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EXECUTIVE SUMMARY
Occupational and environmental diseases encompass
a broad range of human illness, and give rise to the
disciplines of occupational and environmental medicine.
Occupational medicine addresses the relation between
workplace factors tincturing physical, chemical, biological,
social, and psychological factors) and health.
Environmental medicine includes most aspects of
occupational medicine, and encompasses conditions
related to environmental exposure to chemical, physical,
and biological agents. Estimates of physician supply in
these fields are derived from several sources, largely se~f-
reporting by physicians, and have deliberately not included
the newer and less-defined field of environmental
medicine. A 1989 estimate commissioned by the Institute
of Medicine indicates an additional need for 3,100 to 5,500
physicians, including primary care physicians with special
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2
competence in occupational and environmental medicine.
For fulI-fIedged specialists.alone, the deficit is estimated to
range between 1,600 and 3,500.
The fOM offers six specific measures to alleviate the
shortage of physicians in occupational and environmental
medicine: (i) increase interest in the field of occupational
and environmental medicine among students and trainees;
(ii) establish a cohort of centers of excellence to train
future teachers, researchers, and leaders; (iii) integrate
environmental medicine with occupational medicine training
and research programs; (iv) increase funding for faculty
clevelopment; (v) support residency and fellowship
training; and (vi) explore, refine, and adopt new pathways
to certification and accreditation in occupational and
environmental medicine.
Representative terms from entire chapter:
occupational medicine