# Education and Research in Occupational Medicine/Competencies to be achieved during the main clinical education
## Lung medicine

| 1 | Diagnostics, treatment and prognosis | Conduct diagnostic investigation with focus on relevant differential diagnoses To prescribe and interpret answers to common paraclinical investigations and make preliminary diagnosis Indicate overall treatment options Specify prognosis with focus on function level for the following states: Pneumonia Asthma Chronic Obstructive Pulmonary Disease (COLD) Restrictive pulmonary diseases, Including silicosis and asbestos Allergic alveolite * Lung cancer and mesothelioma |
| 2 | Spirometry | Perform and interpret spirometry incl. test of reversibility |
| 3 | Peak-flow monitoring | Make indication and guidance for peak-flow monitoring, as well as read and interpret outcome |
| 4 | Bronchial provocation test | Make indication of and interpretation results of unspecific bronchial provocation test |
| 5 | Investigation of specific allergies | Make indication for the investigation of specific allergies (including test and specific IgE) |
| 6 | Precipitation antibodies | Interpret investigation for precipitation antibodies |
| 7 | Pulmonary function study | Give indication for pulmonary function study with diffusion capacity |
| 8 | COPD and asthma | Classify COPD and asthma with regard to function difficulties |

## Rheumatology

| 1 | Diagnostics, treatment and prognosis | Make a diagnostic with focus on the relevant differential diagnoses and ndependently prescribe and interpret answers to common paraclinical studies Make preliminary diagnosis Provide ordered treatment options and help initiate treatment Specify prognosis with focus on function level for the following modes: hip arthrosis knee cartilage palpitations shoulder disorders, including rotator cuff and periartrose neck disorders including osteoarthrosis Elbow and wrist disorders diffuse pain conditions in the musculature inflammatory arthritis Arthritis urica sarcoidosis |
| 2 | Musculo-skeletal | Conduct a clinical study for strength, movement, function and tenderness of the neck, Back, upper and lower extremities hip arthrosis  knee cartilage  palpitations  shoulder disorders, including rotator cuff and periartrose  neck disorders including osteoarthrosis and  herniated  lung disorders  Elbow and wrist disorders  diffuse pain conditions in the musculature  inflammatory arthritis  Arthritis urica sarcoidosis |
| 3 | | Investigate for nervous pressure and medulla influence |
| 4 | | Distinguish between local and systemic, rheumatological disorders |

## Psychiatry

| 1 | Have knowledge of diagnostics with focus on relevant differential diagnoses, including independently prescribe and interpret answers to common paraclinical studies. Could carry out a relevant psychiatric interview, adapted patient condition and theyg iven circumstances so that the patient'situation is being illuminated from a biomedical, Psychological and social perspective. Must have knowledge of the most important diagnostic instruments and knowledge of the content of an objective sychiatric examination and on that background Could carry out such an investigation be able to setup and revise diagnostic onsiderations in connection with the below diagnoses indicate parent Treatment options as well as Psychopharmacological and psychotherapeutic Treatment, as well as physical exercise and participation To initiate treatment and specify prognosis with focus on the following states: |
| 2 | Depression Anxiety Post-Traumatic Stress Disorder (PTSD) Prolonged load conditions Somatoform modes Personality Disorders |
| 3 | Have knowledge about communication principles regarding psychiatry's patient-patient relationship and ability Apply patient interviews |
| 4 | Have knowledge of the use of relevant tools and scales for assessment of the severity of the disease, e.g. Hamilton depression score. |

## Dermatology

| 1 | Have knowledge of: diagnostic investigation focusing on relevant differential diagnoses common para clinical studies overall treatment of prophylactic measures prognosis with focus on functioning for the following disorders: contact eczema urticaria The skin's benign and malignant tumors atopic skin disorders Other skin disorders that may illuminate Work-related skin disorders: eg. Seborrhoic dermatitis, rosacea, psoriasis, dematomykosis |
| 2 | Explain the theoretical background for Mechanisms of the occurrence of contact eczema |
| 3 | Know tools to differentiate between professional and non-business-related contact cases |
| 4 | Make indication for and interpreting patch samples |

## Neurology

| 1 | Diagnostics, treatment and prognosis | Have knowledge of diagnostic investigation focusing on relevant differential diagnoses Have knowledge of common paraclinical investigations Have knowledge of the superior treatment Knowledge of prognosis with focus on functioning for the following disorders: dementia headache peripheral neuropathies cerebrovascular diseases |
| 2 | | Perform clinical neurological examination |
| 3 | | Make indication for and interpreting neuropsychological examination |
| 4 | | Make indication for and interpreting neurophysiological examination |
| 5 | Patientkommunication | Establish and manage calls in situations which deals with serious illnesses or crisis situations |
| 6 | | Coordinate and manage a patient meeting |

## Communication and teaching

| Physicians working in the field of occupational and environmental medicine, through the patient-related work, business assignments, literature studies and research, gain significant knowledge about the environment, including the health and safety of the working environment. In order for this knowledge to be used for prevention, the specialist doctor should be able to convey it to colleagues, other professional groups, companies and communities during teaching, meetings and writting. The dissemination must be adapted to the target groups' academic and linguistic requirements. After completion of specialist medical training, the specialist must be able to: |
| 1 | Education | Schedule and complete teaching medical students, doctors in other specialties, and students on occupational health |
| 2 | Communication | Write articles and comments to trade magazines, staff magazines, daily press or similar in electronic media Handle inquiries from the press about occupational and environmental medicine issues |