107489 SCMC Deployments SOW Occupational Medical Services 5-2022 Final (14 Jun 23).docx

STATEMENT OF WORK

Task Title: NCAH Occupational Medical Services

Synopsis: This solicitation is for the performance of occupational medicine services in support of the occupational health clinic at the National Centers for Animal Health, Ames, Iowa.

Contracting Officer: Todd Bierl 250 Marquette Ave, Suite 410 Minneapolis, MN 55401

USDA APHIS MRPBS

Phone: (612) 336-3465 Email: todd.k.bierl@usda.gov

Contracting Officer Representative: Robert StokerDavid White 1920 Dayton Avenue Ames, IA 50010

USDA APHIS VS DB CVB SSU

Performance Period: Base year and four option years v1.0

Contents

By Revision Date Approved By Approval Date Reason

Created Draft SOW

Update

Introduction

Organization

Identification

The main organization that will be managing this contract is the United States Department of Agriculture (USDA), National Animal Disease Center (NADC), National Veterinary Services Laboratories (NVSL), and Center for Veterinary Biologics (CVB) at the National Centers for Animal Health (NCAH) in Ames, Iowa.

Location(s)

On-site work for this contract will be done at:

National Centers for Animal Health 1920 Dayton Avenue Ames, Iowa 50010

Mission

1.1.1.1. United States Department of Agriculture (USDA)

The USDA provides leadership on food, agriculture, natural resources, and related issues based on sound public policy, the best available science, and efficient management.

1.1.1.2. Agricultural Research Services (ARS)

The Agricultural Research Service (ARS) is the U.S. Department of Agriculture's chief scientific research agency. Their job is finding solutions to agricultural problems that affect Americans every day, from field to table. ARS conducts research to develop and transfer solutions to agricultural problems of high national priority and provide information access and dissemination to:

· ensure high-quality, safe food, and other agricultural products

· assess the nutritional needs of Americans

· sustain a competitive agricultural economy

· enhance the natural resource base and the environment, and

· provides economic opportunities for rural citizens, communities, and society as a whole

1.1.1.3. Animal and Plant Health Inspection Service (APHIS)

The Animal and Plant Health Inspection Service (APHIS) is a multi-faceted agency with a broad mission area that includes protecting and promoting U.S. agricultural health, regulating genetically engineered organisms, administering the Animal Welfare Act and carrying out wildlife damage management activities. These efforts support the overall mission of APHIS, which is to protect and promote food, agriculture, natural resources and related issues.

1.1.1.4. National Centers for Animal Health (NCAH)

The NCAH campus consolidated three USDA programs: the National Animal Disease Center (NADC), National Veterinary Services Laboratories (NVSL), and Center for Veterinary Biologics (CVB) into one facility located in Ames, Iowa. The Agricultural Research Service (ARS) conducts the NADC, while the Animal and Plant Health Inspection Service (APHIS) conducts the CVB and NVSL.

1.1.1.5. National Animal Disease Center (NADC)

The NADC conducts basic and applied research on selected diseases of economic importance to the U.S. livestock and poultry industries. The goals of the research mission are to produce knowledge and technology to:

· Reduce economic losses from infectious, genetic, and metabolic diseases to the livestock and poultry industries and the associated rural agricultural community

· Reduce or eliminate pre-harvest contamination or infection of livestock and poultry with food-borne human pathogens

· Prevent suffering and death caused by diseases in agriculturally important livestock and poultry

1.1.1.6. Center for Veterinary Biologics (CVB)

The CVB implements the provisions of the Virus-Serum-Toxin Act of 1913 as amended to assure that pure, safe, potent and effective veterinary biologics are available for the diagnosis, prevention, and treatment of animal diseases. This mission mandates the use of sound scientific technology to:

· Ensure that biologics are free of disease producing agents, especially foreign animal diseases

· Develop appropriate standards and procedures for product release

· Issue licenses and permits

· Monitor and inspect products and facilities

· Control field tests and release of veterinary biologics

1.1.1.7. National Veterinary Services Laboratories (NVSL)

The NVSL safeguard U.S. animal health and contribute to public health by ensuring that timely and accurate laboratory support is provided by their nationwide animal-health diagnostic system. NVSL staff accomplishes this through:

· Providing diagnostic services, reagents, and training in world-class facilities

