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Work related diseases and training: Objectives I-V
I: Training curriculum on work-related and occupational diseases
II: Training of the OHS personnel, family physicians and other specialists on work related and occupational diseases
III: Training for trainers IV: Subnetwork on Occupational Health and
Safety Training Institutions V: Registration of occupational diseases
I: Training curriculum on work-related (WRD) and occupational diseases (OD), 1
AIMS: Training curriculum for OHS physicians,
family physicians, other physicians and trainers of trainers
ACTIVITIES: 3 meetings with CC (AV, EM, RK) and MS
(HT, K-PM) experts
I: Training curriculum, 2
RESULTS: Curriculum for physicians specializing in
Occupational medicine/health services meets the EU/UEMS criteria
Training of OH nurses (physiotherapists etc.) was included only in the Tallinn 2,5 years course
Curriculum for training on WRDs/ODs proposed
I: Training curriculum, 3
EU/ UEMS (European Union of Medical Specialist) requirements for specialist training: 6 years of basic medical training theoretical and practical instruction full time course (or equivalent part-time training)
supervised by the competent authorized bodies in university centre, in a teaching hospital or in a
health establishment approved by the competent authorized bodies
minimum length: 4 years after graduation
I: Training curriculum, 4
Proposal for training on WRDs/ODs in curriculum of graduate students in medicine, in specialists training of family physicians and other relevant specialities 8 credits = 80 h September–May 2004/2005 2 days course in each month Diagnostics of occupational lung, ear, nose and throat,
skin, neurological, eye, musculo-skeletal diseases and prevention
Tartu University, department of Public Health
Recommendations
The additional need of OH physicians is 90-137 Tartu University produces 4 OH physicians a year The estimates for the future need in order to achieve
50% OHS is 150–200 OH physicians Presently there are 63 registered OH physicians in
Estonia More residents (10/year) at TU or Tallinn course
(2,5 yrs) restarted If training is increased, more trainer resources are
needed Training of OH nurses should be established
II: Training of OHS personnel and family physicians
AIMS: training on WRDs/ODs to the OHS personnel, family physicians and other clinical specialists geographical and professional coverage 46 training days for about 20 participants (920 trainee
days) were planned Good practices
RESULTS: 26 training days for 1556 participants, (85 to 146 per course), 2776 trainee days
Activities: Training courses
Skin diseases (3 d) Lung diseases (6 d) Cancer (1 d) Intoxications (2 d) Nose, ear and throat
diseases (2 d) Neurological diseases
(2 d)
Vibrations dis. (1 d) Musculo-skeletal
diseases (3d) Psychiatric dis. (1 d) Work ability ass. (1 d) Reproductive hazards
(2 d) Infectious diseases (2
d)
Participants by profession
occ. health physicians, and residents 77
family physicians 68 physicians 36 lung and nose, throat
spec, allerg. spec. 26 gynecologists 29 neurologists 15 dermatologists 10 radiologists 5
other specialist and residents 42
nurses, midwifes, physiotherapists 79
disability experts 21 others 23
TOTAL 431
Participants from public organisations
Estonian Border Guard 2 Estonian Brodacasting
Company 1 Estonian Civil Aviation
Administration 1 Estonian Defence Forces 11 Estonian Police Board 3 Health Care Board (MoSA) 1 Labour Inspectorate (MoSA) 3 National Institute For Health
Development 8
Occupational Health Centre (MoSA) 3
Social Insurance Board (MoSA) 21
Social Policy Information and Analysis Department (MoSA) 1
Tallinn Pedagogical College 1 Tallinn Prison 2 Tallinn Technical University 3 Tallinn's Children's Hospital 2 Tartu University 18
Participants from private organisations:
East Tallinn Central Hospital 31
Ida-Viru County Central Hospital 1
Jõgeva Hospital 2 Järvamaa Hospital 4 Kallavere Hospital 3 Kohtla-Järve Hospital 2 Narva Hospital 1 North Estonian Regional
Hospital 39 Pärnu Hospital 8 Rakvere Hospital 2
Sillamäe Hospital 1 South-Estonian Hospital 2 Tallinn Emergency Medical
Service 2 Tartu University Hospital 39 Valga Hospital 3 Viljandi Hospital 5 West-Tallinn Central Hospital
28 Limited liability companies 75 Ltd. 69 Self-employed entrepreneurs
33
Results (continued) of obj. II. Training
Visit and training of Estonian 12 experts at FIOH clinics in Finland for 2-4 days
Distribution of the Good Occupational Health Practice guidelines book, introduction of good practices at the courses
Evaluation questionnaire eas used
Please, give your opinion about each course aspect,
by checking the appropriate box and filling the lightly shaded areas of the form.
