The relationships between work and health/illness are the main task of the occupational physician, with the occupational medical examination being used to address these relationships, together with a workplace study and epidemiological analyses. This study had as a guiding clinical question: Is telemedicine occupational examination (telediagnosis) accurate compared with in-person occupational examination? The studies were selected by four independent reviewers, meeting the eligibility criteria. The searches resulted in 12,654, 29, 3, and 0 articles retrieved from MEDLINE, EMBASE, and Google Scholar databases and hand search, respectively. Of this total, 284 studies were selected by title and abstract screening, none of which met the previously established eligibility criteria for study inclusion (references excluded). There is currently no evidence comparing regular or standard (in-person) occupational examination vs telemedicine occupational examination. Therefore, there is no supporting evidence to recommend the use of occupational telediagnosis (occupational examination).
As relações entre trabalho e saúde/doença são a principal tarefa do médico do trabalho, sendo o exame ocupacional utilizado para abordar essas relações, juntamente com o estudo do local de trabalho e análises epidemiológicas. Este estudo teve como questão clínica norteadora: o exame ocupacional por telemedicina (telediagnóstico) é acurado quando comparado ao exame ocupacional presencial? Os trabalhos foram selecionados por quatro revisores independentes, atendendo aos critérios de elegibilidade. Foram recuperados, nas bases consultadas MEDLINE, EMBASE, Google Scholar e manual, respectivamente, 12.654, 29, 3 e 0 artigos. Desse montante, foi selecionado pelo título e resumo um total de 284 estudos (referências excluídas), dos quais não foi possível selecionar nenhum que atendesse aos critérios de elegibilidade previamente estabelecidos. No momento, não há evidência comparando o exame ocupacional regular ou padrão (presencial) e o mesmo exame por meio de telemedicina. Portanto, não há como recomendar o uso de telediagnóstico ocupacional (exame ocupacional).

Alcohol and illicit drug use in the workplace is a relatively widespread but still insufficiently recognised phenomenon. The reliability of judgement and performance of workers especially undertaking safety-critical tasks must not be influenced by physical, mental and/or behavioural disturbances. It is the responsibility of a company to define and implement proper policy for managing safety risks related to the influence of alcohol, drugs and/or psychotropic medication. Occupational physicians are already involved in the process of prevention in these matters. Authors describe basic recommendations of two biggest international associations of occupational physicians in this field because workers may not perform safety-critical tasks under the influence of psychotropic substances such as alcohol, illicit drugs and psychotropic medication.