0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Occupational Health Programs for House Staff Physicians-Reply

Robert Lewy, MD, MPH
JAMA. 1982;247(10):1405-1406. doi:10.1001/jama.1982.03320350019009.
Text Size: A A A
Published online

ABSTRACT

In Reply.—  Dr Goldenring takes issue with several of the methods used in our preemployment medical examination. He comments that neither the cost nor radiation exposure justify the routine chest x-ray film. Radiation exposure from a single posteroanterior film is negligible. At our institution, a single posteroanterior chest film provides three millirad of radiation. For comparison, background radiation exposure in New York City averages 40 to 50 millirad per year. Whether a routine chest film, performed at four- to five-year intervals, provides sufficient baseline medical information, must be based on the population at risk. In view of the high risk of morbidity and the low rate of compliance with preventive programs among house staff, baseline screening for this group seems justified.Dr Goldenring consistently confuses charges with costs. Charges for single tests may be less than charges for an automated screen. However, it often costs far less to perform an

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();