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TEACHING OCCUPATIONAL EPIDEMIOLOGY IN THE UK. PROF. JOHN HARRISON ACADEMIC DEAN FACULTY OF OCCUPATIONAL MEDICINE. WHO TRAINS?. DOCTORS NURSES OCCUPATIONAL HYGIENISTS OTHERS?. OCCUPATIONAL MEDICINE. DIPLOMA IN OCCUPATIONAL MEDICINE ASSOCIATE OF F.O.M. DISSERTATION.
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TEACHING OCCUPATIONAL EPIDEMIOLOGY IN THE UK PROF. JOHN HARRISON ACADEMIC DEAN FACULTY OF OCCUPATIONAL MEDICINE
WHO TRAINS? • DOCTORS • NURSES • OCCUPATIONAL HYGIENISTS • OTHERS?
OCCUPATIONAL MEDICINE • DIPLOMA IN OCCUPATIONAL MEDICINE • ASSOCIATE OF F.O.M. • DISSERTATION
DIPLOMA IN OCCUPATIONAL MEDICINE • EFFECTS OF WORK ON HEALTH MODULE • PART OF PRINCIPLES OF OCCUPATIONAL HYGIENE, TOXICOLOGY, ERGONOMICS EPIDEMIOLOGY • 1 HOUR OF TEACHING(?)
A.F.O.M. • EPIDEMIOLOGY AND STATISTICS MODULE • 2 WRITTEN QUESTIONS IN EXAM • ORAL EXAMINATION
DESCRIPTIVE EPI. ROUTINE STATISTICS OF MORTALITY & MORBIDITY ANALYTICAL EPI. SURVEY & RESEARCH METHODS REPEATABILITY AND VALIDITY SENSITIVITY & SPECIFICITY A.F.O.M.
STUDY DESIGN DATA INTERPRETATION BIAS CONFOUNDING CHANCE THE HEALTHY WORKER EFFECT A.F.O.M.
DISSERTATION “All candidates will be required to submit a thesis, dissertation or substantial original published work. The topic must be within the broad field of occupational medicine and make a useful contribution to the specialty.”
DISSERTATION “The usual subject will be a piece of original research. The candidate will demonstrate competence in formulating and testing a research question, which is an important aspect of specialist occupational medicine practice. A significant and substantial literature review may also be acceptable or a meta-analysis of studies that have been performed on a topic relevant to occupational medicine.”
TEACHING OCCUPATIONAL EPI. • DOCTORS IN TRAINING USUALLY ENROL WITH ONE OF SEVERAL UNIVERSITIES IN UK. • LARGEST PROVIDER IS UNIVERSITY OF MANCHESTER. (CENTRE FOR OCCUPATIONAL & ENVIRONMENTAL HEALTH) http://www.medicine.manchester.ac.uk/coeh/
ADVANCED DIPLOMA / MSc OCCUPATIONAL MEDICINE / HYGIENE Module 2, Unit C: The Scientific Basis: Epidemiology and Stats. (50% of Unit) TOTAL OF 8 MODULES. PAPER-BASED SUPPORTED BY FACE-TO-FACE TEACHING
Understand the principles of an epidemiological, as distinct from a clinical or toxicological, approach to occupational health problems. Be able to discuss the main features ‑ including the advantages and disadvantages ‑ of: cohort studies case referent studies cross‑sectional studies in the context of a specific research question. AIMS OF MODULE
Be aware of the scope and uses of published sources of information on general and occupational mortality, and morbidity. Know how to calculate the common measures of mortality and morbidity. Know how to summarize and present other types of epidemiological data. AIMS OF MODULE
Understand how to summarize and interpret environmental exposure data. Understand the role of statistical inference in epidemiological research and compliance testing. AIMS OF MODULE
Be able to interpret the results of statistical methods in non‑mathematical terms. Understand the problems of bias and confounding and what can be done to avoid them. Be able to make critical assessments of research reports with respect to the appropriateness of study design and interpretation. AIMS OF MODULE
TUTORIALS / PRACTICALS • REGIONALLY-BASED TUTORIALS • EARLY EXPOSURE TO EPIDEMIOLOGYLECTURES AND INTERACTIVE SESSIONS • PRACTICAL COURSE AFTER 6 MONTHS (In Manchester)
OH NURSING • NO NATIONAL CURRICULUM • EACH UNIVERSITY DEVELOPS OWN CURRICULUM WITHIN CENTRAL GUIDELINES TO DELIVER COMPETENCIES SET BY N.M.C.
HISTORICAL CONSIDERATIONS DEFINITIONS METHODS TYPES OF STUDY MORTALITY STATISTICS OTHER STATISTICS CONFOUNDING / OTHER FACTORS CASE STUDY - ASBESTOS UNIVERSITY OF SHEFFIELD
CONCLUSION • OCCUPATIONAL EPIDEMIOLOGY IS A COMMON FEATURE OF TRAINING IN OH DISCIPLINES IN THE U.K. • OCC. EPI. REMAINS A KEY COMPONENT OF OCCUPATIONAL MEDICINE TRAINING AND UNIV. MANCHESTER IS THE MAIN PROVIDER.