Role of the Primary Care Physician in Occupational and Environmental Medicine (1988) / Chapter Skim
Currently Skimming:
Summary of Principal Recommendations
Summary of Principal Recommendations
Pages 63-70
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 63... ...
For example, the necessary expertise to assist the practitioner in documenting the etiology is often fragmented and may be unknown to the primary care practitio The committee feels that as a minimum, all primary care physicians shouicl be able to identify possible occupationally or environmentally induced conditions and make the appropriate referrals forfollozmnp. In order to carry out this minimum standard of care, physicians must: · Know some basic principles of occupational and environmental disease, including such concepts as latency and multifactorial etiology.
|
From page 64... ...
The most practical way to assist the primary care practitioner to function effectively and knowledgeably when confronted with a patient suspected of having an occupational or environmental disease is to have a single~ccess point for necessary clinically pertinent information. This single-access point should become the central source through which all appropriate clinical ant} nonclinical services available to the practitioner coup be elicited.
|
From page 65... ...
In addition to indiviclual experts, there is a need for primary care practitioners to have available referral centers that can provide comprehensive patient-specific occupational ant} environmental health sentences other than those related to the diagnosis and treatment of disease. These include the identification and coordination of services related to the evaluation of disability, facilitation of workers' compensation claims, rehabilitation or job retraining, and the provision of prevention~riented resources.
|
From page 66... ...
It is recommended that appropriate federal agencies, in association with appropriate professional meclical societies, local and state medical societies, and malpractice insurance carriers, provide primary care providers with basic information on their legal obligations. · Steps should be taken to explore the ethical situation of physicians dealing with workers with occupational health problems or practicing as a representative of industry.
|
From page 67... ...
The survey of these physicians should determine the extent of their present and past practice of occupational and environmental medicine, including preemployment physicals, workplace and union clinics, and so on; barriers associated with the practice of occupational and environmental medicine; their ideas about acceptable and ideal roles of primary care physicians in occupational and environmental medicine; and their needs for continuing medical education in occupational and environmental medicine. It should be part of a broader national concern for the future role of the primary care physician.
|
From page 68... ...
with a genuine extramural research program capable of enlisting American medical schools in the CDC's environmental and occupational health mission. Such an approach would enhance faculty numbers and help achieve the desired goals of better teaching to yield a better-informed physician in the future and produce more specialists and faculty in the field and the much needed clinical consultants across the country.
|
From page 69... ...
Occupational medicine is a long establisher} and recognized medical specialty. Since its roots have traditionally been in prevention, it is often not viewed as a mainstream component of clinical medicine, not only in practice but in medical education and research as well.
|
From page 70... ...
~ - By= I rim 1 0 sum up: Meal in the learned professions should bend themselves to the pursuit of wisdom, but [et them set some limit to their praiseworthy tulrelage, nor should they become so entirely absorbed in cultivating the mired as to neglect the care of the body; [et them preserve the equipoise of their team, so that mind and body, in trusty comradeship, like guest and host, may serve one another and not take turns in wearing each other dowel.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.