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Medical Supervision (cholinesterase monitoring) of Agricultural Pesticide Applicators
Guidelines for Physicians 4th edition
OEHHA is responsible for producing a booklet entitled: Guidelines for Physicians which explains and interprets the state program of cholinesterase monitoring for agricultural pesticide mixer/loader/applicators who regularly handle toxicity Category I and II organophosphate or n-methyl carbamate pesticides. Physicians who are medical supervisors in this program are required to possess a copy of these Guidelines and to be aware of its contents.
OEHHA offers a one-hour training class in Medical Supervision Training for Physicians that explains the California program for cholinesterase monitoring of agricultural pesticide mixer/loader/applicators.
NEW - In addition, OEHHA now offers an on-line training module that explains the California Medical Supervision Program for cholinesterase monitoring of agricultural pesticide mixer/loader/applicators. Continuing medical education credit is available to physicians and nurses upon completion of this module.
To determine the feasibility of certification for California medical supervisors, and to conduct a program evaluation of the medical supervision program, a mail survey was sent to the 321 California physicians who were medical supervisors of record in 1995. Physicians provide medical supervision, including cholinesterase monitoring, for agricultural pesticide mixer/loader/applicators who handle Category I and II organophosphate and n-methyl carbamate pesticides as specified under California Code of Regulations (CCR), Division 6, Section 6728. Responses returned from 101 medical supervisors provided the basis for description of their practice, how they obtained information on the medical supervision program, and whether or not they would want or accept a state certification program (certification is not currently required).