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OCR for page 27
27
CONCLUSION
Primary care physicians are inadequately prepared to
respond to the growing need for clinical services that
address the real and perceived problems of occupational
and environmental illness. A recent community-based
survey identified physicians as one of the most trusted but
least knowledgeable sources of information about chemical
risks. 23 This gap between trust and knowledge must be
narrowed. Significant changes in medical education are
needed at the unclergraduate level as well as in the
training of clinicians, teachers, and researchers in
occupational and environmental medicine.
In specific, the Institute of Meclicine recommencis (i)
increasing interest in the fie~cl of occupational and
environmental medicine among students and trainees, (ii)
establishing a cohort of centers of excellence to train
future teachers, researchers, and leaders, (iii) integrating
environmental medicine with occupational medicine training
and research programs, (iv) increasing funding for faculty
development, (v) supporting residency and fellowship
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training, and (vi) exploring, refining, and adopting new
pathways to certification and accreditation in occupational
and environmental medicine. Taken together, these six
measures can alleviate the pressing shortage of physicians
in occupational and environmental medicine.
Representative terms from entire chapter:
meclicine recommencis