Manno M, Bartolucci G B, Boscolo P, Carta P, Ferrario M M, Sbordone C
Sezione di Medicina del Lavoro, Dipartimento di Scienze Mediche Preventive, Università degli Studi di Napoli Federico II.
Med Lav. 2010 Jan-Feb;101(1):55-72.
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.
意大利职业健康与工业卫生协会（S.I.M.L.I.I）的职业医学大学教师B. 拉马齐尼学院的一份文件。该文件的目的是比较公共卫生研究生医学领域三门主要专业课程的专业能力、培训概况和核心课程，即职业医学、卫生与预防医学以及法医学，如2005年8月1日的部长令（D.M）中所述。我们着手根据意大利新的工作安全与健康法（D.Lgs 81/2008）第38条，使用清晰客观的标准，确定卫生或法医学专家为获得“胜任医师”（CP）授权以开展职业健康活动必须培养的知识和技能。比较结果显示这三门课程在结构和内容上存在显著差异。特别是，与职业医学课程相比，卫生和法医学课程都缺乏临床培训，包括诊断和治疗技能、以风险为导向的职业健康活动、生物监测、个体易感性评估以及预防和检测职业病的临床或仪器程序。此外，卫生专业课程缺乏关于评估个体工人工作适应性的标准和方法的任何培训，而法医学课程缺乏职业风险评估和管理方面的任何培训。通过这次比较，得出了一份卫生或法医学专家为获得新法律规定的CP活动授权应弥补（学分）的教育培训不足清单。在此基于相应学分提出一份核心课程，以供参考。
