Abstract
The last year has presented many new challenges to occupational medicine. Three of these issues—third-party access to medical records, reproductive hazards in the workplace, and chronic illnesses that could be of occupational origin—will have as much impact on all aspects of medicine, irrespective of specialty, as on the practice of occupational medicine. Jermyn F. McCahan, MD, in the CONTEMPO '80 issue ofThe Journal, discussed the Occupational Safety and Health Administration (OSHA) Act and its effect on the practice of occupational medicine. Dr McCahan pointed out that OSHA has long been recognized as potentially having a significant effect on the practice of medicine outside the realm of occupational medicine and on the physician-patient relationship. <h3>Third-Party Access to Medical Records</h3> On May 23, 1980, OSHA published in the<i>Federal Register</i>its standard on access to employee exposure and medical records.<sup>1</sup>The agency states: the fundamental reasons for this standard are
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