Interest in applying the concepts of total quality management to the fields
of health care and medical education is growing. This paper analyzes the f
ield of education in occupational medicine to explore the relationships bet
ween teaching and the deliverance of a product or a service. Issues such as
defining teaching customers, addressing customer needs, teaching processes
, and assessing and improving quality teaching are described. The occupatio
nal physician is requested to act according to particular competencies. Thi
s demand implies the need to meet specific requirements. To assure the achi
evement of these goals, the implementation of a teaching process must inclu
de (i) targeting the learning objectives (the knowledge, skills, and attitu
des the specialist should have), (ii) planning the evaluation system (abili
ty of the course to assure the achievement of the objective), (iii) evaluat
ing the curriculum (compliance of the acquired competencies to the needs).