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October 8, 1982

Preemployment Medical Examinations-Reply

Author Affiliations

American Occupational Medical Association Pittsburgh

JAMA. 1982;248(14):1710. doi:10.1001/jama.1982.03330140023018

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In Reply.—  In my response to Dr Crumrine, I stated, "The company policy should be developed with physician input and full consideration of [EEOC] regulations and EEOC decisions on similar cases."The employer has full responsibility for the safety and health of the worker in the workplace. Therefore, the company should have a policy on the placement of employees in the workplace.I further stated, "The decision on waiving restrictions for the employee on the application for employment with a definite inguinal hernia and a moderate-sized defect rests with the examining physician who should be guided by company guidelines."I agree that a physician should not permit nonmedical considerations, especially laws that are directed to the employer, to modify his medical judgment; however, the physician should not function in a vacuum, isolated from the rules and regulations of society. I also agree that a physician should maintain medical confidentiality when