Occupational and environmental medicine sits in a strange blind spot in medical training, even though work-related presentations turn up almost daily in general practice, emergency departments and on the wards. In this episode of Aussie Med Ed, host and Orthopaedic surgeon Dr Gavin Nimon sits down with Dr Mary Obele, specialist occupational and environmental physician with expertise in work capacity, causation and medicolegal reporting, and Dr Berni Cameron, occupational health nurse practitioner and academic at Edith Cowan University with over 25 years' experience across mining, industry and work health and safety education.

Together they unpack what occupational medicine actually involves, how the occupational health nurse, GP and occupational physician each fit into the return-to-work pathway, and how to approach that first consultation: take a good history, examine carefully, focus on function rather than incapacity, and complete the certificate of capacity with clarity. Along the way they cover environmental exposures such as silica, why early communication with the workplace matters, the evidence behind keeping workers meaningfully engaged during recovery, psychosocial hazards as the new frontier of workplace health, and practical tips for young GPs walking onto a worksite for the first time.

Whether you're a medical student, junior doctor or GP, this episode offers a pragmatic framework for managing work-related presentations — starting with one simple question: "Tell me about your work.

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