Sentinel pathophysiologic conditions: an adjunct to teaching occupational and environmental disease recognition and history taking.
Sentinel pathophysiologic conditions: an adjunct to teaching occupational and environmental disease recognition and history taking.
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哨兵病理生理状况：职业和环境疾病识别和病史采集教学的辅助手段。
DOI：
10.1016/s0013-9351(05)80228-2
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发表时间：
1992
影响因子：
8.3
通讯作者：
Craner,J
中科院分区：
文献类型：
--
作者：
Kipen,HM;Craner,J
初级保健医生在识别职业和环境（O/E）疾病方面发挥着越来越重要的作用。然而，在O/E的历史，诊断和管理的基本技能还没有充分纳入传统的美国医学教育或实践。这些教育障碍的原因进行了讨论。一种新的方法O/E的历史采取，职业哨点健康事件的修改后的列表的基础上，描述。这份清单将为医学生和居民提供一个实用的，有针对性的方法来识别O/E条件和评估风险，以制定鉴别诊断。通过改善初级保健医生的检测和评估，可以适当地将其转介给职业健康专家，以进行进一步调查和公共卫生监测。
Primary care physicians have an increasingly important role in identifying occupational and environmental (O/E) disease. However, the basic skills in O/E history taking, diagnosis, and management have not been adequately incorporated into traditional American medical education or practice. Reasons for these educational barriers are discussed. A new approach to O/E history taking, based on a modified list of occupational sentinel health events, is described. This list will give medical students and residents a practical, directed approach to recognizing O/E conditions and evaluating exposures in formulating a differential diagnosis. Through improved detection and assessment on the part of primary care physicians, appropriate referrals to occupational health specialists can be made for further investigation and public health surveillance.