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OEM Residency PGY3 Year

Residents complete a variety of challenging clinical, industrial, administrative, and policy rotations during their PGY-3 year. While most are in the National Capital region, there are opportunities for fully funded rotations at diverse locations such as Rock Island Arsenal, Liberty Mutual Insurance, Norfolk Naval Shipyard, and Tooele Army Depot. The PGY-3 year gives residents the opportunity to attain independent competence in many aspects of occupational medicine and to work with practicing occupational health professionals who serve as preceptors. The typical PGY-3 year includes six to eight rotations, which are four to twelve weeks long. All residents should plan on completing one 2-month rotation at a full-service occupational health program in an industrial setting and a two-month occupational health rotation in a military medical center. Residents spend two months at the US Department of Labor, Occupational Safety and Health Administration, Office of Occupational Medicine. US Army physicians also complete a required one-month rotation at the US Army Public Health Command while Navy physicians complete a one-month required rotation at the Bureau of Medicine and Surgery. The remaining four months of the PGY3 year are spent in a 2 month required industrial rotation, a 1 month required musculoskeletal medicine rotation, electives, and research.

A typical occupational and environmental resident schedule would be as follows:

Required Administrative Rotations

• OSHA, Office of Occupational Medicine (2-month required rotation), Washington, DC
• US Army Public Health Command (1-month required Army rotation), Aberdeen Proving Ground, MD
• US Navy Bureau of Medicine and Surgery(1-month required Navy rotation), Washington, DC

Required Clinical Rotations (At least 4 months chosen from the following locations)

• Medical Center Occupational Health
  • Occupational Health Clinic, Walter Reed National Military Medical Center , Bethesda, MD
  • Occupational Health Clinic, National Institutes of Health, Bethesda, MD
  • Occupational Health Clinic, Fort Belvoir Army Community Hospital, Fort Belvoir, VA
  • Occupational Health Clinic, University of Maryland, Baltimore, MD

Industrial Occupational Health (One 2-month required rotation)

• Ft. Detrick (Barquist Army Health Care Facility/USAMRIID), Occupational Health Section, Frederick, MD
• National Security Agency, Occupational Health Service, Fort Meade, MD
• Annapolis Naval Health Clinic, Occupational Health Section, United States Naval Academy, Annapolis, MD

Required Industrial Rotations (2 months at one of the following locations)

• Rock Island Arsenal, Rock Island, IL
• Tooele Army Depot, Tooele, UT
• Norfolk Naval Shipyard, Portsmouth, VA
• Naval Branch Clinic Indian Head, Naval Surface Warfare Center, Indian Head, MD
• US Coast Guard Shipyard, Baltimore, MD
• Naval Branch Health Clinic, Portsmouth, NH
• Puget Sound Naval Shipyard, Bremerton, WA

Required Musculoskeletal Medicine Rotation (1 month chosen from the following locations)

• Annapolis Naval Health Clinic, Sports Medicine Section, United States Naval Academy, Annapolis, MD
• Fort Belvoir Army Community Hospital, Sport Medicine Clinic, Fort Belvoir, VA

Elective Clinical rotations

• Pulmonary Medicine, Walter Reed National Military Medical Center , Bethesda, MD
• Allergy & Immunology, Walter Reed National Military Medical Center , Bethesda, MD
• Dermatology, Walter Reed National Military Medical Center , Bethesda, MD
• Ophthalmology, Walter Reed National Military Medical Center , Bethesda, MD
• Travel Medicine, Walter Reed National Military Medical Center , Bethesda, MD
• Disability Evaluation, Liberty Mutual Insurance, Phoenix, AZ
• Toxicology, National Capital Poison Control Center, Washington, DC

Elective Administrative, Policy, and Research rotations:

• US Environmental Protection Agency, Washington, DC
• Centers for Disease Control and Prevention, Atlanta, GA
• National Institute for Occupational Safety and Health, Morgantown, WV
• Veterans Administration Central Office, Washington, DC
• International Association of Fire Fighters, Washington, DC
• Walter Reed Army Institute of Research, Silver Spring, MD
• Naval Health Research Center, San Diego, CA
• USU Department of Preventive Medicine and Biometrics, Bethesda, MD
• Armed Forces Health Surveillance Center, Silver Spring, MD
• Navy Marine Corps Public Health Center, Portsmouth, VA

Didactic Courses taken during the PGY3 Year

• Medical Management of Chemical and Biological Casualties
• Toxic Chemical Training Course for Medical Support Personnel
• Medical Effects of Ionizing Radiation
• Environmental Risk Communication
• American Occupational Health Conference
• Medical Review Officer course
• Independent Medical Examiner course
• Navy Environmental Health Conference Prev Med & Occ Health Workshop (Navy only) or Army Force Health Protection Conference (Army only)

In addition to the academic and practicum training described above, the residents participate in a weekly journal club and the PMB seminar throughout the entire two years of training. The journal club introduces the resident to evidence based medicine and requires each resident to review the literature of occupational and environmental medicine and preventive medicine/public health. The seminars include special emphasis on the military unique aspects of occupational and preventive medicine.