Topic: OEM’s Role in the Insurance Industry

Aired April 20, 2021

This discussion centers on occupational and environmental medicine's participation, interaction, and physician roles with insurance companies and provides a practical toolkit for OEM physicians’ everyday use in this arena.

The aim of this session is to enable OEM physicians to better appreciate the climate of how OEM interfaces with the insurance industry. The goal of the toolkit is a standardized approach that will allow for optimized streamlining of claims processing. Through this shared knowledge, the hope is to optimize timeliness and quality of care employees receive, such that appropriate evidence-based standards of care are met.

Rupali Das, MD, MPH, FACOEM. Dr. Rupali Das is Senior Vice President and Medical Director at Zenith Insurance Company and Clinical Professor of Medicine at the University of California San Francisco (UCSF) Division of Occupational and Environmental Medicine. Previously, she served as the Executive Medical Director of the California Division of Workers’ Compensation. She is President-Elect for WOEMA, the Co-Chair of WOEMA’s JEDI Committee and past chair of the legislative and educational committees. Dr. Das was in clinical practice in Occupational Medicine at the Palo Alto Medical Clinic. She has held various leadership roles in occupational and environmental Health at the California Department of Public Health (CDPH) and the California EPA. At CDPH she led “Biomonitoring California,” which measures levels of chemicals in peoples’ bodies, directed programs to track and reduce pesticide illness and infectious diseases in underserved populations such as farmworkers, as well as other workers, and guided emergency preparedness. She received her MD degree from the University of Illinois, completed a residency in Internal Medicine at Michael Reese Hospital in Chicago, and a fellowship in Occupational and Environmental Medicine at UCSF. During her fellowship she earned a Master’s degree in Public Health from the University of California, Berkeley. She is board certified in Internal Medicine and Preventive Medicine/Occupational Medicine and is a Fellow of the American College of Occupational and Environmental Medicine. She is a member of the ACOEM Racism Workgroup, a Trustee for Cal Performances, and mentors students from underserved communities as part of the Thrive Scholars Program.

David Berube, MD, MPH, FACOEM. Dr. Berube is the Chief Medical Officer for Lincoln Financial Group. He is also an Assistant Clinical Professor of Medicine at both the Yale University School of Medicine, and the University of Connecticut School of Medicine, and is a staff physician for the Connecticut VA Healthcare System.

He has over 25 years of patient care, academic teaching, and health care management experience. His prior experience includes serving as Chief Medical Officer at Liberty Mutual, National Medical Director at Aetna, Inc., and Chief of Occupational & Environmental Medicine at Saint Francis Hospital in Hartford, Connecticut. Dr. Berube is board-certified in Internal Medicine and in Occupational & Environmental Medicine. He received his medical degree from the University of Rochester School of Medicine and Dentistry, completed his internal medicine residency at the University of Vermont School of Medicine, and completed his occupational and environmental fellowship training at the Yale University School of Medicine, where he also received his Master’s Degree in Public Health. He is a Fellow of the American College of Occupational and Environmental Medicine and the Treasurer of its New England component.

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• Presentation slides

Topic: An Anti-Racist Imperative for Clinical Practice: On Racism, Health, and Clinical Responsibility / Structural Racism and the Practicing Physician: What to Recognize, What to Change

In this mini-series of one-hour webinars, the WOEMA Justice, Equity, Diversity, and Inclusion (JEDI) Committee presents two nationally recognized experts in systemic racism and implicit bias in the healthcare workforce. First, Dr. Rhea Boyd, a pediatrician at UCSF Benioff Children’s Hospital Oakland, California, will present on racial injustice and its effects on health equity. Two weeks later, Dr. Danielle Hairston, Director of Residency Training in the Department of Psychiatry Howard University College of Medicine Washington DC, will discuss understanding implicit bias in patientcare and provide evidence-based instruction and tools for clinicians to overcome them. Together, learners will start to develop an awareness and understand their own biases when caring for patients that will enable recognition of the learner’s own intrinsic biases and the tools available to mitigate them.

An Anti-Racist Imperative for Clinical Practice: On Racism, Health, and Clinical Responsibility

Aired February 25, 2021

We will explore the connections between racism and health outcomes and the role of physicians in addressing racism.

Speaker
Rhea Boyd MD, MPH is a pediatrician, public health advocate, and scholar who writes and teaches on the relationship between structural racism, inequity and health. She has a particular focus on the child and public health impacts of harmful policing practices and policies. She serves as the Chief Medical Officer of San Diego 211 and the Director of Equity and Justice for The California Children's Trust.

