Occupational physicians’ perceived value of evidence-based medicine intervention in enhancing their professional performance

Hugenholtz, N. I. R.; Schaafsma, Frederieke; Schreinemakers, J.F.; Dijk, F. J. H. van; Nieuwenhuijsen, Karen

doi:10.5271/sjweh.1241

Cited by 11 publications

(13 citation statements)

References 37 publications

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“…In addition, searches using this method have a good quality and lead to better choices regarding advised interventions. 65 Case-based learning also improves a critical attitude, increases the number of searches for information, encourages self-confidence by more evidence-based recommendations, 66 and professional performance advanced. 67…”

Section: Education and Trainingmentioning

confidence: 97%

A Knowledge Infrastructure for Occupational Safety and Health

Dijk

Verbeek

Hoving

et al. 2010

Journal of Occupational &Amp; Environmental Medicine

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Occupational Safety and Health (OSH) professionals should use scientific evidence to support their decisions in policy and practice. Although examples from practice show that progress has been made in evidence-based decision making, there is a challenge to improve and extend the facilities that support knowledge translation in practice. A knowledge infrastructure that supports OSH practice should include scientific research, systematic reviews, practice guidelines, and other tools for professionals such as well accessible virtual libraries and databases providing knowledge, quality tools, and good learning materials. A good infrastructure connects facilities with each other and with practice. Training and education is needed for OSH professionals in the use of evidence to improve effectiveness and efficiency. New initiatives show that occupational health can profit from intensified international collaboration to establish a good functioning knowledge infrastructure.

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Section: Education and Trainingmentioning

confidence: 97%

A Knowledge Infrastructure for Occupational Safety and Health

Dijk

Verbeek

Hoving

et al. 2010

Journal of Occupational &Amp; Environmental Medicine

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show abstract

“…Therefore, there is an evident need to determine and periodically re-evaluate professional activity (and the related skills and competencies) and the information demands and/or education and training needs of OPs, in order to ensure adequate protection of workers and continually improve their health and safety in workplaces [1,6,7]. In this regard, several studies [8][9][10][11][12][13] attempted to define the core competencies and skills of OPs in order to identify methodologies and tools that may contribute to improvement of the OP's professional knowledge and competency (e.g., introducing evidence-based medicine in daily practice) [14,15], to guide educational curricula Furthermore, the questionnaire was also designed taking into account the specific Italian regulatory framework for occupational health and safety. Subjects recruited in this study were asked to complete 3 different sections of the questionnaire for a total of 35 questions.…”

Section: Introductionmentioning

confidence: 99%

Professional activity, information demands, training and updating needs of occupational medicine physicians in Italy: National survey

Persechino

Fontana

Buresti

et al. 2016

Int J Occup Med Environ Health

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Objectives: Occupational medicine is a discipline continually evolving in response to technological advances, changes in workplaces and production processes, emergence of new occupational risks and diseases and modifications in regulatory framework for occupational health and safety. Therefore, the recurrent revaluation of professional activity, information demands and education and training needs of occupational physicians is essential in order to identify methodologies and tools that may contribute to improvement of their professional knowledge and competency. In this regard, we conducted the first large-scale national survey of Italian occupational medicine physicians to define their demographic and professional activity and to assess their information demands, training and updating needs. Material and Methods: A random sample of occupational physicians, listed in the national register of the Italian Ministry of Health, was selected to complete a voluntary survey. Subjects recruited in this study were asked to complete 3 different sections (personal and professional information, training and updating needs, professional activity and practice characteristics) of a questionnaire for a total of 35 questions. Results: Most of participants were specialized in occupational medicine, worked for a large number of companies and carried out health surveillance on a total number of workers that exceeds 1500. Occupational physicians would like to have a higher training offer towards practical aspects of health surveillance, risks assessment, manual handling of loads, chemical substances and upper limb biomechanical overload. Interestingly, statistically significant differences were observed subdividing the sample into different groups according to the legal requirements to perform the professional activity of occupational physicians in Italy or according to particular aspects of their professional activity. Conclusions: This study has provided interesting findings that may help to guide future discussion on alternative and additional instruments and/or methodologies that may be adopted to implement the quality and effectiveness of occupational medicine practice. and professional certification processes [11], to address learning outcomes for higher specialist training within the framework of the OM [6], to influence the organization and structure of service delivery [16], to inform policy decisions and then, ultimately, to fill the gap between "what the OM is" and "what it should be" [11,16]. In this context, using a self-administered questionnaire, we conducted the first large-scale national survey of Italian OPs to gather data regarding their professional activity, information demands and training and updating needs. The aim of this study, highlighting the current problems of Italian OPs, has been to gain helpful information to define, develop and implement management methodologies, operative procedures and training programs that are useful and timely in improving the quality and effectiveness of the OM practice...

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“…Instruction and training seems to be needed for most occupational physicians to increase their searching and critical-appraisal skills [3,9]. A study by Hugenholtz et al demonstrated that an intervention with multi-faceted evidence-based medicine was a useful method to enhance professional performance [5]. However, the intervention was very time consuming.…”

Section: Discussionmentioning

confidence: 99%

“…More response categories were made available for some questions and two additional questions concerning the cut-off point for referral to an urologist/nephrologist were included. The revised questionnaire consisted of five parts [1] physicians’ gender, employment and years of experience in occupational medicine; [2] urine collection, used methods and screening tests; [3] who is screened; [4] use of a protocol or recommendations; [5] referral criteria and management of positive test results.…”

Section: Methodsmentioning

confidence: 99%

Routine dipstick urinalysis in daily practice of Belgian occupational physicians

Haak¹,

Peremans

2012

Arch Public Health

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BackgroundLittle work has been done to assess the quality of health care and the use of evidence-based methods by occupational physicians in Belgium. Therefore, the main objective is to describe one aspect of occupational health assessments, namely the common use of dipstick urinalysis, and to compare the current practice with international guidelines.MethodsA self-administered questionnaire was mailed to 211 members of the Scientific Association of Occupational Medicine in the Dutch speaking part of Belgium.ResultsA total of 120 occupational physicians responded, giving a response rate of 57%. Dipstick urinalysis was a routine investigation for the vast majority of physicians (69%). All test strips screened for protein and in 90% also for blood. Occupational health services offered clinical tests to satisfy customer wants as international guidelines do not recommend screening for haematuria and proteinuria in asymptomatic adults. A lack of knowledge concerning positive testing and referral criteria was demonstrated in almost half of the study participants.ConclusionsBelgian occupational physicians still routinely perform dipstick testing although there is no evidence to support this screening in healthy workers. To practice evidence-based medicine, occupational physicians need more instruction and training. Development and implementation of more guidelines is not only of use for the individual practitioner, it may also enhance professionalization and efficiency of occupational health care.

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Occupational physicians’ perceived value of evidence-based medicine intervention in enhancing their professional performance

Cited by 11 publications

References 37 publications

A Knowledge Infrastructure for Occupational Safety and Health

A Knowledge Infrastructure for Occupational Safety and Health

Professional activity, information demands, training and updating needs of occupational medicine physicians in Italy: National survey

Routine dipstick urinalysis in daily practice of Belgian occupational physicians

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