Frazier L M, Cromer J W, Andolsek K M, Greenberg G N, Thomann W R, Stopford W
Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina 27710.
Am J Med Sci. 1991 Jul;302(1):42-5. doi: 10.1097/00000441-199107000-00010.
There is a critical shortage of physicians trained to recognize and treat occupational and environmental health problems. We implemented several required teaching programs for internal medicine and family medicine residents that focus on providing primary care for these problems. Clinical experiences were developed using the university and medical center as an example of a workplace with chemical and physical hazards. On-site experiences were also provided at local industries, but when resident stipend support for this aspect was discontinued, that part of the program was suspended. Didactic programs were associated with a statistically significant improvement in house staff knowledge scores. These occupational and environmental health issues can be introduced during residency, resulting in increased expertise in this discipline.
