Rotations
Industrial Preceptor Sites
| Boeing Company | Seattle, WA |
| Chevron | Houston, TX |
| Hanford Environmental Health | Richland, WA |
| Hill Air Force Base | Layton, UT |
| NASA | Kennedy Space Center, FL |
| Puget Sound Naval Shipyard | Bremerton, WA |
| Toxicology with site visits | Albuquerque, NM |
| Workers Compensation Fund | Salt Lake City, UT |
Population Based Preceptor Sites
| Utah Department of Environmental Quality |
Salt Lake City, UT |
| Utah Labor Commission | Salt Lake City, UT |
| Disability Determination Services | Salt Lake City, UT |
| Utah Department of Health | Salt Lake City, UT |
| Veterans Affairs Administration | Salt Lake City, UT |
| National Institutes for Occupational Safety and Health (NIOSH) |
Morgantown, WV |
| Cincinnati, OH | |
| Anchorage, AK | |
| Agency for Toxic Substances and Disease Registry (ATSDR) |
Atlanta, GA |
| US Occupational Safety and Health Administration (OSHA) |
Washington, DC |
| Civil Aerospace Medical Institute | Oklahoma City, OK |
Clinical Rotations Outside of Utah
| Pulmonary at National Jewish | Denver, CO |
| Occupational & Preventive Medicine Inc. | Columbus, OH |
| Davis Hyperbaric Laboratory | Brooks AFB, San Antonio, TX |
Common Clinical Rotations in Utah
Emergency Medicine
Pulmonary
Ophthalmology
Dermatology
Sports Medicine
Physical Medicine and Rehabilitation
Physical Therapy
Neurology
Radiology
Rheumatology
Orthopedics
Other Rotations
| Intermountain MRO Services | Murray, UT |
Industrial and Population Rotations
These are very short descriptions of fairly complex activities. The content of these rotations can change from day to day and month to month.
Industrial Rotations:
The Boeing Company
This site provides the opportunity to gain experience in developing, implementing, and evaluating occupational and environmental health and safety programs of a major aircraft manufacturer in the Seattle area. Typically, the resident also completes a specific project while at the site.
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Chevron
This rotation includes experience in the development, management and evaluation of comprehensive occupational and environmental health programs within one of the world's largest energy company that is a multinational corporation with global activities. Residents learn medical basis of fitness to work issues, evaluate industry employees for fitness to work within specific industrial settings and occupational demands. They also learn multinational and multicultural aspects of occupational medicine practice, develop expertise in travel health consultation and medical orientations for Expatriate employees and their families and corporate business travelers.
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Hanford Environmental Health Foundation (HEHF, Richland, Washington)
This preceptorship provides the residents with an opportunity to participate in clinical and epidemiological activities related to hazardous waste operations, especially radioactive waste. Environmental concerns are also prominent at this locale. The site has approximately 18,000 employees whose healthcare is overseen by a major, integrated occupational medicine clinical operation.
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Hill Air Force Base
This site provides the residents with experience at an occupational and environmental health clinic within a major military base. This clinic provides comprehensive services to civilian and military employees (n=20,000) involved in a huge variety of activities related to military aircraft maintenance and overhaul. These activities include numerous ‘shops' each analogous to a manufacturing plant with unique exposures. The resident works with occupational medicine, safety, industrial hygiene, environmental health, and management personnel.
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National Aeronautics and Space Administration (NASA)
This preceptorship provides residents with experience providing comprehensive health and safety support at a large government aerospace facility. Residents learn the unique health and safety problems and programs present in a major aerospace manufacturing operation. They participate in job task analysis, evaluate work-relatedness of reported illnesses and injuries, review medical surveillance and screening programs, and gain experience in administrative and management aspects of health care programs.
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Puget Sound Naval Shipyard
The Puget Sound Naval Shipyard in Bremerton, WA services many different types of naval ships and submarines. Residents at this site learn the occupational hazards associated with shipbuilding and a variety of industrial processes and work practices, including work in machine and paint shops, work with radiation sources and confined spaces. The occupational health providers at this site conduct extensive hazardous materials medical surveillance programs for military and civilian workers. In addition, residents learn the intricacies associated with fitness for duty determinations. Residents work with a health and safety team that includes industrial hygienists, an occupational health nurse, safety specialists and occupational medicine practitioners.
