Kayama F
Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
J UOEH. 1989 Mar 1;11(1):77-82. doi: 10.7888/juoeh.11.77.
To investigate postgraduate education of occupational medicine in the U. S. A., the author was sent to take some courses in occupational medicine continuing education supported by the National Institute of Occupational Health (NIOSH) in February and March of 1988. The course participants were mainly industrial hygienists. The contents of the courses were approximately the same as those of the Three-Month Course in Fundamental Occupational Health held in UOEH for medical doctors. The physicians in occupational medicine in the U. S. A. take mainly mini-residency courses from the NIOSH programs. The Curriculum of the Intensive Residency Program at the University of California San Francisco (UCSF) is presented in this report as a reference. According to the information I acquired, well-trained industrial hygienists are maintaining a high standard of control over the workplace environment. I received the impression that the industrial hygienists are playing an important part in occupational health in the U. S. A. Physicians specializing in occupational medicine are interested more in the clinical diagnosis of occupational diseases than in preventive measures such as environmental control of the workplace.
为了调查美国职业医学的研究生教育情况，1988年2月和3月，作者受派参加了由美国国家职业卫生研究所（NIOSH）支持的职业医学继续教育课程。课程参与者主要是工业卫生学家。这些课程的内容与东京都卫生公害研究所为医生开设的为期三个月的基本职业卫生课程大致相同。美国职业医学领域的医生主要参加NIOSH项目的短期住院医师课程。本报告介绍了加利福尼亚大学旧金山分校（UCSF）强化住院医师项目的课程设置以供参考。根据我所获得的信息，训练有素的工业卫生学家对工作场所环境保持着高标准的控制。我的印象是，工业卫生学家在美国职业健康中发挥着重要作用。专门从事职业医学的医生对职业病的临床诊断比对诸如工作场所环境控制等预防措施更感兴趣。
