Occupational & Environmental Medicine (OEM) Residency Program

The University of Washington Occupational & Environmental Medicine (OEM) residency program is designed to prepare physicians for occupational and environmental medicine practice and leadership roles in clinical, academic, government, consulting, and corporate settings.

The Program provides academic instruction, practicum experiences, and research opportunities, drawing on a large core faculty based jointly in the Department of Medicine and the School of Public Health, together with extramural clinical faculty, and faculty partners in nursing, industrial hygiene, and toxicology. Graduates of the UW OEM residency program are currently leaders in all of the practice settings listed above. Trainees will achieve competency in all core knowledge content areas in OEM and are encouraged to develop areas of special expertise. In keeping with this goal, the educational program is individually tailored to meet the needs of each trainee. In 1977, the Department of Environmental Health received an Educational Resource Center (ERC) training grant from the National Institute for Occupational safety and Health (NIOSH) and is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME) for up to six trainees.

Stipends, Tuition Support, and Benefits

Residents/fellows receive a stipend, competitive with other national residency programs.*

In addition to the stipend, tuition and fees are covered by the Residency Program, as well as professional liability coverage, a benefits package, and travel to one professional meeting per year.

* Unless special funds are identified, stipend support is limited to U.S. citizens and permanent residents.

Curriculum

First Year of Residency

Master's at UW School of Public Health

All first year OEM trainees without an MPH or equivalent degree attend the UW School of Public Health to obtain a master’s degree, typically an MPH in Occupational and Environmental Health Sciences. Trainees who already have an MPH or equivalent will take the core course work in occupational medicine on the non-degree track. Required subjects for the MPH include biostatistics, epidemiology, health services management and administration, environmental health, and the social and behavioral influences on health. The core course work for occupational medicine includes weekly case conference and current issues in occupational medicine.

Sample MPH Curriculum

Epidemiology (choose from EPI 511 or EPI 512 + EPI 513, 4 or 8 credits)

Biostatistics (choose from BIOST 511 or BIOST 517 + BIOST 518, 4 or 8 credits*)

HSERV 511B Introduction to Health Care and Public Health Services (3 credits)

HSERV 510 Society and Health (3 credits)

ENV H 505 Fundamentals of Environmental and Occupational Toxicology (4 credits)

ENV H 516 Env. & Occup. Toxicology III (3 credits)

ENV H 564 Recognition of Health and Safety Problems in Industry** (min. 2 credits)

ENV H 576 Clinical Occupational Medicine (2 credits)

ENV H 580 Environmental & Occup. Health Seminar (1 credit for 3 quarters, or 3 total)

ENV H 583 Environmental Health Reading III (1 credit; write thesis proposal)

ENV H 596 Current Issues in Occ & Env Medicine (2 credits for 6 quarters, or 12 total; topics cover everything required for ACGME accreditation for the residency)

ENV H 597 Case Studies in Environmental and Occupational Health (1 credit for 6 quarters, or 6 total)

ENV H 599 B Field Studies: Occupational Medicine Clinic (2 credits; worksite visits)

ENV H 700 Master's Thesis (min. 9)

In addition, a minimum of four months is spent in clinical care in both the first year and second year. This is typically split between two months of a full-time occupational medicine practice at clinics in the Seattle community and two half days clinic per week at Harborview Medical Center and a community clinic.

*Although only one quarter of biostatistics is required, students are encouraged to take BIOST 517 and 518. Concurrent MPH/MPA students are also required to take BIOST 512 or 518.

** Required for UW OEM Fellowship

Second Year of Residency

Clinical:

Outpatient occupational medicine in community clinic, full time for 2 months.

Continuity clinics: ½ day at community clinic + plus ½ day at university clinic each week, 2 years

Subspecialty clinics: Sports and Spine Clinic (Physical Medicine & Rehab); Dermatology

Yakima Healthy Worker Clinic (Farmworkers, large Hispanic population)

 

Non-Clinical (at least two required of all OEM trainees):

Boeing: work directly with the international Boeing medical director and collaborate with other providers, assisting with organization of worker occupational healthcare delivery, surveillance, hazard control, and participating in site visits.

FAA: work directly with the Regional Flight Surgeon and collaborate with other FAA officials, surveillance of Aviation Medical Examiners; review of Airman Medical Examination applications against established medical standards; and review of fatal aircraft accident data.

LNI: learn about each of the major elements of a large state agency which serves as the workers’ compensation insurer, regulates occupational safety and health, and conducts research to reduce occupational illness

VA: Work in three areas at the Veteran’s Affairs Hospital in Seattle: the Environmental Agents Clinic, the Deployment Health Clinic, and the Compensation & Pension unit. Complete self-study modules related to health of veterans. Make presentation on veterans’ health topic.

 

Offered Periodically Based on Interest:

OSHA in Washington DC

NIOSH in Cincinatti OH

International Rotation

 

Research Project

A research project is a required component of the training. This is typically completed in the second year of training as a thesis associated with the MPH degree. Past projects include:

Environmental Health http://deohs.washington.edu/eh

Environmental Toxicology http://deohs.washington.edu/tox

Exposure Sciences http://deohs.washington.edu/es