· Responding to animal health emergencies

· Taking an active role in managing the National Animal Health Laboratory Network (NAHLN)

· Serving as an international reference laboratory

· Maintaining a well-trained and responsive staff

1.1.1.8. Combined Campus Services

During the development of the NCAH organizational plan in 2009, it was agreed by the three entities that make up NCAH that several services could be combined to save money, time, and personnel resources. The specific service combine were:

· Animal Resources Unit

· Facilities Engineering Unit

· Laboratory Resources Unit

· Safety and Security Unit

Each unit was assigned under the directorate of one of the three NCAH programs. The Safety and Security Unit (SSU) is under the directorate of the APHIS CVB. SSU provides safety and security services on the NCAH campus, including occupational medical services.

Background

The United States Department of Agriculture (USDA), National Centers for Animal Health (NCAH), Safety and Security Unit (SSU) provides biological, chemical, physical, radiological, and ergonomic safety and security services including, but not limited to convenient, efficient, and comprehensive occupational health services for up to 800 workers. Comment by Author: Conservative number. NCAH typically has around 650 employees??? I do not anticipate the number 800 will significantly will increase the cost of the contract, but I/we will defer to the CO.

The Occupational Safety and Health Administration (OSHA), under the General Duty Clause, Section 5(a)(1) of the Occupational Safety and Health Act of 1970, requires employers to furnish to each worker employment free from recognized hazards that are causing or are likely to cause death or serious physical harm. The NCAH conducts an occupational health program which provides the necessary framework to comply with the agencies’ obligation to maintain a safe workplace. All employees and NCAH-associated personnel, including full-time and part-time workers, are encouraged to participate in the occupational health program. The program services are provided at no cost to participants.

The Centers for Disease Control and Prevention (CDC) encourages employers to provide their employees with preventive services, training and tools, and an environment to support healthy behaviors. The NCAH acknowledges the impact that health promotion and wellness policies, programs, practices, and strategies can have in the workplace. The NCAH strives to reduce worker health risks and improve the quality of life of its employees by supporting sensible wellness initiatives.

Objective

The objective of this Statement of Work (SOW) is to obtain a professional services contract with a qualified Vendor specializing in providing professional medical services to support the NCAH in meeting its health, safety, wellness, operational, and regulatory needs.

Scope

The Vendor shall provide professional medical services to approximately 800 workers of the NCAH based in Ames, Iowa.

Description of Work

The Vendor shall provide the following professional medical services to support the NCAH at Ames, Iowa [as awarded]:

CLIN 01 Occupational Medicine Examinations CLIN 02 Medical Consulting

The USDA Contracting Officer (CO) is the point of contact for clarifying contract issues or changes. The USDA Contracting Officer’s Representative (COR), or their designated representative, is the point-of-contact for the daily operations and administrative issues with this Statement of Work.

After award of the contract, the Vendor shall meet with the USDA Contracting Officer’s Representative (COR), or their designated representative, to discuss timing, contacts, documentation, and other pertinent information. This kick-off meeting will take place either on-site or by teleconference at the discretion of the COR after award of the contract.

1.1. CLIN 01 – Occupational Medicine Examinations

Pre-placement and/or pre-deployment Examinations

Pre-placement/pre-deployment examinations are conducted before employment/deployment to field response stations to determine suitability of the candidate for the job. The USDA will provide the Vendor with documentation stating the position’s functional requirements, environmental factors, and essential duties required of the candidate. The Vendor shall perform pre-placement medical examinations with consideration to these functional requirements, environmental factors, and essential duties as stated in the candidate’s position description. The Vendor shall indicate any medical findings that would limit the candidate’s ability to perform the job duties of the position and/or render the candidate a hazard to themselves or others. Documentation of results on specific US Government forms may be required.

The elements of these examinations may include, but are not limited to: review of systems, physical examination, audiometric testing, pulmonary function testing, laboratory testing, vision screening, tuberculosis screening, electrocardiography, chest radiography, and/or other tests as requested by the USDA and/or as recommended by the Vendor to determine suitability of the candidate for the job. The Vendor shall have the ability to independently perform and review the results of the aforementioned elements.

