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June 10, 1983

Clinical Medicine for the Occupational Physician

Author Affiliations

Rocky Mountain Center for Occupational and Environmental Health University of Utah, School of Medicine Salt Lake City

JAMA. 1983;249(22):3102. doi:10.1001/jama.1983.03330460074049

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


The title of this book is somewhat misleading, as less than half of it is devoted to clinical topics. The other topics, however, such as ethics, epidemiology, and health of travelers are all pertinent. It is not a comprehensive text on occupational medicine, as many pertinent clinical and nonclinical topics are not discussed, eg, toxicology, industrial hygiene, exposure standards, ergonomics, role of the occupational health nurse, identification of occupational causes of disease, bladder carcinoma, ionizing radiation, shiftwork, and many harmful agents found in the workplace.

The chapters on epidemiology, the health of working women, cancer, dermatoses, stress, and mental illness are good summaries that relate well to occupational problems. Most of the other clinical topics are limited to six organ systems: pulmonary, gastrointestinal, cardiovascular, musculoskeletal, nervous, and ear, nose, throat. These are good general reviews of the topics, but the occupational components are small. For example, noise and its effect