The physician has the knowledge and skills to provide evidence-based clinical evaluation and treatment for injuries and illnesses that are occupationally or environmentally related. The physician provides clinical care with an understanding of the workplace, work exposures, and relevant statutes, such as workers’ compensation. Throughout the course of care, the physician seeks to maximize the patient's functional recovery.

Clinical – General

1. Obtain brief, as well as comprehensive, patient histories, with an emphasis on occupation and exposure.
2. Identify the potential relationship between patient symptoms and occupational/environmental exposures.
3. Diagnose and manage occupational/environmental illnesses and injuries with the use of consultants in related disciplines when indicated.
4. Identify non-occupational/environmental factors that may contribute to occupational/environmental disease or injury.
5. Refer and follow up or manage patients with serious occupational or environmental injuries and illnesses.
6. Elicit patients' concerns about exposures and establish a therapeutic alliance incorporating risk communication.
7. Report all findings to affected individuals and pertinent information to organizations and employers as appropriate (considering medical confidentiality issues), advocating for the health and safety of patients and employees.
8. Apply clinical practice guidelines in one's practice of medicine.
9. Diagnose and manage injuries associated with physical hazards including heat (e.g., heat stress, heat stroke, heat syncope, heat exhaustion, and heat cramps), cold (e.g., hypothermia, frostbite, chilblains, and immersion foot), radiation, lasers, and vibration.