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QME V2 QUESTIONS AND VERIFIED ANSWERS..

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QME V2 QUESTIONS AND VERIFIED ANSWERS

Institution
Qme
Module
Qme

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Is prior pathology or factors of previous disability alone sufficient to prove workplace
causation? Why or why not?


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No, If prior pathology did not cause actual prior disability, the physician
should so state. (example: a woman with chronic shoulder pain falls and
breaks her shoulder at work, the fall did not entirely create the disability
and should be apportioned)




Who does the physician rendering first-aid send a report to?


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The employer's claims administrator

,What are the two parts of the question a physician must ask as to whether the injury is
work related?


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1. Did the injury "arise out of employment" 2. Did the injury "occur in the
course of employment"




What are two cases in which a detailed occupational history are especially important?


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1. Cumulative injury cases 2. Occupational illness




What are employers prohibited from doing (3)?


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1. Discriminating against workers for their health and safety activities or for
filing a workers compensation claim. 2. Terminating an injured worker
during the period of temporary disability (unless proof of business
necessity) 3. Refuse to reinstate an injured worker, unless the worker can no
longer perform the essential functions of the job...




How long does the employer have to complete an Employer's Report of
Occupational Injury or Illness (Employer's First Report Form 5020)?


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, Within 5 days of being notified by the employee of an occupational injury
or illness.




When are presumed medical conditions covered for special case workers such as fire
fighters etc.?


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When the conditions manifest or develop during the period of active
service and following termination of service for up to five years.




What 3 factors need to be established in order to make a causation determination?


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1. What pathological condition(s) and disability are present? 2. What
relevant work exposure(s) were present? 3. What other causes might
produce the disease (ie. non-industrial exposures)?




What is the proper focus of injury regarding stress felt by an employee at work?


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The focus is not how much stress SHOULD be felt by an employee in the
work environment but how much stress IS felt by an individual worker
reacting uniquely to the work environment.

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Institution
Qme
Module
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