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In 2004, the Occupational Medicine Residency Programs from two hospital schools that attend general population and public workers was structured. A description of the program as well as a summary of five cases attended by them is described in this paper.
Methods
Descriptive study using interviews with residents and coordinators, reports of monthly residents’ activities (2005-2011), and medical records of patients who were attended (2010-2011).
Results
At the first year, residents work in a monthly rotation program during the day, in each one of eleven different clinical specialties. Also, in the first year, at nights, they attend the theoretical and practical subjects of the specialization course of Occupational Medicine. The residents in second year attend in occupational medicine and expertize services of public and private enterprises of different areas of activities, also in a monthly rotation program. All residents attend together at the Outpatient Attendances Unit of Occupational Diseases of the hospitals, once a week, for two years. Five cases were chosen in order to exemplify this learning model: 1- silicosis on a construction worker; 2- rubber related dermatitis on a shoemaker; 3- cement related dermatitis on a construction worker; 4- impact syndrome on a carpenter; 5- coronary syndrome on a school teacher.
Discussion
At the first year, the main goal is to provide improvement in practice of general medicine and give residents the theoretical basis of Occupational Medicine. At the second year, residents are supposed to acquire knowledge as occupational doctors working in different enterprises. The outpatient department of Occupational Diseases is very important to improve the practical knowledge by identifying the way to establish the link between the disease and the occupation. In spite of having different characteristics, both institutions were able to structure a program in which resident doctors have high performance.