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New Paradigms Sought to Explain Occupational and Environmental Disease
Donald F. Phillips
JAMA. 1999;281:22-24.
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PHOENIX—Willingness to welcome new ideas about the causes of the multitude of diseases and conditions they treat is being recommended as one cure for what ails occupational and environmental medicine (OEM) specialists.
Faced with the need to establish a scientific rationale for their patients' disorders, these "specialists with the eyes of generalists" have resorted to a wide variety of theories and paradigms to explain the relationships among exposure, symptoms, and pathogenesis.
J. Steven Moore, MD, of the College of Engineering at Texas A&M University in College Station, told members of the American College of Occupational and Environmental Medicine (ACOEM) meeting here that while experimental evidence is the "gold standard" for medicine in the United States, when such evidence is hard to come by, as it often is for OEM practitioners because of the lack of animal models and the number of variables involved, perceived relationships among exposure, . . . [Full Text of this Article]
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