MODULE 6: Safety and Environmental Impacts
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Member: $100.00
Non-Member: $120.00
Resident and Retired Member: $100.00
Credit Offered
4 CME Credits

The Occupational and Environmental Medicine Fundamentals for Advanced Practice Providers Program was developed as a collaborative education activity by the American Association of Nurse Practitioners® (AANP) and the American College of Occupational and Environmental Medicine (ACOEM) NP Section. This program was developed to supplement on-the-job training and provides advanced practice providers online access to a convenient, comprehensive, foundational OEM learning program. It offers employers of new advance practice providers an onboarding opportunity to provide structured, high quality, evidenced based educational OEM material in a virtual format available in one convenient location. Presented by AANP and ACOEM experts in the field, these modules will advance knowledge that can be useful in many settings, including urgent care, primary care, industry-based clinics, employee health, corporate health and more. By completing this foundational OEM program, NPs and other clinicians can increase their understanding of OEM’s many facets, improve their clinical skills and more fully develop the leadership abilities needed to manage the care of the worker.  


The program consists of seven modules, each dealing with a different aspect of occupational health practice for the advanced practice provider. Each module includes between four and six one-hour presentations and support material on essential OEM topics. Upon completion of all seven modules and the full 30 hours of credit, participants will be eligible to receive an AANP Certificate of Advanced Practice Education in Occupational Health. The certificate of academic achievement demonstrates to employers, workers, and peers their commitment as a provider in the OEM field. 


The seven modules, their expected launch dates, amount of CE/CME and cost are included below:



Approximate Launch

AMA PRA Category 1 Credits®

Member Price

Non-Member Price

Module 1

OEM Policy and Regulatory Essentials

January 2023




Module 2

Workplace Evaluations

March 2023




Module 3

The Worker in the Workplace

April 2023




Module 4

The Infectious Disease Roundtable

August 2023




Module 5

Worker Health

September 2023




Module 6

Safety and Environmental Impacts

December 2023




Module 7

The Basic Hazards and Protections

December 2023





PLEASE NOTE: Completion of this program results in an AANP Certificate of Advanced Practice Education in Occupational Health. It is not a board certification, nor does it grant the ability to sit for a board certification exam. It also does not result in a credential. It was developed with the expressed purpose of providing structured educational OEM material in a virtual format available in one convenient place.  

Release Date: December 20, 2023
Expiration Date: December 20, 2025 (This course may be reviewed and renewed after 01/31/2025)

Section 1

Basic Toxicology

Dean Lillquist, PhD, CIH, CSP, CHMM
*Nothing to disclose


  • Discuss the role of toxicology in Occupational Health practice
  • Identify both enforceable and non-enforceable exposure limits in the workplace
  • Develop a basic understanding of the toxic actions of hazardous chemicals on the human body including routes of entry, target organs and acute and chronic signs and symptoms of overexposure.



The subject of industrial toxicology is commonly covered in semester long academic courses with prerequisites in biological, chemical, and statistical studies.  This session will distill industrial toxicology down into basic subjects and concepts.  It will define and discuss concepts and vocabulary to allow participants to understand risks associated with chemical exposures.  It will also lay the foundation for the establishment of allowable levels of chemical exposures in the work environment.


Section 2

Medical Screening and Surveillance

 Virginia Weaver, MD, MPH
*Nothing to disclose


  • Understand goals of medical screening versus surveillance
  • Explain an approach to clinical biological monitoring
  • Describe efficient options to identify required medical screening in OSHA health standards
  • Review key elements in a range of OSHA health standards
  • Discuss resources for medical screening programs


This session will provide an overview of key medical screening and surveillance concepts. We will define these different medical activities and discuss traditional screening as well as clinical biological monitoring. We will review key elements in a range of OSHA health standards emphasizing efficient options to identify mandatory medical screening content. We will conclude with a discussion of other authoritative resources for medical screening.

Section 3

Environmental Conditions for Occupational Health

Carol Lindsey, MSN, APRN, FNP-BC, FAANP
*Nothing to disclose


  • Describe the connection between environmental and occupational health.
  • Understand the link between the patient’s illness and an environmental or occupational exposure.
  • Explain how climate change can impact the health of worker(s).


This presentation will describe the connection between the environment and occupational health. Environmental factors leading to health risks will be presented, the importance of Occupational and Environmental Exposure history will be reviewed, and a case study presented. Climate change and its impact on health with special emphasis on heat illness will be included. Other important impacts on health, especially the occupational health of outside workers and vulnerable populations will be covered. Clinicians are in a pivotal position to educate their patients and the public on the health impacts from climate change.  It is important for clinicians to be aware of this connection and prepare their patients for the current and future impacts of climate change on their health. 

Section 4

Pregnancy and Reproductive Health in the Workplace

Mazell Winikor, MD, PhD
*Nothing to disclose


  • Review reproductive health as it is related to pregnancy
  • Review how reproductive hazards could lead to adverse outcomes
  • Discuss select hazards with critical windows in pregnancy
  • Discuss how to address occupational hazards with your pregnant patients


This one-hour presentation will focus on understanding how your patient’s occupation may affect their ability to conceive, to carry out a pregnancy, and the possible long-term effects on baby. We will review the basics of the reproductive cycle, with an emphasis on where in the cycle injury can occur. We will then discuss a select group of hazards that can affect pregnancy as well as where to find information on a possible hazard. Finally, we will review how you should approach the topic of occupational safety in pregnancy with your patients.

The American College of Occupational and Environmental Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


The American College of Occupational and Environmental Medicine designates this enduring material for a maximum of 4.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

If you would like to claim credit through the American Association of Nurse Practitioners (AANP), please print your certificate and submit it to AANP at

Individuals who have contributed to this course were carefully selected for their knowledge and experience in the subject area presented. This presentation is informational only and may contain opinions of the authors from their personal experience that do not necessarily express the opinions of the American College of Occupational and Environmental Medicine (ACOEM). The activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings. Clinical practice is a constantly changing process and new information becomes available every day. Neither ACOEM nor the contributing individuals can warrant that the material will continue to be accurate, nor do they warrant that the material is completely free of errors upon publication. Attendees and participants should appraise the information presented critically and are encouraged to consult appropriate resources for any product or device mentioned in this program.

The activity is available on-demand, and those who register will receive access automatically. Please be sure that this is the course you wish to purchase as refunds are not permitted after the transaction is complete. Once the purchase has been completed you will be granted access to the online/on-demand activity. If this purchase was made in error, do not access the course. Refund requests must be received in writing within 24 hours of the purchase to Refunds will be issued for duplicate purchases if no progress has been made in the course and will be issued minus an administrative fee of $100.00. Refunds will not be provided for courses that have been accessed and/or started.

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