which will be held Wednesday, April 30 from 8:00am-10:00am. This year’s lecture will be presented by Peter M. Rosene, JD, with the Felhaber Larson Law Firm.

Early Bird Sessions – Now Free!We’ve heard you. Content, content, content is what you want! Be an “Early Bird” and earn an extra hour of CME by attending one of these sessions at no cost! So get up early and save while earning additional CME at no additional cost.

Monday, 7:00 am-8:00 am• 202, 203, 204, 205, 206

Wednesday, 7:00 am-8:00 am• 401, 402, 403, 404

Please note, only coffee will be provided. There will be a half hour break between the conclusion of the Early Bird sessions and the start of the general conference so that attendees may grab a bite to eat.

Worksite VisitsWorksite visits are open to registered attendees only and are considered to be educational activities and not social events or tours. Additional fees and advance registration is required. The following worksite visits will be offered:

Monday• 802: San Antonio Fire Training Academy

Tuesday• 803: Lackland Air Force Base Flightline• 804: Center for the Intrepid

Please see the session descriptions and registration form for worksite visit details.

Learning ResourcesWe know you can’t be in two places at once, but that doesn’t mean you have to miss out on content. Most sessions will be recorded for sale and orders can be placed on-site and after AOHC. Purchase the online library of conference recordings NOW with your registration and save! For only $129 you will have online access to all recorded sessions! Special advance price is for online library access; other versions such as MP3, CD, or DVD will be available for purchase onsite and following the conference. In addition, after AOHC, a distance learn-ing package will be available for sale that includes CME and MOC credit. The

distance learning package will require purchase of the conference recordings, and by buying them now at the special advance price, you’ll be on your way to those hours of additional credit.

Speaker DesignationSpeakers who are members of ACOEM are indicated with an asterisk (*) through-out this program. The College would like to take this opportunity to recognize their contributions to ACOEM.

Pre- and Post-Conference CoursesPre- and post-conference courses are designed to enrich participants’ under-standing of concepts and issues related to OEM, giving physicians 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 registration fee is required.

Exam OpportunitiesABPM Maintenance of Certification (MOC) ExamThe American Board of Preventive Medicine (ABPM) will hold an MOC examina-tion in San Antonio, TX on Sunday, April 27 at 9:00am. For more information or to register for the examination, visit the ABPM web site (www.theabpm.org) or call their office at 312-939-2276.

MRO Certification ExamThe Medical Review Officer Certification Council (MROCC) will hold an examina-tion in San Antonio, TX on Sunday, April 27 at 8:00am. For information or to reg-ister for the examination, call MROCC at 847-631-0599 or visit www.mrocc.org.

ABIME Certification ExamThe American Board of Independent Medical Examiners (ABIME) will hold an examination in San Antonio, TX on Sunday, April 27 at 8:00am. For information or to register for the examination, call ABIME at 304-733-0095 or visit www.abime.org.

Exhibit HallACOEM wishes to thank the AOHC 2014 exhibitors and acknowledge their part in contributing to the success of the conference. Attendees are invited to visit the exhibit hall during the following hours:

Sunday, April 27, 20145:30 pm–7:30 pmExhibit Hall Opening and Reception and Abstract Poster Presentations

Monday, April 28, 20148:00 am-5:15 pmComplimentary Lunch in the Exhibit Hall (12 Noon)

Tuesday, April 29, 20148:00 am-10:45 am

AOHC’s exhibits offer attendees the opportunity to learn about the latest develop-ments in scientific research, pharmaceuticals, equipment, supplies, and medical technology. Time spent in the exhibit hall is as rewarding as attendance at a lecture. Only paid AOHC registrants or paid guest registrants with AOHC badges will be permitted in the exhibit hall.

