Table 3 Program objectives, learning objectives and change objectives
Program objectives for insurance physician | Learning objectives for insurance physician (IP)'s personal determinants | Change objectives for environmental determinants | ||||
|---|---|---|---|---|---|---|
| Â | Knowledge and skills | Attitude | Self-efficacy | Expectations | Availability and uniformity | Support |
IP makes thorough investigation and records findings transparently in the report. | IP has sufficient knowledge and skills to understand the guidelines and to implement it in practice. | IP accepts the guideline as a practical resource and a useful source of information. | IP considers him/herself capable of applying the guidelines in practice. | IP believes that use of the guidelines can make his/her examinations more thorough and transparent. | IP is trained to use the guideline and has the opportunity to practise using it during the training and subsequently in practice. | IP's quality-oriented activities are supported by National Institute for Employee Benefits Schemes by putting the emphasis on quality instead of productivity. Access to evidence-based medical info via Internet and/or library. |
To do so, IP uses the guidelines in order to ensure quality and uniformity of the assessment. | IP has the skills to perform the examination in line with applicable requirements. | IP supports the profession's general objective of fair assessment based on thoroughness, quality and uniformity. | IP consider him/herself capable of investigating issues associated with the assessment and obtaining guidance from the guideline, literature or colleagues | IP believes that the quality and uniformity of his/her work ability assessments will be enhanced by the information in the guidelines. | Case histories are discussed amongst colleagues by reference to the guideline, enabling IP's to ask questions and learn from one another. | Staff of the Institute support IP in use of the guidelines and related activities. Staff physician encourages use of the guidelines, by testing the IP's reports on guideline adherence. |
IP uses evidence-based information to support work ability assessment | IP has sufficient evidence-based knowledge to recognize and address any lack of skills. | IP sees the guideline as a means to realizing the objective. | Â | IP believes that the information in the guidelines will help him/her make more evidence-based work ability assessments. | Staff physicians provide all IP's with performance feedback and work with IP's to define individual learning programmes so that all attain a similar level. | Netherlands Association of Insurance Medicine supports IP's quality-oriented activities and encourages use of the guidelines. |