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Occupational Medicine Advance Access published online on June 7, 2007
Occupational Medicine, doi:10.1093/occmed/kqm023
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Specialist competencies in occupational medicine: appraisal of the peer-reviewed literature

Frank Gallagher1, Adele Pilkington2, Philip Wynn3, Raymond Johnson4, Jayne Moore2 and Raymond Agius2

1 Centre for Occupational and Environmental Health, Faculty of Medical and Human Sciences, University of Manchester, 4th Floor, Block C, Humanities Building (Devas Street), Oxford Road, Manchester M13 9PL, UK
2 Centre for Occupational and Environmental Health, University of Manchester, Manchester M13 9PL, UK
3 Occupational Health Department, Durham County Council, Durham, UK
4 Medical Division, Civil Aviation Authority, Gatwick, RH6 0YR, UK

Background A re-assessment of competencies and therefore learning outcomes for higher specialist training in occupational medicine (OM) is being undertaken. Although peer-reviewed literature on the subject exists, it is limited and needs appraisal.

Aims To search, and critically appraise the peer-reviewed literature on specialist competencies in OM.

Methods Systematic search of a range of databases of peer-reviewed literature, followed by criterion based appraisal and categorization of the findings.

Results Two hundred and thirty five papers were found of which only 20 were left after application of the grading and exclusion criteria. These addressed competencies from four perspectives: peer consensus, client, educational and legal.

Conclusions Limited evidence can be obtained from the peer-reviewed literature on specialist competencies in OM. However, it suggests the main paradigms for deriving these competencies as well as indicating gaps and the manner in which these might be filled.

Keywords      Competencies; occupational medicine; review; specialist

Correspondence to: F. Gallagher, Centre for Occupational and Environmental Health, Faculty of Medical and Human Sciences, University of Manchester, 4th Floor, Block C, Humanities Building (Devas Street), Oxford Road, Manchester M13 9PL, UK; e-mail: frankgallagher3{at}btinternet.com


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