Guidance and Position Statements

Guidance and Position Statements

ACOEM provides recommendations for occupational health professionals on managing various situations which may arise in their practice or state the College’s position on a particular subject. These documents may be based upon the scientific literature or consensus opinion.
Utilization Review in Workers’ Compensation: Review of Current Status and Recommendations for Future Improvement

This ACOEM guidance paper reviews structural elements of UR programs and proposes a possible template for operational standards.

Spirometry in Occupational Health—2020

This 2020 ACOEM guidance statement incorporates recent spirometry testing changes into its recommendations to provide current information for all users of spirometry test results, from those who perform or supervise testing to those who only interpret or review results.

Guidance for Occupational Health Services in Medical Centers -- 2019

This guidance statement represents a compilation of pertinent guidelines, best practices, and professional opinions applicable to the practice of occupational medicine in the medical center setting. It includes an addendum which addresses physician burnout.

Ethical Aspects of Drug Testing

This position statement addresses ethical issues involved in substance abuse screening in the workplace.

Qualifications of Medical Review Officers (MROs) in Regulated and Non-Regulated Drug Testing

This position statement presents the definition of an MRO and defines the qualifications needed by these physicians.

Nanotechnology and Health

This guidance statement addresses the potential adverse health effects associated with exposure to nanomaterials.

Arsenic Exposure, Assessment, Toxicity, Diagnosis, and Management

Arsenic exposure in humans can occur from multiple routes including diet. This guidance statement addresses arsenic exposure sources and pathways, adverse health effects of arsenic exposure and those subpopulations at increased risk, and the evaluation and treatment of those exposed to elevated arsenic levels.

Occupational Noise-Induced Hearing Loss

This guidance statement clarifies current best practices in the diagnosis of occupational noise-induced hearing loss.

The Role of the Professional Supervisor in Audiometric Testing Component of Hearing Conservation Programs

This guidance statement discusses the role of occupational medicine clinicians in the supervision of audiometric surveillance under the auspices of hearing conservation programs.