A. CONTENTS OF THE COURSE
1. The general level of Excellent Good Satisfactory Poor Very poor
the lectures w as:
2. The balance betw een theoretical
presentations and discussions Excellent Good Satisfactory Poor Very poor
group w ork etc. w as in general:
3. The theoretical level of the Far too Far too
course for your specif ic w ork high Too high Just right Too low low
requirements w as:
4. The relevance of the Very Very
hand-outs to the high High Average Low low
subject-matter w as:
III. Training for trainers
AIM: to provide the trainers with skills for adult training
2 courses for trainers ACTIVITIES:
Course 1: training needs were characterized (what is important to train). 8 participants
how to form good chain of treatment for patients with ODs Course 2: the methods for planning training were
lectured and exercised. 21 participants participants from the Network in training (obj.IV) were trained
also (plan for 24 hrs course)
Training for trainers, 2
29 CC trainee days were achieved (18 days were planned)
CONCLUSIONS: The results were used in building the curriculum for the 24
hours’ course and for occupational health curriculum of the specialist training of physicians and for other OHS personnel.
The trainers know how to prioritize the teaching topics (what to teach) and some essential methods for planning and realising the training (how to teach).
Training is likely to improve the recognition of ODs at all levels of health services
IV: Subnetwork on Occupational Health and Safety Training
AIM: to provide an infrastructure for harmonization and development of OH&S training
ACTIVITIES: 2 meetings, where goals/tasks were set and activities were planned
The tasks of the Subnetwork
Web strategy network directory inventory and assessment of training materials development of training packages list of lecturers participation in train-the-trainer events marketing of OHS training
Benchmarks of Subnetwork
All the planned meetings were conducted (the third in the connection with training for trainers)
A subsecretariat for "Improvement of the program of the 24-h course" was nominated
Secretariat organized meetings; next goals: Organizing train-the-trainer education Development of training packages for specific
subjects Network meetings to be continued 1-2 x /year
V: Registration of occupational diseases
AIM: to develop a system for recognizing and registering occupational diseases
Plan: Consultations concerning establishment of registry and systems for follow-up of occupational diseases
ACTIVITIES: Two consultations were coducted, as planned
Benchmarks were achieved
Notification: Two Registries
Estonian Act on Occupational Health and Safety (paragraph 23): the employer notifies the regional office of the
Labour Inspectorate of ODs, on the basis of physician’s notificaton
also notification other work-related diseases can be notified to OHC
Discussions
Problems, e.g. lack of law on insurance for occ. accidents
and ODs handling the cases at court registering ODs in the WRD registry
European Union list of ODs was compared to the Estonian list
Recommendations The number of trained OHS physicians should meet the
needs in the country: increase to 10 residents (now 4) Training of OH nurses and other professionals should be
organised/ stabilised OHS physicians should have a license from the Estonian
Health Insurance Fund to be able to diagnose ODs (be a link of the chain)
Legislation on insurances for occupational accidents and diseases should be framed and launched
Registration of ODs and WRDs should be guided to be done correctly
The position of the OHC should be stabilised and provided with reasonable resources