The USDA COR (or their designated authority) will authorize, coordinate, and schedule pre-placement examination appointments with the Vendor. The Vendor shall complete these appointments, and all associated medical examination and/or testing, within five (5) business days after request by the USDA and following applicable Federal, State, and local laws and regulations.

Periodic Examinations

Periodic examinations are conducted during employment when potential for exposure to hazardous agents exists. The frequency and extent of periodic examination will vary and depend on the nature of the hazards and other requirements of the specific medical monitoring plan and/or changing job duties.

USDA supervisors, in collaboration with USDA health and safety personnel, will identify occupational hazards after performing job hazard analyses of their workers and work areas. These occupational hazards are documented in a hazard inventory form that is provided to the USDA-NCAH medical liaison. Workers with potential exposure to hazardous agents are enrolled in specific occupational medical monitoring programs based on the information provided in a hazard inventory form.

As with pre-placement examinations, the elements of the periodic examination may include, but are not limited to: review of systems, physical examination, audiometric testing, pulmonary function testing, laboratory testing, vision screening, tuberculosis screening, electrocardiography, chest radiography, and/or other tests as requested by the USDA and/or as recommended by the Vendor to determine continued fitness for duty of the worker for the job. The Vendor shall have the ability to independently perform and review the results of the aforementioned elements.

The USDA COR (or their designated authority) will authorize, coordinate, and schedule periodic examination appointments with the Vendor. The Vendor shall complete these appointments, and all associated medical examination and/or testing, within five (5) business days after request by the USDA and following applicable Federal, State, and local laws and regulations.

Situational Examinations

Situational examinations are conducted when the worker may have been exposed to a hazardous agent and/or after a specific incident, or occasionally for other reasons as recommended by the USDA. Due to the nature of the work performed at the NCAH, it is imperative that the USDA has the ability to consult with the Vendor as needed to obtain specific medical recommendations for workers that have been exposed or potentially exposed to hazardous biological, chemical, or physical agent(s). The Vendor shall respond to USDA inquiries regarding worker exposure or potential exposure to hazardous agents within 2 hours of notice.

The USDA COR (or their designated authority) will authorize, coordinate, and schedule situational examination appointments with the Vendor. The Vendor shall complete these appointments, and all associated medical examination and/or testing, within one (1) business day after request by the USDA and following applicable Federal, State, and local laws and regulations.

Termination Examinations

Termination examinations are conducted when the worker transfers or terminates employment from a position with actual or potential exposure to hazardous agents and/or returns from a field deployment. The medical information acquired during the termination examination is essential for the purposes of comparison if the worker later develops medical issues that could be attributed to past occupational hazardous exposures.

The Vendor shall perform termination examinations with consideration to the worker’s past medical history, occupational history, and related hazard(s) assessments.

The USDA COR (or their designated authority) will authorize, coordinate, and schedule termination examination appointments with the Vendor. The Vendor shall complete these appointments, and all associated medical examination and/or testing, within five (5) business days after request by the USDA and following applicable Federal, State, and local laws and regulations.

4.1.5 Return to Work Examinations

Return to work examinations are conducted to ensure that workers can safely return to the workplace after the worker has missed work for medical reasons or has been medically recommended restricted or modified duty. Generally, these examinations are completed after the worker has been released to return to full duty by their personal healthcare provider.

1. Specialty Examinations

Due to the specialized work performed at the NCAH, certain USDA workers will need to complete specialty medical examinations tailored to the hazards in their work area. The Vendor shall have the ability to independently perform and review the results of the elements.

The USDA COR (or their designated authority) will authorize, coordinate, and schedule specialty examination appointments with the Vendor. The Vendor shall complete these appointments, and all associated medical examination and/or testing, within five (5) business days after request by the USDA and following applicable Federal, State, and local laws and regulations.

Examination Components, Reporting, and Documentation

The USDA reserves the right to require and request specific examination components, diagnostic tests, laboratory tests, and other medical tests in accordance with USDA policy and protocols, and the Vendor shall perform these services as requested by the USDA COR (or their designated authority) in accordance with Federal, State, and local laws and regulations.

The Vendor shall use identified forms provided by the USDA to document the findings and results of an examination, unless otherwise explicitly stated by the USDA COR (or their designated authority). The Vendor shall complete and return these identified forms to the COR (or their designated authority) within two (2) business days from examination date. The Vendor shall send these forms via encrypted electronic mail and/or secure fax.

