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Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
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OCR for page R1
INSTITUTE OF MEDICINE
REPORT OF A STUDY
ADDRESSING THE PHYSICIAN SHORTAGE
IN OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Subcommittee on Physician Shortage
Committee on Enhancing the Practice
of Occupational and Environmental Medicine
.
.
DIVISION OF HEALTH PROMOTION
AND DISEASE PREVENTION
NATIONAL ACADEMY OF SCIENCES
WASHINGTON, D.C. 1991
OCR for page R2
NOTICE: The project that is the subject of this report was approved
by the Governing Board of the National Research Council, whose
members are drawn from the councils of the National Academy of
Sciences, the National Academy of Engineering, and the Institute of
Medicine. The members of the committee responsible for the report
were chosen for their special competencies and with regard for
appropriate balance.
This report has been reviewed by a group other than the
authors according to procedures approved by a Report Review
Committee appointed by the members of the National Academy of
Sciences, the National Academy of Engineering, and the Institute of
Medicine.
The Institute of Medicine was chartered in 1970 by the National
Academy of Sciences to enlist distinguished members of the
appropriate professions in the examination of policy matters
pertaining to the health of the public. In this, the Institute acts under
both the Academy's 1863 congressional charter responsibility to be
an adviser to the federal government and its own initiative in
identifying issues of medical care, research, and education.
This study was supported under a cooperative agreement
through the U.S. Public Health Service, Centers for Disease
Control/Agency for Toxic Substances and Disease Registry; National
Institute of Environmental Health Sciences; and the Environmental
Protection Agency (contract no. ATU30021~.
Publication No. IOM 91-03
2101 Constitution Avenue, N.W.
Washington, D.C. 20418
1991 by the National Academy of Sciences
Printed in the United States of America
The serpent has been a symbol of long life, healing, and knowledge
among almost all cultures and religions since the beginning of
recorded history. The image adopted as a logotype by the Institute
of Medicine is based on a relief carving from ancient Greece, now
held by the Staatlichemuseen in Berlin.
OCR for page R3
COMMI1lEE ON ENHANCING THE PRACTICE OF
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Bernard D. Goldstein (Chair), Professor and Chairman,
Department of Environmental and Community Medicine,
UMDNJ/Robert Wood Johnson Medical School,
Piscataway, New Jersey
John A. Benson, cr., President, American Board of Internal
Medicine, Portland, Oregon
Joseph M. Canned, Corporate Medical Director, Mobil Oil
Company, Princeton, New Jersey
Linda Hawes Clever, Chairman, Department of
Occupational Health, Pacific Presbyterian Medical Center,
San Francisco, California
Adrian L. Edwards, private practice, New York, New York
Edward Huth, Editor, Annals of infernal Medicine,
American College of Physicians, Philadelphia,
Pennsylvania
Philip J. Landrigan, Ethel H. Wise Professor and Chairman
of Community Medicine, Director, Environmental and
Occupational Medicine, Mount Sinai Medical Center,
New York, New York
Richard C. Reynolds, Executive Vice President, Robert
Wood Johnson Foundation, Princeton, New Jersey
Linda Rosenstock, Director, Occupational Medicine,
University of Washington, SeanIe, Washington
Bailus Walker Jr., Dean of Public Health, Health Sciences
Center, University of Oklahoma, Oklahoma City,
Oklahoma
Consultant
Kathleen M. Rest, Assistant Professor, Occupational
Health Program, Department of Family and Community
Medicine, University of Massachusetts Medical Center,
Worcester, Massachusetts
. . .
