The company doctor: an endangered species

Company doctors are both managers and clinicians. They are responsible for managing human resources, occupational health professionals, technicians, and clerical staff. They are involved in prevention programs, and are expected to advise management of changes in occupational health, workers' compensation, and human rights legislation. As clinicians, company doctors conduct preplacement and periodic examinations, and provide on-the-job treatment, counselling, and rehabilitation. However, fewer than 10% of Canadian workers are cared for by full-time occupational health physicians, and most workers do not have access to formal, occupational health programs. There is a need for better resources and occupational medical training, particularly for part-time company physicians.