Occupational Medicine Practice: One Specialty or Three?

Occupational Medicine Practice: One Specialty or Three?
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DOI:
10.1097/jom.0b013e3181e36472
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发表时间:
2010-07-01
影响因子:
3.2
通讯作者:
Wu, Samantha
Wu, Samantha
中科院分区:
医学4区
文献类型:
--
作者:
Harber, Philip;Rose, Sasha;Wu, Samantha

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目的:描述职业医师的教育、实践和技能,并评估职业医师的亚群。研究方法:职业医学实践研究项目的基线调查的数据收集了一个国家样本的职业医生使用纸张或在线仪器。三个亚组被定义为优先损伤护理,临床专家和管理/人群。结果如下:职业医学似乎包括三个不同的亚组,其特征不同,如病人数量,相关的临床技能和收入来源。尽管如此,这三个群体都存在许多共同点,例如强调沟通,OSHA和工人赔偿。肌肉骨骼和工人补偿护理是最重要的,虽然有非常显着的差异,三个亚组。结论:规划教育,认证和组织的服务应承认三个亚组之间的区别。
Objective: To characterize education, practice, and skills of occupational physicians and to evaluate subgroups within the profession. Methods: The data for the baseline surveys of the occupational medicine practice research project were collected for a national sample of occupational physicians using paper or on-line instruments. Three subgroups were defined a priori-injury care, clinical specialist, and management/population. Results: Occupational medicine seems to include three distinct subgroups, which differ in characteristics such as patient volume, relevant clinical skills, and income source. Nevertheless, many commonalities were present across all three groups, such as emphasis on communication, OSHA, and workers compensation. Musculoskeletal and workers compensation care were most important, although there were highly significant differences among the three subgroups. Conclusions: Planning for education, certification, and organization of services should acknowledge the distinctions among the three subgroups.