HMC Occupational Medicine

3 West Clinic
Desk B
Clinic Coordinator:
Myduyen Ngo
Clinic phone:
(206) 744-3261
Clinic fax:
(206) 744-9935
Clinic Director
Debra Milek, MD, PhD, MPH
(206) 744-9377
  • Monday afternoons
  • Tuesdays
  • Wednesday afternoons
  • Friday mornings
  • (Thursday afternoon didactics)
Weekdays only. Additional activities may be scheduled on an individual basis.
All year
Residents should contact Debra Milek, MD, PhD, MPH to discuss this rotation.


Occupational and Environmental Medicine (OEM) is primarily an outpatient discipline, combining the practice of Internal Medicine with principles of Public Health. OEM includes a strong emphasis on multidisciplinary collaboration, involving the related disciplines of epidemiology, industrial hygiene and toxicology. The OEM Program works closely with Washington State agencies and corporations (e.g., Washington State Poison Control Center, the Washington State Department of Labor and Industries and the Boeing Company) to provide opportunities to learn about the role of physicians working in the field of OEM.

The rotation includes up to 4-5 OEM clinics per week and participation in OEM clinic conference and Current Issues seminar series on Thursday afternoons. In addition, residents may participate in other Program activities, including worksite investigations with OEM physicians and industrial hygienists, occupational health surveillance programs, and development of didactic sessions, all supplemented by independent readings.


Prior to your first clinic session, please review Case Studies in Environmental Medicine: Taking an Exposure History. Two versions of the Taking an Exposure History CSEM are available:

  • The downloadable PDF version provides content in an electronic, printable format.
  • The online version offers interactive exercises and prescriptive feedback to the user;