Dr. Boyd graduated cum laude with a B.A. in Africana Studies and Health from the University of Notre Dame. She earned a M.D. at Vanderbilt University School of Medicine and completed her pediatric residency at University of California, San Francisco. In 2017, Dr. Boyd graduated from the Commonwealth Fund Mongan Minority Health Policy Fellowship at Harvard University’s School of Public Health, earning an M.P.H.

Structural Racism and the Practicing Physician: What to Recognize, What to Change

Aired March 11, 2021

We will discuss understanding implicit bias in patientcare and provide evidence-based instruction and tools for clinicians to overcome them.

Speaker
Dr. Danielle Hairston, Director of Residency Training in the Department of Psychiatry Howard University College of Medicine Washington DC. Dr. Danielle Hairston was raised in the Washington, DC metropolitan area. She attended Rutgers University for her undergraduate education, and earned a degree in Biological Sciences. She earned her medical degree at Howard University College of Medicine where she also went onto complete her Psychiatry Residency Program. In 2018, Dr. Hairston returned to Howard University College of Medicine as faculty and was recently appointed as the Psychiatry Residency Training Director.

Dr. Hairston has served as the Black Psychiatrists of America (BPA) Scientific Program Chair since 2016. She was recently elected as the American Psychiatric Association (APA)’s Black Caucus’ President. Dr. Hairston has also had the opportunity to speak nationally and internationally about the impact of racial trauma and culture on mental health. She is a contributing author to the recently published book, Racism and Psychiatry: Contemporary Issues and Interventions. Her interests include consultation-liaison psychiatry, resident education, minority mental health, cultural psychiatry, HIV psychiatry, and collaborative care.

Topic: Evaluation of Disease and Injury Causation

Aired December 8, 2020

This webinar covers the essential elements when it comes to medical causation determinations, including examples and practice tips for applying the concept in the workers' compensation setting.

Speaker
Douglas W. Martin, MD, FAAFP, FACOEM, FAADEP, CIME, CEDIR is a native of Louisville, Nebraska, a small town of approximately 1,000 people near Omaha that is famous for Ash Grove cement manufactured from the limestone deposits along the Platte River. He graduated with a Bachelor of Science in Biological Sciences with Highest Distinction in 1987 from the University of Nebraska - Lincoln. He went on to attend the University of Nebraska Medical Center receiving the Doctor of Medicine degree with Distinction in 1991.

Dr. Martin completed his family medicine residency in Davenport, Iowa. He was awarded the Mead-Johnson Award for Graduate Education in Family Medicine, given to the top twenty family medicine residents in the nation. Dr. Martin went on to complete a Mini-Residency in Occupational Medicine at the University of Cincinnati. He currently serves as the Medical Director for UnityPoint Health – St. Luke’s Occupational Medicine in Sioux City.

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Topic: Covid Presumptions - What You Need to Know

Aired Thursday, November 20, 2020

California recently signed two COVID-19 presumption bills into law (State Bill 1159, Assembly Bill 685). Acknowledging that legislation is ongoing and changing, this webinar seeks to provide OEM clinicians and employers a framework for assessing and implementing these laws in their clinical practice and workplaces.

SB 1159 expands access to workers’ compensation and makes it easier for first responders, health care workers and people who test positive due to an outbreak at work to get the support they need, including necessary medical care and wage replacement benefits. AB 685 ensures timely notification to employees and public health officials of COVID-19 cases at workplaces. This notification will help workers take necessary precautions such as seeking testing, getting medical help or complying with quarantine directives. These statutes took effect September 17, 2020 and remain in effect through January 1, 2023.

Other states are developing or have issued COVID-19 presumption laws for employees exposed to novel coronavirus-19 at their workplace, including Utah (House Bill 3007).

Dr. Robert Blink (Worksite Partners Medical Group Inc., San Francisco, CA) serves as medical director/consulting physician to nationwide employers, large case management and provider network, hospitals, and joint labor-management health and retirement programs; he staffs and supervises workplace on-site clinics, provides OEM litigation support, and conducts educational outreach to employer, labor and community groups. Dr. Blink is Co-Chair of the ACOEM Council on OEM Clinical Practice.

