Occupational and Environmental Medicine Longitudinal Assessment Program (LAP)

The following sections of the Occupational and Environmental Medicine exam content outline will be covered in the 2026 Longitudinal Assessment Program (LAP).

1 – Clinical Occupational Medicine

• 1.1 Provide direct patient care to employees for both workplace and related non-workplace illnesses and injuries that impact wellbeing.
• 1.3 Recognize, prevent, evaluate, diagnose, treat, and manage adverse health effects from workplace and environmental hazards.
• 1.6 Perform and/or review clinical evaluations to make work determinations.
• 1.8 Write medical reports and provide requested opinions (e.g., for mechanisms of injury/illness/causation arising out of employment (AOE), MMI determination, treatment plan) to various stakeholders.
• 1.12 Identify symptoms and clinical signs of exposures to toxicological substance (for example, recognizing symptoms and signs of arsenic exposure or symptoms and signs of lead exposure in the workplace).

2 – Health, Wellness, and Human Performance Optimization

3 – Work Fitness, Impairment, and Disability Prevention

• 3.7 Interpret and apply the results of assessments, including but not limited to physical abilities, to match functional abilities of employees to job duties and requirement in order to reduce risk of adverse outcomes.
• 3.8 Conduct evaluations to determine work assignments (for placement for new hire, return to work, fitness for duty, functional capacity evaluation) in compliance with applicable regulations, including ADAAA, in the context of specific work exposures, work tasks, or public safety concerns.

4 – Hazard and Disaster Prevention and Management

• 4.2 Develop comprehensive plan of care to address hazards.
• 4.3 Perform routine site visits to assess the work environment and implement actions to mitigate risks to prevent illness and injury.

5 – Environmental Medicine

• 5.2 Determine the impact of environmental factors, agents, and considerations on the workplace and workforce to develop policies and implement procedures that mitigate and manage health risks for individuals and populations.

6 – Occupational Epidemiology, Analytics, and Research

• 6.1 Design, conduct, and/or interpret descriptive and analytic studies that investigate the association between occupational exposures (e.g., repetitive stress injuries, radiation) and health outcomes.
• 6.7 Adhere to ethical standards for the conduct of occupational and environmental medical research.

7 – Systems-based Practice and Administration

• 7.2 Comply with applicable laws and regulations related to the provision and management of health care systems and programs.
• 7.4 Participate in identification of systemic workplace hazards and/or processes that are harmful in order to recommend and implement solutions.
• 7.8 Design and/or implement medical surveillance programs to identify and mitigate specific exposures.