268825 Integrating occupational health into a third year medical clerkship in community medicine

Wednesday, October 31, 2012

Bruce Bennard, PhD , Department of Family Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, TN
Joseph Florence, MD , Department of Family Medicine, Quillen College of Medicine, East Tennessee State University, Johnson City, TN
Ken Silver, SM, DSc , Department of Environmental Health, ETSU College of Public Health, Johnson City, TN
BACKGROUND. Integration of occupational health into primary care education and practice has been much discussed but too often honored in the breach. EDUCATIONAL INTERVENTION. A case-based module to introduce third year medical students to occupational health during their community medicine clerkship has been developed. Learning objectives include taking an occupational history and rapid research on hazards. In an actual patient encounter, the students elicit an occupational history, using a modified version of the WHACS mnemonic or one of the available historical approaches. They perform a brief hazard evaluation of one of the jobs, culminating in work-site visits. Students document their findings in standard SOAP (subjective, objective assessment plan) note format with an addendum of their literature review summarized in two to three pages. METHODS. A medical educator specializing in qualitative evaluation methods held focus groups with medical students at the end of four six-week clerkships. Students' impressions of the occupational health module were elicited verbally and in writing on index cards. In addition, the SOAP notes and literature reviews were subjected to content analysis. RESULTS AND DISCUSSION. Evidence of attainment of learning objectives, along with the critical feedback received from students, will be presented. How these future primary care providers conceptualize of occupational health risks in domains beyond individual behaviors, such as social structural factors and disparities in income and education, is explored. Their ability to prescribe control strategies above the level of PPE in the hierarchy of controls is of special interest.

Learning Areas:
Occupational health and safety
Other professions or practice related to public health
Provision of health care to the public
Public health or related education

Learning Objectives:
Participants will be able to describe an approach to integrating basic occupational health skills into medical education in the context of a third year clerkship.

Keywords: Occupational Health, Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Collaborator on development of curriculum module for medical students, along with the evaluative results presented in this report. Five years' experience co-teaching an interprofessional course that includes medical students and addresses occupational health issues in community.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.