[MCOH-EH] Provider Exams for New Hires

[Vaughn, Andrew I., M.D., M.P.H.]

Experience since the article cited below was published confirms the finding that few new hires require a hands-on exam to assess ability to do the sorts of jobs we have at Mayo Clinic, and those individuals who are subsequently found to be a “poor fit” would not be identified by a provider’s physical exam.


-          Andrew

Andrew I S Vaughn, MD, MPH | Medical Director, Rochester Occupational Health Services | Medical Director, Occupational & Environmental Safety, Mayo Clinic Rochester
Mayo Clinic | 200 First Street SW | Rochester, MN 55905 | www.mayoclinic.org<http://www.mayoclinic.org/>
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https://www.ncbi.nlm.nih.gov/pubmed/22361991

Is an occupational examination superior to an occupational health history alone for preplacement screening in health care settings?
Newcomb RD, Molella RG, Varkey P, Sturchio GM, Hagen PT, Cha SS, Buchta WG.
J Occup Environ Med. 2012 Mar;54(3):276-9. doi: 10.1097/JOM.0b013e318246f1b7. PMID: 22361991 DOI: 10.1097


Abstract
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.


From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Cockrum, MD David S
Sent: Monday, March 18, 2019 12:33 PM
To: MCOH/EH
Subject: [EXTERNAL] [MCOH-EH] Provider Exams for New Hires

I was hoping to get some input from other medical facilities on this. When I arrived at my current job, the Employee Health team had not been doing provider physical exams for pre-placement medical evals for the hospital; we take a medical history, assess vaccinations, etc, and do a nursing assessment (vitals and vision test). Having come from the military, with a different approach to these things, I was a bit surprised.

I am now working on a re-write of the policy for new hires, and am debating whether to include a provider physical exam. What are other medical facilities doing? Is there a physical exam with every new hire evaluation, only in certain cases, or not at all?

Thanks for any inputs!

David
DAVID​


COCKRUM

,

MD



Physician

Faith Regional Physician Services

Occupational Health



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