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CONTENTS EXECUTIVE SUMMARY INTRODUCTION BACKGROUND THE EXTENT OF THE PHYSICIAN SHORTAGE 10 CURRENT EDUCATION AND TRAINING . . . 1 4 STRATEGIES TO ADDRESS THE PHYSICIAN SHORTAGE · - Increase Interest in the Field Establish Centers of Excellence Integrate Environmental Medicine with Occupational Medicine Training and Research Programs Increase Funding for Faculty Development Support Resiclency and Fellowship Training Certification and Accreditation in Occupational and Environmental Medicine ............ · · - CONCLUSION REFERENCES 17 17 18 20 22 23 24 @, V11 27 29
This report is dedicated to the memory of James V. Warren, M.D., Study Director of the Committee on the Role of the Primary Care Physician in Occupational and Environmental Medicine and Study Director Emeritus of the Committee on Enhancing the Practice of Occupational and Environmental Medicine. Dr. Warren's enthusiasm and intellectual curiosity energized both lOM committees. Initially skeptical, Dr. Warren became a fervent advocate for increasing the role of primary care physicians in occupational and environmental medicine. He was an inspiration to the many individuals who worked with him over the past four years. . · . v///
INSTITUTE OF MEDICINE REPORT OF A STUDY ADDRESSING THE PHYSICIAN SHORTAGE IN OCCUPATIONAL AND ENVIRONMENTAL MEDICINE 1991