Division of Occupational and Environmental Health, Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI 48201, USA.
J Occup Environ Med. 2010 Feb;52(2):202-6. doi: 10.1097/JOM.0b013e3181cf00bf.
Although knowledge of occupational and environmental medicine (OEM) is important for effective primary health care practice, few studies have examined physicians' appraisals of training in OEM. We evaluated family medicine residents' perceptions of a 4-week rotation in OEM that combined lectures, worksite visits, and clinical placements.
Qualitative analysis of residents' rotation evaluations (n = 208) collected between 2002 and 2008. Subjective appraisals were compared with quantitative changes in resident knowledge of OEM measured by pre- and posttests.
Residents' perceptions of the usefulness of the OEM rotation were grouped into three main categories: knowledge, experience, and skill development. Posttest scores demonstrated significantly improved knowledge in key OEM subject areas.
Residents gained knowledge and insight regarding the possible impact of work on patients' health and considered the rotation highly relevant to their family medicine practice.
尽管职业医学和环境卫生学（OEM）知识对于有效的初级卫生保健实践非常重要，但很少有研究调查医生对 OEM 培训的评价。我们评估了家庭医学住院医师对结合讲座、工作场所访问和临床实习的 4 周 OEM 轮转的看法。
对 2002 年至 2008 年间收集的住院医师轮转评估（n=208）进行定性分析。主观评估与通过前后测试测量的 OEM 知识的定量变化进行了比较。
住院医师对 OEM 轮转有用性的看法分为三大类：知识、经验和技能发展。后测分数显示，在 OEM 关键主题领域的知识显著提高。
住院医师对工作可能对患者健康产生的影响有了更多的了解和认识，并认为该轮转与他们的家庭医学实践密切相关。
