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Original article
International perspective on common core competencies for occupational physicians: a modified Delphi study
  1. Drushca Lalloo1,
  2. Evangelia Demou1,2,
  3. Sibel Kiran3,
  4. Marianne Cloeren4,
  5. René Mendes5,
  6. Ewan B Macdonald1
  1. 1Healthy Working Lives Group, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
  2. 2MRC/CSO Social and Public Health Sciences Unit, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK
  3. 3Department of Occupational Health and Medicine, Hacettepe University, Institute of Public Health, Sihhiye-Ankara, Turkey
  4. 4Managed Care Advisors, Inc., Bethesda, Maryland, USA
  5. 5National Association of Occupational Medicine (ANAMT/Brazil), São Paulo, Brazil
  1. Correspondence to Dr Drushca Lalloo, Healthy Working Lives Group, Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, 1 Lilybank Gardens, Glasgow G12 8RZ, UK; drushca{at}hotmail.com

Abstract

Objectives The competencies required of occupational physicians (OPs) have been the subject of peer-reviewed research in Europe and individual countries around the world. In the European Union (EU), there has been development of guidance on training and common competencies, but little research has extended beyond this. The aim of this study was to obtain consensus on and identify the common core competencies required of OPs around the world.

Methods A modified Delphi study was carried out among representative organisations and networks of OPs in a range of countries around the world. It was conducted in 2 rounds using a questionnaire based on the specialist training syllabus of a number of countries, expert panel reviews and conference discussions.

Results Responses were received from 51 countries around the world, with the majority from Europe (60%; 59%) and North and South America (24%; 32%) in rounds 1 and 2, respectively. General principles of assessment and management of occupational hazards to health and good clinical care were jointly considered most important in ranking when compared with the other topic areas. Assessment of disability and fitness for work, communication skills and legal and ethical issues completed the top five. In both rounds, research methods and teaching and educational supervision were considered least important.

Conclusions This study has established the current priorities among OPs across 51 countries of the common competencies required for occupational health (OH) practice. These findings can serve as a platform for the development of common core competencies/qualifications within specific geographical regions or internationally. This is particularly pertinent with globalisation of commerce and free movement within the EU.

  • competencies
  • occupational physician training
  • Delphi study
  • occupational medicine

This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/

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