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Medical Surveillance — Which Tests?

Medical surveillance from one perspective is analagous to many diagnostic or treatment procedures in clinical medicine such as coronary bypass surgery.That is because some practitioners are for it, some are against it, and the literature investigating it is incomplete at this time. However, most, if not all, occupational medicine professionals do medical surveillance or recommend it for a variety of reasons and based on their clinical judgment. I have yet to find an occupational health or occupational medicine referencethat does not recommend performing medical surveillance when the medical evaluations are related to the worker exposure. We will discuss definitions, criteria for selecting specific medical surveillance and biological monitoring tests and examples of each. It should be remembered that the comments in this presentation do not apply necessarily to diagnostic testing but rather to medical surveillance and biological monitoring.