Table 7
Standardised rankings
| Occupational hazards to health: | |
| Section 1A, knowledge: | |
| Hazards to health in the workplace and the illnesses which they cause | 1.6 |
| Evaluating and controlling risk from hazards | 4.2 |
| Principles of toxicology, occupational hygiene, and ergonomics | 4.5 |
| Clinical features and investigation of occupational disease | 4.8 |
| Sources of information in occupational health hazards | 5.0 |
| Principles of health surveillance | 5.6 |
| Occupational health standards | 6.5 |
| Biological monitoring | 6.8 |
| Principles of occupational safety | 7.5 |
| Emergency treatment of injury at work | 7.6 |
| Section 1B, experience: | |
| Assess and advise on range of working environments | 3.5 |
| Surveillance of workers at risk of occupational injury and disease | 3.6 |
| Differential diagnosis of work related ill health | 4.1 |
| Liaison with other specialists on workplace assessment | 4.3 |
| Management of workers developing work related disease or injury | 4.8 |
| Use of basic occupational hygiene equipment | 6.5 |
| Experience in general clinical toxicology | 6.9 |
| Supervise health and safety training | 7.1 |
| Use of ILO classification of radiographs | 8.5 |
| Section 1C, competence: | |
| Undertake workplace assessments and advise on control measures | 3.2 |
| Diagnose work related ill health | 3.6 |
| Take a clinical history and examination proficiently | 3.7 |
| Organise appropriate investigations for diagnosis of occupational disease | 4.3 |
| Recognise need for specialist assessment of environment | 4.6 |
| Organise health surveillance for workers exposed to occupational hazards | 4.8 |
| Advise on provision of first aid facilities | 7.1 |
| Select appropriate personal protective equipment | 7.5 |
| Advise on the use of equipment and the planning of working environment | 7.5 |
| Advise on the introduction of new working systems and techniques | 7.7 |
| Assessment of disability and fitness for work: | |
| Section 2A, knowledge: | |
| Principles of assessing fitness for work | 2.8 |
| Statutory requirements for fitness for specific jobs | 3.9 |
| Methods of rehabilitation and redeployment at work | 4.6 |
| Factors effecting absence attributed to sickness | 5.1 |
| Assessment of fitness for work of older workers | 6.5 |
| Application of the stress or strain concept to disabled employees | 6.8 |
| Principles of ill health retirement | 7.1 |
| Disablement benefits | 7.7 |
| Section 2B, experience: | |
| Clinical assessment of disability and fitness for work, both preplacement and after work related illness or injury | 2.7 |
| Assessment of impairment, disability, and handicap in relation to work | 3.1 |
| Clinical management in rehabilitation of disabled workers | 5.2 |
| Application of ergonomics to rehabilitation | 5.5 |
| Counsel employees regarding sickness absence | 6.3 |
| Management of workers with alcohol or drug problems | 6.5 |
| Monitoring sickness absence | 7.4 |
| Supervise training | 7.7 |
| Section 2C, competence: | |
| Advise on impairment, disability, and handicap in relation to work | 4.1 |
| Advise on fitness for work in liaison with other professionals where appropriate | 4.2 |
| Advise on rehabilitation and redeployment | 5.5 |
| Advise managers, insurers, and employers on ill health retirement | 7.7 |
| Advise on sickness absence | 8.0 |
| Communications: | |
| Section 3A, knowledge: | |
| Organisation of occupational health services and role of statutory authorities | 3.2 |
| Ethical guidelines for communications with doctors, managers, and others | 5.1 |
| Role and organisation of other occupational health professionals | 5.6 |
| Organisation of other health services | 6.0 |
| Principles, techniques, and resources in communication | 6.3 |
| Organisation of occupational health services in other European countries | 8.2 |
| Section 3B, experience: | |
| Preparation of written reports | 3.7 |
| Communications with other professionals about management of people | 4.4 |
| Oral presentations with audiovisual aids | 5.0 |
| Teamwork | 5.7 |
| Counselling | 6.7 |
| Participation in committees | 6.9 |
| Negotiating, influencing, and conflict resolution | 6.9 |
| Section 3C, competence: | |
| Communicate with people of differing backgrounds and technical understanding | 4.2 |
| Organise and write reports | 5.2 |
| Make clear oral presentations with use of audiovisual aids | 5.4 |
| Read, write, and converse proficiently | 5.5 |
| Apply legislative and ethical requirements for confidentiality in communicating with other professionals about people | 6.0 |
| Participate effectively as a member of a committee | 8.3 |
| Research methods: | |
| Section 4A, knowledge: | |
| Sources of scientific information | 4.4 |
| Principles of epidemiology and medical statistics | 4.9 |
| Ethical considerations in research | 7.2 |
| Principles of social and qualitative research | 8.1 |
| Section 4B, experience: | |
| Conduct a formal scientific investigation | 7.0 |
| Carry out a literature search and prepare a report | 7.8 |
| Section 4C, competence: | |
| Carry out a literature search | 3.9 |
| Convert a problem into a researchable question | 4.0 |
| Interpret scientific data in journals and from own research | 4.6 |
| Plan simple surveys | 4.9 |
| Recognise limits of competence and liase with statisticians or other experts when appropriate | 5.3 |
| Recognise and initiate the investigation of disease clusters in the work force | 5.7 |
| Report on an investigation orally and in writing | 6.2 |
| Carry out simple statistical manipulations to summarise data | 6.4 |
| Analyse routinely collected data including sickness absence and accident data | 6.4 |