In fairness to those who have rented exhibit space, it is not permitted to have recruiting devices such as posters, business cards, private hospitality suites, or any other recruiting medium in use during AOHC except by those who are officially listed as exhibitors. Employment agencies and their employees or representatives who wish to enter into recruitment efforts at AOHC must contact Deb Brisson, AOHC Exhibits Manager, at 847-818-1800, ext. 391.

http://www.theabpm.org

http://www.mrocc.org

http://www.abime.org

http://www.abime.org


Travel/Housing/ Local InformationThe San Antonio area is served by most domestic carriers and international car-riers at the San Antonio International Airport (SAT). Information including ground transportation, maps and flight schedules is available at http://www.sanantonio.gov/sat

Conference Location/ Meeting HotelSan Antonio Marriott Rivercenter101 Bowie StreetSan Antonio, Texas 78205 USA

http://www.marriott.com/hotels/fact-sheet/travel/satrc-san-antonio-marriott-rivercenter

Reservation Booking Website: https://resweb.passkey.com/go/acoem2014

Select “Attendee” as the guest type on the opening page of the reservation site. If you prefer to reserve by phone, call 1-877-622-3056 and ask for “the ACOEM meeting in April of 2014.” The ACOEM room rate of $234 plus tax (plus $20 for each additional guest per night). This rate includes in-room internet service and complimentary access to the hotel fitness center over the meeting dates. The AOHC rate will be available until our block is full or March 28, 2014, whichever comes first.

About the HotelLocated on the banks of the River Walk, the Marriott Rivercenter hotel anchors San Antonio’s Rivercenter Mall which features shopping, dining and entertain-ment. In addition there are numerous restaurants, shops, services and attrac-tions – including San Antonio’s famous River Walk - right outside the hotel doors and all within easy and pleasant walking distance. The Alamo, Texas’s most storied and revered landmark is just a short walk from the hotel. Guest room features include LCD TVs, premium cable, high-speed Internet access, Marriott’s Plug-In Technology and advanced environmental initiatives.

NOTE: There is a sister property across the street called the Marriott RiverWALK. Our room block is at the Marriott RiverCENTER which is where all AOHC sessions will take place.

Visitor InformationFor more information on San Antonio, Texas, visit http://meetings.visitsanantonio.com

Weather/DressWith 300 days of South Texas sunshine a year – and average annual rainfall of less than 30 inches – San Antonio is an ideal destination during any season. Warm summers and mild winters are complemented by pleasant weather in the spring and fall as well.

Since inside hotel temperatures can vary, dressing in layers is recommended.

Airline DiscountsThe following discounts have been arranged for travel to AOHC 2014 in San Antonio (Airport Code SAT).

SOUTHWEST AIRLINES – A PREFERRED CARRIER FOR AOHC 2014• Discount: 10% Anytime and Business Select; 5% off select Wanna Get

Away fares • Travel dates: April 22 – May 3, 2014• Booking Information: http://www.swabiz.com/flight/search-flight.

html?cid=99299491

Book between January 1 and April 8, 2014 (discounts not applicable for book-ings made within two weeks of travel date or via phone). Or go to http://www.swabiz.com/ and enter Corporate ID 99299491.

No change/cancellation fees; No baggage fee for first 2 checked bags; Every ticket is 100% fully reusable. 25% bonus Rapid Reward points for travel to and from the convention with Rapid Rewards # added to reservation. To enroll in the Rapid Rewards program, visit www.southwest.com/corporaterapidrewards.

AMERICAN AIRLINES – A PREFERRED CARRIER FOR AOHC 2014• Promotional Code: 2944BQ• Discount: 5% off of lowest applicable published fare• Travel Dates: April 22 – May 4, 2014• Booking Information: Book any time online at aa.com or at 800-433-

1790 (additional ticketing fees apply for reservations made by phone).

http://www.marriott.com/hotels/travel/satrc-san-antonio-marriott-rivercenter/

https://resweb.passkey.com/go/acoem2014

http://www.swabiz.com/flight/search-flight.html?cid=99299491

http://www.swabiz.com/flight/search-flight.html?cid=99299491

http://www.swabiz.com/

http://www.swabiz.com/

http://www.southwest.com/corporaterapidrewards


Optional Events and ActivitiesRiver Barge Cocktail CruiseMonday, April 28, 20145:30PM – 8:00PM $35.00 Per Person, Advance Registration Required Time Slot Sign-up Onsite at the Conference

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 River, 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 accommo-dated free of charge on a space-available basis. Advance registration is required.

