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首页> 外文期刊>La Medicina del lavoro >Comparison of the training schemes of the specialization schools of the public health area: a rational basis for a proposal of a core curriculum for the university training programme contained in article 38 of Legislative Decree (D.Lgs) 81/2008
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Comparison of the training schemes of the specialization schools of the public health area: a rational basis for a proposal of a core curriculum for the university training programme contained in article 38 of Legislative Decree (D.Lgs) 81/2008

机译：比较公共卫生领域专业学校的培训计划：第81/2008号法令（D.Lgs）第38条所载的大学培训计划核心课程建议的合理依据

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摘要

A document by the B. Ramazzini College of University Teachers of Occupational Medicine of the Italian Society of Occupational Health and Industrial Hygiene (S.I.M.L.I.I). The aim of this document was to compare the professional competence, training profile and core curricula of the three main specialization courses in the Public Health postgraduate medical area, i.e., Occupational Medicine, Hygiene and Preventive Medicine, and Forensic Medicine, such as contained in the Ministerial Decree (D.M) of 1 August 2005. We set out to identify, using clear and objective criteria, the knowledge and skills that specialists in Hygiene or Forensic Medicine must develop, in accordance with Art. 38 of the new Italian law on safety ahd health at work (D.Lgs 81/2008), in order to be authorized to perform occupational health activities as "Competent Physicians" (CP). The comparison revealed significant differences in structure and content among the three courses. In particular, compared to the course in Occupational Medicine, the courses in Hygiene and in Forensic Medicine both lack clinical training, including diagnostic and therapeutic skills, risk-oriented occupational health activities, biological monitoring, assessment of individual susceptibility, and clinical or instrumental procedures to prevent and detect occupational diseases. Furthermore, the specialization course in Hygiene lacks any training regarding the criteria and methods for assessing the individual worker's fitness for work, while the course in Forensic Medicine lacks any training in occupational risk assessment and management. From this comparison, a list was derived of the education and training debits that specialists in Hygiene or Forensic Medicine should cover (credits) in order to be authorized to perform CP activities as indicated by the new law. A core curriculum is proposed here, based on the corresponding credits, for use as a reference.
机译：意大利职业卫生与工业卫生学会（S.I.M.L.I.I）B. Ramazzini大学职业医学教师学院的文件。本文档旨在比较公共卫生研究生医学领域中的三个主要专业课程的职业能力，培训概况和核心课程，即职业医学，卫生和预防医学以及法医学，例如2005年8月1日的部长法令（DM）。我们着手根据明确的客观标准，确定卫生或法医专家必须发展的知识和技能。意大利关于工作中的安全与健康的新法律第38条（法律81/2008），以便被授权以“主管医师”的身份从事职业健康活动。比较显示这三门课程的结构和内容存在显着差异。尤其是，与职业医学课程相比，卫生学和法医学课程均缺乏临床培训，包括诊断和治疗技能，以风险为导向的职业健康活动，生物学监测，个体易感性评估以及临床或仪器程序预防和发现职业病。此外，卫生方面的专业课程没有任何有关评估单个工人的工作适应性的标准和方法的培训，而法医学方面的课程则没有职业风险评估和管理方面的任何培训。从此比较中，得出了一份清单，其中列出了卫生或法医专家应承担的教育和培训借方（贷项），以便被授权执行新法律规定的CP活动。在此基础上，根据相应学分提出了核心课程，以供参考。

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