| Use a computer for the storage and analysis of data | 6.8 |
| Management: | |
| Section 5A, knowledge: | |
| Principles and practice of management | 2.7 |
| Techniques for needs assessments and marketing of occupational health services | 4.8 |
| How to manage a budget | 5.0 |
| Industrial relations | 5.1 |
| Management structures in different organisations | 6.1 |
| Principles of audit | 6.3 |
| Analysis of organisational behaviour | 7.0 |
| Designing a training course | 7.5 |
| Section 5B, experience: | |
| Personal responsibility for the management of a department or some aspect of a department of occupational health | 3.2 |
| Involvement with all elements of industrial organisation | 3.7 |
| Experience in at least two organisations or businesses with different structures and styles of management | 4.9 |
| Collection and use of information in the management of health and safety at work | 5.1 |
| Participation in audit | 5.8 |
| Managing a budget | 6.0 |
| Selection, appointment, supervision, and appraisal of staff | 6.2 |
| Involvement in providing training | 7.0 |
| Attendance at a management training course | 7.3 |
| Section 5C, competence: | |
| Identify the occupational health needs of an organisation | 2.2 |
| Define the goals and objectives of an occupational health service | 2.5 |
| Define the roles of staff in providing an occupational health service and formulate job descriptions | 3.8 |
| Manage an occupational health department | 3.8 |
| Evaluate the quality of an occupational health service and carry out clinical audit | 5.4 |
| Negotiate and manage a budget | 5.7 |
| Team building and teamwork | 6.1 |
| Organise record keeping with computers if appropriate | 6.5 |
| Select, appoint, supervise and appraise staff performance | 6.6 |
| Market occupational health services | 6.7 |
| Negotiating and influencing skills | 7.3 |
| Design a training programme | 7.4 |
| Occupational health law and ethics: | |
| Section 6A, knowledge: | |
| Acts, regulations, codes of practice and guidance governing occupational health including the reporting of occupational injury and disease | 2.6 |
| The legislative framework of occupational health in the relevant country and European Community | 3.0 |
| The interaction between the law and ethics in occupational health practice | 3.7 |
| Industrial compensation systems | 5.4 |
| The roles of the medical, professional, and expert witness | 5.7 |
| Organisation of social and insurance services | 6.2 |
| Employment law | 6.6 |
| Social compensation legislation | 6.7 |
| Environmental health law | 6.8 |
| Procedures in litigation | 7.3 |
| Section 6B, experience: | |
| Advising on, supporting, and monitoring the implementation of occupational health and safety legislation | 4.2 |
| Application of occupational health law and ethics to the individual case | 4.6 |
| Advising on, supporting, and monitoring the implementation of environmental law | 7.8 |
| Evaluation of compliance with new legislation | 8.0 |
| Section 6C, competence: | |
| Advise managers of their legal obligations under health and safety law | 4.9 |
| Advise managers on the implementation of health and safety and environmental law | 7.2 |
| Advise workers and workers' representatives of their legal obligations | 7.6 |
| Environmental medicine: | |
| Section 7A, knowledge: | |
| Physical, chemical, and biological hazards to health arising from industrial activities | 2.5 |
| Methods for assessing and controlling environmental hazards | 4.7 |
| Sources of information on environmental epidemiology | 5.9 |
| Control of major industrial accidental hazards | 6.5 |
| Environmental sources of hazards to health other than industry | 6.4 |
| The role of other professional groups with an interest in environmental health | 6.7 |
| Principles of integrated pollution control | 6.8 |
| Section 7B, experience: | |
| Advising on management of known and suspected environmental hazards to health | 4.3 |
| Liaison with other specialists responsible for environmental and community health | 5.5 |
| Involvement in the planning of building or processes with the potential to cause environmental hazards | 7.1 |
| Participation as a team member of emergency incident planning | 7.9 |
| Section 7C, competence: | |
| Recognise and advise on hazardous exposure in the general environment arising from industrial activities | 5.5 |
| Differential diagnosis of work related and environmental related disease | 6.4 |
| Recognise and advise on hazardous exposure in the general environment arising from other sources or activities | 8.1 |
| Health promotion: | |
| Section 8A, knowledge: | |
| Principles of health promotion, education, and behavioural modification | 3.3 |
| Major health risks relevant to working populations | 3.4 |
| The workplace health promotion process | 5.5 |
| Health needs analysis of working populations | 6.0 |
| Ethical aspects of population screening | 6.9 |
| Cost-benefit analysis of health promotion activities | 7.0 |
| Health promotion agencies and sources of information | 7.3 |
| Section 8B, experience: | |
| Participation in health promotion and education programmes | 5.3 |
| Experience with intervention techniques | 7.1 |
| Advocating workplace health promotion | 7.3 |
| Section 8C, competence: | |
| Assess needs for health promotion | 3.8 |
| Organise, provide, and evaluate health promotion programmes | 4.6 |
| Development and implementation of prevention programmes | 5.9 |
| Achieve high participation in health promotion programmes | 7.3 |
| Audit or evaluation of existing programmes | 7.9 |
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Items in italics were not in the first questionnaire.
