Address
AMA House, 1St Floor
Suite 6B, 161 Ward St.
North Adelaide
South Australia 5006
Get in touch
08 8267 6886
reception@employmentmedicine.com.au

Employment Medicine - Services

Medico - Legal Assessment

Medico-legal assessment for determination of the injury, injury causation, liability and impairment (Referral from Case Manager, ReturnToWorkSA, Union or Legal Representative is required).
 
The AMA(SA) has formed a register of practitioners who are prepared to undertake medico-legal consultations and reporting.
 
Dr. Tran is on this register of specialists who are regarded as experts in this field.

Permanent Impairment Assessment

An impairment assessment is undertaken if a worker has a permanent impairment resulting from a work injury. When the work injury has stabilized, the worker's case manager will discuss referral to an accredited impairment assessor.

Impairment assessors are medical practitioners that are accredited under the Accreditation Scheme established by the Minister for Industrial Relations. Their role is to assess injured workers and prepare assessment reports in accordance with the Impairment Assessment Guidelines to determine:

whether the injury has reached maximum medical improvement
whether the worker's injury has resulted in an impairment
whether the impairment is permanent
the degree of whole person impairment resulting from the work injury.

Dr Tran is an accredited assessor.

Musculoskeletal Medicine

Whether it is a workplace injury, poor posture, or overuse, muscle and bone pain can be debilitating.
Rather than put up with the condition, let us assess your condition and give you expert advice on what to do.
  • Muscle and joint aches and pains
  • Work and motor vehicle injuries
  • Back and neck pain
  • Shoulder, hip and knee problems
  • Arthritis pain
  • Sports injuries

Electrodiagnostic Medicine

This examination can be helpful in evaluating the causes of numbness, tingling, discomfort, weakness, fatigue, and muscle cramping. 

Several types of tests are used to study nerve and muscle function. These include nerve conduction studies (NCSs), needle electromyography (EMG), and evoked potentials.  

Just as an MRI takes a picture of your anatomy, an EMG demonstrates the physiology or how your nerves and muscles are working or not properly working.
Employment Medicine Electrodiagnostic Testing

Fitness For Duty Assessment

Fitness for Work Assessment Return to Work Statement
Whole of Person assessment Single Injury/illness event
Medico-legal report standard Letter to Employer
Will include: Will only address:
Multiple/complex injuries Capacity for Work based on specific injury/illness only Workplace restrictions
Medical history
Current health situation
Clinical findings
Investigations
Medical Diagnosis/es
Causation of Injury
Capacity for Work
Medical Recommendations
Workplace Restrictions
Telecommunications with employer included
Multiple questions addressed 1-2 questions only – No additional questions permitted
Workers’ Comp claim – open or closed Workers’ Comp claim – must be closed
Non-work related injury/illness – Yes Non-work related injury/illness – Yes
May take up to 10 days for report Available same day /within 24 hours
Supplementary reports available Supplementary reports – not available
Requirements
Referral letter from employer Referral letter from employer
Medical file notes and information GP/Specialist clearance for work
List of specific questions 1-2 questions only
Position description/Task Analysis Position description/Task Analysis

Work Site Risk Assessment

A workplace assessment is a specialised on-site assessment of a worker’s duties and/or potential suitable duties.
 
A thorough workplace assessment will assist to resolve problems identified to be causing or aggravating workplace injuries and will also identify preventative actions, such as a more formal occupational health and safety risk assessment, ergonomic assessment or training.
 
A workplace assessment is also a useful tool for upgrading medical certificates or sourcing suitable duties.
 
It can be used to compliment occupational rehabilitation, or may substitute for a treatment program.
 
Employers can also use the assessment to:
  • ensure the workplace is equipped for new workers, people with disabilities or those with specific needs
  • design an agreeable return to work plan that matches the employee’s functional capacity.

Hazardous Substances Health Surveillance

Employers are required to establish a health surveillance system to identify changes in the health of workers.
 
Risk-based health assessment or biological monitoring is required where a worker may be exposed to hazardous agents, chemicals or other substances that can lead to ill health or disease, such as lead or mercury.
 
Health surveillance should also ensure that control measures in the workplace are effective and provide an opportunity to reinforce specific preventive measures and safe work practices.
 
The type of health surveillance required will depend on the hazardous agent or substance to which a person is potentially exposed.
Common examples of health surveillance include:
  • occupational and medical history
  • health advice
  • physical examination
  • records of exposure
  • respiratory (lung) function tests
  • biological monitoring.

Pre-Employment Assessment

A Pre-Employment Medical is not designed to exclude people from your workforce.
 
Instead, the purpose of a pre-employment medical is to ensure the candidate is safe and determine their suitability for the proposed position. It also in the employee’s interest to ensure any future conditions cannot be linked to any existing issues in the event of a claim.
Our pre-employment medical can include:
  • Height;
  • Weight;
  • Blood Pressure;
  • Vision check;
  • Urinalysis;
  • Blood Glucose check;
  • Review of Medical Questionnaire by one of our Occupational Physicians and then
  • Whole person assessment by the Occupational Physicians
  • Occupational Audiometry Assessment;
  • Spirometry Test; and/or
  • Drug and Alcohol Screening
Some of the benefits of conducting pre-employment medicals include:
  • Reduction in Workers Compensation claims;
  • Matching the capacity of the employee with the role;
  • A safer working environment;
  • Reduced risk to the business and other employees.

Pain Management

Pain is one of the most common reasons people seek medical attention. Chronic pain affects an estimated 1 in 5 people in Australia. In the 21st century, scientists are discovering how complex pain becomes the longer it continues.
 
