Medicine subspecialties
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Generic Job Families |
Specialist Areas |
Functional Requirements |
Details/Health and Safety Indicators |
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Cardiology |
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Inpatient/ Outpatient work |
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See acute medicine |
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The following specialist activities require: |
Good manual dexterity, bimanual fine skills, and good hand eye coordination |
May present difficulty for doctors with advanced/arthritic bone conditions of the hands which limits dexterity |
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Echocardiography Pericardiocentesis |
Repetitive upper limb movements with wrists in awkward and hyperextend positions |
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Temporary and permanent pacing |
Ability to wear lead apron for extended periods |
May present problems for doctors with musculoskeletal conditions especially neck and lower back |
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DC Cardioversion |
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Dermatology |
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Inpatient/ Outpatient work |
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See acute medicine |
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Skin biopsy and minor skin surgery |
Most minor surgery does not include exposure prone procedures |
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Diabetes and endocrinology |
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Inpatient/ Outpatient work |
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See acute medicine |
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Gastroenterology |
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Inpatient/ Outpatient work |
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See acute medicine |
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Endoscopy (Upper gastrointestinal endoscopy, colonoscopy)
Endoscopic retrograde cholangiopancreatography (ERCP) |
Ability to wear lead apron for extended periods |
May present problems for doctors with musculoskeletal conditions especially neck and lower back |
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Insertion of PEG tubes |
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Haematology and oncology |
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Inpatient/ Outpatient work |
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See acute medicine |
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Bone marrow and trephine biopsy
Intrathecal chemotherapy
Pleural aspiration
Ascitic drainage |
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Working with patients with cancer |
Emotional resilience |
May present problems for doctors suffering from psychological conditions such as depression and anxiety |
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Infectious diseases |
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Inpatient/ Outpatient work |
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See acute medicine |
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Contact with patients with highly infectious conditions
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May present 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) Case by case assessment and advice suggested |
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Neurology |
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Inpatient/ Outpatient work |
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See acute medicine |
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Lumbar Puncture – therapeutic and diagnostic |
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Palliative medicine |
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Inpatient/ Outpatient work |
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See acute medicine |
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Management of Epidural and intra-thecal spinal lines |
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Pleural aspiration |
. May require adopting awkward postures to complete procedure |
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Working with patients with cancer and other terminal illnesses |
Emotional resilience |
May present problems for doctors suffering from psychological conditions such as depression and anxiety |
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Renal medicine |
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Inpatient/ Outpatient work |
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See acute medicine |
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Kidney Biopsy |
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Insertion of haemodialysis catheter and supervision of dialysis |
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Doctors who are carriers of the Hepatitis B virus may be unfit for renal medicine work. Specific Department of Health guidance applies. Needs referral to Occupational Health and case by case management |
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Respiratory medicine |
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Inpatient/ Outpatient work |
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See acute medicine |
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Insertion of chest drains |
Good hand eye coordination especially if done under ultrasound guidance |
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Bronchoscopy |
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May present problems for doctors with musculoskeletal conditions especially neck and lower back |
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Rheumatology |
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Inpatient/ Outpatient work |
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See acute medicine |
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Joint Aspiration Joint injection Punch skin and needle muscle biopsy |
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