Return to Work Evaluation after a Stroke

Return to Work Evaluation after a Stroke

  Americans with Disabilities Act – ADA I was asked to do an evaluation for an employee returning to work following a CVA. He operates a tow motor and the employer wants to ensure he will be safe. ADA concerns? The process for these type of evaluations is...
Re-Certification with Hypertension on DOT exams

Re-Certification with Hypertension on DOT exams

I just wanted to clarify what the terms certification and re-certification vs follow-up mean with regards to the following situations: 1.  On the Medical Report Form, there are three boxes at the top with these three designations.  In our clinic, some are saying that...
Get Back to Work

Get Back to Work

A frustrated PA I interviewed recently told me a story that really burns me on two levels: Inconsistency and discontinuity in urgent care practice Bad worker’s compensation return to work policy And a 3rd is probably lack of management support for a rational...
“Oh By The Way, Doc…”

“Oh By The Way, Doc…”

Part of the work we do in urgent care is providing screenings, assessments and physical exams for particular purposes where no physician-patient relationship exists, such as for pre-placement or other work-related exams. Invariably, though, some of these folks are...
How To Reduce OSHA Recordable Injuries

How To Reduce OSHA Recordable Injuries

The OSHA 300 Log http://www.osha.gov/recordkeeping/new-osha300form1-1-04.pdf Work Relatedness/Causality: An injury or illness is considered work-related if the condition Arose Out of Employment during the Course Of Employment (AOE/COE), due to an event or exposure at...
How to Be a Good Worker’s Comp Doc

How to Be a Good Worker’s Comp Doc

Are You an “Employer Friendly” Physician? Physicians do a disservice to patients with work related injuries by not understanding basic return to work practices.  Given the same injury, patients who go back to some type of productive work as early as...