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Estimates of physician supply in these fields are derived from several sources, largely se~freporting 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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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)
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