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DOccMed Regulations

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DOccMed Regulations

DOccMed Guidance

DOccMed Core Syllabus

DOccMed Portfolio Template


DOccMed Regulations

ELIGIBILITY

D1.
Regulation

Candidates for the Diploma are required EITHER

  1. to provide evidence of full or limited registration with the General Medical Council of the United KingdomOR
  2. to possess a medical qualification acceptable to the Director of Assessment of the FOM. These candidates must produce their original medical registration certificates, or diplomas of medical qualification, and official translation of their diplomas if not in English

 

D2.
Regulation

Candidates are also required to provide evidence of having completed a FOM approved Diploma Training Course by the application closing date. Candidates must provide a copy of their certificate as part of the online application process.

 

D3.
Regulation

In order to be awarded the Diploma, candidates must have passed both the written and portfolio assessment within five years of having completed a FOM approved Training Course.

 

D4.
Regulation

All candidates are permitted a maximum of six attempts at each part of the examination, before being required to re-take a FOM approved Diploma Training Course.

 

EXAMINATION FORMAT

D5.
Regulation

The examination is in two parts. Candidates are required to pass;

  1. a multiple choice examination paperAND
  2. a portfolio assessment and an oral examination based on that portfolio

 

D6.
Regulation

Candidates must pass both parts within five years of passing the FOM approved Diploma Training Course. The written portfolio must be based on the candidate’s personal practical experience in the field of occupational health. Each sitting of the second part of the examination requires the submission of a new portfolio.

 

D6.
Guidance

Candidates can, if they wish, sit the two parts at the same time.

 

D7.
Regulation

Applications for admission to the examination must be made by the advertised closing date and submitted via The FOM’s online application system. The portfolio must be uploaded as part of the application no later than the advertised closing date. No updates or changes to the submission will be permitted once the closing date has passed.

 

MULTIPLE CHOICE EXAMINATION PAPER

D8.
Guidance

The multiple choice examination paper is usually held in one centre twice a year. Guidance on the form of the multiple choice examination can be found later in this document.

 

PORTFOLIO ASSESSMENT AND ORAL EXAMINATION

D9.
Regulation

The portfolio assessment/oral examinations are held in one or more centres at least once each year.

 

D10.
Regulation

The portfolio should be in the form of two written reports. One report should be based on a visit to, and assessment of, a workplace and one report should be based on a clinical case seen and examined by the candidate. The reports should demonstrate that the candidate is able to apply the principles of occupational health and safety in practice. The entire portfolio should be 1500 – 2000 words in length. Text included in the appendix will not be marked.

 

D11.
Regulation

Two examiners, who will subsequently conduct an oral examination of the same candidate, will assess the portfolio. Candidates are required to pass the oral examination and achieve an aggregate of 50% or more for the portfolio and oral combined. If an examiner is absent on the day of the exam, an invigilator may substitute, but the original marks allocated to the written submission will be used.

 

D12.
Regulation

Candidates who fail and wish to re-sit are required to re-submit a new portfolio at the point of re-application.

 

D12.
Guidance

Whilst candidates are permitted to use the same location/patient as they had previously used, they are advised that it is very unlikely that they will achieve a different outcome by simply re-submitting the original piece of work. Candidates are therefore strongly advised to re-write their portfolio for each re-entry. Each submission is treated on its own merit at that particular examination sitting.

 

AWARD OF THE DIPLOMA

D13.
Regulation

Candidates who have successfully completed the requirements specified in D3 will be awarded the Diploma in Occupational Medicine on payment of a fee. Holders of the Diploma may use the post nominals DOccMed. This qualification is not registrable with the General Medical Council.

 


DOccMed Guidance

INTRODUCTION

1.
Guidance

The Faculty of Occupational Medicine of the Royal College of Physicians of London introduced this qualification in 1994 for doctors who wish to demonstrate a level of proficiency in occupational medicine appropriate to the practice of a generalist.

 

2.
Guidance

Regulations governing the Diploma in Occupational Medicine (DOccMed) have been published by the Faculty. It is the responsibility of candidates to ensure that they obtain the latest edition of the Regulations. These notes do not form part of the Regulations but are intended to provide guidance for candidates and those running courses to prepare candidates for this qualification.

