Skip to main content
AOHC 2026 Main banner
Icon Legend
This session is not in your schedule.
This session is in your schedule. Click again to remove it.
Presentation Icons
Ticketed Item
Ticketed Item
Session Not Recorded
Session Not Recorded
Coffee Available
Coffee Available
Food Available
Food Available
NO CME
NO CME
Emerging Topic
Emerging Topic
Session Evaluation

AOHC 2026 Concurrent Sessions

OEM Related Law and Regulations

216 - MRO Controversies

Monday, April 20, 2026
12:45 PM - 1:45 PM CT
Location: Sheraton Ballroom IV
Claim 1.0 CME

All relevant financial relationships have been mitigated.


Disclosure(s):

Douglas W. Martin, MD FACOEM FAAFP FIAIME: No financial relationships to disclose
Natalie P. Hartenbaum, MD, MPH, FACOEM: No financial relationships to disclose
Melissa Snider-Adler, MD, CCFP(AM), DABAM, MRO: Indivior: Consultant (Ongoing), Grant/Research Support (Ongoing)
Session Description: MRO Controversies has been presented for over 20 years in a row at AOHC and is intended to address late breaking changes in the areas of medical review officer work, drug testing, and fitness for duty determination as it applies to the MRO. We often address controversial subjects; those topics that are typically not a part of the standard MRO training courses. This session ends with the traditional MRO Jeopardy competition, complete with prizes for the participants.

Educational Gaps: *Addressing THC use as it relates to workplace drug testing programs
*Addressing THC use as it relates to fitness for duty determinations
*Provide implementation updates for alternative testing methodologies (hair, oral fluid)
*Discuss any recent changes to the Federal Drug Testing Statutes
*Discuss any trends seen in state based non-federal drug testing processes

Is this session being sponsored by an ACOEM Section or Component?: MRO Section

Has this session previously been presented?: Yes. We are not sure exactly how many, but Dr. Martin has been involved as Session leader for what we believe is 25 years of them.

The AOHC 2026 theme is Healthy workers. Healthy world: A healthy workforce means a workforce that is operating at peak efficiency, and keeping illegal drug use and the effects of illegal drugs out of the workplace meets those goals.

Learning Objectives:

  • Describe the challenges to the MRO with state-based allowances for either recreational or medical marijuana use.
  • Be able to demonstrate a reasonable drug testing policy aimed toward THC use and fitness for duty
  • Define upcoming changes to federal drug testing processes