Dr. Robert Harrison has been with the California Department of Public Health and on the faculty at the University of California, San Francisco in the Division of Occupational and Environmental Medicine since 1984. He established the UCSF Occupational Health Services where he has diagnosed and treated thousands of work and environmental injuries and illnesses. He has designed and implemented numerous medical monitoring programs for workplace exposures, and has consulted widely with employers, health care professionals, and labor organizations on the prevention of work-related injuries and illnesses. Dr. Harrison has led many work and environmental investigations of disease outbreaks. He has served as a technical and scientific consultant to Federal OSHA and CDC/NIOSH, and was a member of the California Occupational Safety and Health Standards Board. He is currently the Director of the NIOSH-funded Occupational Health Internship Program, and Associate Director of the UCSF Occupational and Environmental Medicine Residency Program. His research interests include the collection and analyses of California and national data on the incidence of work-related injuries and illnesses. Dr. Harrison has authored or co-authored more than 50 peer-reviewed journal articles, and more than 40 book chapters/contributed articles/letters to the editor. He is the co-editor of the most recent edition of the textbook Occupational and Environmental Medicine (McGraw-Hill Education, New York, NY, 2014).

Dr. Rupali Das is Senior Vice President and Medical Director at Zenith Insurance Company and a faculty member at the UCSF Division of Occupational and Environmental Medicine. She previously served as the Executive Medical Director of the California Division of Workers’ Compensation and has held various leadership positions in Occupational and Environmental Health at the California Department of Public Health and California EPA. Prior to joining public service, she was in clinical practice in Occupational Medicine at the Palo Alto Medical Clinic. She is Clinical Professor of Medicine at the UCSF Division of Occupational and Environmental Medicine and a Fellow of the American College of Occupational and Environmental Medicine. Dr. Das has served as WOEMA Education Committee Chair, Legislative Committee Co-Chair, and WOHC 2012 Chair. She received her MD degree from the University of Illinois, Chicago, and her master’s degree in Public Health from the University of California, Berkeley. She is board-certified in Internal Medicine and Preventive Medicine/Occupational Medicine. Her professional interests include illness and injury prevention and health promotion to optimize productivity and wellness at work and in life.

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Topic: Non-Opioid Pain Management

Aired Wednesday, October 7, 2020

This one-hour live webinar describes non-opioid treatment approaches to acute and chronic pain including non-opioid medications, restorative therapies, interventional procedures, behavioral health approaches, complementary and integrative health.

Dr. Steven Feinberg is a physiatrist and pain medicine specialist practicing in Palo Alto. He is an Adjunct Clinical Professor and teaches at the Stanford University Pain Service. Dr. Feinberg is a past president (1996) of the American Academy of Pain Medicine (AAPM). He is lead author of the 2019 American Chronic Pain Association Resource Guide to Chronic Pain Treatment. Dr. Feinberg served as the ACOEM Chronic Pain Guideline Panel Chair. He is a member of the DWC Pharmacy and Therapeutics Committee.

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• Presentation Slides

Topic: Where There’s Fire, There’s Smoke: Will Wildfires Rage Alongside the Pandemic in 2020?

Aired June 18, 2020

This webinar, presented by Dr. John Balmes, Professor in the Divisions of Occupational and Environmental Medicine and Pulmonary and Critical Care Medicine at Zuckerberg San Francisco General Hospital (ZSFG) and Director of the Northern California Center for Occupational and Environmental Health, focuses on the health effects of wildfire smoke, epidemiological associations between exposure to air pollution and both acute and chronic health outcomes, the pathophysiology of airway inflammation and increased risk of lower respiratory infection from wildfire smoke exposure, and strategies for reducing exposures to wildfire smoke for outdoor workers and the general public.

This presentation will also contain information on how wildland firefighting and the health of the general public will be challenged during the ongoing COVID-19 pandemic during the 2020 wildfire season, which impacts levels of available PPE, the ability to shelter the public, and to house firefighters in close proximity to each other.

Dr. Balmes received his MD degree from Mount Sinai School of Medicine in 1976. After internal medicine training at Mount Sinai and pulmonary subspecialty, occupational medicine, and research training at Yale, he joined the faculty of USC in 1982. He joined the faculty at UCSF in 1986 and is currently Professor in the Divisions of Occupational and Environmental Medicine and Pulmonary and Critical Care Medicine at Zuckerberg San Francisco General Hospital (ZSFG). His major academic activities include several collaborative epidemiological research projects, various advisory and editorial committees, Director of the UC Berkeley-UCSF Joint Medical Program, Director of the Northern California Center for Occupational and Environmental Health (a consortium of programs at UC Berkeley, UC Davis, and UCSF). Since 2008 he has been the Physician Member of the California Air Resources Board.