 

DIPLOMA

3.
Guidance

This qualification is intended to meet the needs of registered medical practitioners who wish to demonstrate by a combination of training, examination and practical evidence, a level of knowledge and competence in occupational medicine consistent with the practice of a generalist.

 

4.
Guidance

It is not a specialist professional exam and does not lead to specialist accreditation by the GMC.

 

5.
Guidance

The qualification reflects the satisfactory completion of three main elements: training, multiple choice examination paper and portfolio assessment/oral defence.

 

TRAINING

6.
Guidance

A number of institutions offer Diploma Training Courses covering the core syllabus. These courses may be full time, part time or by distance learning. The core syllabus covers the basic topics necessary to understand the principles and practice of occupational medicine.

 

7.
Guidance

Diploma courses are approved on behalf of the FOM by the Director of Assessment to whom applications must be made in writing at least six weeks before the course is due to start. Approval is valid for three years only and it is the responsibility of Training Centres to reapply for approval.

 

8.
Guidance

The Diploma core syllabus requires a minimum of 55 hours direct training. To reach the required standard, candidates need to undertake further private study. This study includes reading appropriate books and journals, attendance at professional meetings such as those organised by the Society of Occupational Medicine and visits to workplaces. It is impossible to give a precise indication of the amount of time candidates should give to private study but it is likely to be of the order of two to three hours per week over six months. Those providing Diploma Training Courses should include advice about further study in their teaching.

 

9.
Guidance

Successful completion of a FOM approved Diploma Training Course is mandatory. It is required for confirmation of completion of training, that candidates should attend at least 90% of the course, or other confirmation as approved by the FOM.

 

MULTIPLE CHOICE EXAMINATION

10.
Guidance

The purpose of this part of the examination is to test factual knowledge to the standard appropriate to a generalist.

 

11.
Guidance

The examination paper consists of single statements or stems with up to five statements. Questions may be asked on any part of the core syllabus. The minimum number of responses that will be required is 50. Additional questions may be included for trial purposes and will not be used when calculating scores; candidates should be aware that these questions may appear anywhere on the paper.

 

12.
Guidance

Answers should be recorded on the machine-readable sheet provided. Candidates are required to choose the best possible fit (BPF) answer for each statement by blacking out the lozenge for the chosen answer at the corresponding number for that statement on the answer sheet. Only one answer per question may be chosen. The answer sheet may contain spaces for more answers than will be required for the examination.

 

13.
Guidance

A negative marking scheme will not be used.

 

14.
Guidance

14. The multiple choice examination assesses a candidate’s performance in relation to an external standard set by the examiners. As a result, the pass mark and pass rate may vary slightly at each examination. This occurs because there are differences in the degree of difficulty of the examination.

 

15.
Guidance

15. Candidates must apply to sit the examination on the FOM’s online application form. Applications must be on or before the closing date. Late applications will not be accepted. The online application together with information on the dates, venues and fees for the first part of the examination can be obtained from the DOccMed page of the FOM website. Applications must be accompanied by a copy of the certificate of successful completion of a Diploma Training Course. The examination is held in London and may be held in other locations in the UK.

 

PORTFOLIO ASSESSMENT AND ORAL EXAMINATION

16.
Guidance

This part of the examination allows candidates to demonstrate their competence in a practical setting. Training courses should provide instruction for this element of the Diploma in the Practical Module. Preparation of the portfolio may commence at any time.

 

17.
Guidance

Candidates must pass both the multiple choice examination paper and the portfolio assessment and oral examination within five years of passing the FOM approved Diploma Training Course; if more than five years has elapsed, the course must be retaken.

 

18.
Guidance

18. The portfolio must comprise two separate sections presenting occupational health problems, one a clinical case and the other a workplace assessment. The clinical case must have been seen and examined personally by the candidate and should demonstrate an understanding of the principles of occupational medicine. The workplace assessment should demonstrate the process of hazard identification, risk reduction and continuing surveillance, including application of the relevant legislation. The portfolio must be submitted using the most current version of the template, which contains further guidance on the content, length and layout. The only source of the current version of the template is the FOM website.

