I whole-heartedly agree with Tim.  

Too often I have seen patients with multiple co-morbidities (our travelers are getting older) who have had a cursory inquiry into their travel plans/health status and are not fully aware of the epidemiological risk for disease  or the risk mitigation tools (vaccine, handwashing, education) available to them.  If the resident (or corporate employee) is traveling on approved travel, the “house” should recognize that appropriate prevention is often better than the treatment/cure.

Maria

Maria C. Lanzi, MS, MPH, ANP-BC, COHN-S, CTH

Nurse Practitioner/Program Coordinator

Employee Occupational Health

Corporal Michael J Crescenz Veterans Affairs Medical Center

3900Woodland Avenue

Philadelphia, PA 19104

Work:  215 823 5800 x 2592

Fax:  215 823 5968

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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Timothy Herrick
Sent: Wednesday, October 31, 2018 8:32 PM
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] Global Travel for GME Trainees

this is an interesting question from a variety of perspectives;  as med. director of Occ health, I don't think our institution is handling this well;  if the resident is going on an approved educational experience, it seems like in ways, the "house"  should provide for their pre-care.  as it is, at our institution, travelers are referred to an on-site but  uncovered [because our employee insurance specifically excludes travel] travel clinic.   ironically, this is also me.   this is something we may need to review.  I would encourage an occ health department to be aware that prescription for travel is not necessarily a very simple activity, and one that requires access to the patients full medical and drug history, [in addition to the ever-changing risk patterns for different diseases around the world, which medical travelers will directly engage in, it's not a simple question of looking at a website, and some of the required or recommended vaccines may be incredibly expensive to have on hand]   so again, it is not an easy issue to think through

Tim Herrick

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From: MCOH-EH [mcoh-eh-bounces@mylist.net] on behalf of LeClair-Netzel Megan E [MLeClair-Netzel@uwhealth.org]
Sent: Wednesday, October 31, 2018 1:34 PM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Global Travel for GME Trainees

Hello,

Do any academic medical center EH/OH programs service Graduate Medical Trainees before/after they travel internationally?

If so, what services do you offer before/after?

Thanks,

Megan

Megan LeClair-Netzel, DNP, RN, AGCNS-BC

Manager of Employee Health Services

UW Health

600 Highland Ave MC: 6715

Madison, WI 53792

Office: (608) 422-8055

Pager: 8097

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