Attitudes of medical faculty physicians about taking occupational history

Çımrın, Arif Hikmet; Sevinç, Can; Kundak, Işıl; Ellıdokuz, Hülya; İtil, Oya

doi:10.1046/j.1365-2923.1999.00366.x

Cited by 15 publications

(9 citation statements)

References 3 publications

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“…If one or more of these questions reveal any relation, then detailed occupational history must be taken for definitive diagnosis [4]. It has been shown in a variety of studies that taking occupational history and asking about occupation and exposure is very low during daily practice in patient examinations [5,6,7]. One of the most important reason is the lack of knowledge of physicians in establishing relationship between diseases and occupation and taking occupational history.…”

Section: Discussionmentioning

confidence: 99%

Effect of A Brief Education On The Occupational History Taking In Hypertension Patients

Ecin¹,

Koyuncu²,

Sandal³

et al. 2018

Acta Medica

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Objective: This study is designed to measure the effect of 10-minutes training about occupational diseases, history taking and relation of occupation and hypertension on occupational history taking rates of physicians. Materials and Methods: This research is conducted between 01 April 2018 to 31 May 2018 at Hacettepe University Faculty of Medicine, Department of Internal Medicine, Division of General Internal Medicine Outpatient Clinic. The training including the importance and methods of taking occupational history, and the relation between occupation and diseases is given to the new assistant doctor group as an extra 10 minutes’ education session. At the end of May, researchers screened electronic medical files of patients who diagnosed with hypertension (ICD10 code I10) of outpatients in General Internal Medicine Division in April and May 2018. Results: We reviewed the data of 3619 adult patients administered to General Internal Medicine Outpatient Clinic of Hacettepe University Hospitals in between 01 April to 31 May 2018. A total of 395 (10.9%) patients had hypertension diagnosis code. The total number of patients whose occupational history taken were 151 (38.2%). There were statistically significant difference between physician groups not trained in April and trained 10 minutes in May, 62 (32%), and 89 (44.3%), respectively (p:0.012). Among the hypertensive patients whose occupational history were recorded, 36 (23.8%) had an occupation. Conclusion: This result emphasizes the importance of education in raising awareness of taking an occupational history. As occupational diseases are 100% preventable diseases, taking occupational history will enhance the diagnosis and effective treatment of the occupational or work-related diseases. Beginning from the medical faculty lectures, seminars and post-graduate education have to be added and increased regarding this important issue. Keywords: Occupational history, occupational disease, hypertension.

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Section: Discussionmentioning

confidence: 99%

Effect of A Brief Education On The Occupational History Taking In Hypertension Patients

Ecin¹,

Koyuncu²,

Sandal³

et al. 2018

Acta Medica

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show abstract

“…[12] Most often, work-related diseases are underdiagnosed due to deficient occupational histories, with many illnesses of known occupational causes being ascribed to other causes or conditions. [13] Furthermore, severe sentinel health events and those involving a large number of exposed individuals may be reported to the concerned health departments or regulatory agencies as a useful control measure. [14]…”

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confidence: 99%

“…[17] It is, therefore, alarming that even with such a concerted pitch for routine occupational and environmental history taking; it still has not found a way into the mainstream. In a study conducted among physicians in a medical facility in Turkey by Cimrin et al .,[13] it was reported that 43.9% (29/69) physicians did not take an occupational history at all, with only 22.7% (15/69) taking a detailed occupational history from all patients. Routine taking of occupational history is believed to enhance the physician's knowledge of occupational medicine and the ability to practice preventive medicine and intervene in the interest of the health of the patient.…”

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confidence: 99%

“…[18] The teaching of occupational medicine during both undergraduate and resident training is often lacking and limited. [13] Teaching, especially at the undergraduate stage is known to be the best time to expound the relevance of occupational health to physicians in training. [19] The benefits of Continuing medical education using e-learning in an occupational health care setting has been documented in a study among elderly physicians and needs to be explored for training undergraduate and graduate medical students as well.…”

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confidence: 99%

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Occupational history: A neglected component of history taking

Alex

Francis

Prashanth

et al. 2013

Indian J Occup Environ Med

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“…When an occupational history is taken, it tends to be insufficient in terms of the information gathered. The lack of occupational histories therefore contributes to the underreporting and under-recognition of occupational diseases (Cimrin et al, 1999;Lax et al, 1998;Taiwo et al, 2010).…”

Section: Absences In Medical Knowledge and Practice: Occupational Hismentioning

confidence: 99%

The Complexities of Unknowns: Knowledge Contestations and Occupational Disease Recognition

Pich-Bavastro¹

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In decision-making processes, competing knowledge claims create tensions, contestations, and negotiations between various social actors in their efforts to reach a decision. While attention to questions of knowledge (such as how certain knowledge gains legitimacy and authority) are useful in examining the dimensions and stakes of knowledge contestations, broadening the analysis to consider the complex role of unknowns can provide fruitful and nuanced insights into these contestations. Through a qualitative methodological research design, in this dissertation I focus on knowledge contestations in relation to the challenges of recognizing occupational diseases in the context of the Ontario workers' compensation system. The research questions that drive this investigation are as follows: (1) how do unknowns complicate knowledge contestations, specifically those surrounding the recognition of occupational diseases; (2) how do various types of knowledges and unknowns become mobilized in these recognition processes;(3) what counts as evidence in recognition processes, and what role does evidence play in supporting various knowledge claims; and (4) how do social and political factors influence the recognition of occupational disease? In exploring these questions, I primarily draw on three theoretical resources: new materialism, sociology of knowledge, and ignorance studies. I find that multiple dimensions of unknowns play a pivotal role in knowledge contestations over occupational disease recognition. The forms that such unknowns tend to take complicate and obscure connections between occupational factors and the development of disease. The mobilization of unknowns in contestations over disease recognition presents further challenges due to conflicting economic and other interests of the various social actors involved in these decisionmaking processes, as well as the broader influence of the dominant biomedical model in knowledge about disease and the body.iii

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Attitudes of medical faculty physicians about taking occupational history

Abstract: We found that physicians were not in the habit of taking occupational histories.

Cited by 15 publications

References 3 publications

Effect of A Brief Education On The Occupational History Taking In Hypertension Patients

Effect of A Brief Education On The Occupational History Taking In Hypertension Patients

Occupational history: A neglected component of history taking

The Complexities of Unknowns: Knowledge Contestations and Occupational Disease Recognition

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