OSHA Bloodborne Pathogen Training Mandatory for Physicians
“Do I really have to train physicians in bloodborne pathogens? OSHA doesn’t require them to undergo training like the rest of the practice’s staff, does it?” asked the safety officer from a large group practice.
The answer—that OSHA does not exempt any employee, including a physician, who is exposed to bloodborne pathogens from the initial and annual training requirements of the standard— did not sit well with her. “Oh well, maybe I’ll just have them sign the training sheet and leave it at that.”
It’s a common misunderstanding is that physicians who are owners of a practice are not subject to OSHA requirements. That may have been be true for that old Marcus Welby-type solo practitioner situation, but not for most practices organized as a professional corporation.
Although physicians know that their practices are subject to some form of OSHA regulation, they are not clear on the specifics, especially regarding their own training under the standard, says Kathy Rooker, who advises medical practices on OSHA and CLIA compliance as owner of Columbus Healthcare & Safety Consultants in Canal Winchester, OH.
Rooker will often spend one-on-one time with physicians who own a share of the practice explaining that they, as both employer and employee, are subject to OSHA regulations just as other staff members are.
Understanding the overlap, however, is no guarantee that physicians will jump at the opportunity to attend a bloodborne pathogens training session.
“I don’t need training in bloodborne pathogens; I learned that in medical school” is a common response, says Rooker.
Use exemplars and leverage
Although the requirement for OSHA training is the same for all staff members occupationally exposed to bloodborne pathogens, the approach to training physicians need not be.
With physicians, “you are dealing with very professional people; you have to tell them more than just ‘you have to do it.’ You have to explain why,” says Bruce Cunha, manager of employee health and safety at the Marshfield (WI) Clinic. The approximately 900 physicians at Marshfield all have an ownership stake in the clinic, and all receive OSHA initial and annual training, says Cunha.
- $6.4B Henry Ford, Beaumont Merger Failed on Cultural Hurdles
- Don't Let Nurses Sink Your Bottom Line
- Hospitals Profit On Bloodstream Infections
- Fortunately, Angelina Jolie Isn't On Medicare
- Less Blood Testing for Some Surgeries Safe, Cost Effective
- Lower ED Margins Demand a Better Strategy
- How Chargemaster Data May Affect Hospital Revenue
- Primary Care Docs Average More Hospital Revenue Than Specialists
- House Lawmakers Grill CMS Over Health Exchange Navigators
- ED Physicians Key to Half of Hospital Admissions

Comments are moderated. Please be patient.
David LaHoda (10/28/2010 at 1:56 PM)
I disagree with the above comment. Some highly educated healthcare workers either never had good or recent training in protection from bloodborne pathogens or have forgotten it. For example see "Notes from the field: YUCK! You got PUS, WHERE? (Here's the address http://blogs.hcpro.com/osha/2009/08/notes-from-the-field-yuck-you-got-pus-where/) and tell me that the doctor in that post couldn't use a refresher course in bloodborne pathogens safety. As for the baseball analogy...have you seen how poorly major leaguers are in the fundamentals of the game? Emphasizing the basics, especially when it concerns in health and safety in the workplace is usually a good idea.
JB (10/27/2010 at 7:11 PM)
I am no physician, but I'm as perplexed as they must be. I'm in the safety industry and I understand how OSHA's requirements are the same for everybody but sometimes they completely lack common sense. This makes about as much sense as making it mandatory that professional baseball players participate in "how to throw a baseball" training every year.