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Training of Polish Occupational Physicians in Risk Communication

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Title: Training of Polish Occupational Physicians in Risk Communication


1
Training of Polish Occupational Physicians in
Risk Communication
  • Jacek Michalak
  • Nofer Institute of Occupational Medicine
  • Lodz, POLAND

2
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Occupational Health Service in Poland
  • Labor Code Amendment 1991
  • Occupational Health Service Act 1996
  • Covering all employees
  • Obligatory measurements and examinations
  • Costs covered by employers and State

3
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • The most important legal regulations in Polish
    OHS
  • Health Care Facilities Act (1991)
  • General Health Insurance Act (1997)
  • Occupational Health Services Act (1996)
  • Minister of Health and Welfare rule on the
    methods of determination the harmful factors at
    the work place (1993)
  • Minister of Health and Welfare Instruction on the
    prophylactic examinations of employees (1996)
    guidelines

4
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • The standards for prophylactic examinations
  • minimum extend of medical examination
  • minimum set of laboratory tests
  • minimum set of specialist consultations
  • This can be broadened by a doctor
  • minimum frequency of prophylactic examinations
  • This can be shortened by a doctor

5
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • The list of harmful factors
  • 14 groups of physical factors (e.g. noise,
    vibration)
  • 9 groups of industrial dusts (e.g. silica,
    asbestos)
  • 53 groups of toxic compounds
  • 6 groups of biological factors (e.g. HBV)
  • 8 groups of other factors (e.g. stress, shift
    work)

6
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • The measurements of harmful factors may be
    performed
  • either by Sanitary Inspection laboratory
  • or by a laboratory authorized by sanitary
    inspection
  • Doctor receives only the results

7
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Supervisory system in Occupational Health
    Service
  • national consultant (specialist) appointed by the
    government
  • regional consultants (specialists) appointed by
    local authorities - Voivodes

8
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • System of physicians specialist education
  • 6 years of medical studies
  • 1 year of postgraduate stages
  • Now you can start to cure, but not to be an
    occupational physician!

9
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Former system of specialists training
  • 2 years of training I0 specialty
  • Next 3 years - II0 specialty
  • Present system
  • 4 years of specialty training
  • Individual supervision of a specialist tutor or
    MASTER

10
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Current curricula
  • For graduate of Medical University (MB)
  • For I0 specialist in occupational medicine
  • For I0 specialist in general medicine (GP)
  • For I0 specialist in internal medicine

11
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • AIMS (1)
  • Working conditions and workers health status
  • Occupational hazards
  • Prophylactic examinations
  • Occupational diseases prophylaxis, diagnosis
    and treatment
  • Stating working ability at a given workplace
  • Rehabilitation of disabled workers
  • Health promotion at the workplace

12
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • AIMS (2)
  • Risk assessment
  • Co-operation with employers
  • Individual protection devices
  • Biological monitoring
  • Advising in occupational safety and health
  • Analysis of accidents at work and occupational
    diseases

13
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Knowledge and capacities (items in curriculum)
  • Health care organization (25)
  • Occupational hygiene (36)
  • Physiology and ergonomics (14)
  • Occupational psychology (7) communication with
    patients
  • Epidemiology (8)
  • Statistics (5)

14
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Occupational medicine clinical issues
  • General issues (10)
  • Occupational pathology (risks) (28)

15
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Management of Occupational Health Services
  • Health economics
  • Internal medicine

16
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Cardiology
  • Angiology
  • Pulmonology
  • Hematology
  • Nephrology
  • Gastroenterology
  • Endocrinology
  • Allergology
  • Rheumatology
  • Oncology
  • Infectious diseases

17
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Courses
  • Introductory (1 week)
  • Advanced (8 weeks)
  • Special (each 10 h to 3 weeks)
  • occupational pathology, pneumoconioses, allergy,
    occupational psychology (communication),
  • occupational diseases dermatology, larygnology,
    acute poisoning and reanimation,

18
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • Stages
  • Internal medicine 12 months
  • Infectious diseases 4 weeks
  • Orthopedics 2 weeks
  • Occupational hygiene and epidemiology 8 w.
  • Health care organization 4 weeks
  • Occupational pathology 4 months
  • OHS primary unit 24 months
  • Pulmonology 5 weeks

19
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • 11 examinations
  • Active participation in Polish Association of
    Occupational Medicine
  • 1 published report
  • 1 foreign language (English, French or German)

20
Training of Polish Occupational Physicians in
Risk Communication EASOM Dresden 2001
  • However, it is a lot to be done in risk
    communication
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