Abstract: Development of the Return to Work (RTW) Tool for Primary Care Providers for Low Back Pain Patients Low back pain (LBP) is the most common cause of disability in US adults under the age of 45. Primary care physicians are commonly the first medical practitioners to assess a patient with LBP. Research has now demonstrated that rapid return to normal activities of daily living is generally the best activity recommendation, and a randomized control trial found that in addition to improved function and pain in workers with LBP by implementing a clinical practice guideline in a primary care setting, days of work lost were also reduced. We hypothesize that primary care physicians themselves should be educated on the use of clinical guidelines with regards to LBP management and return to work (RTW) to direct the care of their patients themselves. Therefore, the purpose of our pilot project is to develop such guidelines in the form of an accessible and adaptable tool. Return to Work Guidelines for Low Back Pain Patients in a Primary Care Setting will be developed and integrated into the Electronic Medical Records (EMR) which will be readily used in a primary care setting. Primary care providers will be randomized with or without the integrated tool. Using ICD 10 codes to identify patients with LBP, charts will be retrospectively reviewed to assess if primary care physicians are identifying the type of work, level of disability and recommendations regarding return to work. At 6 months, a statistical analysis will be used to determine if the tool is both adaptable and accessible to be used in the primary care setting. This project has enabled the researchers to expand the field of low back pain management by using evidence-based Return to Work (RTW) strategies and enhancing better understanding of the understudied field of "return to work" by innovative use of informatics principles.

1. “ACL repair surgery” done under Google Glass” has been recognized as a one of earliest groundbreaking work in the field of medicine and medical education for the use of “wearable technologies.” 2. Presented internationally on the use of wearable technology platform at the “Inclusive Healthcare Innovation Summit 2014 Hackathon: Google Glass as platform for development of solutions for the medically underserved settings at Cape Town, South Africa, Western Cape, South Africa. (Jan 2014) ttp://gsbblogs.uct.ac.za/inclusivehealth/

Regarding research activity in a tertiary institution, I was the first physician to work on introduction and potential uses of the emerging wearable technologies like Google Glass in the field of medicine with the particular emphasis on the field of occupational and environmental medicine. We highlighted some of the enhancements in the workplace safety and health, population health, patient care scenarios and medical education through the potential uses of these wearable technologies. Regarding the use of wearable technologies like “Google Glass”, I conceived, wrote and executed the first ever one-of-a-kind experiment at the Academic Medical Center where “ACL repair surgery” was done under Google Glass”. It has been recognized as a one of earliest groundbreaking work in the field of medicine and medical education for the use of wearable technologies.” We were the very first to address issues and challenges related to building a de-novo infrastructure for the use of these novel wearable technologies for the delivery of on-demand disruptive solutions for the medical environment. Original research was conducted at the Ohio State University Wexner Medical Center on these nuance technologies using the expertise of the students from OSU College of Computer sciences & Engineering and College of Medicine. PUBLICATIONS: Nabeel, Ismail. "NIOSH Science Blog." NIOSH Science Blog RSS. NIOSH, 28 Jan. 2015. Web. 11 Apr. 2015. Ismail Nabeel, MD, MPH, FACOEM. HIV/AIDS is changing the paradigm of occupational medicine practice. Vol. 2, no. 18. Edited by Robert Naparstek MD. Boston: New England College of Occupational and Environmental Medicine. (Report No. NECOEM Reporter, Jan 2006). http://www.necoem.org/documents/V2_18.pdf. (Published). 100% Authorship • Ismail Nabeel, MD, MPH, FACOEM. "Correlation between physical activity, fitness, and musculoskeletal injuries in police officers." Minn Med. Vol. 90, no. 9. (Sep 2007): 40-43 Farooqui, A. N.; Merchant, A.; Nabeel, I. "Henoch-Schoenlein purpura associated with Helicobacter pylori infection and duodenal ulcer." JCPSP, Journal of the College of Physicians and Surgeons - Pakistan 2000 Vol. 10 No. 2 pp. 80-82. Vol. Vol. 10, no. No. 2. (Jun 2000): pp. 80-82.