1. © Finnish Institute of Occupational Health – www.ttl.fi Well-being through work

2. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.2016 Training of Occupational Health Personnel OH Professionals and Specialists Owe Österbacka, senior specialist, MCSc, OHN, RN

3. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.20163 Owe Österbacka Organization of FIOH

4. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.20164 The OH Services Act defines competence requirements The Ministry of Social Affairs and Health has determined competence requirements for occupational health services professionals on the basis of Section 1383/2001 of the Occupational Health Services Act (Handbooks of the Ministry of Social Affairs and Health, ISSN 1236-116X; 2004:11; ISBN 952-00-1545-0). The activities of the occupational health care professionals and experts must comply with the provisions on the content and tasks of occupational health care laid down in the relevant legislation (1383/2001; section 12). Good occupational health care practice presupposes multidisciplinary co-operation by experts and multiprofessional knowledge of the relationship between work and health and its management. Owe Österbacka

5. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.20165 Educational foundation The qualifications training given by the Institute can be applied towards meeting the qualifications set for occupational health service professionals and experts. The training given is based on FIOH’s research and development activities. The training activities are guided by expertise in the spheres of health, the work environment, and work communities and familiarity with the practical operational models combining them Owe Österbacka

6. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.20166 The competence requirements Occupational health services professional means: a health care professional who is qualified as an occupational health services specialist or other licensed physician or is qualified as a public health nurse and has the necessary training to perform occupational health services Owe Österbacka

7. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.20167Esittäjän nimi The competence requirements Occupational health services expert means a person qualified as a: physiotherapist or psychologist and possessing sufficient knowledge of occupational health services or who has occupational hygiene, ergonomics, a technical subject agriculture occupational vision nutrition speech therapy or physical education and sufficient knowledge of occupational health services or who is qualified as a specialist physician in an area other than occupational health services

8. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.20168 "necessary training…" and "possessing sufficient knowledge…" OH professionals Physicians Only OH care specialists may work as full-time licensed physicians in OH care Working part-time requires a minimum of seven credits in OH care studies within two years OH professionals Nurses Working full-time in OH care shall be a qualified public health nurse and shall have passed the specialist studies in OH care at a polytechnic or a minimum of seven credits in OH care studies within two years OH experts Physiotherapists Psychologists A licensed physiotherapist or psychologist and shall have passed the specialist studies in OH care at a polytechnic or a minimum of seven credits in OH care studies within two years OH experts Experts in other fields mentioned An applicable university degree or other equivalent earlier vocational qualification and shall have passed the specialist studies in OH care at a a minimum of one credit in OH care studies Owe Österbacka

9. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.20169 Multidisciplinary co-operation education requirements versus responsibilities 9 OH Professional Physicians Nurses - have the necessary training to perform occupational health care - in charge of overall planning - assessing need of specialist(s) - implementation - development and - monitoring OH Specialist Physiotherapists Psychologists -utilizing their own field of special expertise - the leqislation emphasizes the use of these two specialist fields of knowledge in OH care OH Specialist Other fields -utilizing their own field of special expertise - where deeper specialist knowledge is deemed essential Owe Österbacka

10. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.201610 The outline of the basic OH education content at FIOH Basic education 7 credits (11 pts) 1. The operational environment 2. Risk assessment 3. Risk assessment and work-related illnesses 4. Workplace survey and planning of overall OH activities 5. Health promotion, im- provement and maintenance of work ability 6. Health promotion, im- provement and maintenance of work ability 7. Improve- ment of OH activities Owe Österbacka

11. © Finnish Institute of Occupational Health – www.ttl.fi Structure of basic training in OH 2 days at FIOH 3 days at FIOH 2 days at FIOH 6.6.201611Esittäjän nimi 120/180 Virtual work/discussions Multiprof teamwork Personal tasks/reports

12. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.201612 The outline of the basic OH education content at FIOH The operational environment of occupational health care Participants learn the basis of occupational health care practices, and will: familiarize themselves with the legislation, norms and regulations that determine occupational health care policy at workplaces understand how occupational health care operates in practice learn how to work in multiprofessional and multidisciplinary teams and networks The improvement of occupational health activities Participants lean to think about ethics and cost-efficiency in their work, and will: respect their clients' dignity and privacy maintain their professional skills by actively following new developments in their field and by attending supplementary courses learn to identify development needs in the functioning of occupational health care unit follow the discussion of future challenges in working life and in particular in their client companies Owe Österbacka

13. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.201613 The outline of the basic OH education content at FIOH Occupational health care process: planning and evaluation Participants are able to apply theory in practice, and: are able to assess the effects of the work environment and different work methods on health learn to plan occupational health practices according to client needs can identify health risks of recognized hazards know what kind of proposals and recommendations to give in order to improve their clients' working conditions Risk assessment at workplaces Participants are aware of health hazards and risks at their clients' workplace are able to use this information to apply health promotion and prevention methods. They: know how to apply hazard identification and risk assessment methods at workplaces are able to recognize potential health effects of identified hazards can give recommendations to improve the working conditions Owe Österbacka

14. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.201614 The outline of the basic OH education content at FIOH Health promotion, improvement and maintenance of work ability Participants are aware of work related hazards and risks and they understand the meaning of health promotion in occupational health care. They: can assess their clients' physical and mental well-being status know the necessary health education and communication methods are able to support and enhance their customers' work ability can give advice on the rehabilitation service options Work-related illnesses and occupational diseases Participants: know the Finnish legislation concerning occupational diseases know the basics of epidemiology can recognize the symptoms and pathology of occupational diseases Owe Österbacka

15. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.201615 "Life-long learning" Also included in the training offered by the Institute are continuing education and supplementary courses To maintain and develop professional skills. The courses are meant for professionals and experts in occupational health and safety, for labour protection personnel, and for people working in personnel administration and production. Owe Österbacka

16. © Finnish Institute of Occupational Health – www.ttl.fi Maintaining professional skills The employer of an occupational health care professional or expert has a duty to ensure that this person attends continuing education to maintain his professional skills sufficiently often and no less than once every three years. The continuing education duty also concerns a health care professional engaged in occupational health care as an independent professional. The Ministry of Social Affairs and Health may issue instructions on the content, quality, amount and organization of continuing education. Section 1383/2001 of the Occupational Health Services Act, 5 § 3-4 Ministry of Social Affairs and Health, Decree 1194/2003 Recommendation for further education for health care staff. Helsinki, 2004. (Handbooks of the Ministry of Social Affairs and Health, Finland; ISSN 1236-116X; 2004:3) ISBN 952-00-1478-0 Owe Österbacka

17. © Finnish Institute of Occupational Health – www.ttl.fi General information on Specialist physician’s training in occupational health care – 6 years The Specialist Physician’s Degree Programme in Occupational Health Care consists of a basic and specialised qualification. The degree programme is six years in length. The basic qualification requires two years of training (for more details, see Additional Training in Primary Health Care). Service during the four-year specialised qualification includes sections on occupational health care, assessment of work ability and rehabilitation, clinical rotations in other fields of medicine, and a rotation at the Finnish Institute of Occupational Health. In accordance with university regulations, the degree programme also includes multiprofessional management training. An agreement between the training site and the university must be in place prior to the start of training. The training site will appoint a personal instructor, who is a trainer approved by the university. This trainer is responsible for the implementation of the study programme. He or she guides the professional growth of the specialising trainee, monitors the implementation of the trainee’s personal specialisation plan, and assesses the training together with the specialising trainee.

18. © Finnish Institute of Occupational Health – www.ttl.fi Specialist physician’s training in occupational health care Basic qualifications training, 2 years The overall objective of this training is to prepare the individual for work as a primary health care physician/a licensed physician with the rights of a general practitioner. Goals of the basic qualifications training The basic qualification training must include at least nine months of service in a municipal health centre and at least six months of hospital service (for more precise information, see the heading Additional Training in Primary Health Care). At most six months may be served at some other university- approved public or private health care institution or unit, performing general practitioner-oriented duties.

19. © Finnish Institute of Occupational Health – www.ttl.fi Specialist physician’s training in occupational health care Specialised qualification training, 4 years Specialised qualification training comprises rotations in occupational health care, in work ability and rehabilitation, in relevant clinical disciplines, and at the Finnish Institute of Occupational Health. The specialised qualification training includes both in-service and theoretical training.

20. © Finnish Institute of Occupational Health – www.ttl.fi Specialist physician’s training in occupational health care Specialised qualification training, 4 years Occupational health care unit (24 months) The goal of this unit is familiarisation with the occupational health physician’s profession. The specialising trainee will be able to apply the theoretical base of knowledge in occupational health care and will have a thorough understanding of occupational health care service processes and multiprofessional activities. Following completion of this unit, the specialising trainee will be able to act as an expert with the workplace and other relevant entities, in accordance with good occupational health care practice.

21. © Finnish Institute of Occupational Health – www.ttl.fi Specialist physician’s training in occupational health care Specialised qualification training, 4 years Assessment of work ability and rehabilitation unit (6 months) The goal of this unit is to deepen skills in assessing work ability,functional ability, and the rehabilitation of working-aged people. The unit is completed at a university-approved training site where work ability and working-aged people’s rehabilitation needs are assessed. For the specialising trainee, the training site will appoint a personal instructor approved by the university as a trainer.

22. © Finnish Institute of Occupational Health – www.ttl.fi Specialist physician’s training in occupational health care Specialised qualification training, 4 years Clinical service in other fields of medicine (12 months) Clinical service in other fields of medicine must support the goals of training and the implementation of the specialising trainee’s personal specialisation plan.During this unit, knowledge of the most important diseases among working-aged people in primary health care is deepened and, for the purposes differential diagnosis,, knowledge of diseases which may be work-related is enhanced. Clinical service is completed in at least three applicable fields of specialisation (at least two fields of specialisation for those granted study rights before 1 August 2003). At least three months of service is required in each field of specialisation. Suitable fields of specialisation are psychiatry, physiatrics, dermatology, pulmonary diseases, oto-rhino-laryngology, internal medicine, surgery and neurology. It is recommended that the main emphasis be on outpatient work. In exceptional circumstances, the person responsible may approve clinical service in another field of specialisation.

23. © Finnish Institute of Occupational Health – www.ttl.fi Specialist physician’s training in occupational health care Specialised qualification training, 4 years Finnish Institute of Occupational Health Unit (6 months) This segment concentrates on occupational medicine,applied research in occupational health care, and introduces the principles of scientific research. It is recommended that this unit be completed at the end of specialisation. The unit at the Finnish Institute of Occupational Health can be completed within the Institute’s branches throughout the country. At some sites, it can also be completed at university hospital or central hospital settings, on the condition that the university has approved this service as a replacement for the Finnish Institute of Occupational Health.

24. © Finnish Institute of Occupational Health – www.ttl.fi 6.6.2016246.6.201624 Investing in well-being at work is productive Thank you! Follow us in Twitter, twitter.com/fioh