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• Handout - Health Impacts of Wildfire Smoke
• Handout - Where There's Fire
• Handout - ER Visits Associated with Wildfire
• WOEMA Wildfire Webinar Presentation Slides

Topic: Lead and Mercury Toxicity

Aired on March 19, 2020

Dr. Ulrike Luderer is Professor and Director of the Center for Occupational and Environmental Health and interim chief of the Division of Occupational and Environmental Medicine in the Department of Medicine at the University of California Irvine. She earned a Ph.D. in Reproductive Endocrinology and M.D. from Northwestern University and M.P.H. from the University of Washington and is board-certified in Occupational and Environmental Medicine.  Dr. Luderer’s research focuses on the mechanisms by which toxicants and ionizing radiation disrupt ovarian function, accelerate ovarian aging, and cause ovarian cancer in adults, as well as in subsequent generations following exposure during development. Dr. Luderer serves on the Scientific Guidance Panel of the California Environmental Contaminant Biomonitoring Program and the California Developmental and Reproductive Toxicant Identification Committee. She previously served as a member of the USEPA Science Advisory Board Environmental Health Committee. She is an Associate Editor of Toxicological Sciences and serves on the editorial board of Biology of Reproduction.

Dr. Fedoruk is Clinical Professor of Health Sciences at University of California, Irvine (UCI) and Medical Director at the UCI Center for Occupational and Environmental Health Clinic.  Dr. Fedoruk is also a Principal in the Health Sciences practice at Exponent, an engineering and scientific consulting firm.

Dr. Fedoruk holds subspecialty board certification in Medical Toxicology and primary board certification in Occupational Medicine from the American Board of Preventive Medicine. There are fewer than 40 physicians in the U.S. who hold both these certifications. He is also a Diplomate of the American Board of Toxicology (DABT) and is certified by the American Board of Industrial Hygiene as a Certified Industrial Hygienist (CIH).

Dr. Fedoruk has extensive experience in the assessment of exposure and related health effects for a broad range of chemical and biological hazards. His 30-year experience involves evaluating health significance from a wide array of environmental, occupational, and consumer product-related exposures. Dr. Fedoruk has served as an advisor on occupational and environmental health matters to both government and industry. He has designed, developed, and implemented medical monitoring programs for workers in several industries including industries with lead exposures, hazardous waste operations, energy, asbestos, and electronics.

Dr. Fedoruk has conducted studies and published articles in the areas of occupational and environmental medicine. He authored chapters in several books, including the World Health Organization’s Encyclopedia of Occupational Safety and Health, the Encyclopedia of Toxicology, and textbooks in occupational lung diseases and thoracic oncology. He is the 1995 recipient of the Adolph G. Kramer Merit in Authorship Award from the American College of Occupational and Environmental Medicine, and the 2001 Jean Spencer Felton Award for Excellence in Scientific Writing from the Western Occupational and Environmental Medical Association. He is designated as a Fellow of the American College of Medical Toxicology and the American College of Occupational and Environmental Medicine.

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Topic: Cannabis Worker Occupational Health and Safety

Aired on March 19, 2020

This webinar will cover what is known about occupational health hazards in the cannabis (marijuana) industry. It begins with a description of the workforce size and distribution in California. This is followed with a review of occupational hazards, focusing primarily on respiratory and dermatologic hazards but including other health and safety hazards such as explosions and fires, repetitive strain injuries, and workplace violence. The limited data from field studies will be presented along with likely health outcomes based on known and probable exposures.

Learning objectives – After this webinar, participants will be able to:

• Identify the health risks to employees in the marijuana industry based on their specific workplace: agriculture, production facility, manufacturing and storage, and retail.
• Apply this knowledge matters of health and safety when discussing workplace improvements with injured workers or in consultation with employers in this industry.

Speaker
Dr. Marc Schenker is a Distinguished Professor Emeritus of Public Health Sciences and Medicine at the UC Davis School of Medicine. He has over 35 years of experience in medicine and public health research, teaching and public service. Dr. Schenker is the founding director of the Davis Center for Occupational and Environmental Health, the Western Center for Agricultural Health and Safety, and the Migration and Health Research Center.