Task Order Type, Contracts and Requirements

1.2. Task Order Type

The efforts required shall be conducted on a Firm Fixed Price basis.

Task Order Distribution

Proposals will be solicited and a selection of the best offer shall be made by the USDA agency or designated representative. Proposal selection shall be as defined in the FAR Subpart 15.3—Source Selection

Task Order Award

Task order award will be made based on the receipt of a technically acceptable proposal that is determined to contain a fair and reasonable price.

Delivery Schedule

· The Vendor shall submit a transmittal letter that will identify all deliverables submitted under this task order and the products presented. A copy of the transmittal letter shall be forwarded to the Agency Contracting Officers for inclusion the task order file.

· Terms and conditions for deliverables can only be altered if mutually agreed to by Contracting Officer and will be formalized by a modification to the Task Order

· Deliverables shall be delivered on the dates specified, agreed upon by and in accordance with the cost proposal, and consistent with the deliverable schedules as agreed upon between the USDA and the Vendor in CLIN 01.

Acceptance Criteria

· The USDA COR will accept, reject, or require correction of deliverables. Correction will be necessary for deliverables found:

(1) To be contrary to the information contained in the Contractor's accepted proposal;

(2) To be contrary to previous Government reviews of draft deliverables

(3) To be contrary to the special instructions on documentation and other standards specified in this document;

(4) To be contrary to generally accepted professional practices;

(5) (if applicable) Not to have secure source code testing certification, attested to by a certified secured coding expert. If needed, USDA will use the Ounce Tool (from Ounce Labs) for verification of secure coding.

(6) To have the inability to pass user acceptance testing. All deliverables must meet the criteria for acceptance as stated above before acceptance.

· In the event of rejection of deliverables, the USDA COR shall notify the Vendor in writing or email within seven business days the specific reasons why the deliverable is being rejected.

· If for any reason a deliverable cannot be delivered within the scheduled period, the Contractor shall notify the USDA Contracting Officer or their designated representative in writing or email within seven business days detailing the cause of delay and the proposed revised schedule. This notice shall include the impact on the overall project. The USDA Contracting Officer or designated representative shall make a business decision about the impact of the delay.

Completion of Task

For the purposes of satisfactory completion, requirements are determined to have been met after USDA has received listed services. In the event of a dispute on meeting the performance standards, the Contracting Officer will intervene.

Government Contacts

The Contracting Officer is the point of contact for clarifying contract issues or changes. The USDA Project Manager (or COR) or their designated representative is the point-of-contact for the daily operations and administrative issues with this task order.

Invoice Requirements

Once a contract is signed the Vendor will submit invoices to the USDA Project Manager (or COR) using the IPP.gov website. All invoices shall be submitted through the IPP.gov system with the appropriate details of in the invoice. The Vendor shall be paid after meeting the performance standards of the deliverables. If the USDA Project Manager (or COR) determines that the Vendor does not meet the performance standards, the USDA Project Manager (or COR) are required to notify the Contracting Officer and the Vendor for resolution.

Performance Measurements

1.3. Performance Quality Evaluation

Task quality level will be assessed by the USDA COR or their designated representative based on a yes-no evaluation of completed tasks and sub-tasks. The Government will periodically evaluate the Vendor performance in accordance with the performance goals and objectives of the SOW. Government surveillance of tasks not listed or by methods other than those listed may occur during the performance period of the contract. Such surveillance will be accomplished according to standard inspection procedures or the applicable provisions of the task order. Any action taken by the USDA Contracting Officer as a result of surveillance will be in accordance with the terms of the task order.

General measures of quality for each contract line item performance will meet the following:

· On-time delivery of the CLIN as mutually agreed upon in the project plan and schedules

· Customer satisfaction

· Innovative approaches to problem solving (e.g. cost avoidance)

6.2 Performance Evaluation Meetings

The USDA CO/COR or their designated representative may require the Vendor program or project manager to meet with the USDA officials, and other government personnel as necessary. The Vendor may request a meeting with the USDA CO/COR or their designated representative whenever the Vendor’s technical or administrative personnel believe such a meeting is necessary. The Vendor shall prepare and provide written minutes of any such meetings to the USDA CO/COR or their designated representative for signature by the USDA CO/COR. If the USDA CO/COR or their designated representative does not concur with any portion of the minutes, notice of such non-concurrence will be provided to the Vendor program or project manager and task orders representative within five business working calendar days following receipt of the minutes. The Vendor shall acknowledge or resolve all disputes and resubmit the minutes to the USDA CO/COR within five (5) business days of receipt of the USDA non-concurrence.

