Day one:

Friday 20 September 2024 – Remote Learning





Introduction to vibration and HAVS


Legal framework & statutory requirements


Aetiology and Pathology

  • Summary of concepts of pathological basis of each component of HAVS and CTS



Clinical assessment (part 1)

  • Raynaud’s phenomenon, the vascular component of HAVS and vascular staging systems
  • The sensorineural component, sensorineural staging, carpal tunnel syndrome and other neurologival differential diagnoses
  • Musculoskeletal symptoms, cramp, grip strength, Dupuytren’s and other conditions

Remote assessment


Questions and discussion


Close of day one


Day two:

Thursday 26 September 2024 (Birmingham) – Face to face learning



Registration and coffee


Welcome, recap and principles of health surveillance

  • HSE tiered approach, and professional and legal requirements

OH management of cases

  • Advice to employees and employers, legal issues and fitness for work

Clinical assessment (part 2)

  • Assessing sensation, including monofilaments, two point discrimination, Pegboard assessment of vascular status and other relevant tests

Case studies




Group work – clinical testing in practice


Questions and discussions


Faculty examination


Close of course

Benefits of attending

This training for OH professionals examines the requirements for health surveillance for a workforce exposed to hand-transmitted vibration, and the diagnosis and management of an individual with HAVS. It will provide an in-depth understanding of HAVS, and of the OH role in managing issues related to hand transmitted vibration in the workplace.

You will receive printed documentation for future reference, plus all delegates will be given a FREE copy of Hand-arm vibration syndrome: a guide for occupational health practitioners by Dr. Roger Cooke.

About our expert tutors

Dr Roger Cooke is a consultant in occupational medicine, and honorary senior lecturer at the Institute of Occupational and Environmental Medicine at the University of Birmingham. His experience and interest in vibration-related disease extends over 40 years, including clinical practice, teaching, advising industry and specialist groups, writing on the subject and acting as expert witness in legal proceedings. He is the author of the book, Hand–arm vibration syndrome: a guide for occupational health practitioners, published by The At Work Partnership in 2020.

Four other expert tutors play an important role in the running of this course and other At Work Partnership HAVS courses by leading the group work and/or lecturing. They include:  Dr Susannah Gillibrand, independent consultant occupational physician, Dr Bernard Yew, medical director, PAM Group, Andrew Cooke, clinical director at Clarity Healthcare and Dr Cornelius J Grobler, senior medical advisor for Jaguar Land Rover.

Who should attend?

This training is designed for OH nurses and doctors. Previous experience of HAVS is not essential, but experience in OH is required. It is possible to attend the course without taking the examination.

What qualifications are needed to take the examination?

In order to take the exam: The FOM requires doctors or nurses to hold the appropriate UK registration with the GMC or NMC and will need to approve qualifications from overseas candidates.

Further guidance regarding undertaking Tier 3 assessments without supervision

Once you have completed the course and passed the exam, and hold the appropriate registration above, you also need a higher OH qualification to meet HSE requirements. Doctors should hold a diploma in occupational medicine as a minimum. Other OH staff should have a higher qualification in occupational health, e.g. diploma* or degree.

*Please note that we are awaiting confirmation from the FOM of whether the new FOM Diploma in Occupational Health Practice is approved for this purpose. Until this is resolved, if this is the only OH qualification held, you will currently require supervision to carry out Tier 3 assessments.

The HSE regulations also state that some specific tasks can be devolved to a technician but the suitably qualified OH practitioner must retain overall responsibility for the work of the OH Technicians.

Extract from HSE Guidance on assessments

Pre-course reading

All delegates will receive a FREE copy of Hand-arm vibration syndrome: a guide for occupational health practitioners by Dr. Roger Cooke, and this is required pre-course reading. It will be sent when the course fees have been paid.

Examination and certification


You are not allowed to refer to any materials during the exam. Therefore, please allow sufficient time between the first and second day of the course to revise and consolidate your learning – using your documentation pack, the pre-course reading and your notes.


A formal examination, set by the FOM, takes place at the end of the course. Attendance at all sessions is regarded as a pre-requisite to sitting the examination, as the examination is based on content taught in the course.  Those doctors and nurses who successfully complete the examination will receive a Certificate of Competence accredited by the Faculty of Occupational Medicine.

The majority of the exam is a mixture of true/false questions and multiple choice questions (approx. 30 questions per paper).

For nurses – there is a 30 minute exam (one paper only)

For doctors – there is a 60 minute exam (two papers)


If you would like to book a place on this course but do NOT want to take the exam, please do not book online, contact us for a reduced rate:

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