The DOccMed portfolio: the July 2024 template, section by section
Core Lens
The DOccMed portfolio, in six points
- Two reports. The portfolio is one workplace report and one clinical case report, 1,500 to 2,000 words in total, written on the Faculty’s template.
- The current template. The regulations require the most current version of the template, and the version the Faculty links is dated July 2024.
- A workplace you can visit. Choose a site you can walk round in person, with hazards from different categories and at least one measurable exposure under clear law, such as noise.
- A case you examined. Pick a worker you saw and examined yourself, where work may have caused or worsened the condition and the outcome is known before the deadline.
- Six attempts, five years. The regulations allow up to six attempts at each part, and both parts must be done within five years of finishing an approved Diploma course.
- Before you register. Download the template from the Faculty’s own DOccMed page rather than a copy found elsewhere, and check that page for 2027 registration dates.
Figures checked against the Faculty of Occupational Medicine’s own pages on 29 September 2026; the Deep Dive has the detail and the sources.
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The DOccMed portfolio is two reports on one Faculty template, a workplace assessment and a clinical case, totalling 1,500–2,000 words and marked across 13 sections worth 50 marks (25 for each report). It is uploaded with your exam application by the registration closing date, cannot be changed afterwards and is then explored in the 20-minute oral. This guide covers every section of the July 2024 template with its marks and a word budget, the format rules and where marks are lost. Checked against fom.ac.uk on 29 September 2026.
The two reports
The DOccMed regulations ask for two reports. One is based on a visit to a workplace and your assessment of it. The other is based on a clinical case that you saw and examined yourself. Together they must show that you can apply occupational health and safety principles in practice. The template also has a short section describing your relevant occupational medicine experience, which is neither marked nor counted.
Download the July 2024 template from the Faculty’s website and start from that file. Older copies of the template still circulate online, and the template itself says that any deviation from it will lead to automatic failure of the portfolio section.
The 13 marked sections, their marks and a word budget
The marks are the template’s. The word budgets are our suggestion: 1,900 words in total, roughly in proportion to the marks, leaving 100 words of headroom under the 2,000-word cap.
| Report | Section | Marks | What the template asks for | Suggested words |
|---|---|---|---|---|
| Workplace | Description of site and work process | 3 | Size, location, access, workforce, range of occupations and processes, working environment and working hours | 120 |
| Workplace | Hazards identified during walk-through | 6 | A logical classification (physical, chemical, biological, psychological, ergonomic) with each hazard’s health effects and the numbers exposed | 220 |
| Workplace | Risk assessments | 8 | The five steps of risk assessment for the main hazards | 300 |
| Workplace | Further investigations / environmental / hygiene measurements / other | 6 | Measurements and investigations with their interpretation; further controls advised, including health surveillance; the range of values you might expect and how they would change your advice; relevant legislation | 220 |
| Workplace | Conclusions | 2 | Including how you would communicate conclusions and follow-on plans to the workforce and managers | 90 |
| Case | Occupational history | 3 | All previous employment, the current job in detail, exposures, tasks, working patterns and relevant activities outside work | 120 |
| Case | Clinical history and examination and discussion of occupational aetiology | 7 | History (including temporal relationships), examination findings and investigations; whether this or a previous job caused or aggravated the condition; similar illness in the workforce; known causal associations | 260 |
| Case | Outline of medical management | 2 | The medical management, in outline | 70 |
| Case | Functional limitations at work | 3 | A formal assessment of disability; the effects of the condition on work | 110 |
| Case | Occupational health adjustments and rehabilitation | 4 | Adjustments and rehabilitation advised, workplace adjustments, other agencies | 150 |
| Case | Consent and communication | 2 | How consent to communicate with the employer was gained; other stakeholders | 80 |
| Case | Long-term follow-up | 2 | Whether the return to work succeeded, the likelihood of relapse, the prognosis | 80 |
| Case | Other issues to consider | 2 | Ethical issues, confidentiality, data protection, role conflict | 80 |
| Total | 13 sections | 50 | 1,500–2,000 words allowed | 1,900 |
Risk assessment gets the largest budget because it carries the most marks and needs all five steps for each main hazard. The 2-mark sections get 70–90 words, enough for one focused paragraph each. If you are writing nearer 1,500 words, scale every budget down in proportion rather than dropping a section.
The template’s format rules
- Length: 1,500–2,000 words for both reports combined. Only the first 2,000 words are marked. Enter a word count at the end.
- Main body only: all text to be assessed goes in the main body. Only photographs and illustrations are accepted as appendices.
