Residents participate in clinical rotations to being enrolled as full time students in the MPH program at University of Kentucky. Rotations are designed to provide a broad and deep range of experience to prepare the resident for independent practice and to satisfy competencies required by the ACGME. Most rotations are in two month blocks, however, there are some one month long and two week long rotations.
Toyota Motors and Manufacturing Kentucky (4 months)
Teaching for this educational assignment is in a very active on site industrial clinic. Residents see and manage a variety of injuries, e.g. wide array of musculoskeletal, eye, trauma; and illnesses both job-related and personal, e.g. dizziness, chest pain, syncope, allergic reactions, asthma, dermatitis. Residents rotate through the onsite PT/OT/work hardening area when return to work and fitness for duty are issues. They participate in daily “morning meetings”, where employee cases are presented to a group of work comp/safety engineer/group leaders from each department. Opportunities exist for Job Hazard Assessments with a designated TMMK team of health and safety personnel. There are also opportunities for attendance of lectures, exposure to onsite Wellness programs and the Primary Care Clinic.
University Health Services (4 months)
In their rotations through UHS, residents see a wide range of illnesses and injuries that occur in the 14,000+ faculty and staff population of the university and its hospital. There is opportunity to become familiar with various compliance programs in healthcare settings, e.g. TB monitoring, respirator protection, vaccine compliance, hearing conservation, animal handlers, etc.
Kentucky Department of Public Health (2 months)
The site is the State Health Department headquarters in Frankfort, KY. Rotations are based on availability of appropriate topics at the time of the rotation. Residents actively participate in all aspects of State occupational medicine. Supervision is by the Cabinet Department Director and physicians. During this rotation residents participate in the functioning of a state health department with a focus on public health services, management and administration, environmental risk assessment and regulation compliance. Under supervision, the resident will be responsible for duties in the following areas, based on availability and need during the rotation: work-site evaluations; occupational and environmental health program management and clinical care of workers. Skills knowledge and abilities gained by residents include communications, planning, management coordination and communicable disease control. Residents choose a project to work on while at the site which often is the foundation of their practicum requirement for the MPH degree.
Lexington Fayette County Public Health Department (2 months)
The resident participates actively in aspects of County Public Health Occupation and Environmental Medicine while rotating at LFCPHD. The site contact pre-arranges several hands-on experiences. These are based on requested competencies, including the only primary care County Public Health Clinic in the Commonwealth, TB and STD clinics. Field experiences such as inspections of restaurants, swimming pools, hotels, tattoo parlors and work site wellness programs.
UK Occupational Health and Travel Medicine Clinic at Turfland (4 months)
Residents participate in the major occupational medicine practice of the University of Kentucky at the Turfland Clinic. Supervision is by university attending physicians. Residents participate in Travel Clinic briefings, Walk-In Clinic, assist in consultative evaluations, help perform regulatory compliance physical evaluations, e.g. respiratory physicals, radiation worker physicals; learn about and aid in performing specialized exams, e.g. DOT, FAA; and assist in Medical Review Officer (MRO) Program for illicit drug screening. They participate in performing Independent Medical Examinations and develop a proficiency in this area of occupational medicine. There may be opportunities for residents to accompany faculty on occasion to company sites in the area for on-site medical consultation, Human Resource briefings, and assist in safety/medical compliance evaluations.
Concentra Occupational Medicine and Urgent Care Clinics (2 months)
Residents participate in a one month rotation in each of the two years of the training program. While rotating with Concentra, the largest provider of occupational medicine services in the US, residents gain broad-based and in-depth experience in the evaluation and management of a variety of occupational medicine patients and issues. During the rotation, residents spend time at several Concentra Urgent Care and Occupational Medicine Clinics in the greater Lexington area. Residents progress from supervised evaluation of patients to independent management and are exposed to a full range of occupational medicine services, e.g., respirator examinations, injury management, pre-employment and return-to-work physicals, drug testing, Worker’s Compensation management, and Department of Transportation examinations. During the initial rotation, residents have the opportunity to complete DOT training and certification through the program offered by Concentra.
Dermatology (2 weeks)
Residents have the unique opportunity to rotate and work with Dr. Joe Fowler and his colleagues at Forefront Dermatology located in Louisville, KY. Dr. Fowler is a nationally known dermatologist, recognized for his work in the field of rosacea, skin allergies and contact dermatitis. He is the author of over 160 scholarly publications and medical chapters and the co-author of "Fisher's Contact Dermatitis", one of the most used dermatology textbooks.
Baptist Health Medical Group Occupational Medicine (1 month)
This rotation gives residents training and experience in-depth view of the evaluation and management of Occupational Medicine clients in a clinical practice outside the university setting. Rotation activities include the management of workers’ compensation cases, Department of Transportation examinations, post-offer history and physical examinations for the purpose fitting prospective employees for duty, respirator examinations, and other traditional Occupational Medicine tasks. The resident will be exposed to the process of reviewing urine drug screen testing results and the adjudication of the results. The resident will train in the method of relating to employers while caring for their employee while not compromising the Doctor-Patient relationship. Time will be spent at several different Baptist Health Clinics during the course of the rotation including a clinic in Louisville. Another important part of the resident’s experience - that will be relevant to many in their practice - will be the exposure to mid- level practitioners.
UK Pulmonology (1/2 day/week during UHS rotations)
While rotating on University Health Services, residents can opt to spend a half day a week under the tutelage of pulmonary faculty learning how to read and interpret spirometry and pulmonary function testing. There will also be the opportunity to attend pulmonary clinic during this time.
UK Radiology (2 weeks)
Different options based on a resident’s interest exist for the rotation with UK Radiology. The resident can opt to have his/her 2 week experience in, for instance: the UK Emergency Room; the Musculoskeletal area; Interventional; or Neurology-focused radiology. Residents work with the attending only and discuss the studies, i.e. no dictation of reports. During their rotation block, there are weekly radiology lectures that all residents must attend which focus on learning how to do studies and read x-rays.
UK Sports Medicine / Orthopedics
Located at UK HealthCare at Turfland, this is a very busy practice that sees a range of sports injuries in athletes running the gamut from “weekend warriors” to UK’s NCAA premier student-athletes. This is a new rotation for OEM residents and is in new clinic space with a state of the art dedicated physical therapy facility onsite as well.
Kentucky Injury Prevention and Research Center (Elective)
KIPRC is a partnership between the KY Department for Public Health and UK College of Public Health that combines academic investigation with practical public health initiatives.Through this elective rotation at KIPRC, residents have historically found an area in which to base their capstone project. A range of experiences are available through participation in this rotation.