Occupational Medicine Residency

Occupational and Environmental Medicine Residency/Fellowship Program

The primary goal of the Occupational and Environmental Medicine Residency is to train practicing physicians to be qualified for careers in occupational and environmental medicine in private practice, industry, government, military, or academia.

This two-year program includes completion of the requirements for a Master of Public Health degree, and twelve months of full-time experiential rotations in various aspects of professional practice in the field. Graduates are eligible to apply for board certification in Occupational Medicine by the American Board of Preventive Medicine. The program is accredited by the Accreditation Council on Graduate Medical Education.

Stipends, Tuition Support, and Benefits

Residents/fellows receive a stipend, adjusted according to post-graduate year level.*

These stipends are competitive with other national residency programs.

In addition to the stipend, tuition and fees are covered by the Residency Program, professional liability coverage, a benefits package, and travel to one professional meeting per year are also provided to each trainee.

* Unless special funds are identified, stipend support is limited to U.S. citizens and permanent residents.


The interdisciplinary curriculum is based on both a clinical and public health model for practice. The major focus is on population aggregates rather than individuals and indirect rather than direct care to clients. Graduates are prepared to participate in a multi-disciplinary approach to planning, implementing, managing, and evaluating programs and services for worker health and safety. A mastery of basic clinical skills and significant clinical experience is expected as a prerequisite.

Admission Requirements

Applicants to the Occupational and Environmental Medicine (OEM) Residency Program must have a minimum of one postgraduate clinical year (PGY-1) in an ACGME -accredited program. The Residency Advisory Committee, however, will give preference to applicants who have completed three or more years of an internal medicine, family practice or emergency medicine residency. Applicants must possess or be eligible to obtain either an unrestricted Texas medical license or a State of Texas In-training Permit prior to commencing the Residency. Application is made through the Electronic Residency Application Service (ERAS) offered by the American Association of Medical Colleges. For more information you may access ERAS online at www.aamc.org/eras. The applicants documentation is first reviewed by the Program Director, who then forwards acceptable applications to the OEM Residency Advisory Committee. After review of all candidates, residency positions are offered to approved candidates according to a resource-based prioritized list. Selected candidates receive an application form for the MPH degree program at the School of Public Health. Admission to the OEM Residency Program is contingent upon admission to the School of Public Health.

Master of Public Health Degree

Typically, coursework required for the MPH degree is completed in one calendar year. At least one course in each of the Public Health core disciplines of epidemiology, biostatistics, environmental sciences, management and policy sciences, and behavioral sciences is required. Supplemental courses serve to broaden and enrich the program and are selected through the academic advising process tailored to the individual trainee. Common selections include: Industrial Hygiene, Toxicology, Clinical Occupational Medicine, Field Trips in Occupational Health, Risk Communication, and Workplace Safety. Trainees are also able to choose from many electives and independent studies available within the School. To fulfill the requirements for the MPH degree, a formal practice internship and a culminating experience project are also required. During the academic year, progress is monitored by a Master s Advisory Committee that meets with the student at the end of each semester. Opportunities for research projects exist in many areas.

Occupational and Environmental Medicine Practicum

The practicum consists of twelve months of full-time applied practical public health-oriented administrative clinical rotations. These include a minimum of four months of assignments at some of the large industries in the Houston area, four to six months of rotations at various occupational medicine and subspecialty clinics and at least one month in a public health agency. Industrial rotation sites include:

  • Chevron (Houston)
  • ExxonMobil Corporation (Houston, Baytown)
  • SeaRiver Maritime (Houston)
  • Shell Oil Company (Pasadena, Houston)
  • The University of Texas MD Anderson Cancer Center (Houston)
  • American Airlines (Dallas)

Where feasible, these rotations are scheduled through both corporate medical offices as well as plant medical departments. Clinical rotation sites include:

  • Milby Clinic (near the Houston Ship Channel)
  • The University of Texas Health Science Center at Houston, Health Services
  • Texas Medical Center Employee Health Clinic
  • Concentra Medical Centers
  • U.S. Healthworks
  • Occupational Medicine Care

Opportunities also exist for elective rotations with various specialty clinics and government agencies including, Harris County Public Health & Environmental Services (Houston), OSHA (Washington DC), NIOSH (Cincinnati OH and Morgantown WV), Texas Department of State Health Services (Houston), and NASA Johnson Space Center (Houston). Clinical and elective rotations are typically one to two months in duration. One day each week the trainees convene at the School of Public Health for formal clinical didactic sessions to discuss interesting cases and to participate in research seminars. A reciprocal evaluation system is in place for trainees, rotation sites and faculty preceptors. The monthly Journal Club features presentations by occupational medicine residents/fellows and occupational health doctoral students. Academic and community professionals in the fields of occupational medicine, occupational nursing, industrial hygiene, and epidemiology attend this forum.

