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Will the rotation help me meet the ACGME Preventive Medicine Milestones?

Milestones and core competencies addressed by the goals and elements of the NIOSH Occupational Medicine Rotation

American Council of Graduate Medical Education (2021) Milestones

Medical Knowledge
Practice-based Learning and Improvement
Interpersonal and Communication Skills
Hazard Recognition and Management

American College of Occupational and Environmental Medicine (ACOEM) Core Competencies for OEM Physicians (2021)

Clinical Occupational and Environmental Medicine
OEM Related Law and Regulations
Environmental Health
Work Fitness and Disability
Hazard Recognition, Evaluation, and Control
Disaster Preparedness and Emergency Management
Health and Human Performance
Public Health, Surveillance, and Disease Prevention
OEM Related Management and Administration

Competencies designated by ACOEM as required for OEM Research and Education that may also be enhanced during the NIOSH Occupational Medicine Rotation (2021)

Environmental health

  • Characterize health risks based on hazard identification, exposure assessment, and effectively communicate risk from a variety of exposures.
  • Identify common environmental contaminants indoors and outdoors and understand how to assess exposure to these contaminants


  • Interpret and apply information from medical, toxicological, and environmental health literature.
  • Effectively communicate risk, necessary actions, and reassurance to patients.

Hazard Recognition, Evaluation, and Control

  • Recognize common occupational hazards and most appropriate exposure control measures based on the hierarchy of controls which may include personal protective equipment.
  • Understand protective measures appropriate for the hazards of interest in the working populations served.
  • Characterize existing and potential occupational and environmental hazards within defined populations.
  • Evaluate and interpret the results of industrial hygiene surveys or risk assessments.
  • Interpret and apply published exposure limits such as OSHA permissible exposure limits (PELs), ACGIH’s TLVs and biologic exposure indices (BEIs), Environmental Protection Agency standards, and other criteria in the assessment of chemical and physical hazard exposures.

Disaster Preparedness and Emergency Management

  • Design and/or conduct an outbreak and/or cluster investigation.

Public Health, Surveillance, and Disease Prevention

  • Identify appropriate exposure controls which may include appropriate personal protective equipment, with IH and safety, to mitigate hazards faced in the workplace.
  • Recognize and report or investigate potential sentinel events.
  • Review, interpret, and explain the public health and clinical implications of epidemiological studies that address occupational hazards.

OEM Research and Education

  • Interpret and present technical and clinical data for a variety of audiences.
  • Apply principles of adult learning.
  • Handle oral presentations in a professional manner.
  • Defend conclusions and recommendations, using appropriate data and logical reasoning.
  • Evaluate learning outcomes.