Alamo After-Hours TourTuesday, April 29, 20145:30PM – 7:30PM Free; Advance Registration Required; Guests Welcome Come and Go at Your Leisure Between 5:30-7:30

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, including children. Although there is no charge, advance registration is required and an AOHC conference badge must be worn for admittance.

The Alamo Complex is operated by the Daughters of the Republic of Texas. Dona-tions can be made online at thealamo.org or at the entrance of the shrine.

TWEET TWEET! AOHC and Twitter ACOEM will be using Twitter to communicate late-breaking news and announce-ments regarding AOHC activities. It’s easy to follow what’s happening at AOHC by simply following this link – http://twitter.com/aohc. You can also receive these updates via RSS feeds, SMS text messages using your cell phone, or e-mail.

Registration InformationRegistration is required for all persons attending the Conference, work-site visits, or other educational or social activities. Government employees must include a purchase order with the registration form if payment is to be made by the government.

Full Conference RegistrationFull Conference Registration admits you to general, concurrent and early bird sessions.

Additional fees are required for worksite visits, certain meal sessions, social events, and other activities as indicated on the conference registration form.

Admission to the Wednesday membership meeting and breakfast, while free to conference registrants, requires registration by Monday, April 28, 12noon, to allow meal arrangements to be made.

ACOEM Member ................................................................................. $795 Non-member ...................................................................................... $995 Retired/Resident/Student Member ........................................................ $375

One-day Conference RegistrationOne-day Conference Registration admits you to concurrent and early bird ses-sions for the day in which you are registered only.

Additional fees are required for worksite visits, certain meal sessions, social events, and other activities as indicated on the conference registration form. ACOEM Member ................................................................................. $295 Non-member ...................................................................................... $395 Retired/Resident/Student Member ........................................................ $175

Two-day Conference RegistrationTwo-day Conference Registration admits you to concurrent and early bird ses-sions for the days in which you are registered only.

Additional fees are required for worksite visits, certain meal sessions, social events, and other activities as indicated on the conference registration form.

ACOEM Member ................................................................................. $505 Non-member ...................................................................................... $605 Retired/Resident/Student Member ........................................................ $275

Activity FeesPlease see the registration form for activity fees.

Pre and Post-conference CoursesThe pre-conference offerings run Friday-Saturday, April 25-26, 2014. Post conference course(s) will be offered on Thursday, May 1. Enrollment is limited. Course registration is separate from conference registration. Lunches are not included.

Friday-Saturday, April 25-26MRO Comprehensive CourseOccupational Medicine Board Review CourseFoundations in Occupational Medicine, Seg. 2 CourseACOEM Member: ................................................................................ $675Non-Member: ..................................................................................... $815Retired, Resident, Student: .................................................................. $345

Saturday, April 26Commercial Driver Medical Examiner CourseACOEM Member: ................................................................................ $445Non-Member: ..................................................................................... $545Retired, Resident, Student: .................................................................. $345

Saturday, April 26Spirometry Testing in Occupational Health – Physician Update CourseAdvanced Skills for the Independent Medical ExaminerACOEM Member: ................................................................................ $345Non-Member: ..................................................................................... $415Retired, Resident, Student: .................................................................. $185

Thursday, May 1Work Disability Prevention for Clinicians – Your Role in SAW/RTW ProcessCAOHC Professional Supervisor WorkshopACOEM Member: ................................................................................ $345Non-Member: ..................................................................................... $415Retired, Resident, Student: .................................................................. $185

PaymentPayment of registration fees must accompany the registration form. The registra-tion form and appropriate fees should be mailed or faxed to:

CHECK: ACOEM Lockbox39032 Eagle WayChicago, Illinois 60678-1390

CREDIT CARD: Fax to ACOEM at 847-818-9265.

