MFOM Written study plan

Draft a one-page algorithm for structuring an occupational clinical assessment (history, workplace exposure history, examination, investigations, conclusion)

List the exposure questions you will ask in every new patient consultation and rehearse them aloud until they are automatic

Practise taking an occupational exposure history in five real or simulated consultations and write up each in standard format

Write 40 original clinical vignettes on respiratory and dermatological occupational disease, answering each and logging errors by mechanism

Interpret 15 spirometry, audiometry and biological-monitoring results against predicted values and occupational thresholds

Explain aloud, without notes, the mechanism, latency, and typical exposure source for the 15 most commonly examined occupational lung diseases

Define and apply the core exposure metrics (TWA, STEL, ceiling, OEL, excursion limits) to 20 worked numerical problems

Compare the main study designs used to link workplace exposure to health outcome and state two biases specific to each

Build a 40-agent toxicology card set covering solvents, metals, pesticides, gases and dusts: target organ, hallmark clinical picture, key monitoring method, antidote or decontamination

Describe the toxicokinetics and toxicodynamics of five agents well enough to predict who is most susceptible in a workforce

Select the correct sampling strategy (personal vs. static, area vs. biological, timing relative to shift) for 15 described workplace scenarios

Draft a written risk assessment for a fictional workplace with three concurrent exposures, including control hierarchy

Map the legal duties of employer, employee and occupational health practitioner onto ten short scenario fact patterns

Explain the consent, confidentiality and disclosure rules that govern what may be shared with a manager, and apply them to eight dilemmas

Outline the structure and quality requirements of an occupational health service, including record keeping, audit and competence frameworks

Sit a timed 60-question mixed mock covering domains 1 to 3 and analyse every wrong answer

Formulate a defensible fitness-for-work opinion, with restrictions and review date, for ten contrasting job and health combinations

Distinguish impairment, functional limitation, work disability and handicap and apply the correct concept to eight cases

Design a phased return-to-work and rehabilitation plan for three cases including measurable milestones and a review trigger

Justify the use of a functional capacity assessment, and state what it can and cannot prove in a disability determination

Calculate and interpret incidence, prevalence, attributable risk, relative risk, odds ratio and population attributable fraction for 15 two-by-two tables

Appraise one published occupational cohort study for confounding, healthy worker effect, selection and information bias, and write a structured critique

Explain screening criteria and calculate sensitivity, specificity, and positive predictive value at two different prevalences

Outline the design of a workplace outbreak investigation, from case definition to control measures and communication

Re-test the ten weakest topics identified in earlier error logs and reach 80 percent on each

Sit a timed 100-question mixed paper across all five domains and mark it in one session

Rewrite every incorrect answer from the mixed paper as a one-line rule you can recall under time pressure

Rehearse aloud the ten most frequently examined clinical and legal decision pathways in five-minute bursts

Complete a full-length timed mock examination under exam conditions in one sitting

Review the full-length mock by domain and confirm no domain falls below 65 percent

Consolidate a two-page final revision sheet covering formulas, exposure limits, legal duties and fitness-for-work frameworks

Recite the examination-day time allocation and question-triaging strategy from memory