title: Fit for work? Evaluation of a workshop for rheumatology teams.
abstract: BACKGROUND
  People with rheumatoid arthritis (RA) may rapidly cease work prematurely due to ill-health. A recent survey noted that a quarter of respondents with RA experienced job loss within a year of diagnosis and 50% stopped work within 6 years.
  
  
  OBJECTIVE
  To develop and pilot workshops to increase the knowledge, skills and confidence of rheumatology team members to support work-related issues in outpatient clinics.
  
  
  METHODS
  A 3-h interactive workshop, informed by rheumatology experts and the Royal College of General Practitioners (RCGP) National Education Programme (NEP) about work and health, was developed to address both knowledge and skills in the management of health and work consultations in an outpatient setting. Questionnaires were developed for use pre- and immediately post-workshop, with questions that focused on the confidence of delegates in managing these discussions and the importance they placed upon them.
  
  
  RESULTS
  Ninety-nine participants attended five workshops throughout the UK between 2013 and 2104. Seventy-three per cent (72) completed the post-workshop questionnaire. Eighty-nine per cent found the workshop useful or very useful, 88% found it relevant or very relevant and 79% responded that it had an impact or a considerable impact on their practice. Wilcoxon matched pairs signed rank tests were carried out that showed an overall increase in confidence after training.
  
  
  CONCLUSIONS
  The results suggest that the workshop was both relevant and useful to participants and had an impact on their practice. This was true for all specialities. The workshops also highlighted participants' desire to understand how to use the 'fit note' to enhance their patient management.
authors.affiliation: Centre for Psychosocial Research, Occupational and Physician Health, Cardiff University, 53-54 Park Place, Cardiff CF10 3AT, UK, cohenda@cf.ac.uk.
authors.forename: D
authors.initials: D
authors.lastname: Cohen
authors.affiliation: EEF, Broadway House, Tothill Street, London SW1H 9NQ, UK.
authors.forename: S
authors.initials: S
authors.lastname: Khan
authors.affiliation: Centre for Psychosocial Research, Occupational and Physician Health, Cardiff University, 53-54 Park Place, Cardiff CF10 3AT, UK.
authors.forename: N
authors.initials: N
authors.lastname: Marfell
mesh_terms: D001172:Arthritis, Rheumatoid / Q000150:complications / Q000175:diagnosis*; D002983:Clinical Competence / Q000592:standards; D006801:Humans; D010865:Pilot Projects; D015397:Program Evaluation / Q000379:methods; D062707:Return to Work; D011795:Surveys and Questionnaires; D013663:Teaching / Q000592:standards*; D014938:Work Capacity Evaluation
keywords: Fitness for work; medical consultations; sickness absence.