Occupational Medical Management: A Guide to the Organization and Operation of In-Plant Occupational

Author: D.H. Cordes, Dorothy Foster Rea
Date: August, 1991

By Jean Spencer Felton, M.D. Pp. 571. Price, $95. Little, Brown and Company, 34 Beacon St., Boston, MA 2106,1990.

This ambitious compendium contains the sum of what anyone needs to know about workplace occupational health services. The intent is to define and clarify all functions, programs, services and underlying philosophies of the occupational health service or medical department of any organization.

The book is intended for the beginner in the organization of medical services, for the veteran as a review and for the community physician providing services to the industry, all of whom would find it worthy of space on a bookshelf as a manual for workplace occupational health services and as a guide to the care of working patients.

Carefully and completely documented, each chapter contains extensive lists of references, which make the book a treasure of resources, both current and classic, on occupational medicine and medical management. It also has a carefully detailed index. As a reference tool alone, the book serves its purpose.

This book provides something for every physician with patients in the workplace. It includes such chapters as, "The Work Environment and Health Examination"; Immunizations, Skin Testing, and Business Travel"; "Workers'Compensation"; Occupational Health and Specific Work Groups," and "Legal Responsibilities." The author also provides an overview of occupational medicine, the importance of the movement and the history of occupational medicine in the United States.

The book focuses on disease prevention in the workplace. its philosophy is based on human rights, while mindful of legal constraints. The author emphasizes the interpersonal aspects of program building and execution.

Timely and formidable in scope, the book includes detailed information on medical records and filing methods, design of history forms, occupational health service floor plans, the art of dictating medical records, instructions on surviving a hotel f ire while traveling on business, budget development, placement of emplOYees with specific diseases, administration and legal responsibilities, employee counseling, fitness programs, disaster preparedness, and advice on testimony, deposition and cross-examination in workers' compensation cases.

This book's scope is perhaps broader than it needs to be for its purpose. Yet, it manages to treat a wide range of subjects without being superficial. it would be helpful if the large number of practical tables spread throughout the text were outlined in the contents. The chapters could also be arranged in a progressive sequence according to subject matter; however, because each chapter is easy to read as a separate unit, the currently more arbitrary arrangement is acceptable.

The epigraphs that precede each chapter reveal the author's philosophic attitude toward the subject matter, with quotations ranging from Beaumont and Fletcher to St. Thomas Aquinas. Well-written and entertaining, this book is an excellent a guide and reference work.

COPYRIGHT 1991 American Academy of Family PhysiciansCOPYRIGHT 2004 Gale Group

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