Rest K M, Cordes D H, Hake J C
J Fam Pract. 1983 May;16(5):979-83.
Occupational and environmental disease and injury are both widespread and preventable, yet their study has been traditionally neglected in undergraduate medical education. Because family physicians will encounter many working patients who are subject to varying degrees of risk as a result of their job, home, or community environment, family practice faculty must play an important role in teaching occupational and environmental health to medical students. Goals for the longitudinal integration of occupational and environmental health over the four-year curriculum include sensitizing students to the relationship between work and health, introducing and reinforcing the importance of the occupational and environmental history in patient care, integrating occupational and environmental health principles and examples with existing course work, and providing appropriate clinical, research, and didactic activities for interested students. Goal achievement will vary with the availability of curricular time and teaching faculty. Strategies for implementing occupational and environmental health curriculum in the face of these two variables are discussed.
职业性和环境性疾病与伤害既普遍存在又可预防，但在本科医学教育中，对它们的研究传统上一直被忽视。由于家庭医生会遇到许多因工作、家庭或社区环境而面临不同程度风险的在职患者，因此家庭医学教师必须在向医学生传授职业与环境卫生知识方面发挥重要作用。在四年课程中纵向整合职业与环境卫生的目标包括：使学生认识到工作与健康之间的关系；介绍并强化职业与环境病史在患者护理中的重要性；将职业与环境卫生原则及实例与现有课程相结合；为感兴趣的学生提供适当的临床、研究和教学活动。目标的实现将因课程时间和教师资源的可利用情况而有所不同。本文讨论了在这两个变量的情况下实施职业与环境卫生课程的策略。