His specialty is occupational and environmental disease, with a focus on respiratory and reproductive health. His work has focused on numerous occupational hazards, particularly those affecting agricultural workers. Dr. Schenker also conducts epidemiologic research and public policy advocacy on the health of global migrant populations with a particular focus on farmworkers and occupational disease. He has published over 200 scientific manuscripts and six textbooks and has received numerous awards for his work. He is editor of a recent book entitled “Migration and Health: Research Methods Handbook”.

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Topic: Implementing the New 2019 CDC Guidelines on TB Screening of Health Care Personnel

Aired on Thursday, October 31, 2019

Presented by: Warner Hudson, MD, FACOEM, FAAFP & Wendy Thanassi, MD

This webinar will be a review of the May 2019 CDC MMWR Guidelines on TB screening or US health care personnel as well as cover key items discussed in the soon to be published companion paper on implementing these new guidelines, with a focus on practical approaches, what’s changed, LTBI treatment and case reviews.

Learning objectives – After this webinar, participants will be able to:

• Implement the new CDC guidelines for TB screening of US health care personnel
• Treat LTBI using new approaches
• Adapt the new guidelines for your TB screening program

Dr. Warner Hudson is an Associate Clinical Professor of Occupational and Environmental Health at UC Irvine. Prior to this, he was Medical Director of Occupational and Employee Health for UCLA Health System and Campus where he implemented and directed large TB surveillance programs for healthcare personnel, researchers who worked with live TB, animal workers, and travelers. He was a voting member of the IBC there for 7 years. He has numerous publications on biosafety subjects including tuberculosis and has been a co-leader of the working group to develop the companion paper to the 2019 CDC guidelines on TB screening of US HCP. He is past president of ACOEM and WOEMA.

Dr. Wendy Thanassi is the Chief of Occupational Health at the Palo Alto VA and Clinical Assistant Professor in Emergency Medicine at Stanford Medical Center. She completed her medical education at Stanford University School of Medicine, her internship and residency at Yale – New Haven Hospital, CT, and is board certified in Emergency Medicine by the American Board of Emergency Medicine. Her particular interest is in infectious diseases. Dr. Thanassi has worked all over the world, including in TB hospitals in South Africa. Her extensive experience using IGRAs helps her to explain patterns and anomalies in serial testing of healthcare workers to help others make evidence-based decisions regarding testing and treatment of LTBI in the nation’s workforce.

• Open the Webinar including synchronized audio and video.
• Open the Dr. Hudson’s PowerPoint slides (in PDF)
• Open the Dr. Thanassi’s PowerPoint slides (in PDF)

Topic: How to be Chosen as a QME and How to get AME Status

Aired on Thursday, August 29, 2019

Presented by: Steven Feinberg, MD

This Webinar will provide information to the audience as to how to be chosen/selected as a QME and how to get to AME status. Issues discussed will include quality, timeliness, combining versus adding (The Kite case), and how to address complex issues of causation, apportionment and providing the most accurate impairment rating (Almaraz Guzman analysis).

Learning objectives – After this webinar, participants will be able to:

• Describe how to get selected as the QME or being chosen as the AME
• Apply concepts to address complex issues of causation and apportionment
• Provide the most accurate impairment rating

Dr. Steven Feinberg is a physiatrist and pain medicine specialist practicing in Palo Alto. He is an Adjunct Clinical Professor and teaches at the Stanford University Pain Service. Dr. Feinberg is a past president (1996) of the American Academy of Pain Medicine (AAPM). He is lead author of the 2019 American Chronic Pain Association Resource Guide to Chronic Pain Treatment. Dr. Feinberg served as the ACOEM Chronic Pain Guideline Panel Chair. He is a member of the DWC Pharmacy and Therapeutics Committee.

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• Open the PowerPoint slides (in PDF)

Topic: Orthopedic Injuries – Fractures of the Wrist and Forearm

Aired on Tuesday, June 25, 2019

Presented by: Christopher Bayne, MD

This webinar will allow participants to be able to recognize the clinical symptoms suggestive of a wrist or forearm fracture. The participant will understand the pertinent anatomy and have the tools to diagnose the most common fracture patterns of the wrist and forearm. Furthermore, the participant will feel comfortable with the initial management of these injuries and understand when these injuries require emergent orthopedic surgical intervention.