 

19.
Guidance

An important part of the practice of occupational medicine is good, clear and authoritative written communication with employers and medical colleagues and the portfolio provides a good opportunity to demonstrate these skills. As the portfolio is not produced under examination conditions, it is expected that it will be well structured and professionally presented. It is assumed that candidates have access to basic word processing resources and marks may be deducted for poor presentation.

 

20.
Guidance

Each portfolio is assessed by two examiners. Each examiner will question the candidate for 10 minutes, exploring in more depth the content of the portfolio and assessing the candidate’s understanding of closely related issues. Candidates should be able to demonstrate that they have personally undertaken the work described in the portfolio and that they can defend any statements made and, if necessary, defend any omissions. Examiners are seeking evidence that the candidate has understood the principles of occupational medicine and can apply them in practice. Half the marks are allocated for the written work and half the marks are allocated for the oral examination conducted by the same examiners. Candidates are required to achieve a mark of at least 50% in the oral examination and obtain an overall mark of at least 50%.

 

21.
Guidance

Candidates must apply to sit the examination on the FOM’s online application form. Applications which arrive after the closing date will not be accepted. Candidates are sent information on the dates, venues and fees for the second part of the Diploma upon passing the multiple choice examination. The examination is held in London.

 


DOccMed Core Syllabus


All timings indicated are guidance for teaching time on a Diploma Training Course, though individual courses may vary slightly. All courses are approved by FOM to ensure the full content of the syllabus is covered.

 

Introductory Module (minimum of 10 hrs/1½ days)

  • Definition of occupational medicine and its scope
  • Occupational Health Services: the OH team, functions and management
  • Ethics, communication and relationships with professional colleagues
  • Law in occupational health: system, statutes and civil law, Employment organisations, industrial relations and trades unions
  • Health & Safety Executive and Appointed Doctor System: sources of advice and information

 

Effects of Work on Health Module (minimum of 18 hrs/3 days)

  • Effects of work on: (9 hrs)
    • Musculoskeletal systems
    • Skin and Respiratory system
    • Mental health
    • Other systems
  • Principles of: (6 hrs)
    • Occupational hygiene
    • Occupational toxicology, including carcinogenesis
    • Ergonomics, Epidemiology and application of these principles
  • Physical Working Environment: (3 hrs)
    • Noise and vibration
    • Temperature
    • Visual environment
    • Use of personal protective equipment

 

Clinical Occupational Health Module (minimum of 12 hrs/2 days)

  • Assessment of fitness to work – before/during employment
  • Absence attributed to sickness
  • Rehabilitation, redeployment, resettlement and ill health retirement
  • Health surveillance and biological monitoring. Health screening and medical examination

 

Practical Module (minimum of 15 hrs/2 days)

  • Principles of health and safety risk management
  • Types of hazards and their identification
  • The walk-through survey and basic hygiene screening techniques
  • Assessing risk. Application of control measures
  • Monitoring outcome and feedback, Written reports and production of portfolio

 


DOccMed Portfolio Template

1.
Guidance

This template is designed to provide guidance to candidates in the preparation of the Diploma in Occupational Medicine Portfolio.

 

2.
Guidance

The text boxes give an indication of the relative emphasis that should be given to each section and show the number of marks available. Although all elements will not be present in each example in equal measure, careful selection of clinical cases and workplaces is necessary to ensure that the full range of issues is covered, including a sufficient length of involvement with individual cases. The only absolute limit is on the total number of words, which must not exceed 2000. The minimum expected is 1500 words. N.B. The notes are for general guidance. It is not sufficient simply to answer the questions posed.

 

3.
Guidance

A word count should be entered in the space provided at the end. Only the first 2000 words of the portfolio will be marked.

 

4.
Guidance

Text may be entered directly into the boxes or pasted from another document. Font size 10 or 12 should be used, with lines singly spaced. A narrative style should be employed in preference to lists or bullet points. A short bibliography or references should be included in the final box, which is not included in the word count.

 

5.
Guidance

Relevant photographs and illustrations may be included as an appendix.

A Word document template portfolio is available here.