Value of occupational medicine board certification.
Value of occupational medicine board certification.
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职业医学委员会认证的价值。
DOI：
10.1097/jom.0b013e31828515b8
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发表时间：
2013
影响因子：
3.2
通讯作者：
Liu,Yihang
中科院分区：
文献类型：
--
作者：
Harber,Philip;Wu,Samantha;Bontemps,Johnny;Rose,Sasha;Saechao,Kaochoy;Liu,Yihang
目的：评估职业医学委员会认证和职业阶段对执业特征的影响。方法：对260名职业医学医师进行问卷调查和25份活动日志描述，涉及9个主要领域的72个项目。对于每个项目，计算涉及该项目的活动的百分比和至少进行该项目一次的医生的百分比。结果按认证状态和职业阶段进行分析。结果：委员会认证医师的执业活动和技能更加多样化。他们更多地参与管理和以公共卫生为导向的活动，更多地强调毒理学，而较少关注肌肉骨骼疾病。无证医生从工人赔偿金中获得了更多的报酬。早期职业医生花更多的时间在直接伤害/疾病治疗上，由工人赔偿支付，并解决肌肉骨骼问题。结论：正规培训在实践多样性和人口医学定位方面具有优势。职业医学（OM）是一个多样化的领域，其活动范围从公共卫生和工作场所预防到伤害治疗。1,2在美国，虽然医生可以在没有正式培训的情况下在该领域执业，但许多医生完成了为期3年的研究生住院医师计划，并通过了委员会的认证考试。在美国主要专业组织美国职业与环境医学学院中，只有40%的成员获得了医学委员会的认证。这个过程有点类似于欧洲的注册和其他博士后培训计划。
Objective:To assess the impact of occupational medicine board certification and career stage on practice characteristics.Methods:Two hundred sixty occupational medicine physicians completed a questionnaire and 25 activity log descriptions about 72 items in 9 major domains. For each item, the percentage of activities involving the item and the percentage of physicians conducting the item at least once were calculated. Results were analyzed by board certification status and career stage.Results:Board-certified physicians had more-diverse practice activities and skills. They were more involved in management and public health–oriented activities, with greater emphasis on toxicology and less on musculoskeletal disorders. The noncertified physicians received more payment from workers' compensation. Early-career physicians spent more time in direct injury/illness treatment, being paid by workers' compensation, and addressing musculoskeletal problems.Conclusions:Formal training confers advantages in practice diversity and population medicine orientation.Occupational medicine (OM) is a diverse field, with activities ranging from public health and workplace prevention to injury treatment. 1, 2 In the United States, although a physician may practice in the field without formal training, many complete a 3-year postgraduate residency program and pass a board certification examination. Only 40% members of the major US professional organization American College of Occupational and Environmental Medicine are board certified in OM. 3 This process is somewhat analogous to the comparable registrarships and other postdoctoral training programs in Europe.