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Toxicology and Occupational Diseases in Albuquerque, NM
This rotation includes site visits to several sites in the Albuquerque area, including Intel, Honeywell Defense Avionics and Ethicon (a Johnson and Johnson company). Residents work with a board certified toxicologist who provides workplace medical services, evaluation, and consultation.
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Workers Compensation Fund
This preceptorship is highly diverse with a schedule developed and tailored to upcoming events and a resident's interests. This rotation facilitates a comprehensive understanding of the entire worker's compensation system at the largest insurer in the state of Utah (~65% of the insured market). Activities include: working with the Medical Director reviewing claims, site visits and analyses of exposures with Industrial Hygienists, Ergonomists, Safety Specialists, understanding claims processing from an examiners viewpoint to facilitate the payment of reports upon graduation from residency(!), attending select educational Seminars of interest, working with specialists regarding injury reporting, fraud investigation, vocational rehabilitation activities, medical case management and meetings with claims adjusters. Additional opportunities include research investigations, depositions and workers compensation hearings to understand these matters from the standpoint of an insurer.
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Populations Based Rotations:
Utah Department of Environmental Quality
This preceptorship provides an experience in investigating environmental health concerns, participating in regulatory development and implementation processes, and interacting with state and local legislators.
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Utah Labor Commission
During this rotation, residents gain experience with the workers' compensation system from the standpoint of evaluations and applications, claims adjustments, emergency response team, and Utah OSHA programs.
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Disability Determination Services
Residents and students become familiar with the structure for the Social Security Administration, disability determination program and with the operation of the state agency responsible for the determination of disability eligibility. Residents gain experience in reviewing disability claims and learn the function of the Social Security field office in the disability determination process.
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Utah Department of Health
This preceptorship provides experience in occupational health legislative and administrative activities as well as opportunities to participate in investigations of occupational and environmental health problems.
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Veterans Affairs Administration
Residents gain experience in administrative and management aspects of health care programs at the Veterans Affairs Hospital, including the following: defining hospital and agency goals, priorities, and structure; planning, designing, and implementing programs to meet new occupational and environmental and other health requirements while supporting organizational goals; preparing and advocating budgets; establishing occupational environmental health and safety staffing requirements; complying with legal and regulatory occupational and environmental health and safety requirements; using formal and informal communication channels, including participation in appropriate management meetings; and interacting with the media.
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National Institutes for Occupational Safety and Health (NIOSH) (Cincinnati, Morgantown, Anchorage)
Participating residents gain knowledge about the organizational structure of NIOSH and how NIOSH responds to requests for assistance from regulatory agencies such as OSHA and EPA. They learn how to conduct an epidemiological investigation of health-related complaints of workers and participate in one or more worksite evaluations and accomplish a public health project during the rotation period.
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Agency for Toxic Substances and Disease Registry (ATSDR)
Residents gain experience working with a federal agency (part of the Centers for Disease Control) that serves the public by responding to public health toxicological exposure concerns and providing health information to prevent harmful exposures and disease related to toxic substances. Residents learn the toxicological profiling activities, organization, and work practices of the agency.
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U.S. Occupational Safety and Health Administration (OSHA)
This site provides experience at a national occupational health regulatory agency. Residents gain experience in regulatory, enforcement, and consultative services of OSHA. Residents assist in research and report writing for cases or questions that are submitted to the Office of Occupational Medicine in the U.S. Department of Labor. OSHA requires a minimum 2 month rotation in Washington, DC.
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Civil Aerospace Medical Institute
Residents gain experience in the preventive, occupational, environmental, human factors, and regulatory aspects of civil aviation medicine. Residents gain understanding and experience in the Aeromedical certification process. They learn commercial aviation industry medical surveillance program requirements and develop skills necessary to interpret surveillance data. Residents develop an approach to investigate occupational health questions or problems within the aviation environment and gain familiarity with aviation-specific health hazards.
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