Environmental medicine
Environmental medicine (formerly also medical environtology ; English environment = environment ; medical environmental theory ) is the science and teaching of the prevention , diagnosis and treatment of diseases that are associated with environmental factors . It partially overlaps with occupational medicine and hygiene .
Areas of activity
Preventive environmental medicine
It includes environmental hygiene , epidemiological , medical-hygienic and preventive medicine focuses, such as water , soil , air hygiene , bath hygiene and the hygiene of food as well as utility and commodities , building and settlement hygiene including noise , protection against ionizing radiation and consumer health protection , as well as technical questions about wastewater , incineration plants , other sources of emissions and contaminated sites .
Clinical environmental medicine
The Clinical Environmental Medicine includes the medical care of individuals with health complaints or with abnormal examination findings, which by themselves or medically for possible environmental factors are returned.
education
The training in environmental medicine includes the following areas:
- Legal and medical-hygienic basics
- Environmental toxicology and allergies
- meteorological , climatic and hydrological issues, soil science and related geosciences
- Environmental epidemiology
Germany
Specialist in hygiene and environmental medicine
In order to be able to work as a specialist in hygiene and environmental medicine (mostly in authorities) after completing a medical degree in Germany , a five-year further training period is required :
- 4 years of hygiene and environmental medicine, to which the following can be credited:
- 1 1/2 years of microbiology and infection epidemiology or
- 1 year of occupational medicine or pharmacology and toxicology or
- 1/2 year pathology or forensic medicine .
- 1 year in ward service in surgery or gynecology or ENT or internal medicine or neurosurgery or pediatrics or urology .
One year of this may be spent with a resident doctor.
Additional qualification in environmental medicine
Since 1995, as a doctor , you have also been able to pursue the additional qualification of environmental medicine . This possibility no longer exists today. Instead there is a curricular advanced training course in clinical environmental medicine .
The names acquired at that time may, however, be used. In order to obtain this additional designation, the following were required:
- Recognition of an area or four years of creditable further training time without passing the specialist examination,
- 1 1/2 years of activity at an authorized training facility, including a maximum of six months of theoretical training, and
- Participation in a course in environmental medicine of 200 hours within two years.
Some statutory health insurance associations paid for environmental medical examinations (e.g. in Westphalia-Lippe ).
Further training in clinical environmental medicine
The European Academy for Environmental Medicine (EUROPAEM) conducts a curricular advanced training course in clinical environmental medicine in German and English.
Austria
In Austria there are several postgraduate courses ( diploma courses ) in environmental medicine, such as:
- University course for occupational and environmental medicine , Leopold-Franzens-University Innsbruck (43 semester hours in module form)
- ÖÄK diploma in environmental medicine , from the Austrian Medical Association at the Austrian Academy of Doctors (86 teaching units in weekend seminars)
Environmental doctor
In addition to additional training as a general practitioner or specialist, an environmental doctor can also work as a resident doctor . This work includes in particular expert work for authorities and in corresponding administrative procedures.
See also
literature
- Giselher Schuschke : Sensory-mediated environmental diseases - environmental perception and health . Environmental Medicine in Research and Practice 1 (2), pp. 93-101 (1996), ISSN 1430-8681
- Hans-Peter Hutter, Hanns Moshammer, Peter Wallner: Environmental medical advice centers: Current status in Austria . Environmental medicine in research and practice 6 (1), pp. 51-54 (2001), ISSN 1430-8681
- Fritz Schweinsberg: Significance of mercury in environmental medicine - an overview . Environmental medicine in research and practice 7 (5), pp. 263-278 (2002), ISSN 1430-8681
- Jochen Hardt, Monika Schulze, Werner Ehret: Human biomonitoring in environmental medicine: Experiences with 500 patients in the environmental outpatient clinic at Augsburg Hospital . Environmental medicine in research and practice 9 (6), pp. 336–346 (2004), ISSN 1430-8681
- Markus Vieten: career planner doctor . Via medici book series, Thieme Verlag , ISBN 3-13-116105-1
- Volker Zimmermann: Health and illness: the role of the environment in the history of medicine. In: Dominik Groß and Monika Reininger (eds.): Medicine in history, philology and ethnology: Festschrift for Gundolf Keil. Königshausen & Neumann, Würzburg 2003, pp. 187–198
- Martin Exner : Environmental Medicine, Hygiene. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 1429 f.
Web links
Germany:
- German Professional Association of Environmental Medicine (dbu)
- EUROPAEM - European Academy for Environmental Medicine
- German Society for Occupational Medicine and Environmental Medicine e. V. (DGAUM)
- Allergy - Environment - Health
- Federal Environment Agency - UMID: Environment and People - Information Service
- Petition to include environmental medicine as a cash benefit on openPetition
Austria:
- ^ [1] , Advanced training in clinical environmental medicine at the European Academy for Environmental Medicine
- ↑ Occupational and Environmental Medicine ( Memento of the original from August 8, 2014 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. , bildungundberuf.at
- ↑ Environmental Medicine arztakademie.at,
Individual evidence
- ↑ Peter Wiench (ed.): "About important doctors in history", Droemersche Verlagsanstalt , Munich 1982, Volume I, ISBN 3-426-03919-2 , p. 14.
- ↑ Raiffeisenbank (Ed.): Timetable for the establishment of a practice ( Memento from August 10, 2014 in the Internet Archive ) , onA, section Forms of independence and cooperation: Other forms of professional activity for doctors: Umweltarzt , p. 12 (PDF, lbg. at).