- Style: font size 10 or 12, single spaced, in a narrative style in preference to lists or bullet points. Grammatical errors are penalised and the regulations allow marks to be deducted for poor presentation.
- References: a short bibliography or references in the final box, Vancouver style, not included in the word count.
- One file: a single document of no more than 8 MB, with any appendices scanned in, numbered, labelled and referred to in the text.
- Identity: your name, candidate number and GMC number on page 3 only.
- No links or attachments: no embedded links, file icons or zip files. The portfolio is printed for marking.
- The current template only: the template says that any deviation from it will lead to automatic failure of the portfolio section.
The deadline
The portfolio is uploaded as part of the exam application, so its deadline is the registration closing date for the sitting at which you take the oral, not the oral itself. It cannot be changed once the application has been submitted, and places are limited and allocated first come, first served, so apply early in the window with the portfolio finished. For November 2026 registration closed on 21 September; the orals are on 17, 18 and 24 November.
The 2027 registration windows are not yet published. The 2027 MCQ papers are on Monday 10 May and Monday 8 November, with oral dates to be confirmed. For May 2026, registration for the shared Part 1 MFOM paper ran from 12 January to 9 March, so a portfolio for May 2027 may need to be finished by early March. Check the Faculty’s DOccMed page before relying on that. The two parts can be sat together or separately.
Choosing a workplace
Choose a site that gives each section something to work with:
- one you can walk round in person, with a manager who will explain the processes and share existing risk assessments and any monitoring results;
- two or three main hazards from different groups in the template’s classification;
- at least one hazard with measurable exposure and clear legislation, such as noise under the Control of Noise at Work Regulations 2005 (lower and upper exposure action values of 80 and 85 dB(A), exposure limit 87 dB(A)) or a substance with a workplace exposure limit in HSE’s EH40, so the measurements section has real values to interpret;
- a workforce you can describe in numbers: headcount, occupations and shift patterns;
- the employer’s permission to write about the site, anonymised if they prefer.
Choosing a case
The case must be a worker you saw and examined yourself. Look for:
- a condition that work may have caused or aggravated, so the aetiology discussion has substance (if you choose a fitness-for-work case with no occupational aetiology, the template asks you to say so);
- a case in which you advised on functional limitations and adjustments, worth 7 marks between them;
- a documented consent process for communicating with the employer;
- an outcome you will know before the registration closing date, for the long-term follow-up section.
Write the case so that the worker cannot be identified. Your own handling of the case should match what you write about confidentiality and data protection under other issues.
Where marks are lost
Each of these follows directly from the template’s wording or rules.
- Running over. Only the first 2,000 words are marked, so an overrun costs whatever comes last.
- Hazards named but not described. The template asks for the health effects and the numbers exposed.
- A risk assessment that skips steps. It asks for the five steps for the main hazards.
- Numbers without interpretation. It asks what the values mean, what range you would expect and how that would change your advice.
- Conclusions without a communication plan. It asks how you would tell the workforce and managers.
- No occupational reasoning in the case. Say whether work caused or aggravated the condition, or state that there is no occupational aetiology.
- Consent left out. It asks how you gained consent to communicate with the employer.
- Format slips. A missing word count, text in an appendix or personal details outside page 3 break the template’s rules. Bullet-point lists go against its preference for narrative.
Resits
The regulations require a new portfolio each time you re-apply for the portfolio and oral. There is a maximum of six attempts at each part before you must retake an approved course. Both parts must be passed within five years of completing your approved course. The two parts are separate, so you can resit one without the other.
How this fits the platform
The DOccMed package includes a question bank for the MCQ and a viva trainer with mock oral stations and flashcards for rehearsing aloud. The revision guide and the free Core Tools, a set of interactive revision tools, sit alongside it. Free sample questions are on the package page.
Quick answers
How long is the DOccMed portfolio?
Between 1,500 and 2,000 words for both reports combined. Only the first 2,000 words are marked; references in the final box are not counted.
How are the marks split?
The workplace assessment has five marked sections worth 25 marks and the clinical case has eight worth 25. Risk assessments carry the most, at 8 marks.
When do I submit the portfolio?
With your exam application, by the registration closing date. It cannot be changed afterwards.
Can I use an older template?
No. Only the current template on the Faculty’s website is accepted, and the template says that any deviation from it will lead to automatic failure of the portfolio section.
Can I put text in an appendix?
No. Only photographs and illustrations are accepted as appendices. Text you want marked belongs in the main body.
Do I need a new portfolio if I resit?
Yes. The regulations require a new portfolio each time you re-apply.




