Medical Surveillance in Occupational Health & Safety – Special Focus on Construction

This session will provide an overview of several aspects of medical screening and surveillance as part of an Occupational Health Program. Screening for overall employee health and wellness should incorporate recommendations from the U.S. Preventive Services Task Force, an independent, volunteer panel of national experts in disease prevention and evidence-based medicine. A formal occupational health surveillance program includes aspects of hazard and medical surveillance. 

Although the focus of this session concerns medical surveillance, the integration of hazard and medical surveillance is key to an effective occupational health surveillance program. Medical surveillance describes activities that target health events or a change in a biological function of an exposed person or persons. A surveillance program involves recurrent longitudinal examinations and data analysis over time. Medical screening is a complementary activity that is designed to detect early signs of work-related illness by administering tests to healthy persons in a cross-sectional approach. As components of an occupational health program, both medical surveillance and screening are second lines of defense behind the implementation of engineering, administrative and work practice controls (including PPE). Many known and potential human carcinogens are related to workplace exposures. 

This session will briefly review factors that should be taken into account when medical screening and surveillance are used for the prevention of occupational cancer, focusing on lung cancer.

The Building Trades National Medical Screening Program (BTMed; About) is a voluntary national medical screening program that provides ongoing medical screening exams, at no cost, to construction workers previously employed at Department of Energy nuclear weapons sites. This session will provide an overview of the BTMed, which has the mission of assisting construction workers who have been employed on DOE sites and who may be at significant risk for occupational illnesses as a result of their work.

Register for this free webinar!
: April 27, 2023
: 2:00PM ET - 1:00PM CT - 11:00AM PT


Douglas Trout

Douglas B. Trout, MD, MHS, has a degree in Industrial Hygiene and is an Internal Medicine and Occupational Medicine physician. Trout has worked for CDC’s National Institute for Occupational Safety and Health (NIOSH) since 1992 in several roles, including a number of years in the NIOSH Health Hazard Evaluation Program. Trout is currently a Medical Officer in the NIOSH Office of Construction Safety and Health and a member of the NIOSH Construction Sector Council.


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Duration: 1 Hour

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