Addressing the Physician Shortage in Occupational and Environmental Medicine Report of a Study (1991) / Chapter Skim
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Strategies to Address the Physician Shortage
Strategies to Address the Physician Shortage
Pages 17-26
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From page 17... ...
To acldress these shortages, highest priority must be given to interventions that will increase the number of academic OEM specialists who are needed to train sufficient numbers of specialists and primary care physicians to care for a large and currently inadequately served population. The lOM subcommittee recommended the following strategies.
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From page 18... ...
. Establish Centers of Excellence The specialty of occupational and environmental medicine is developing during times of limited financial resources and with only a few academic programs currently able to bridge the public health and the clinical aspects of the field.
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From page 19... ...
develop a program that will attract students with prior or planned attainment of sound clinical training in a primary care specially (internal medicine, family practice, or pediatrics) who are oriented to academic careers; (2)
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From page 20... ...
Both disciplines require the physician's skill in being able to characterize exposure and subsequent risks under varying degrees of uncertainty, and both rely on physician knowlecige in several broad subject areas that include toxicology, epidemiology, public health, ergonomics, and, to some extent, engineering. On the basis of these similarities, and the fact that it is the limited number of occupational medicine specialists who are usually called upon to address clinical environmental medicine questions, the committee recommends that the specialty of occupational medicine be formally expanded to include environmental medicine.
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From page 21... ...
The experiences of practicing occupational medicine physicians and industrial hygienists represent a valuable resource for curriculum design. Clinical training must also be expancled appreciably, particularly in those occupational medicine training programs that rely solely on workplace practice settings or industrial medicine clinics as clinical training sites.
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From page 22... ...
Career development awards in other disciplines, such as those in preventive pulmonary medicine and cardiology and the geriatric faculty development academic award programs, can serve as models for providing salary support and resources to persons committed to assuming leadership positions in occupational and environmental medicine in schools of medicine. The appropriate federal agencies, including the National Institute of Environmental Health Sciences (NIEHS)
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From page 23... ...
In its earlier report, the committee pointed out the need for a strong research base to facilitate faculty development and integration within the traditional medical school context,. Time for OEM in the curriculum is not obtainable and residency programs have little likelihood of success without full-time faculty who can compete for valuable course time through their success as faculty members.
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From page 24... ...
Only in the past decade has occupational medicine begun to gain a presence as a clinical discipline within medical schools. It was in this context that the initial lOM committee proposed exploring the possibility of offering certificates of Added Qualifications by the American Board of internal Medicine (ABiM)
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From page 25... ...
, ABIM, ABFP and ABPM. The subcommittee also recommends an alternative approach to certification of the fulI-fIedged OEM specialist, a streamlinecl dual certification program by a primary care specialty Boarcl (ABIM or ABFP)
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From page 26... ...
2 If Residency Review Committee Preventive Medicine accepts a continuing weekly clinic in OEM throughout PGY 2-4. 3 Up to six months of internal medicine may be allocated to another discipline, such as occupational medicine.
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