Attendees may register on line at www.acoem.org by using VISA, MasterCard, American Express, or Discover for payment of registration fees. When paying by credit card, all pertinent information (card number, name of cardholder, ex-piration date) must be included on the registration form. If paying by company check, make sure the form and payment are sent together. Registrations received without payment will not be processed.

Conference Cancellations/ChangesCancellation requests must be received in writing by April 7, 2014. Notification by telephone will not be accepted. A credit memo will be issued for the full amount paid and may be used for any ACOEM event or activity for up to one year from the date of issue. If requesting a refund instead of a credit memo, an administrative fee of $50 will be assessed. No credit memo or refunds will be issued for cancel-lation requests received after April 7, 2014.

Requests to change from one event to another must be received in writing no later than April 7, 2014. Notification by phone will not be accepted. Accommoda-tions to these requests will be made on a space-available basis and will not be subject to an administrative fee. After April 8, 2013, all changes and requests will be handled on site.

http://twitter.com/aohc


Pre and Post-conference Courses Cancellations/ChangesCancellation requests must be received in writing by April 7, 2014. Notification by telephone will not be accepted. A credit memo will be issued for the full amount paid less $95, which represents the cost of the syllabus if shipped. (The syllabus is not returnable and is yours to keep.) Credit memos may be used for any ACOEM event or activity and are valid for one year from the date of issue. If requesting a refund instead of a credit memo, an administrative fee of $50 (plus $95 for the syllabus, if applicable) will be assessed. No credit memo or refunds will be issued for cancellation requests received after April 7, 2014.

Pre-registration DeadlineThe deadline for pre-registration is March 28, 2014. Fees listed are for advance registration. Registrations after this date and on-site registrations will be assessed an additional $100. Use the registration form in this program or register on line at www.acoem.org.

On-site Registration Information/Name BadgesThe AOHC Registration Desk will be located at the Marriott Rivercenter. The reg-istration desk will be open the following hours for pickup of conference badges, class schedules, conference materials, and additional registration and confer-ence information. Name badges are required for admittance to all AOHC events.

On-site registration hours will be as follows:

Pre-Conference Course RegistrationFriday, April 25 ...............................................................7:00 am – 6:00 pmSaturday, April 26 .........................................................7:00 am – 12:00 pm

Conference RegistrationSaturday, April 26 .........................................................12:00 pm – 6:00 pm Sunday, April 27 .............................................................7:00 am – 7:00 pm Monday, April 28 ............................................................6:30 am – 6:30 pm Tuesday, April 29 ............................................................6:30 am – 6:30 pmWednesday, April 30........................................................6:30 am – 1:00 pm

Post-Conference Course RegistrationThursday, May 1 .............................................................7:00 am – 5:00 pm

Guest TicketsA registered attendee may purchase a ticket for a personal guest by stopping by the on-site AOHC registration desk. Guest tickets are available for the following activities:

Exhibit Hall Opening Reception .............................................................. $60Annual Membership Meeting and Breakfast ............................................. $45

Please note: business colleagues, friends, and family members will not be allowed to enter educational offerings or session rooms without the advance arrangement of AOHC management.

Emergency ContactPersonal messages for attendees should be left at their hotel property. There will also be a bulletin board for posting personal messages in the AOHC Registration area. Please be sure to indicate your emergency contact information with your registration.

ACOEM Federal ID#The federal employers identification number (FEIN) for ACOEM is 36-3593614. Some attendees may need this information when requesting funds for payment of conference fees from their employer.

ACOEM Membership InformationMembership information is available by calling the Membership Department at 847/818-1800, ext. 300, or by visiting the ACOEM web site at www.acoem.org.

Special Needs – ADAAOHC complies with the Americans with Disabilities Act. Please contact us if you have a disability and/or to inform us of any dietary restrictions.

