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Competency 1

Competency 1 – Good clinical care: history taking and examination 
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Objective – to be competent in the assessment and management of a case which has a significant occupational health component

Key Message – understanding the links between health and work is essential for the diagnosis and treatment of ill health and disease

Area of competence Knowledge Skills Attitudes
Occupational history taking where relevant Be aware of sources of information on hazards of specific occupations
Appreciate the relevance of certain symptoms and their potential link to occupation
Elicit a relevant occupational history, identify and manage problems Recognise and consider the impact of physical and psychosocial factors on both paid and unpaid work capability
Resources

ROLE PLAY 1 Needle stick injury
ROLE PLAY 2 Pregnancy and laboratory work
CASE BASED DISCUSSION 3 Train driver and PTSD
CASE BASED DISCUSSION 4 Hazard Information – Material safety data sheets 
CASE BASED DISCUSSION 5 The importance of taking an OH history – the adverse effects of gases
CASE BASED DISCUSSION 6 Dermatitis
Basic concepts in occupational health – case discussions: 
1. hazards of work – lab technician with cough and upper limb pain 
2. Is it work related ? – hospital porter with low back pain 
3. fitness for work – HIV positive doctor 

Basic concepts in occupational health – tutor’s session plan 

Powerpoint presentations:
An introduction to occupational health – part 1 
An introduction to occupational health – handout
Self help tutorial – taking an occupational history 
Self help tutorial – using an occupational history
Is work making your patients ill – Work and disease 
Effects of Work on Health 
History taking, Fitness for Work 
Basic concepts in occupational health

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