The University of Texas ERC is one of 18 Education and Research Centers in the United States, supported by the National Institute for Occupational Safety and Health (NIOSH). The Center is comprised of academic degree programs in occupational medicine, industrial hygiene, and occupational epidemiology, and supports active continuing education, outreach and pilot project research training programs.

Occupational Medicine Faculty:

Arch Carson, M.D., Ph.D.

Arch Carson, M.D., Ph.D., is an Associate Professor in the Department of Epidemiology, Human Genetics and Environmental Sciences at the University of Texas School of Public Health (UTSPH) in Houston, Texas. He obtained his medical degree from Ohio State University and completed residency training in occupational health at the University of Texas Health Science Center at Houston, School of Public Health and Southwest Center for Occupational and Environmental Health in 1992.  He holds a Ph.D. degree in Toxicology from the Kettering Laboratory, University of Cincinnati College of Medicine, Cincinnati, OH, and is board-certified in occupational medicine.  At UTSPH, he is the Director of the Occupational Medicine Residency Program. Dr. Carson remains active in clinical practice, which he combines with teaching and research.

George Delclos, M.D., M.P.H., Ph.D.

George Delclos, M.D., M.P.H., Ph.D., is Professor in the Department of Epidemiology, Human Genetics and Environmental Sciences at the University of Texas School of Public Health (UTSPH) in Houston, Texas and Senior Researcher in the Center for Occupational Health Research at the Pompeu Fabra University in Barcelona, Spain. He obtained his medical degree from the University of Barcelona in 1981 and completed residency training in internal medicine and pulmonary diseases at the Baylor College of Medicine. He has an M.P.H. degree from the University of Texas School of Public Health, a Ph.D. in Health and Life Sciences from Pompeu Fabra University in Barcelona, and is board-certified in internal medicine, pulmonary diseases and occupational medicine. At UTSPH, he is past Principal Investigator of the Southwest Center of Occupational and Environmental Health (1997-2006), Director of the Division of Environmental and Occupational Health Science (2004-2008) and Director of the Occupational Medicine Residency Program (1993.1998, 2008-2010). Since 2010 he has been Associate Director of the same residency program.

Dr. Delclos remains active in clinical practice, which he combines with teaching and research. In 2015 he received the University of Texas Regents’ Outstanding Teaching Award and was inducted in 2016 into The University of Texas Kenneth I. Shine, MD Academy of Health Science Education. With over 200 peer-reviewed publications, his research presently focuses on 3 areas: a) occupational and environmental asthma, b) national surveys of working conditions and health, mainly conducted in emerging countries and c) determinants of sickness absence and disability at an international level. Dr. Delclos’ research is conducted mainly in Texas, Spain and Latin America (Colombia and Central America).

Brett Perkison, M.D., M.P.H

Brett Perkison, M.D., M.P.H., is originally from Texarkana Texas and obtained a B.S. in biology at Texas A&M University. He then obtained a medical degree at the University of Texas Medical Branch in Galveston. He completed residencies in Family Medicine at Baylor College of Medicine followed by a residency in Occupational and Environmental Medicine at the University of Texas School of Public Health in Houston. Dr. Perkison is board certified in both specialties and a Fellow in the American College of Occupational and Environmental Medicine.

Dr. Perkison’s current area of research interest is measuring the effectiveness of worksite health care innovations for employees in the areas of chronic disease management, disease education programs, targeted case management, and home intervention programs. Measured outcomes will include rates of absenteeism, presentism rates, safety incidences and occupational injuries\occupational illnesses. Safety and occupational injuries are more typically measured in order to assess the degrees of workplace safety for an organization. However research suggests that improving the general health of the workplace population will also greatly reduce injury rates. He also maintains a joint appointment at the University of Texas Houston Health Science Center in the Family Medicine department where he provides primary and occupational care.

Occupational Medicine Residents:

Group_Residents - Web (2)

2016 - 2017 Residents
Robert Blanco, MD, Vanita Agrawal, M.D., Daniel Stroud, M.D., Krishna Surasi, M.D. and Annamaria Macaluso, M.D. (left to right)


Vanita Agrawal, M.D.

Medical School: Netaji Subhas Chandra Bose Medical College, India (1999 – 2005)

Post-Graduate Training: Family Medicine, UT Houston (2012 – 2014)

Occupational Medicine, UT Houston (2016 – present)

Why Occupational Medicine:   Occupational Medicine enables a physician to serve at a population level and not just at an individual level laying more emphasis on the preventive aspect of diseases. It is this aspect of being an Occupational Medicine physician that excites me the most. Additionally, this is an extremely diversified field of Medicine offering ample opportunities, as Occupational Medicine physicians are important to hospitals, corporations, educational institutions, research facilities, consulting firms, federal and state government services, etc.