Security Requirements

The component parts of this effort and reports are expected to contain highly sensitive information that could act as a guide for hostile entities or cause harm to the Department’s critical infrastructure. Any such information made available in any format shall be used only for carrying out the provisions of this agreement. Such information shall not be divulged or made known in any manner to any unauthorized person. The Vendor shall immediately notify the USDA CO, COR, ISSO or ISSM upon discovery of any inadvertent disclosures of information. The Vendor shall not retain any information regarding vulnerabilities, to include summaries, the actual vulnerability report, etc., at the end of the task order. All information arising from this task, both hard copy and electronic, shall be returned to the government at task conclusion.

Qualified and Properly Cleared Personnel

The Vendor shall provide only fully qualified and properly cleared personnel for the work to be performed under this task order. The Vendor will ensure compliance with all applicable security regulations, and all program security operations requirements, for facility access (if necessary), and handling of materials. Vendor personnel must show a photo ID in order to gain access to USDA facilities. The Government reserves the right to deny, withhold, or terminate access for cause.

Contractor Key Personnel

The contractor shall identify key personnel in the technical proposal regardless of the type of task. NOTE: key personnel may not be removed from a task without the express approval of the COR.

The contractor shall provide a Project/Program Manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The Project/Program Manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract.

Identification of Contractor Employees

All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

Personnel Security Requirements

Although accessing government systems is not anticipated, and the information being processed through this contract is not classified, the information is considered highly sensitive and must be protected accordingly. It is imperative that company personnel, such as Database Administrators, System Administrators, etc., or anyone who possibly could access the data being processed, have an appropriate level of background investigation and Security Clearance on file. The company would be responsible for insuring that only personnel possessing the appropriate level of background investigation were instrumentally involved with the data processed by this contract.

Only US citizens with appropriate security clearance will be authorized to access government computer systems.

Disclosure of Sensitive or Proprietary Information

The Vendor shall not disclose sensitive or proprietary information of, or in the possession of, the USDA or any of its operating units, Vendors, or business partners to unauthorized persons. The Vendor will be subject to any penalties imposed by law for unlawful disclosure of Department information. Vendor employees will be required to sign Non-Disclosure Statements.

HIPAA, HITECH, and Privacy Act

Work on this SOW may require that personnel have access to Privacy Information. Personnel shall adhere to the Privacy Act, Title 5 of the U. S. Code, Section 552a – as amended and applicable agency rules and regulations. The Vendor shall ensure that all contract personnel take the required USDA Privacy training. The Vendor shall protect the privacy, security, and integrity of protected health information (PHI) and personally identifiable information (PII) from unauthorized access and shall comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Health Information Technology for Economic and Clinic Health Act of 2009 (HITECH), and Privacy Act of 1974 -- as amended. The Vendor shall not use or disclose PHI, except as permitted by law and in accordance with the individual’s rights as required under the HIPAA regulations. Upon termination of this contract, the Vendor shall provide the Government with the PII/PHI date created and amended during contracted service in the form of a common-use electronic format that is readable and accessible by mainstream database or spreadsheet software.

Physical Security

Custody of sensitive information must be protected under The Privacy Act of 1974, 5 U.S.C. § 552a -- as amended. The Contractor/Service Provider shall be responsible for safeguarding Personally Identifiable Information (PII) data against unauthorized disclosure, dissemination or modification in accordance with the requirements, law and USDA PII policy and regulations. This shall include, but is not limited to: Privacy and PII data located in IT Systems, software, research data / information, personnel (institutional knowledge) and buildings/offices.

Period and Place of Performance Details

Period of performance shall be 1 base year with 4 option years.

Where tasks do not require direct involvement of USDA VS personnel, work may be performed at the Vendor location. Performance of such tasks will be coordinated with USDA COR or Project Manager. The Vendor shall furnish its employees with the equipment required to provide secure remote support, if needed.

