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Requirements for occupational medicine training in Europe: a Delphi study.

机译:欧洲职业医学培训的要求:Delphi研究。

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OBJECTIVES: To identify the common core competencies required for occupational physicians in Europe. METHOD: A modified Delphi survey was conducted among members of the European Association of Schools of Occupational Medicine (EASOM), the Occupational Medicine Section of the Union of European Medical Specialities (UEMS), and of the European Network of Societies of Occupational Physicians (ENSOP). An initial questionnaire based on the training syllabus of the United Kingdom Faculty of Occupational Medicine was circulated and respondents were asked to rate the importance of each item. The results were discussed at a conference on the subject of competencies. A further questionnaire was developed and circulated which asked respondents to rank items within each section. RESULTS: There was a 74% response in the first round and an 80% response in the second. Respondents' ratings from most important to least important were; occupational hazards to health, research methods, health promotion, occupational health law and ethics, communications, assessment of disability, environmental medicine, and management. In the second round, among those topics ranked most highly were; hazards to health and the illnesses which they cause, control of risks, and diagnoses of work related ill health. Topics such as principles of occupational safety and selection of personal protection equipment were of least importance. Although the assessment of fitness was regarded as important, monitoring and advising on sickness absence were not highly rated. Management competency was regarded as of low importance. CONCLUSION: This survey identified that respondents had traditional disease focused views of the competencies required of occupational physicians and that competencies were lagging behind the evolving definition of occupational health.
机译:目的:确定欧洲职业医生所需的共同核心能力。方法:在欧洲职业医学学校协会(EASOM),欧洲医学专业联盟(UEMS)的职业医学部门和欧洲职业医师学会网络(ENSOP)的成员之间进行了改进的Delphi调查)。根据英国职业医学学院的培训大纲分发了一份初始调查表,并要求受访者对每个项目的重要性进行评分。在关于胜任力的会议上讨论了结果。编制并分发了另一份调查表,要求受访者对每个部分中的项目进行排名。结果:第一轮有74%的回应,第二轮有80%的回应。受访者的评分从最重要到最不重要;职业健康危害,研究方法,健康促进,职业健康法律与道德,通讯,残疾评估,环境医学和管理。在第二轮中,排名最高的是:对健康的危害及其引起的疾病,风险控制和与疾病有关的工作诊断。诸如职业安全原则和个人防护设备的选择等主题最不重要。尽管对健康的评估很重要,但对疾病缺席的监测和建议却没有得到很高的评价。管理能力被认为是不重要的。结论:该调查表明,受访者对职业医生的胜任力有传统的疾病观点,而胜任力却落后于不断变化的职业健康定义。

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