Consent to Use of Photographic ImagesRegistration and attendance at, or participation in, ACOEM meetings and other activities constitutes an agreement by the registrant to ACOEMS’ use and distri-bution, both now and in the future, of the registrant, or attendee’s image or voice in photographs, videotapes, electronic reproductions and audio tapes of such events and activities.

Registrant Mailing ListExhibitors are an important part of the conference experience. Even if you don’t use particular exhibitors’ products, their participation supports necessary confer-ence production costs which helps keep your registration fee down and allows ACOEM to provide a better conference experience for you.

Of course the main benefit for exhibitors is access to you – onsite as well as before and after the conference. We provide exhibitors with a list of registrants for their use in contacting you to encourage you to visit their booth. Some offer discounts in their promotional message – another benefit to you. Exhibitors are limited to emailing registrants once before and once after the conference and are not allowed to add your information to their contact database for use beyond AOHC 2014.

We appreciate your understanding and support of this common conference prac-tice. If you prefer to have your name removed from the list provided to exhibitors, you may opt out during the registration process. In addition, just prior to the conference, we will make available to conference registrants only, a list of those who are attending – name and company, no address or contact information will be shared. This is a popular feature and facilitates the all-important networking that is so valuable at AOHC.

Please mark your exhibitor mailing preference on the registration form. Options are:

• I will allow my email address to be used by exhibitors for one email pre- and one email post-conference (per exhibitor)

• Please only have exhibitors contact me via regular US mail (one mailing per exhibitor)

• No thank you, I prefer not to be contacted by exhibitors

Contact InformationACOEM Headquarters25 Northwest Point Blvd., Suite 700 Elk Grove Village, IL 60007 Telephone: 847-818-1800 Fax (Registration): 847-818-9265 E-mail: [email protected]

Conference ManagementJoyce Paschall, CAE, CMP, Director of EducationE-mail: [email protected] Telephone: 847-818-1800 ext. 367 Mary Lunn, Conference Coordinator E-mail: [email protected] Telephone: 847-818-1800 ext. 393

Exhibit Management Deb Brisson, CEM, CMP, Exhibit Manager E-mail: [email protected]: 847-818-1800 ext. 391 Fax (Exhibits): 847-818-9286 Web site: www.acoem.org/AOHC_2013Exhibits.aspx

http://www.acoem.org/

mailto:[email protected]

Register Onlinewww.acoem.org2014 AOHC REGISTRATION FORM

22001144 AAOO HHCC®® RRee ggiiss tt rraa tt iioonn FFoorrmm RREEGGIISSTTEERR OONNLLIINNEE

Name (First M.I. Last) Degree

Employer Name

Address (No P.O. boxes, please)

City State/Province Postal Code

Area Code Telephone Nickname (for badge)– –

E-mail Address

Conference Registration: Sunday, April 27 – Wednesday, April 30, 2014Registration Status ACOEM Member Non-Member Retired, Resident, or Student Member ACOEM Past President

ACOEMMember

Non-Member

Retired/ Resident/ StudentMember

Amount

Full Conference RegistrationApril 27-30, 2014 Includes: Concurrent Sessions, General Sessions,

Membership Breakfast/Meeting and access to Exhibit Hall$795 $995 $375 $

One-Day Registration Options Choose Day: Sun, April 27 Tues, April 29 Mon, April 28 Wed, April 30 (½ day)

$295/day $395/day $175/day $

Two-Day Registration OptionsChoose Two Consecutive Days:

Sun, April 27 Tues, April 29 Mon, April 28 Wed, April 30 (½ day)

$505/2-days

$605/2-days

$275/2-days $

Session Seating – Please indicate session preference to help us in assigning the appropriate room size. Your selections below do not guarantee you a seat in that session.

After March 28: All conference registration fees will increase by $100.

Check here if you have a disability requiring special services and/or to indicate dietary

restrictions (please attach a letteror explain below):

________________________________________________________________________________________________________________________________________

EMERGENCY CONTACT DURING CONFERENCE: Name: ____________________________ Phone: ____________________________

This registration form is 2 pages. Please complete and return both pages!