If any work is performed on-site, the majority of work shall be performed at:

National Centers for Animal Health 1920 Dayton Avenue Ames, IA 50010

Schedule of Work

On-Site services are generally to be performed during the day shift (between 7:00 am to 6:00 pm), Monday through Friday, excluding Federal Holidays. The Vendor shall coordinate work schedules with the USDA COR or Project Manager to ensure that service requirements are met and the availability of, and access to, Government personnel and resources. The Contractor at all times must maintain an adequate workforce for the uninterrupted performance of all tasks defined within this SOW when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the USDA workforce are essential.

Travel

If travel is required, Vendor employee travel and per diem expenses are subject to the government travel management policy and Federal Travel Regulations. All travel shall be identified and coordinated in advance with the USDA COR to ensure proper access controls are in place to prevent any delays in the performance of work. Travel costs should be included in proposal price.

Supervision

The Vendor shall provide supervision of their personnel and perform all Vendor related administrative functions. USDA will not supervise the day-to-day activities of assigned Vendor personnel. The Vendor will provide total task management and supervision of contracting personnel. The Vendor shall communicate all task-related requests through the USDA Project Manager (or COR) or their designated representative.

The Vendor will ensure compliance with all applicable security regulations, and all program security operations requirements, for facility access, and handling of materials. Vendor personnel must show a photo ID in order to gain access to USDA facilities. The Government reserves the right to deny, withhold, or terminate access for cause.

Government Furnished Equipment, Information, Materials and Services

Provision of Government Furnished Equipment is not anticipated. If needed, the Government will provide the following on-site equipment and items: stethoscope, sphygmomanometer, thermometer with probe covers, pulse oximeter, height and weight scale, otoscope with specula, ophthalmoscope, reflex hammer, examination table, examination gloves, handwashing station, and cleaning supplies.

The Government will make examination rooms available as needed. The Vendor shall specify in the response to this SOW any other requirements needed to perform successfully on this task. Unless otherwise agreed by the parties, Government-furnished resources will be provided only during normal business hours at the designated work sites.

Ownership

The Government is the sole owner of all information, and documentation developed for the project, including interview notes and summaries, technological research, deliverables, and presentation material. Upon completion of the contract, the Vendor shall deliver all project materials to VS.

All data and any related metadata stored in the COTS (base product) and all other CLINS in this contract shall remain in the ownership of the Government. The Vendor shall relinquish ownership of all data obtained through the execution of this contract at the end of the period of performance. In addition, the Vendor will delete all data obtained through the execution of this contract from their development and test systems at the end of the period of performance.

The Vendor shall not divulge any data obtained through the execution of this contract to any third parties without explicit written consent from the USDA Contracting Officer or COR.

Other Special Requirements

Quality Assurance

The Vendor shall be solely responsible for the supervision, management, and inspection of its employees under this SOW. The Vendor will monitor and ensure its employees meet the requirements of this SOW. The Vendor shall provide and maintain an inspection system acceptable to the Government covering services provided under this SOW.

Staff Qualifications

Experienced staff with specialized education and training is required to meet the established performance period. The vendor shall ensure and certify that the staff physicians satisfy all of the following requirements:

a) Doctor of Medicine, Doctor of Osteopathic Medicine, or equivalent degree from a school in the United States or Canada. This degree must have been accredited by the Council on Medical Education of the American Medical Association, Association of American Medical Colleges, Liaison Committee on Medical Education, Commission on Osteopathic College Accreditation of the American Osteopathic Association, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained;

b) Current, active, full, and unrestricted license to practice medicine or surgery in the state of Iowa;

c) Board-certified by an American Board of Medical Specialties (ABMS) member board in their respective medical specialty, for example:

i) An occupational medicine physician shall be board-certified by the American Board of Preventive Medicine in Occupational Medicine. Alternatively, board-certification by the American Board of Internal Medicine in any subspecialty is also acceptable.

ii) An infectious diseases physician shall be board-certified by the American Board of Internal Medicine in Infectious Disease.

iii) A radiologist shall be board-certified by the American Board of Radiology in Diagnostic Radiology or Interventional Radiology.

d) Must be proficient in written and spoken English.

Appendix A: Occupational Medicine Services List

Comment by Author: There are empty cells between number 20 and 21

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