Between July 1995 and June 1997, he was affiliated with The Boston University Medical Center and completed a fellowship in Clinical Occupational and Environmental Neurology, a residency in Occupational and Environmental Medicine and a master's degree in Public Health. During that two year period, Dr. Rutchik was the recipient of a Clinical Fellowship Award in Environmental Medicine from the Agency for Toxic Substances and Disease Registry of the Center for Disease Control and Prevention. In 1997, he also received training in nerve conduction velocity and electromyography testing at The Beth Israel Medical Center.

Dr. Rutchik's focus is neurological illness, workplace injuries and environmental exposure.Throughout his career, Dr. Rutchik has focused on neurological illness and workplace and environmental exposure in many settings.

He has worked with the Department of Labor in Washington, DC at OSHA on The Blood borne Pathogens Standard, carbon disulfide, mercury and manganese toxicity and currently advises the Health Standards Section on issues related to current permissible exposure limits for many hazardous chemicals.

Also, he has advised NIOSH on health hazard evaluations involving asthma and headaches in a submarine manufacturing company, carbon disulfide exposure in a viscose rayon plant, lead and arsenic toxicity in an elementary school and mercury exposure in a mercury waste company.

Dr. Rutchik also worked as a physician for The US Public Health Service in New Mexico and Alaska and The World Joint Distribution Committee, in Casablanca, Morocco concentrating on general and preventive medicine. He has also worked as a consultant to Clean Harbors, Inc. on medical surveillance for hazardous waste workers.

At Boston University Laboratories, he was involved in a project to improve medical surveillance for workers exposed to dioxins and polyaromatic hydrocarbons. 

Dr. Rutchik focused on research to assess a low allergenic latex glove and repetitive strain injury while working within The Massachusetts Institute of Technology's Environmental Medical Service.

He presently serves as a consultant to The Disability Management Services of Prudential Insurance in Parsippany, New Jersey.

He has recently undertaken an affiliation with The World Health Organization in Geneva, Switzerland on a proposal for an Occupational Toxicology Training Manual for Health Care and Industrial Professional in Underdeveloped countries; and The Evaluation of Populations with a High Prevalence Neurological Illnesses in Underdeveloped Countries.

For 1997 and 1998, Dr. Rutchik worked as the Medical Director of the Division of Occupational and Environmental Neurology for Occupational Health and Rehabilitation, Inc. of Boston, Ma. This position enabled him to develop a practice that included clinical patient duties evaluating those with occupational injury and environmental illness as well as consulting to industry, government, attorneys and academia. In this role, he worked as the Associate Medical Director on site at the General Electric Aircraft Engine Manufacturing Center in Lynn, Mass. Injury management and prevention, ergonomic issues and return to work and disability issues were common challenges.

Dr.Rutchik has lectured to various audiences and presented academic papers on Neurology Data Collection, Carpel Tunnel Syndrome, Ethylene oxide, Perchloroethylene, Lead Neurotoxicity, Toxicology of the Visual System, Neurological Sequellae of Chlorinated Ethylenes, Practical Occupational and Environmental Neurology, and Neurotoxicology.

He has authored numerous abstracts, book chapters on The Occupational Hazards of Anatomical Pathology, Occupational Slow Viruses and Occupational and Environmental Neurology and peer reviewed journal articles on The Effect of Temperature on Motor Responses in Organophosphate Intoxication, Neurological Sequellae from a Occupational Exposure to Lithium, Biological Monitoring of Dioxin, Revising a Medical Surveillance Plan For a Hazardous Waste Company, and An Occupational and Environmental Neurology Subspecialist. 

Presently he is working on two chapters 1)organic solvents, and 2) toxic neuropathy for Emedicine, an Internet medical text. He is also the editor for the entire Neurotoxicology section.

In 1999, Dr. Rutchik relocated to New York, NY where he developed Neurology Environmental & Occupational Medicine Associates [NEOMA]. The URL for NEOMA's Website is www.neoma.com.

In New York, he associated himself with Industrial Medical Asssociates of White Plains, NY, The Environmental and Occupational Health Sciences Institute of Rutgers University in New Brunswick, NJ and the Division of Environmental Health of the Columbia Univeristy School of Public Health.

In August 2000, Dr. Rutchik re-established his practice in the San Francisco Bay area. Soon after, he was awarded the title of Qualified Medical Evaluator, by the Industrial Medical Board of California.

Presently, with a central administrative office in Mill Valley, he sees patients in SF, Richmond, and Petaluma weekly, Sacramento once monthly and in the Eureka area, once every 2-3 months. Focusing on industrial injuries, chemical exposure and disability, Dr. Rutchik evaluates and treats injured workers with specialty neurology and occupational and environmental medicine expertise. He performs electromyography and nerve conduction velocity testing, IMEs, QMEs, AOE and AMEs as well as fitness for duty evaluations. Dr. Rutchik is also available for record review and utilization review. Dr Rutchik is listed on a number of well known MPN networks for worker’s compensation.

His hospital and academic affiliations include St Francis Hospital in San Francisco and the SF General Hospital. He is an Assistant Clinical Professor in the Division of Occupational Medicine, in the Department of Internal Medicine at the University of California at San Francisco. He continues to write on various subjects involving solvents and metals and their neurological consequences, and has submitted numerous articles and book chapters to peer reviewed journal and textbooks.

Other affiliations include, Medical Director for CID Management Services, a Utilization review company based in San Ramon, CA.

He is an active member of Western Occupational and Environmental Medicine Association, American College of Occupational and Environmental Medicine, American Academy of Neuromuscular and Electrodiagnostic Medicine, American Academy of Neurology.

Dr.Rutchik, continued to keep his medical licenses active in NY, MA and NJ and frequently visits the East Coast for professional and personal reasons.