Occupational medicine

[Lostin_space]

Is it possible to work in occupational medicine as a PMR doc? I've seen some job ads where one can be both, but many specify occupational med boarded. Any knowledge on this? AProgPD any ideas on this?

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[RUOkie]

Occupational medicine has a few facets. Many PM&R docs work with occupational medicine clinics dealing with the work comp/disability medicine/fitness for duty side of things. But those jobs that are primarily worksite or environmental medicine are better suited for the fellowship trained OccMed doc. In addition, most PM&R docs would get bored doing all Occ Med. SO much of it is DOT physicals and pre employment testing that it can be kinda boring.

I do a fair amount of Occ Med in my practice, but it is mostly injured workers and disability/impairment ratings.

 

[lobelsteve]

Occ med is care provided based on payor bias and is devoid of legitimacy.

 

[RUOkie]

Occ med is care provided based on payor bias and is devoid of legitimacy.

The system is in place. When honest doctors refuse to participate in the system, the dishonest ones run the show.

Your choice to not participate in the system does not make the system go away.

 

[Lostin_space]

Occ med is care provided based on payor bias and is devoid of legitimacy.

What exactly is meant by this?

 

[lobelsteve]

Docs treating WC patients over do the care and treat for profit.

Docs working for the company or insurance and not the patient unnecessarily deny care to save money for the insurer or company.

Patient's lose either way.