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Occupational Medicine

For Improved Workplace Health, Safety & Productivity

With a highly experienced team of board-certified physicians, mid-level providers and medical support staff, Rochester General Occupational Medicine works in an interdisciplinary fashion with healthcare providers across our system to help employees stay at work or return to work quickly, safely, and functioning at their highest levels.

Available Services

  • Workers’ Compensation injury evaluation and management

  • Regulatory compliance exams, including but not limited to: DOT, 19-A, FAA pilot exams, Respirator clearances, and Hearing Conservation Program exams

  • Public Safety Medical exams, such as law enforcement officers, firefighters and energy industry employee examinations

  • Employer-required exams such as new-hire exams and return-to-work examinations

  • Independent Medical Examinations

  • Drug-free Workplace drug and alcohol testing and MRO services

  • Workplace wellness and executive wellness programs, cancer screenings and workplace ergonomics assessments and programs

  • Flu shot clinics and travel medicine consultations

Benefits to Employers

  • Comply with complex workplace regulations

  • Optimize Workers’ Compensation experience

  • Better control personnel medical expenses

  • Increase productivity with a healthier workforce

Our Providers

James A. Tacci, MD, JD, MPH (FACOEM, FACPM)

Medical Director, Department of Occupational Medicine


Dr. James Tacci received his medical degree with distinction from the University of Rochester School of Medicine & Dentistry, where he currently holds a teaching appointment in the Department of Public Health Sciences.  He earned his Master of Public Health degree from SUNY at Albany while completing his residency in General Preventive Medicine & Public Health at the New York State Department of Health.  He completed a second residency in Occupational & Environmental Medicine at Harvard University.  He received his law degree magna cum laude from Syracuse University.  Dr. Tacci is board certified in both Occupational Medicine as well as General Preventive Medicine & Public Health. 

Dr. Tacci currently serves as Vice-President of the American College of Occupational & Environmental Medicine, and has previously served on the governing boards of the American College of Preventive Medicine and the American Journal of Preventive Medicine.  Presently, Dr. Tacci serves on the Medical Advisory Committee of the New York State Workers' Compensation Board, he co-Chairs the Rochester Business Alliance's Workers' Compensation Committee, and he is a member of the Monroe County Board of Health.

Boris M. Shmigel, MD


Dr. Boris Shmigel earned his medical degree at Universitaet Heidelberg.  He completed his surgical residency at Strong Memorial Hospital, and a subsequent surgical research fellowship at The Genesee Hospital.  Dr. Shmigel has practiced Occupational Medicine at Rochester General for many years, focusing on the prevention and management of injuries and illness in the workplace.  He is board certified in general surgery.



Rochester General Occupational Medicine
Wilson Medical Building – RGH Campus
800 Carter Street
Rochester, NY 14621
P:  585.922.4173
F:  585.922.5595