Many people are surviving more serious diseases and injuries than ever before, and chronic pain states are frequently the result.
 
It is difficult to live with constant pain. However, you can have hope that holistic pain management combining medical management, physical and cognitive therapies, as well as continuing the values and activities that make your life worth living will enable the pain to be managed and life can begin again.
Pain management needs a multi-pronged approach. Medication is one element and the other two major elements are physical and cognitive therapy.
 
Getting the best from pain management will involve putting a range of strategies into practice on a daily basis, which can take time and effort to learn how to do successfully. Employment Medicine will help you along this journey.

Nerve Conduction Testing

A nerve conduction study (NCS), also called a nerve conduction velocity (NCV) test is a measurement of the speed of conduction of an electrical impulse through a nerve. NCS can determine nerve damage and destruction.
 
During the test, the nerve is stimulated, usually with surface electrode patches attached to the skin. Two electrodes are placed on the skin over the nerve. One electrode stimulates the nerve with a very mild electrical impulse and the other electrode records it. The resulting electrical activity is recorded by another electrode. This is repeated for each nerve being tested.
 
The nerve conduction velocity (speed) is then calculated by measuring the distance between electrodes and the time it takes for electrical impulses to travel between electrodes.
 
A related procedure that may be performed is electromyography (EMG), which measures the electrical activity in muscles and is often performed at the same time as NCS. Both procedures help to detect the presence, location, and extent of diseases that damage the nerves and muscles.

Early Intervention

Early intervention involves identifying and responding to warning signs and reports of accidents and incidents in the workplace. Responding early can prevents a worker from becoming ill, taking long-term sick leave or submitting a workers’ compensation claim.
 
The earlier you notice a worker is experiencing potential signs of ill health or injury, the sooner you can take steps to help them. The benefit is not just to the individual but the team as well, as it helps to maintain workplace harmony.
Business benefits of early intervention:
  • Creates a productive and supportive workplace.
  • Shows management commitment to workers.
  • Prevents long-term absence from the workplace and the development of chronic illness.
  • Reduces any adverse effects on co-workers due to an injured colleague.
  • Improves staff confidence and morale.
  • Increases management involvement in the injury management process.
  • Increases the probability of return to work.
  • Contains the cost of incapacity and in the long term, the premium.
  • Reduces indirect costs to employers such as lost productivity, recruitment and training costs for replacement staff.
 Effective early intervention also provides information for workers, case managers, approved rehabilitation providers, medical practitioners, and importantly, it improves injury outcomes for the worker.

Injury Management

Depending on the severity of the injury, staying at work isn’t always possible, but wherever an injured worker can be given the opportunity to recover at work it has many benefits.
 
Staying at work helps the injured worker remain connected to their co-workers, and minimises the negative impact an injury can have on their wellbeing and their family.
 
This involves having an injury management strategy in place so that suitable duties are available to workers that allow them to stay at work safely without aggravating their injury.
 
For an employer, having a higher stay at work rate can also translate into a lower WorkCover premium rate.
 
When a worker takes time off work after an injury, they must be compensated for this time lost. This adds to the costs of the claim, which may impact on the business’ premium rate.

Car Accident Doctor

Assessment and rehabilitation of aches, pain, pins and needles arising from work or car accident that have lasted longer than 4-6 weeks.
Motor vehicle accident ISV assessment:
What is an ISV?
 
TheISV Table is used to determine an Injury Scale Value. It is a measure of injury severity that assigns a value between 0 and 100 for an injury, based on available medical evidence. It also gives consideration to the impact of the injury(ies) on the individual. The ISV is used to determine if thresholds to some forms of compensation have been met and to assist in assessing the compensation an injured person may be entitled to.

CAMS Medical Assessments

There are three types of medical criteria CAMS use for competition licenses.
1: HEALTH STATEMENT
The health statement is a series of questions that need to be answered on your application form. The health statement is required to be completed on every licence application. If you tick ‘Yes’ to any of the first six questions on the health statement, we will also require a letter from your doctor.
2: MEDICAL EXAMINATION RECORD - NATIONAL AND CLUBMAN LICENCES – CIRCUIT, SUPERKART AND OFF ROAD STADIUM
A Medical Examination Record - National must be completed by a General Practitioner. If 45 years of age and over, every second year, unless annual medical examinations have been requested by a General Practitioner must be forwarded with the licence application and completed Health Statement to CAMS Customer Services. Each Medical Examination will require the following tests
 
  • LDL Cholesterol
  • HDL Cholesterol Fasting
  • Glucose
  • Resting ECG
 
Applicants exchanging an overseas driver’s licence are still required to undergo a CAMS Medical Examination in accordance with the FIA International Sporting Code.
3: MEDICAL EXAMINATION RECORD - INTERNATIONAL
A Medical Examination Record - International must be completed by a General Practitioner. Applicants for these licences are required to complete the Health Statement and as required by the Federation Internationale de I’ Automobile (FIA), applicants for international licences, irrespective of motor sport discipline, will be required to undertake an annual medical examination by a General Practitioner. Those applicants aged 45 and over will be required to undergo a stress ECG every second year or more often if requested by the General Practitioner. Applicants exchanging an overseas driver’s licence are still required to undergo a CAMS Medical Examination in accordance with the FIA International Sporting Code. Each Medical Examination will require the following tests: 
  • LDL Cholesterol
  • HDL Cholesterol Fasting
  • Glucose
  • Exercise ECG
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