Del Carlo B, Franco G
Cattedra, Servizio e Scuola di Specializzazione in Medicina del Lavoro dell'Università di Modena e Reggio Emilia, Servizio di Sorveglianza Sanitaria dell'Azienda Policlinico di Modena, Largo del Pozzo, 71, 41100 Modena.
Med Lav. 2000 Nov-Dec;91(6):531-46.
The progressive changes in society, in the working environment and in organization are leading to changes in the role of the occupational physician. This process requires a continuing renewal of the training curricula of the University Schools of Occupational Medicine. The revised curricula provide more appropriate guidance by setting learning objectives (knowledge an occupational physician should have in each formative area) and training objectives (experience an occupational physician should have). These changes require a new approach in delivering a successful teaching-learning service. A Quality System (QS) for training is a management tool aimed at identifying the training products required by the complex customer system (society, institutions, students, firms). A QS anticipates customers' needs and satisfies them; it guarantees the quality of the results by monitoring resources, activities and processes that directly influence the quality of the service/training product. The system is mainly based on the development and exploitation of the internal expertise and on the innovative approach by the customer-oriented structures. The system is also based on innovation of methods (methods of planning, delivering and evaluating) and on rationalization of the processes and the connected procedures of training tools, professional abilities, training and managerial documentation. Therefore, although all Specialization Schools share the same mission, i.e. training of the Specialist in occupational medicine, each School should adopt a Quality Policy in accordance with strategic choices made by the School in relation to its specific, history, values, perceived vision and situation of the market.
社会、工作环境和组织的不断变化正导致职业医师角色的转变。这一过程要求大学职业医学专业学院的培训课程持续更新。修订后的课程通过设定学习目标（职业医师在每个形成领域应具备的知识）和培训目标（职业医师应具备的经验）提供了更恰当的指导。这些变化需要一种新的方法来提供成功的教学服务。培训质量体系（QS）是一种管理工具，旨在确定复杂客户系统（社会、机构、学生、企业）所需的培训产品。质量体系预测客户需求并满足这些需求；它通过监测直接影响服务/培训产品质量的资源、活动和流程来保证结果的质量。该体系主要基于内部专业知识的开发和利用以及以客户为导向的结构的创新方法。该体系还基于方法的创新（规划、提供和评估方法）以及培训工具、专业能力、培训和管理文件的流程及相关程序的合理化。因此，尽管所有专业化学校都有相同的使命，即培训职业医学专家，但每个学校都应根据其在特定历史、价值观、感知愿景和市场状况方面所做的战略选择，采用质量政策。
