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Session Evaluation

AOHC 2026 Concurrent Sessions

Work Fitness and Disability Management

407 - Migraine and Safety Sensitive Work

Wednesday, April 22, 2026
10:15 AM - 11:15 AM CT
Location: Chicago Ballroom IX
Claim 1.0 CME

All relevant financial relationships have been mitigated.


Disclosure(s):

Fabrice Czarnecki, MD, MA, MPH, FACOEM: No financial relationships to disclose
Diana Kraemer, MD: No financial relationships to disclose
Session Description: This session will guide OEM providers through the fitness for duty evaluation of safety sensitive workers (e.g., transportation, public safety) who have migraine headaches through a series of cases. We will address how to assess workers with migraine. We will discuss return to work criteria based on symptoms and on medications. Finally, possible restrictions and accommodations will be described.

Educational Gaps: 1. Existing guidelines (ACOEM, NFPA, FMCSA...) give minimum or no guidance to OEM providers who evaluate safety sensitive workers with migraine headaches.
2. OEM providers may not be familiar with the effects of common migraine medications on fitness for duty.
3. OEM providers have limited knowledge on return-to-work criteria for safety sensitive workers who have migraine headaches.

Is this session being sponsored by an ACOEM Section or Component?: Yes - Public Safety Medicine

Has this session previously been presented?: No

The AOHC 2026 theme is Healthy workers. Healthy world: This session will aim at keeping workers with migraine healthy and at work -- in order to keep the world productive and healthy.

Learning Objectives:

  • Assess the medical risk to the employee and the public potentially created by migraine headaches and identify objective criteria that allow employees with this condition to stay at work
  • Assess the risk of sudden incapacitation caused by migraine headaches
  • Evaluate and mitigate the side effects of common medications used to treat migraine