Veidlapa Nr. M-3 (8)
Study Course Description

Occupational Medicine and Diseases

Main Study Course Information

Course Code
AUVMK_060
Branch of Science
Clinical medicine
ECTS
2.00
Target Audience
Medicine
LQF
Level 7
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
Department of Occupational and Environmental Medicine
Contacts

Riga, 14 Balozu Street, avmk@rsu.lv, +371 67060816

About Study Course

Objective

To teach the future doctors scientifically based knowledge and skills in the field of occupational health care, including the impact of harmful factors of the working environment on health, the recognition of occupational diseases and work-related diseases, their etiology, pathogenesis, clinical presentation, planning of examination and further care, as well as the application of principles of prevention, treatment and rehabilitation within their competence.

Preliminary Knowledge

Basic knowledge of chemistry, biochemistry, physics, microbiology, environmental health, physiology, clinical propedeutics, internal diseases and neurology. Before taking the course, the student is already able to explain the basic functions of organ systems and the basic mechanisms of disease development, to collect a general anamnesis, to recognize the most common symptoms and to interpret the results of basic clinical examinations.

Learning Outcomes

Knowledge

1.The student is able to explain the aims, principles and tasks of occupational medicine and occupational health, as well as the role of the family doctor, occupational physician and occupational health team.

2.The student is able to describe the impact of physical, chemical, biological, ergonomic (mechanical) and psychosocial occupational risk factors on the health of workers, their mechanism of action and the importance of exposure intensity to these factors in the development of diseases.

Individual work and tests

Individual work

3.The student is able to explain the etiology, pathogenesis and clinical manifestations of the most common occupational diseases and work-related diseases, linking them to work environment risk factors.

Individual work and tests

Individual work • Test on occupational diseases of the respiratory system • Test on occupational diseases caused by chemical agents

4.The student can explain the principles of diagnosis, differential diagnosis, treatment, rehabilitation and prevention of the most common occupational diseases.

Individual work and tests

Test on occupational diseases caused by chemical agents • Final exam for the course

5.The student knows and can explain the legal and ethical principles of occupational health protection, mandatory health examinations, investigation of occupational diseases and evaluation of work capacity.

Skills

1.Collects and documents a structured occupational history, including employment history, exposures, protective measures, and symptom association with work.

Individual work and tests

Skill demonstration

2.Finds and critically evaluates literature and regulatory sources, as well as interprets workplace exposure and health examination data in the given situation.

3.Demonstrates the performance of a cold test and a vibration sensation test according to the skills catalogue algorithm and interprets the results in the context of vibration-induced disorder diagnosis.

Individual work and tests

Skill demonstration

4.Demonstrates reporting of a biological risk incident in healthcare and develops a reasoned plan for further action.

Individual work and tests

Skill demonstration

5.Prepares a plan for mandatory health examinations for the given work environment risk profile, justifying the necessary examinations and specialist consultations.

Individual work and tests

Skill demonstration

Competences

1.Evaluates a possible occupational or work-related disease in a clinical case, justifying the link with exposure and considering alternative causes of the disease.

Individual work and tests

Final exam for the course

2.Develops prioritised workplace risk reduction and occupational disease prevention measures in the given situation, taking into account the impact on the patient, other employees and safety at work, society and the environment, and respecting the hierarchy of risk control and ergonomics principles.

Individual work and tests

Final exam for the course

3.Justifies the plan for examination, referral, treatment, rehabilitation and return to work of the patient according to the clinical situation and within the limits of his/her competence.

Individual work and tests

Final exam for the course

4.Provides reasoned advice to the patient and the occupational health team on safe work and health protection, respecting the patient’s rights, confidentiality and applicable regulations.

Individual work and tests

Individual work

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-

Before each class, the student individually studies the indicated e-learning materials and sections of the literature, gets acquainted with the skill algorithms and prepares at least one substantiated question or answer for the discussion.

Examination

Title
% from total grade
Grade
1.

Test on occupational diseases of the respiratory system

20.00% from total grade
10 points

During the lesson, a multiple-choice test on the topic of occupational diseases of the respiratory system is completed.

2.

Test on occupational diseases caused by chemical agents

20.00% from total grade
10 points

During the class, a multiple-choice test on occupational diseases caused by chemicals is completed.

3.

Skill demonstration

10.00% from total grade
Test

During the thematic lesson, the student demonstrates acquired skills according to the skills catalogue algorithms.

4.

Final exam for the course

50.00% from total grade
10 points

Examination of theoretical knowledge in occupational medicine and occupational diseases at the end of the course. The student writes a written assignment that includes an assessment of the risk factors in the working environment of a certain profession, a list of possible occupational diseases, the examination and treatment tactics, as well as the possibilities for prevention.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Occupational diseases resulting from chemical exposures. Poisoning to heavy metals (lead, mercury, etc.), organic solvents. Occupational oncological diseases. Ionizing radiation induced acute and chronic health problems. The main health problems of Chernobyl Nuclear Power Plant accident clean-up workers.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Occupational respiratory diseases resulting from dust, irritants and chemical substances. Diseases of the upper respiratory tract. Pneumoconiosis. Asbestosis and other asbestos-related diseases. Bronchitis caused by dust. Organic dust related occupational diseases. Occupational allergic diseases. Biological risk factors in the work environment. Occupational infectious diseases (tuberculosis, viral hepatitis).
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Occupational health and occupational medicine, their tasks, and legislation. The role of the general practitioner and occupational physicians in carrying out occupational medicine tasks. List of occupational diseases. Mandatory health check-ups for employees. Taking anamnesis in occupational medicine. The most characteristic occupational risk factors and occupational diseases in the work of medical personnel.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
4

Topics

Occupational musculoskeletal and nervous system diseases caused by physical overload. Compression neuropathies. Occupational diseases caused by physical factors: vibration disease, noise-induced hearing loss. Psychoemotional factors and stress at work. Burnout syndrome.
Total ECTS (Creditpoints):
2.00
Contact hours:
16 Academic Hours
Final Examination:
Exam

Bibliography

Required Reading

1.

Eglīte M. Darba medicīna. 2. izd. Rīga, 2012. (akceptējams izdevums)

2.

Sadhra, S., Bray, A., and Boorman S. Oxford Handbook of Occupational Health. 3rd ed. 2022. Oxford University Press. Iegūts no: ProQuest Ebook CentralSuitable for English stream

3.

Baxter P.J. et al. Hunter's Diseases of Occupations. 10th ed. 2011. Iegūts no: ProQuest Ebook Central (akceptējams izdevums)Suitable for English stream

Additional Reading

1.

Dundurs J., Environmental & Occupational Medicine: textbook for RSU foreign students. Rīga, Rīgas Stradiņa universitāte, 2014.Suitable for English stream

2.

Joseph LaDou, Robert J. Harrison, 2021. Current Diagnosis & Treatment: Occupational & Environmental Medicine, 6th ed. McGraw Hill Iegūts no: McGraw Hill Access MedicineSuitable for English stream