Author:
Madigan Dana,Quinlan-Ruof Erin,Cambron Jerrilyn A,Forst Linda,Zanoni Joseph,Conroy Lorraine M,Patil Crystal L,Friedman Lee S
Abstract
Objective
This study uses a pre- and post-training program evaluation of chiropractic interns to (1) describe changes in their frequency of occupational history taking before and after a 1-hour training and (2) to document the attitudes and beliefs regarding occupational health and history taking.
Methods
All chiropractic interns at 1 clinic location completed questionnaires assessing their attitudes and perceptions regarding documenting the occupational history of their patients each trimester they were enrolled in the study. Each intern enrolled in the study for 2 or more trimesters participated in a 1-hour-long training session on taking an occupational history. The supervising clinician independently evaluated charting behaviors of interns for the duration of the study.
Results
The supervising clinician assessed 20 interns' level of documenting occupational history for 202 new patient or reexamination visits. A majority of interns (85% at baseline) were interested in occupational health, and 80% believed that occupational history taking was “very important.” Intern charting behaviors increased after training related to documentation of past occupation (62.9% from 32.4%) and relating the chief complaint to work (59.7% from 30.0%). Detailed occupational history taking remained low throughout the study but demonstrated a doubling in documentation after training (16.1% from 8.6%).
Conclusion
Chiropractic interns and clinicians should be adequately trained in occupational health history documentation practices as they are likely to care for work-related injuries. Short training modules appear to be effective in demonstrating small changes in documentation related to occupational history taking.
Reference26 articles.
1. Weevers
H-JA,
van der Beek
AJ,
Anema
JR,
van der Wal
G,
van Mechelen
W.
Work-related disease in general practice: a systematic review.
Fam Pract.
2005;
22(2):
197–
204.
2. Wynn
PA,
Aw
T-C,
Williams
NR,
Harrington
M.
Teaching of occupational medicine to undergraduates in UK schools of medicine.
Occup Med (Chic Ill).
2003;
53(6):
349–
353.
3. Gehanno
JF,
Bulat
P,
Martinez-Jarreta
B,
et al.
Undergraduate teaching of occupational medicine in European schools of medicine.
Int Arch Occup Environ Health.
2014;
87(4):
397–
401.
4. Taiwo
OA,
Mobo
BHP,
Cantley
L.
Recognizing occupational illnesses and injuries.
Am Fam Physician.
2010;
82(2):
169–
174.
5. Politi
BJ,
Arena
VC,
Schwerha
J,
Sussman
N.
Occupational medical history taking: how are today's physicians doing? A cross-sectional investigation of the frequency of occupational history taking by physicians in a major US teaching center.
J Occup Environ Med.
2004;
46(6):
550–
555.
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