General outpatient work

 

Specialist areas

Functional requirements

Details/ health and safety factors

General outpatient work

 

 

 

 

Travel to and from clinic

Driving to peripheral sites to perform clinics (public transport not always available)

May present problems for doctors who are unfit to drive for a variety of medical conditions e.g. epilepsy

 

See DVLA recommendations

http://www.dft.gov.uk/dvla/medical/aag.aspx

 

Clinical administration

Hand written tasks e.g. writing in notes, filling in forms

May present problems for doctors with upper limb disorders especially in dominant hand, neck and lower back conditions and problems of vision/visual acuity

May cause problems for doctors with dyslexia

 

 

 

 

Display screen equipment tasks e.g. comuterised notes, results, email

 

 

Talking and listening on phone

May present problems for doctors with hearing loss or wearing hearing aids.

 

 

Dictating and reading letters

May present problems for doctors with problems of vision/visual acuity

May present problems for doctors with dyslexia

 

Doctor-patient consultation

Communicating with patients and relatives

May cause difficulties for doctors with visual or hearing problems, neurological conditions, such as multiple sclerosis or a CVA, or information processing conditions, such as Asperger's Syndrome

 

 

Sitting for defined periods

May present problems for doctors with musculoskeletal conditions especially neck and lower back

 

 

Getting in and out of chair

 

 

Helping to manually handle patients onto couch

 

Examination of patients

Bending over patients on a couch/chair

 

Using stethoscope

 

Using auroscope

Using ophthalmoscope

 

Performing rectal and vaginal

examinations

May present problems for doctors with musculoskeletal conditions especially neck and lower back

 

May present problems for doctors with hearing loss or wearing hearing aids

 

May present problems for doctors with problems of vision/visual acuity

 

May present problems for doctors with musculoskeletal conditions especially neck and lower back

 

Clinical procedures

Taking blood, ECGs etc

 

Also see specific specialties

May present problems for doctors with musculoskeletal conditions especially neck and lower back

 

Contact with infectious diseases

Contact with blood and body fluids

 

Contact with infectious patients

Risk to all healthcare workers from needlestick injuries and splashes

 

May cause problems for doctors who are immunosuppressed due to variety of causes including medication, radiotherapy, HIV etc

Specific concerns during pregnancy (e.g. parvovirus, measles, whooping cough)

 

 

Doctor-staff interaction

Communicating with other staff members both verbally and by phone

May present problems for doctors with visual or hearing problems

 

Member of resuscitation team (CPR)

Performing cardiac massage, manual ventilation and defibrillator

CPR sometimes performed in awkward positions /places e.g. floor

May present problems for doctors with upper limb disorders, or neck and lower back problems

 

Management responsibilities

Administration

Meetings

Finances

May present problems for doctors with dyslexia