Table 7

Standardised rankings

Occupational hazards to health:
 Section 1A, knowledge:
  Hazards to health in the workplace and the illnesses which they cause1.6
  Evaluating and controlling risk from hazards4.2
  Principles of toxicology, occupational hygiene, and ergonomics4.5
  Clinical features and investigation of occupational disease4.8
  Sources of information in occupational health hazards5.0
  Principles of health surveillance5.6
  Occupational health standards6.5
  Biological monitoring6.8
  Principles of occupational safety 7.5
  Emergency treatment of injury at work 7.6
 Section 1B, experience:
  Assess and advise on range of working environments3.5
  Surveillance of workers at risk of occupational injury and disease3.6
  Differential diagnosis of work related ill health4.1
  Liaison with other specialists on workplace assessment4.3
  Management of workers developing work related disease or injury4.8
  Use of basic occupational hygiene equipment6.5
  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 measures3.2
  Diagnose work related ill health3.6
  Take a clinical history and examination proficiently3.7
  Organise appropriate investigations for diagnosis of occupational disease4.3
  Recognise need for specialist assessment of environment4.6
  Organise health surveillance for workers exposed to occupational hazards4.8
  Advise on provision of first aid facilities7.1
  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 work2.8
  Statutory requirements for fitness for specific jobs3.9
  Methods of rehabilitation and redeployment at work4.6
  Factors effecting absence attributed to sickness5.1
  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 retirement7.1
  Disablement benefits7.7
 Section 2B, experience:
  Clinical assessment of disability and fitness for work, both preplacement and after work related illness or injury2.7
  Assessment of impairment, disability, and handicap in relation to work3.1
  Clinical management in rehabilitation of disabled workers5.2
  Application of ergonomics to rehabilitation5.5
  Counsel employees regarding sickness absence 6.3
  Management of workers with alcohol or drug problems6.5
  Monitoring sickness absence7.4
  Supervise training 7.7
 Section 2C, competence:
  Advise on impairment, disability, and handicap in relation to work4.1
  Advise on fitness for work in liaison with other professionals where appropriate4.2
  Advise on rehabilitation and redeployment5.5
  Advise managers, insurers, and employers on ill health retirement7.7
  Advise on sickness absence8.0
 Section 3A, knowledge:
  Organisation of occupational health services and role of statutory authorities3.2
  Ethical guidelines for communications with doctors, managers, and others5.1
  Role and organisation of other occupational health professionals5.6
  Organisation of other health services6.0
  Principles, techniques, and resources in communication6.3
  Organisation of occupational health services in other European countries 8.2
 Section 3B, experience:
  Preparation of written reports3.7
  Communications with other professionals about management of people4.4
  Oral presentations with audiovisual aids5.0
  Teamwork 5.7
  Participation in committees6.9
  Negotiating, influencing, and conflict resolution 6.9
 Section 3C, competence:
  Communicate with people of differing backgrounds and technical understanding4.2
  Organise and write reports5.2
  Make clear oral presentations with use of audiovisual aids5.4
  Read, write, and converse proficiently5.5
  Apply legislative and ethical requirements for confidentiality in communicating with other professionals about people6.0
  Participate effectively as a member of a committee8.3
Research methods:
 Section 4A, knowledge:
  Sources of scientific information4.4
  Principles of epidemiology and medical statistics4.9
  Ethical considerations in research7.2
  Principles of social and qualitative research 8.1
 Section 4B, experience:
  Conduct a formal scientific investigation7.0
  Carry out a literature search and prepare a report 7.8
 Section 4C, competence:
  Carry out a literature search3.9
  Convert a problem into a researchable question4.0
  Interpret scientific data in journals and from own research4.6
  Plan simple surveys4.9
  Recognise limits of competence and liase with statisticians or other experts when appropriate5.3
  Recognise and initiate the investigation of disease clusters in the work force5.7
  Report on an investigation orally and in writing6.2
  Carry out simple statistical manipulations to summarise data6.4
  Analyse routinely collected data including sickness absence and accident data 6.4
  Use a computer for the storage and analysis of data6.8
 Section 5A, knowledge:
  Principles and practice of management2.7
  Techniques for needs assessments and marketing of occupational health services4.8
  How to manage a budget5.0
  Industrial relations5.1
  Management structures in different organisations6.1
  Principles of audit6.3
  Analysis of organisational behaviour 7.0
  Designing a training course7.5
 Section 5B, experience:
  Personal responsibility for the management of a department or some aspect of a department of occupational health3.2
  Involvement with all elements of industrial organisation3.7
  Experience in at least two organisations or businesses with different structures and styles of management4.9
  Collection and use of information in the management of health and safety at work5.1
  Participation in audit5.8
  Managing a budget6.0
  Selection, appointment, supervision, and appraisal of staff6.2
  Involvement in providing training7.0
  Attendance at a management training course 7.3
 Section 5C, competence:
  Identify the occupational health needs of an organisation2.2
  Define the goals and objectives of an occupational health service2.5
  Define the roles of staff in providing an occupational health service and formulate job descriptions3.8
  Manage an occupational health department3.8
  Evaluate the quality of an occupational health service and carry out clinical audit5.4
  Negotiate and manage a budget5.7
  Team building and teamwork 6.1
  Organise record keeping with computers if appropriate6.5
  Select, appoint, supervise and appraise staff performance6.6
  Market occupational health services6.7
  Negotiating and influencing skills 7.3
  Design a training programme7.4
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 disease2.6
  The legislative framework of occupational health in the relevant country and European Community3.0
  The interaction between the law and ethics in occupational health practice3.7
  Industrial compensation systems5.4
  The roles of the medical, professional, and expert witness5.7
  Organisation of social and insurance services6.2
  Employment law 6.6
  Social compensation legislation 6.7
  Environmental health law 6.8
  Procedures in litigation7.3
 Section 6B, experience:
  Advising on, supporting, and monitoring the implementation of occupational health and safety legislation4.2
  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 law4.9
  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 activities2.5
  Methods for assessing and controlling environmental hazards4.7
  Sources of information on environmental epidemiology 5.9
  Control of major industrial accidental hazards6.5
  Environmental sources of hazards to health other than industry 6.4
  The role of other professional groups with an interest in environmental health6.7
  Principles of integrated pollution control6.8
 Section 7B, experience:
  Advising on management of known and suspected environmental hazards to health4.3
  Liaison with other specialists responsible for environmental and community health5.5
  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 activities5.5
  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 modification3.3
  Major health risks relevant to working populations3.4
  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 information7.3
 Section 8B, experience:
  Participation in health promotion and education programmes5.3
  Experience with intervention techniques 7.1
  Advocating workplace health promotion 7.3
 Section 8C, competence:
  Assess needs for health promotion3.8
  Organise, provide, and evaluate health promotion programmes4.6
  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
  • Items in italics were not in the first questionnaire.