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Occupational Medicine
3rd ed, edited by Carl Zenz, O. Bruce Dickerson, and Edward P. Horvath, 1316 pp, with illus, $149, ISBN 0-8016-6676-7, St Louis, Mo, Mosby— Year Book Inc, 1994.
Raymond Y. Demers, MD, MPH, Reviewer
Wayne State University School of Medicine Detroit, Mich
Arch Fam Med. 1994;3(6):560.
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This comprehensive textbook, edited by Zenz, Dickerson, and Horvath, is the third edition of what is considered by many to be the standard reference for occupational physicians. It represents a traditional approach with a disease and exposure focus. Also, it extensively covers administrative issues in occupational medicine. This reference text is particularly useful for primary care physicians who either frequently see work-related conditions and/or have a formal relationship with one or more employers.
Several parts and chapters are particularly useful to family physicians. Part 1, titled "Clinical Factors," includes three chapters of major relevance. Chapter 2, "Role of the Primary Care Physician in Occupational Medicine," includes topics of ethical dilemmas, the implications of the Americans With Disabilities Act, specialty referral criteria for difficult cases, and drug screening. These issues present themselves often in family practice and may produce anxiety in the primary care physician who is uncertain of how to
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