Why UT Houston: It is a privilege to be a part of UT, located in the heart of world’s largest Medical Center. Training at this program is simply outstanding, offered by extremely knowledgeable and qualified faculty. Faculty and staff is extremely friendly. Research is one of the biggest strength that the program offers. Further, it’s exciting to stay in a place like Houston that offers everything in terms of diversity whether it be in food, culture or people.

Robert Blanco, M.D.
Undergrad: BS Biology, Management Minor, Rensselaer Polytechnic Institute (1986 - 1990)

Illinois Army National Guard (1992 - 2003)

Medical School: Universidad de Caldas Facultad de Ciencias para la Salud in Manizales, Colombia (1995 – 2001)

Post-Graduate Training:  Family Medicine, Virtual Hospital Voorhees New Jersey (2005)

Correctional Medicine, Milwaukee County (2009 – 2013)

Master’s in Public Health, UT Houston (2013 - 2016)

Occupational Medicine, UT Houston (2015 – present)

Why Occupational Medicine: While I was in Wisconsin, my Heath Care Unit underwent several administrative staff changes which resulted in my being the interim Medical Director for several months. I was not only dealing with patient care needs but the administrative and staffing needs as well. I came to understand the role that Environmental & Occupational Medicine plays in our labor force.

Why UT Houston: I choose the UT Houston School due to its very close affiliation with the Occupational Medicine Residency Program and Houston’s various work sites such as oil & gas, light & heavy industry, maritime and agricultural which offer great possibilities for practicum rotations.

Hobbies: Cooking, dogs, EMS & disaster medicine, teaching

Annamaria Macaluso MD - Web
Annamaria Macaluso, M.D.

Undergrad: BA Biology, Spanish Minor, Texas A&M University (2001 – 2003)

Medical School: McGovern Medical School, Houston (2004 – 2008)

Post-Graduate Training: Internal Medicine, University of South Alabama (2008 – 2009)                                                               

Medical Quality & Performance Improvement, Memorial Hermann (2010 – present)                                                               

Occupational Medicine, UT Houston (2015 – present)

Why Occupational Medicine: I choose Occupational Medicine because it is the intersection of medicine and healthcare; uniquely situated between medicine’s individual art and science and the impact of health management and treatment on populations.

Why UT Houston: Houston is home to me, and so UT Houston was an obvious choice. The benefits of training in the Texas Medical Center are unmatched, rotations among private and public sector abound, professors and attendings are not only world renowned for expertise, but are available and devoted to our training and success. Houston boasts southern hospitality and Texas swag: the food is excellent, the people friendly, schools top notch, the arts well represented and plenty of sports teams to cheer and watch.

Hobbies: Hosting family & friends, running, reading

Daniel Stroud, M.D.

Undergrad: BA Political Science, Rice University (1999 – 2003)

Medical School: Texas Tech University Health Science Center School of Medicine (2005 – 2009)

Post-Graduate Training: Transitional Medicine, UT El Paso Foster School of Medicine (2010)

Physical Medicine & Rehabilitation, UC Irvine (2011 – 2012)

Occupational Medicine, UT Houston (2016 – present)

Why Occupational Medicine: Occupational and Environmental Medicine is a broad field that allows physicians to pursue their interests in treating occupational illness and injury, as well as become leaders in the community through public health and medical director opportunities.

Why UT Houston:UT Houston OEM residency program is uniquely positioned in the greatest medical center in the world, in an extremely diverse city, that has one of the largest ports in the United States. This allows residents access to the largest petroleum companies, various industries, in addition to occupational clinics that care for all the employees in these fields. The masters in public health program gives us access to numerous research opportunities, as well as learning opportunities from leaders in the field, including Drs. George Delclos, Chip Carson, and Brett Perkison.

Hobbies: I enjoy spending time with family and friends, ideally while traveling around the world and enjoying fine dining and beverages. I also enjoy outdoor activities, including hiking, biking, sports, and getting on the water. Rafting down the Grand Canyon was definitely the best camping experience in my life, I recommend everyone consider the journey.


Krishna Surasi, M.D.

Undergrad: BS Science Pre-professional/Spanish Language & Literature, University of Notre Dame (2006 – 2010)        

Medical School: SUNY  Downstate (2011 – 2015)

Post-Graduate Training: Emergency Medicine, UT Houston (2015 – 2016)

Occupational Medicine, UT Houston (2016 – present)

Why Occupational Medicine: I started my training in emergency medicine, but as my intern year went on I found that I was more interested in preventive medicine. I researched my options and occupational medicine was the best mix of public health and clinical medicine for me. 

Why UT Houston: I initially came to Houston because of the diverse patient population and the chance to work with the talented clinicians/scientists that the Texas Medical Center attracts. I stayed for the same reasons, in addition to the tremendous opportunities to practice clinical occupational medicine in a city with so much industry. 

Hobbies: Brazilian jiu-jitsu, biking, comedy, reading fiction