Learning objectives – After this webinar, participants will be able to:

• Know the anatomy of the wrist and forearm
• Perform pertinent physical exam
• View imaging for diagnosis of wrist and forearm (as well as possible associated injuries)
• Identify emergent signs and symptoms
• Use appropriate immobilization of wrist and forearm fractures

Dr. Christopher Bayne is an Orthopedic Surgeon and Assistant Professor of Orthopedic Surgery at UC Davis Medical Center in Sacramento, CA. He obtained his Medical Degree at Harvard University in Boston, MA and completed his Orthopedic Surgery training at Rush University Medical Center in Chicago, IL. He completed a fellowship in Hand, Upper Extremity, and Microvascular Surgery at The Mayo Clinic in Rochester, MN. Clinically, he has a special interest in upper extremity trauma, brachial plexus injury, and shoulder and elbow arthroplasty. He is passionate about education and is actively involved in the UC Davis Orthopedic Residency and Hand and Upper Extremity Fellowship programs.

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• Open the PowerPoint slides (in PDF)

Topic: Pesticide Illness: Regulations, Laws, Reporting

Aired on Wednesday, April 17, 2019

Speaker: William Ngai, MD, MPH; Yvette Nonato, MD, DPBRM, FPARM

This webinar is a brief overview of California’s regulations and laws that mandate pesticide illness reporting and its requirements.  It also provides information on the recognition and management of pesticide illnesses.  Underreporting of pesticide-related illness is an issue because many health care providers are unaware of the reporting requirement.  The Department of Pesticide Regulation is responsible for regulating the sale and use of pesticides in California and enforcing pesticide laws and regulations.  The Office of Environmental Health Hazard Assessment is responsible for providing physician training on the recognition, management, and reporting of pesticide-related illnesses.

Learning Objectives – After this webinar, participants will be able to:

• Know the legal definitions of a pesticide and pest
• Be familiar with the legal requirements and the various ways to report pesticide illnesses
• Obtain patient and exposure information helpful for pesticide illness surveillance
• Provide information on the diagnosis and treatment of pesticide illnesses

Dr. William Ngai received his Medical Degree from the New York University School of Medicine and his Masters of Public Health from the University of California Los Angeles School of Public Health.  Postgraduate training consisted of an internship in internal medicine at the Veterans Administration Hospital of Long Beach and a residency in occupational and environmental medicine at the University of Southern California and the University of California San Francisco.  After practicing in the emergency department at the Kaiser Permanente Hospital in Martinez for a year, Dr. Ngai practiced general medicine and occupational medicine in Oakland for thirteen years.   From 1998, he practiced occupational medicine at the Mills-Peninsula Hospitals in Burlingame and San Mateo until 2003.  He has been a Public Health Medical Officer in the Office of Environmental Health Hazard Assessment, a department in the California Environmental Protection Agency, since April 2000.

Dr. Yvette Nonato is a Physical Medicine and Rehabilitation Specialist by training, with special interests in Traumatic Brain Injuries, Spinal Cord Injuries, Neurodevelopmental Disabilities. She served as a venue Sports Medicine physician in the 1990’s in a number of games. She was a medical exchange student under the Asian Medical Students Association (AMSA), and rotated in a number of big medical centers and rural hospitals in Northern and Southeast Asian countries. Her internship and residency trainings were completed in military hospitals. She was one of the few then-residents admitted into the International Spinal Cord Society (formerly IMSOP), a membership she keeps to date. Dr. Nonato has delivered lectures ranging from “Low Back Pain” to “Spinal Cord Injuries” for various specialty societies. She has also been a primary investigator for a number of Clinical Trials, notably a COX-2 inhibitor, and she fulfilled a course in Health Informatics at UC Davis. Currently, Dr. Nonato is affiliated with the Pesticide Illness Surveillance Program (PISP) of Cal-EPA’s Department of Pesticide Regulation.

• Open the Webinar including synchronized audio and video.
• Open the Dr. Ngai’s PowerPoint slides (in PDF)
• Open the Dr. Nonato’s PowerPoint slides (in PDF)
• View the Handouts (in PDF)

Topic: The OSHA Silica Standard – Fresh Challenges for Medical Surveillance

Speaker: Paul Papanek, MD, MPH, FACOEM

• Describe what types of workplace silica exposures trigger a requirement for medical surveillance exams
• List the principal component of those exams
• Articulate a strategy for how to communicate with employees and employers about the surveillance results and next steps.