Paul M, Welch L
Department of Obstetrics and Gynecology, University of Massachusetts Medical Center, Worcester 01655.
Environ Health Perspect. 1993 Jul;101 Suppl 2(Suppl 2):191-7. doi: 10.1289/ehp.93101s2191.
Workers and citizens are turning increasingly to the health care system for information about occupational and environmental reproductive hazards, yet most primary care providers and specialists know little about the effects of occupational/environmental toxicants on the reproductive system or how to evaluate and manage patients at potential risk. Although it is unrealistic to expect all clinicians to become experts in this area, practitioners should know how to take a basic screening history, identify patients at potential risk, and make appropriate referrals. At present, occupational and environmental health issues are not well integrated into health professional education in the United States, and clinical information and referral resources pertaining to reproductive hazards are inadequate. In addressing these problems, the conference "Working Group on Health Provider Education and Resources" made several recommendations that are detailed in this report. Short-term goals include enhancement of existing expertise and resources at a regional level and better integration of information on occupational/environmental reproductive hazards into curricula, meetings, and publications of medical and nursing organizations. Longer term goals include development of a comprehensive, single-access information and referral system for clinicians and integration of occupational and environmental medicine into formal health professional education curricula at all levels.
工人和普通民众越来越多地向医疗保健系统寻求有关职业和环境生殖危害的信息，然而大多数初级保健提供者和专科医生对职业/环境毒物对生殖系统的影响，或者如何评估和管理有潜在风险的患者知之甚少。虽然期望所有临床医生都成为该领域的专家是不现实的，但从业者应该知道如何进行基本的筛查问诊，识别有潜在风险的患者，并进行适当的转诊。目前，职业和环境健康问题在美国的卫生专业教育中并未得到很好的整合，与生殖危害相关的临床信息和转诊资源也不足。为了解决这些问题，“卫生保健提供者教育与资源工作组”会议提出了若干建议，本报告将详细阐述这些建议。短期目标包括在区域层面加强现有专业知识和资源，并将有关职业/环境生殖危害的信息更好地整合到医学和护理组织的课程、会议及出版物中。长期目标包括为临床医生建立一个全面、单一接入的信息和转诊系统，以及将职业和环境医学纳入各级正规卫生专业教育课程。
