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General information about Occupational medicine

Occupational medicine is the only medical field located precisely at the intersection between physical and mental health – and the source of livelihood. Unlike other doctors who focus solely on diagnosing and curing a specific disease, an occupational medicine specialist examines how the medical condition affects your ability to function day to day at work, or alternatively, how the working conditions themselves affect your health.

Whether it is a need for a gradual return to work after surgery or injury, an injury that requires a change of position, a loss of working capacity claim, or routine exposure to hazardous substances – the occupational physician's opinion carries important legal, insurance and medical weight with the employer, Israel's National Insurance Institute and insurance companies.

What areas do occupational physicians focus on?

  • Fitness-for-work assessments: evaluating an employee's ability to continue in their position after a work accident, prolonged illness or the discovery of a chronic disease, and practical recommendations for workplace accommodations (such as shorter hours, reduced physical load or avoiding night shifts).
  • Exercising rights and loss of working capacity: translating medical diagnoses into a formal functional assessment, required for the approval of claims under executive insurance policies, pension funds, and the general disability or work injury departments of the National Insurance Institute.
  • Resignation deemed as dismissal: issuing critical medical certificates for employees forced to leave their jobs due to a deterioration in their health (or that of a family member), in order to receive full entitlement to severance pay.
  • Medical supervision and pre-employment: conducting fitness examinations for job candidates, and routine follow-up examinations required by law for employees exposed to risk factors (such as chemicals, harmful noise, radiation or work at height).

Occupational Medicine Specialists – Protecting Your Health and Rights in the Workplace

Occupational medicine is the only medical field located precisely at the intersection between your physical and mental health – and your source of livelihood. Unlike other doctors who focus solely on diagnosing and curing a specific disease, an occupational medicine specialist examines how the medical condition affects your ability to function day to day at work, or alternatively, how the working conditions themselves affect your health.

Whether it is a need for a gradual return to work after surgery or injury, an injury that requires a change of position, a loss of working capacity claim, or routine exposure to hazardous substances – the occupational physician's opinion carries decisive legal, insurance and medical weight with the employer, the National Insurance Institute and insurance companies.

What areas do occupational physicians focus on?

  • Fitness-for-work assessments: evaluating an employee's ability to continue in their position after a work accident or prolonged illness, and practical recommendations for accommodations (such as shorter hours, reduced physical load or avoiding night work).
  • Exercising rights and loss of working capacity: translating clinical medical diagnoses into a formal functional assessment, required for National Insurance Institute committees and for claims against pension funds and insurance companies.
  • Resignation deemed as dismissal: issuing medical certificates for employees forced to leave their workplace due to a deterioration in their health, in order to exercise their entitlement to full severance pay.
  • Routine medical supervision: conducting fitness and readiness examinations, as well as periodic follow-up examinations for employees exposed to risk factors in the work environment (harmful noise, radiation, work at height or chemicals).

Frequently asked questions about Occupational medicine

How is an occupational physician different from a family doctor?

An occupational physician does not provide treatment and does not write sick notes. Their role is to determine fitness for work - whether a person can start or continue working in a particular occupation, and under what conditions. They also serve as an advisor to the employer and the employee regarding the health effects of processes and exposures in the workplace.

When am I entitled to an occupational physician through my health fund, and when do I need a private one?

Occupational medicine services are provided by the health funds free of charge as part of the national health basket, to members who hold a referral from their treating physician or from their workplace, via the employer or the workers' committee. Without a referral, you cannot go to the health fund's occupational clinic. The referral is determined by the workplace and field of occupation, not by place of residence. For example, an employee who lives in Be'er Sheva but works in Haifa will be referred to a clinic according to their workplace. The health fund covers pre-employment examinations, periodic medical examinations for employees exposed to risk factors defined in the regulations, and fitness-for-work assessments after illness or injury. In these cases, the occupational physician acts as the interface between the employee, the employer and the health fund. What is not included in health fund services? Medical opinions intended for lawyers, courts or insurance companies. This is where the main line is drawn between an occupational examination and a private medical opinion. A person involved in proceedings with an insurance company, a pension fund or a medical committee may need a reasoned medical document, which is usually not provided within the public service.

Can an occupational physician assess fitness for work after a prolonged illness?

Yes. Assessing fitness for work after illness or injury may be part of the services provided in occupational medicine. The physician examines the current medical condition, the requirements of the job and the ability to perform the required tasks. Accordingly, they may recommend a full return, a return under certain conditions, or the need for further evaluation. The recommendation depends on the medical findings and the characteristics of the job.

What is considered an occupational disease?

An occupational disease is a disease that workers contracted as a result of their work - as employees or as self-employed - if it is defined as an occupational disease in the National Insurance Institute regulations. The disease will be considered as such if the workers contracted it directly due to exposure to substances or an environment as part of their working conditions. The regulations specify the list of diseases, for which workers and types of work they are defined as such, and from what date the definition is in effect. An occupational disease is considered a work injury. Physical damage caused by repetitive actions that is not defined by law as an occupational disease may be recognized as microtrauma, which is also considered a work injury (although it does not exist in legislation, only in various court rulings). Common examples of occupational diseases are hearing loss due to prolonged exposure to noise, occupational asthma caused by exposure to substances or dust in the workplace, and dermatitis (contact skin inflammation) resulting from exposure to irritating or allergenic substances, such as chemicals and cleaning agents.

Can I see an occupational physician for pain caused at work?

Yes. Pain or symptoms that appear during work or worsen as a result of it may warrant a medical evaluation. During the examination, the physician may take into account the nature of the work, repetitive movements, physical loads, working postures and other factors that may be relevant. The link between a symptom and work is not determined solely by when it appeared, but requires a medical assessment of the circumstances of the case.

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