Medical programs for multiple domestic sites. An in-house perspective

The author was asked to share his experiences in developing medical programs within a company with numerous small manufacturing locations. Successful programs at these locations depend on obtaining high-quality occupational medical services in the local community. Policies that drive the content and quality of medical program services within large companies are described. Factors that are important in selecting and retaining a local provider are discussed in detail as is the ongoing role of the company's medical director in local site medical programs. The importance of program reviews or audits is stressed with information presented on what a private clinic or practitioner should expect during an audit. Impartiality, objectivity and fairness were emphasized along with the need for good office management and interpersonal skills as characteristics that can help lead to long-term business relationships between corporate clients and occupational medicine physicians in private practice.