$_________ Subtotal – Page 1

Sat., April 26 1:00PM-5:00PM 099Sun., April 27 7:00AM-8:00AM 101

9:00AM-12:15PM 102 103 104 1051:30PM-3:00PM 100 AOHC Opening Session: Sappington Lecture3:15PM-4:15PM 106 108 1093:15PM-5:30PM 110 1114:30PM-5:30PM 112 113 114 1157:30PM-8:30PM 116

Mon., April 28 7:00AM-8:00AM 202 203 204 205 2068:30AM-10:00AM 2078:30AM-12:00PM 208 209 210 211 212

10:30AM-12:00PM 2131:30PM-3:00PM 214 2171:30PM-5:00PM 215 216 218 2193:30PM-5:00PM 220 221

Tues., April 29 8:30AM-10:00AM 302 303 3048:30AM-12:00PM 301 305 306

10:30AM-12:00PM 308 309 3101:30PM-3:00PM 311 3121:30PM-5:00PM 313 314 315 3163:30PM-5:00PM 317 3185:15PM-6:15PM 319

Wed., April 30 7:00AM-8:00AM 401 402 403 4048:00AM-10:00AM 400 Membership Meeting and Breakfast

10:15AM-11:15AM 405 407 40811:30AM-12:30PM 410 411 412 413

http://acoem.org/aohc2012_registrationinfo.aspx

http://acoem.org/aohc2012_registrationinfo.aspx

22001144 AAOO HHCC®® RRee ggiiss tt rraa tt iioonn FFoorrmm RREEGGIISSTTEERR OONNLLIINNEE

Name (First M.I. Last) Degree

Employer Name

Address (No P.O. boxes, please)

City State/Province Postal Code

Area Code Telephone Nickname (for badge)– –

E-mail Address

Conference Registration: Sunday, April 27 – Wednesday, April 30, 2014Registration Status ACOEM Member Non-Member Retired, Resident, or Student Member ACOEM Past President

ACOEMMember

Non-Member

Retired/ Resident/ StudentMember

Amount

Full Conference RegistrationApril 27-30, 2014 Includes: Concurrent Sessions, General Sessions,

Membership Breakfast/Meeting and access to Exhibit Hall$795 $995 $375 $

One-Day Registration Options Choose Day: Sun, April 27 Tues, April 29 Mon, April 28 Wed, April 30 (½ day)

$295/day $395/day $175/day $

Two-Day Registration OptionsChoose Two Consecutive Days:

Sun, April 27 Tues, April 29 Mon, April 28 Wed, April 30 (½ day)

$505/2-days

$605/2-days

$275/2-days $

Session Seating – Please indicate session preference to help us in assigning the appropriate room size. Your selections below do not guarantee you a seat in that session.

After March 28: All conference registration fees will increase by $100.

Check here if you have a disability requiring special services and/or to indicate dietary

restrictions (please attach a letteror explain below):

________________________________________________________________________________________________________________________________________

EMERGENCY CONTACT DURING CONFERENCE: Name: ____________________________ Phone: ____________________________

This registration form is 2 pages. Please complete and return both pages!

$_________ Subtotal – Page 1

Sat., April 26 1:00PM-5:00PM 099Sun., April 27 7:00AM-8:00AM 101

9:00AM-12:15PM 102 103 104 1051:30PM-3:00PM 100 AOHC Opening Session: Sappington Lecture3:15PM-4:15PM 106 108 1093:15PM-5:30PM 110 1114:30PM-5:30PM 112 113 114 1157:30PM-8:30PM 116

Mon., April 28 7:00AM-8:00AM 202 203 204 205 2068:30AM-10:00AM 2078:30AM-12:00PM 208 209 210 211 212

