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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e318246f1b7
ORIGINAL ARTICLES: CME Available for this Article at

Is an Occupational Examination Superior to an Occupational Health History Alone for Preplacement Screening in Health Care Settings?

Newcomb, Richard D. MD, MPH; Molella, Robin G. MD, MPH; Varkey, Prathibha MBBS, MPH, MHPE; Sturchio, Glenn M. PhD; Hagen, Philip T. MD, MPH; Cha, Stephen S. MS; Buchta, William G. MD, MS, MPH

Continued Medical Education
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Objectives: To determine whether preplacement recommendations following an occupationally focused medical history is different from those following an occupational consultation.

Methods: This was a retrospective cohort study of 172 applicants to our institution.

Results: Following provider review of occupational history survey alone, none of the applicants had restrictions recommended. In comparison, only 163 applicants (94.7%) were recommended to be hired without restrictions following provider review of the same patient's occupational history and examination (P = 0.0078).

Conclusion: A well-designed questionnaire is useful for screening applicants for preplacement examinations and assures sufficient detail to allow for a large proportion of individuals to proceed to employment without an occupational examination. However, in this study, a small but statistically significant portion (5%) of applicants required occupational examinations for appropriate work recommendations.

©2012The American College of Occupational and Environmental Medicine


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