Imbus Harold R
J Occup Environ Med. 2004 Feb;46(2):96-103. doi: 10.1097/01.jom.0000111605.18487.56.
Recently, there has been considerable concern expressed from a number of sources about the future of occupational medicine. A review of the literature and other sources reveals that over the past 50 years there has been continuous hope and concern for the specialty. Occupational medicine became a certified specialty in 1955, growing slowly until 1970, when the passage of the Occupational Safety and Health Act, growth accelerated. The marked decrease in classic occupational diseases, injuries, and deaths is a major triumph but may also be a factor in declining interest in specialization by physicians. Potential conflicts of interest have been at issue for over 50 years. Occupational medicine is now mostly clinical, in contrast to previous years. However, occupational medicine is a distinct and solid specialty that still offers many challenges.
最近，许多方面都对职业医学的未来表示了相当大的关注。对文献及其他资料的回顾显示，在过去50年里，人们对这一专业一直抱有持续的希望并存在担忧。职业医学于1955年成为一个获得认证的专业，在1970年《职业安全与健康法》通过之前发展缓慢，此后发展加速。经典职业疾病、伤害和死亡人数的显著减少是一项重大成就，但也可能是医生对该专业兴趣下降的一个因素。利益冲突的潜在问题已经存在了50多年。与前些年相比，职业医学现在主要是临床性质的。然而，职业医学是一个独特而稳固的专业，仍然面临许多挑战。
