General Approach to Initial Assessment and Documentation
ACOEM's Foundation Guideline - General Approach to Initial Assessment and Documentation - is intended to address the initial approach to assessment of some of the most common occupational medicine clinical problems. This approach includes a medical and occupational history, identification of body part(s) involved, effect of present illness or injury on patient’s functionality, screening for disability risk factors that may affect the outcome, a detailed work history including type and duration of exposure. It is also important to maintain good recordkeeping and privacy of records when assessing patients for a work-related injury or illness.
01/01/2026
By Julia E. Klees, MD, MPH, Debra Milek, MD, MPH, and Kurt T. Hegmann, MD, MPH