The physician has the knowledge and skill to develop, evaluate, and manage medical surveillance programs for the work place as well as the general public. The physician has the knowledge and skills to apply primary, secondary, and tertiary preventive methods.

  1.   Develop, implement, evaluate, and refine screening programs for groups to identify risks for disease or injury and opportunities to promote wellness.

• Characterize the population to identify target exposures, risk factors, and/or conditions of concern.
• Assess the utility of screening tools.
• Assess the screening programs using standard criteria.
• Assess resources.
• Create structures (clinic staffing, etc.).
• Report results.

2. Design and implement proactive systems of care that effectively reach all members of a population, including those at high risk and those who do not normally seek care.
3. Design and conduct surveillance programs in workplace and/or community settings.

• Develop and implement medical surveillance programs in the workplace and/or in communities exposed to environmental contamination.
• Utilize biomarkers to identify exposure, within limitations of the methodology, and interpret results in both clinical and public health contexts.
• Develop and implement medical surveillance programs in the workplace to protect workers, ensuring compliance with applicable regulations when appropriate.
• Address specific work classifications such as hazardous waste workers.
• Target specific organ systems for prevention of occupational disease, such as lung diseases.
• Utilize and interpret routine screening results in establishing fitness for duty in various occupational settings, such as screening for near, distance, and color vision.
• Intervene in response to positive findings when indicated, in order to measurably improve health outcomes.
• Interpret abnormal laboratory findings in asymptomatic workers and recommend further evaluation and/or treatment as indicated.
• Evaluate the effectiveness of surveillance and screening programs.

4. Recognize and investigate potential sentinel events.
5. Review, interpret, and explain the public health and clinical implications of epidemiological studies that address occupational hazards.
6. Apply validated epidemiologic and biostatistical principles and techniques to analyze injury/illness data in a defined worker and community populations.
7. Apply individual or community-based interventions to prevent or mitigate exposure and/or resultant health effects.
• Characterize the population to identify target conditions or exposures.
• Prioritize areas for prevention and mitigation.
• Identify efficient and effective interventions.
• Develop a strategy or plan for intervention.
• Implement the interventions.
• Evaluate the effectiveness of prescribed interventions.
8. Recommend and implement policies and control measures to address emerging infectious diseases of concern.