Occupational Medicine and Epidemiology in Czech Republic

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Occupational Medicine and Epidemiology in Czech
Republic

• 1Prof. Daniela Pelclová MD, Ph.D.
• 2Kveta Švábová, MD, Ph.D.
• 1Assoc. Prof. M. Tucek, MD, Ph.D.
• 1Dept. of Occup. Medicine, Charles University,
• 2School of Postgraduate Education,
• Prague, Czech Republic

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Teaching of Occupational Medicine in Czech
Republic
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Pregraduate Medical Education6 Years

• 5th year
• 3 weeks of Hygiene and Epidemiology
• (incl. 1 week of Occupational and Environmental
  Hygiene)
• State Examination

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Pregraduate Medical Education6 Years

• 5th year
• 1 week of Occupational Diseases
• (incl. in-Patients Department)
• Final text, Examination

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Postgraduate Education4 years

• Specialisation in Occupational Medicine
• Duration 4 years
• Full-time
• 2 years Internal Medicine
• 2 years Occupational Medicine

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2 years Occupational Medicine - 1

• 1 year minimum
• 3 months Dept. of Occupational Diseases,
• 3 months Occupational Health Services,
• and 3 months at Dept. of Occupational Hygiene
  (State Institute of Public Health) Occupat.
  Epidemiology

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2 years Occupational Medicine - 2

• 10 months additional training dermatology,
  orthopaedics, allergology, travel medicine,
  urgent medicine, psychiatrics, rehabilitation,
  neurology

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2 years Occupational Medicine - 3

• 3 weeks specialised course at the School of
  Postgraduate Medicine lectures about all fields
  of Occupat. Medicine
• Attendance of all workshops and seminars at
  University and Regional Occupational medicine
  Depts.

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Specialised Occupat. Med. Courses at the School
of Postgrad. Med.

• Exposure-diseases associations in occupational
  groups identifying, verifying, and quantifying
  risks in different groups of subjects in
• Construction sector
• Agriculture
• Health Care
• Wood Industry
• Glass Production

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Specialised courses at the School of Postgraduate
Medicine

• Exposure-diseases associations in occupational
  groups
• Foreign Workers
• Managers
• Women
• Apprentices
• Epidemiology of Occupational Cancer

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2 years Occupational Medicine - 4

• Dissertation work and publications in
  Occupational Medicine and Epidemiology

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Dissertation work and publications

• Prospective exposure measurements, follow-up of
  workers, markers of health damage
• Retrospective occupational diseases in a
  factory, region, etc.

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Examples of Dissertation Works - 1

• Working conditions and musculoskeletal findings
  in women in a large scale food stock
• Electromagnetic field and neuropsychological
  findings in radar operators
• Exposure to isocyanates, lung functions and
  occupational diseases in lamination textile
  workers in South Bohemia
• A comparison of occurrence of occupational and
  non-occupational asthma in West Bohemia

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Examples of Dissertation Works - 2

• Health status and subjective problems in cyanide
  manufacture
• Cytostatic drugs and conventional cytogenetic
  findings in healthcare personnel
• An occurrence of occupational skin disorders in
  Central Bohemia
• Results of the follow-up of workers exposed to
  vinyl chloride monomer

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Trends in Occupational Diseases in Czech Republic

• Population 10 million
• Working population 5 million

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Conclusion

• Teaching Occupational Medicine
• The basics of Occupational Medicine and of
  Epidemiology during Pregraduate Education
• More advanced during Postgraduate Education
• Dissertation work/Publication is a part of the
  Final examination.

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Occupational Diseases in Industrial Branches
in Men and Women in the Year 2005

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Thank you Dept. of Occupat. Medicine, Charles
University, Prague