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The industrial medicine is the field of activity of the medicine, itself in research, theory and practice with the investigation, evaluation, investigation and influence of the interrelations between

  • Requirements, conditions and organization of the work as well as that
  • Humans, its health, its occupation ability and work and its diseases

concerned.

Field of activity

In addition on the one hand prevention and diagnostics belong work or health damage and occupational illnesses due to environmental factors. On the other hand the ergonomic organization is persons handicapped by jobs and operational sequences a substantial task, furthermore the integration of chronically patients (like patients with rheumatism, epilepsy, diabetes etc.) and into the working process (often in co-operation with Arbeitsassistenzen). Work and organization psychology, social medicine, accident prevention and insurance-legal topics belong likewise to the special characteristics of this medical field. Thus the industrial medicine makes substantial contributions to an integrated medical supply.

Industrial medicine is the classical medical field of activity of prevention, the health promotion and the rehablitation. The industrial medicine is not thus above all also an advisory medicine and has kurativen tasks to fulfill. It is aligned speaking medicine, i.e. to the dialogue with the target group. This is not ill in the majority. In order to be able to work preventively, the work medical profession may however not be waiting, to gotten sick one to them come, but must toward humans actively go.

Methods

To the research methods typical for the subject belong

  • Laboratory analyses, in particular bio monitorings regarding dangerous materials (lead, solvent etc.)
  • standardized and/or semi standardized questionings, for example the determination of the Workability index.

Apart from according to industrial medicine the anamnesis particularly important for the diagnostics and the internally oriented investigation methods are added from the most different fields of activity depending upon question: Ergometrie, measurement of visual acuity and other eye parameter, audiometry, Spirometrie, Roentgen diagnostics, dermatologische, allergologische, neurological research methods and other more.

Medical out and further training

Germany

In particular following knowledge, experiences and talents are demanded by the specialist for industrial medicine:

  • Prevention of work-conditioned health trouble and occupational illnesses as well as the releasing Noxen including epidemiological bases
  • Health consultation including inoculation
  • operational health promotion including the individual and group-related training
  • Consultation and planning in questions of the technical, organizational and personal work and health protection
  • Accident prevention and industrial safety
  • Organization and Sicherstellung of the first assistance and emergency-medical supply on the job
  • Co-operation with medical, vocational and social rehablitation
  • operational reintegration and employment chronically patients and protection-needy persons on the job
  • Evaluation of efficiency, maximum stress and serviceability including the industrial physiology
  • Work and environmental sanitation including the toxicology according to industrial medicine
  • Work and industrial psychology including psychosocial aspects
  • taking precautions, fitness and suitability investigations according to industrial medicine including traffic-medical questions
  • Bases of disease pictures including the indication position for a human-genetic consultation
  • Indication position, adequate sample production and - treatment for laboratory tests including the bio monitoring and the evaluation according to industrial medicine of the results
  • medical investigation with work-conditioned illnesses and occupational illnesses, evaluation of work, occupation and earning power including questions of a job rotation
  • collection according to industrial medicine of environmental factors as well as their evaluation regarding their health relevance
  • Development of operational prevention concepts
  • preventive medical examinations according to industrial medicine after legislation
  • Job evaluations and endangerment analyses
  • Consultation for ergonomic work organization
  • evaluation according to industrial medicine of results of measurement of different working environment factors, e.g. Noise, climatic sizes, lighting, dangerous materials

The training further time amounts to 60 months. Far pictures and training further place must be certified by the physician chamber. From the 60 months 24 months in the internal medicine and general medicine are to carry out 36 months in the industrial medicine. Of it months in other areas can be taken into account up to 12.

As characteristic a 360 hours comprehensive course over special topics must being completed like for example psychology, ergonomics, right, economics, technology, social security nature during the specialized further training according to industrial medicine. Organizers are the academies for industrial medicine and environmental medicine in bath Nauheim, Berlin, Bochum, Dresden, Duesseldorf, Munich and Ulm/Stuttgart.

Apart from the specialist designation industrial medicine gives it also the auxiliary designation to industrial medicine . It was introduced and maintained until today by the German congress of physicians, because an extremely large need at operatingmedically active physicians exists, in particular for the support of innumerable small firms and this need at the current time by specialists for industrial medicine alone not to be covered was.

The auxiliary designation industrial medicine presupposes an already existing specialist acknowledgment in an area of the direct patient supply. For example thus specialists can acquire this auxiliary designation for general medicine or internalists. But they must 36 months further training prove, of it 12 months internal medicine and general medicine and 24 months industrial medicine/industrial medicine, in each case with an train further-authorized at a certified training further place. As is the case for the specialist further training the participation in the 360-Stunden course (S. o.) is to be proven.

Other countries

There are uniform specializedmedical certificates of competency in Europe for the following countries:

Denmark: samfundsmedicin/arbejdsmedicin, Germany: Industrial medicine, Belgium: you travail/arbedsgeneeskunde, Finland: France: you travail, Greece, Great Britain (united kingdom): occupational medicine, Ireland: occupational medicine, Italy: medicine del lavoro, Luxembourg: you travail, the Netherlands: Work oath EN gezondheid: bedrijfs - EN verzekeringsgeneeskunde, Austria: Work and industrial medicine, Poland: medycyna pracy, Portugal: medicina DO trabalho, Sweden: yrkes och Iceland: Norway: arbeidsmedisin.

For the mutual acknowledgment comparable specialist training is required. In individual cases this examines the responsible physician chamber.

In the USA qualification and quality assurance in the work and environmental medicine are noticed by the medical specialized company American college OF Occupational and Environmental Medicine (ACOEM), as there for the medical activity generally usual. Detailed curriculum is obligation for the acknowledgment by the ACOEM.

Legal meaning

The industrial safety law obligates each employer to provide for an appropriate support according to industrial medicine of its coworkers. It covers all measures according to industrial medicine necessary for preventing work-conditioned health dangers.

The dangerous material regulation defines the term precaution according to industrial medicine more exactly. To it belong in particular

  • the evaluation of the conditions of work
  • the clearing-up and consultation of the persons employed
  • special preventive medical examinations according to industrial medicine for the early recognition of health trouble
  • technically justified recommendations regarding the work organization
  • the development of the operational health protection by the won realizations

Details regulate also the law over company doctors, safety engineers and other specialists for industrial safety (industrial safety law - ASiG). It determines among other things that only technically qualified physicians may be assigned by the employer the precaution according to industrial medicine.

Special preventive medical examinations are prescribed with certain loads, for example by dangerous materials or noise, obligatorily. The professional associations and other legal accident insurances published a number of so-called investigation principles. These were a recommendation character and the conditions according to the science reference points for preventive medical examinations according to industrial medicine to give.

Definitions and regulations of the dangerous material regulation are considered frequently as orientation during the present re-organization also different ranges of the industrial safety right.


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