10:30AM-12:00PM 2131:30PM-3:00PM 214 2171:30PM-5:00PM 215 216 218 2193:30PM-5:00PM 220 221

Tues., April 29 8:30AM-10:00AM 302 303 3048:30AM-12:00PM 301 305 306

10:30AM-12:00PM 308 309 3101:30PM-3:00PM 311 3121:30PM-5:00PM 313 314 315 3163:30PM-5:00PM 317 3185:15PM-6:15PM 319

Wed., April 30 7:00AM-8:00AM 401 402 403 4048:00AM-10:00AM 400 Membership Meeting and Breakfast

10:15AM-11:15AM 405 407 40811:30AM-12:30PM 410 411 412 413

Name (First M.I. Last):Subtotal from Page 1: $

Additional Fees and Ticketed Events Activity Fee Amount

Sunday, April 27Exhibit Hall Opening Reception Yes! I plan to attend the Exhibit Hall Opening Reception $0

Monday, April 28

Complimentary Lunch in Exhibit Hall** Yes! I would like the complimentary lunch in the exhibit hall $0

Optional Event: River Barge Cocktail Cruise Yes! Option: Purchase an additional ticket that the Resident/Recent Graduates Section will distribute to a resident attendee. Total number of tickets purchased for residents/recent graduates:_____

$35

Worksite Visit: 802San Antonio Fire Training Academy $60

Tuesday, April 29

Worksite Visit: 803Lackland Air Force Base Flightline Registration is open to U.S. Citizens Only; include a copy of your driver’s license with registration

$60

Worksite Visit: 804Center for the Intrepid $60

Optional Tour: After Hours at the AlamoThere is no cost to attend this tour, however, advanced registration and ticket is required

$0

Wednesday, April 30 Membership Meeting and Breakfast** Yes! I plan to attend the Membership Meeting and Breakfast $0

Other Conference Options

Exhibitor Mailing Options

I will allow my email address to be used by exhibitors for one email pre- and one email post-conference (per exhibitor) Please only have exhibitors contact me via regular US mail (one mailing per exhibitor) No thank you, I prefer not to be contacted by exhibitors

Please check your exhibitor mailing preferences at left

Special Advance Price!Pre-purchase online library of conference recordings now and save over on-site and post-conference prices! (Post-conference CME will besold separately in summer 2014)

$129

Pre-conference Courses Activity Fee Amount

ACOEM Member $675Non-Member: $815Retired, Resident, or Student: $345

Friday-Saturday, April 25-26 MRO Comprehensive Course Occupational Medicine Board Review Course Foundations of Occupational Medicine, Seg. 2

See fees at left


Saturday, April 26 Commercial Driver Medical Examiner See fees at left


Saturday, April 26 Spirometry Testing in Occupational Health – Physician Update ABIME: Advanced Skills for the Independent Medical Examiner

See fees at left

Post-conference Courses Activity Fee Amount


Thursday, May 1Work Disability Prevention for Clinicians: Your Role in the SAW/RTWProcess CAOHC Professional Supervisor Workshop

See fees at left

Total Due: $

PAYMENT: Check enclosed Payable to ACOEM (US Funds Only) American Express Discover Master Card VISA

Credit Card #: ____________________________________________ Exp. Date: __________ Signature:

Return both pages of this form with payment to: CHECK: ACOEM Lockbox, 39032 Eagle Way, Chicago, Illinois 60678-1390 CREDIT CARD: Fax to ACOEM at 847/818-9265

Registrations received without payment will not be processed. Please call 847/818-1800, ext. 374 with any questions.** We understand that not everyone will be able to attend due to other obligations. Therefore, if you would like to attend this event, please indicate so on the registration form. This will assist us in ordering the proper amount of food and eliminating unnecessary waste.

OFFICE USE ONLY: Amount Paid: __________________ Check #: _______________ Batch #: __________________ Date: __________

SAN ANTONIO MARRIOTT RIVERCENTERAPRIL 27 - APRIL 30, 2014

ACOEM25 Northwest Point Blvd, Suite 700Elk Grove Village, IL 60007

As part of ACOEM’s commitment to protecting workers’ health, this brochure was PrintedgreenTM using all vegetable inks and solvents and is 100% petro-chemical and toxin free.