Occupational Health

							Q. Why
choose
occupational
medicine?


A. Because
work is a
hugely
important
part of
everyday
living…
Q. Does your health affect your
   capacity to work?

             OR
  does your work affect your health?

A. This is relevant for everyone aged
   16 to 65+, and covers a wide range
   of medical problems/diagnoses…
…HEALTH AFFECTING A PERSON’S
     CAPACITY TO WORK


                   Q. What medical
                   conditions might
                   be incompatible
                   with this work?


                   A. Cardiovascular
                   musculoskeletal,
                   neurological, etc…
  …OR WORK
AFFECTING AN
 INDIVIDUAL’S
   HEALTH?
                CLINICAL                     FITNESS FOR WORK
                                                ASSESSMENT
           MEDICAL HISTORY
         OCCUPATIONAL HISTORY
             EXAMINATION                   ASSESSING RISKS/ & HAZARDS
             IMMUNISATION                   ASSESSING THE INDIVIDUAL


                                WHAT DO
INVESTIGATION                                           COMMUNICATION
                           OCCUPATIONAL
LUNG FUNCTION              PHYSICIANS…                   OTHER CLINICIANS
PATCH TESTING                                               MANAGERS
  SEROLOGY                                                   UNIONS
                                     DO?

           REHABILITATION                         BEYOND THE
                                                   INDIVIDUAL
           JOINT REPLACEMENT, MI,
             SINUSITIS, LEUKAEMIA:
           WHATEVER THE DIAGNOSIS              GROUPS OF WORKERS
            WE HELP BACK TO WORK
Q. What conditions do occupational physicians see?

A. Work-related ill-health (%) by system

        Respiratory                              2%
                                         3% 3%
                                  8%
        Skin

                                                                    37%
       Musculoskeletal


        Hearing


        Mental ill-health

                                   47%
        Other
                   Data source: Centre for Occupational and Environmental Health
                                          The University of Manchester
     Q. Which diseases are in these major
             diagnostic groups?

A.
 musculoskeletal   e.g. back pain
 psychological     e.g. anxiety/depression
 respiratory       e.g. occ asthma
 skin              e.g. contact dermatitis
 audiological      e.g. noise induced hearing loss
 injuries          e.g. lacerations
 infections        e.g. TB
   Q. What conditions are “classically”
             occupational ?
A. Some you may have heard of, but others …
   COMPARE…                WITH…
   chest disease           skin disease caused by
   caused by exposure to   exposure to the orf virus
   asbestos in builders    in vets or farmers
Q. …and what else do occupational physicians see?

A. All ill-health = a wide variety!

              Minor ailme nts                    15.9%

               Other medical                            21.9%

                  Pregnancy            3.5%

                     Hearing         0.7%

                 Respiratory         1.8%

                         Skin        1.8%

             Mental ill health                             26.0%

             Musculoskeletal                                    28.5%

                                 0          10     20           30
    Q. HOW DO I BECOME AN
   OCCUPATIONAL PHYSICIAN?
       MEDICAL SCHOOL

  FOUNDATION YEARS FY1 & FY2

  CORE TRAINING YEARS 1 & 2

SPECIALTY TRAINING YEARS 3/4/5/6

   CONSULTANT OCCUPATIONAL
          PHYSICIAN
Where do Occupational
Physicians work?
           In
       Industry



       In the                   The Health &
        NHS                       Safety
                                 Executive
            As an independent
               provider of
                 services
      Q. Where do I find information about
       training in occupational medicine?
A.      The Faculty of Occupational Medicine
              of The Royal College of
               Physicians of London
               www.facoccmed.ac.uk
                  020 7317 5890



     Centre for Occupational & Environmental Health
               The University of Manchester
           www.medicine.manchester.ac.uk/oeh/