OCR for page R4
SUBCOMMITTEE ON PHYSICIAN SHORTAGE
Linda Rosenstock, (ChairJ, Director, Occupational
Medicine, University of Washington, Seadle, Washington
John A. Benson, cr., President, American Board of Interna
Medicine, Portland, Oregon
Joseph M. CannelIa, Corporate Medical Director, Mobil Oil
Company, Princeton, New~lersey
Linda Hawes Clever, (ex-officioJ, Chairman, Department of
Occupational Health, Pacific Presbyterian Medical Center,
San Francisco, California
Jordan Cohen, Dean, School of Medicine, Health Science
Center, State University of New York at Stony Brook,
New York
Mark R. lumen, Director, Yale New Haven Occupational
Medical Program, Yale University School of Medicine,
New Haven, Connecticut
Frank Davidoff, Associate Executive Vice President,
Education, American College of Physicians, Philadelphia,
Pennsylvania
Philip J. Landrigan, Ethel H. Wise Professor and Chairman
of Community Medicine, Director, Environmental and
Occupational Medicine, Mount Sinai Medical Center,
New York, New York
Richard C. Reynolds, Executive Vice President, Robert
Wood Johnson Foundation, Princeton, New Jersey
Consultant
Kathleen M. Rest, Assistant Professor, Occupational
Health Program, Department of Family and Community
Medicine, University of Massachusetts Medical Center,
Worcester, Massachusetts
lV
OCR for page R5
institute of Medicine Staff
Gary B. Ellis, Director, Division of Health Promotion anc'
Disease Prevention
James A. Frazier, Study Director
James V. Warren, Study Director Emeritus
Robyn Y. Nishimi, Senior Program Officer
Rosena A. Ricks, Study Assistant
Contributors
Jack Berberich, Chief of Curriculum Development Branch,
Division of Training and Manpower Development, National
Institute of Occupational Safely and Health,
Cincinnati, Ohio
Eula gingham, Vice President and University Dean for
Graduate Studies and Research, University of Cincinnati,
Cincinnati, Ohio
Joseph S. Castorina, Acting instructor, Occupational
Medical Program, University of Washington Harborview
Medical Center, Seance, Washington
Terence R. Collins, Professor and Vice Chairman,
Department of Preventive and Environmental Health,
University of Kentucky, Lexington, Kentucky
Anthony Cortese, Center for Environmental Management,
Tufts University, Meciforcl, Massachusetts
John E. Craighead, Professor and Chairman, Department
of Pathology, University of Vermont, Burlington, Vermont
John Edwards, Commanding Officer, Naval
Environmental Health Center, Norfolk, Virginia
Shirley Girouard, Program Officer, Robert Woocl Johnson
Foundation, Princeton, New Jersey
Harry Jonas, Director, Division of Undergraduate Medicine,
American Medical Association, Chicago, Illinois
OCR for page R6
Contributors (continued)
Robert Lewis Kane, Dean, School of Public Health,
University of Minnesota, Minneapolis, Minnesota
Louis J. Kettle, Vice President, Division of Academic
Affairs, Association of American Medical Colleges,
Washington, D.C.
Edwin M. Kilbourne, Chief of Health Studies Branch,
Division of Environmental Hazards and Health Effects,
Center for Environmental Health and Injury Control,
Centers for Disease Control, Atlanta, Georgia
Hugh McKinnon Office of Health Research, Environmental
Protection Agency, Washington, D.C.
Frank Mitchell, Chief Medical Officer, Agency for Toxic
Substance and Disease Registry, Atlanta, Georgia
Gregory Wagner, Director, Division of Respiratory Disease
Studies, National Institute for Occupational Safely and
Health, Morgantown, West Virginia
Joan Wolle, Health Scientist Administrator, National Heart,
Lung, and Blood Institute, Bethesda, Maryland
Sponsors' Representatives
Max Lum, Director, Division of Health Education, Agency
for Toxic Substances and Disease Registry, Atlanta,
Georgia
David P. Rail, Director, National Institute of Environmental
Health Sciences, Research Triangle Park, North Carolina
J. Routt Reigart, Associate Professor of Pediatrics, Medical
University of South Carolina, NIEHS Representative.
Charleston, South Carolina
Piston Seal, Medical Research Officer, Environmental
Protection Agency, Research Triangle Park,
\lorth Carolina
vl
