Spain

HISTORY 

1900 First law legislating work accidents. This law originated the development of a treatment and compensation system for workers.

1955 Occupational Medicine officially recognised as a medical specialty.

1956 Spanish Society of Occupational Health and Safety at Work founded as a federation of regional societies.

1989 Access to 3 year formal training in OM through national examination.

2005 Four year Specialist Training Scheme in Occupational Medicine established.

ORGANISATION

POPULATION

Total population:                         46.072.834

Active population:                       23.122.300

Registered doctors:                          219.031 (476 doctors / 100.000 inhabitants)

Occupational Physicians:                   10.500 doctors with title of specialist in OM (5.500 doctors actually working in OM (estimated))

 

NATURE OF OCCUPATIONAL HEALTH SERVICES

 

In-house OHS: mainly public sector and large private enterprises.

Outsourced OHS: most medium and small sized enterprises (a very high number of private companies in Spain are medium or small) and many large companies.

 

 

PROFFESION

TRAINING 

After medical school, access to a 4 year specialist training programme in Occupational Medicine through national examination. Training includes a 6 month theoretical course, 20 months hospital rotations and 20 months rotation in an Occupational Health Service. Training is funded mainly by private sector (unlike other specialties) which is causing a worrying decline in number of trainees.

 

TASKS / TASK DISTRIBUTION

 

- Preventive: Most OH Physicians work in this modality. Health surveillance and fitness for work evaluation. Periodical medical examinations for workers. It can be done in an in-house OHS or in an outsourced private OHS.  

- Clinical: diagnosis and treatment of work accidents and occupational diseases in a “mutual insurance company”. This system is parallel to the National Health System, which covers not work related pathology.
- Others: Evaluation of work disability for compensation schemes. Sickness absence. Advice/support Units for General Practitioners. Civil Service. University.
 

 

HOT TOPICS
 
- Decreasing number of trainees.
 

- Communication between the two systems of social security (occupational and not occupational) and the preventive system (OHS).

- Occupational diseases.

- Changes in legislation.

- Concern about the position and the future of the specialty.

 

 ASSOCIATION AND WEBLINKS

 

SOCIEDAD ESPAÑOLA DE MEDICINA Y SEGURIDAD DEL TRABAJO (SEMST)

Spanish Society of Medicine and Safety at Work is a federation of 12 regional societies with an autonomous regional scope and a total of over 3000 professionals associated.

Address: C/ Santa Isabel, 51. 28012 Madrid. Tel 91 792 13 65. (Fax 91 500 20 75)

Website: http://www.semst.org

President:        Alfonso Apellaniz González

SOCIETAT CATALANA DE SALUT LABORAL (SCSL) 

Catalan Society of Occupational Health is the biggest of the 12 regional societies with 800 professionals associated.

 

Address: Carrer Major de Can Caralleu 1-7. 08017 Barcelona. Tel: 93 203 27 97 (Fax: 93 203 14 85)

Website:http://webs.academia.cat/societats/laboral/        

President:           Jordi Carles Schlaghecke Gras 

Contact person:  Mari Cruz Rodríguez Jareño     (scsl@academia.cat )

 

 Presentation 2012