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opportunities for integrating environmental medicine into common medical school courses and clerkships/clinical rotations. It also identifies case studies from Appendix C that could be used in these courses or contexts. Appendix C, “Case Studies in Environmental Medicine,” contains 55 case studies that should be useful in teaching and learning. This appendix has four indexes to help the reader determine the most relevant cases for a particular course, clerkship, or other purpose. The case studies are indexed by (1) chemical agents and conditions; (2) common medical school courses and clerkships/clinical rotations; (3) sentinel pathophysiological conditions; and (4) clinical signs, symptoms, and presenting complaints. Appendix D, “Resources: Agencies, Organizations, Services, References, and Tables of Environmental Health Hazards,” identifies various sources of information, including governmental agencies (federal and state), environmental associations and organizations, regional and international information services, computerized information services, resources by selected topic (e.g., air pollution, clean water, and radon), general reference books and journals, a medical school listing of environmental medicine activities, and several tables of toxic chemicals, health effects, and occupational exposures. It is our hope that these materials and resources will facilitate the integration and enhancement of environmental medicine in medical education.



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