Refugee doctors in the United Kingdom.
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A General Practitioner (GP) completed, fee earning, medical questionnaire was obtained for 444 potential Army recruits and compared with the examination findings of Army Careers Information Office Medical Officers (ACIO MOs), recorded on the FMed 1. It was found that 34 (8%) of the GPs reported a condition that precluded military service. Fourteen of those candidates denied the medical problem on their FMed 1 and remained undetected. Twenty candidates declared their condition but only 6 were rejected, 6 were referred for a specialist opinion and 8 were passed fit. This represents a 60% detection rate among declared problems and nil among concealed ones. If a GP questionnaire were available for all candidates and the same detection rate achieved, there would be a 1.8% increase in rejections at the pre-employment medical selection. The GP questionnaires would cost approximately L400,000 each year. There should however be a compensating reduction in individual requests for GP reports by the ACIO MOs and inappropriate specialist referrals. A drop of 1.8% in recruit medical discharges would save pounds 5,700,000 annually. This study recommends obtaining a GP medical questionnaire for all candidates applying to join the Army.
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The impact of the American with Disabilities Act (ADA) on employers and the workplace extends well beyond the provisions of the Act. Besides demanding an end to discrimination in the workplace against persons with disabilities, both the ADA and the Rehabilitation Act articulate the goals of equal opportunity, full participation, independent living, and economic self-sufficiency. They state clearly the right of each person to a full and meaningful life regardless of disability. Promoting those goals through employment requires thinking more broadly about the interaction between the individual with the disability, the workplace, and society. The employer is not the only participant. The individual with the disability plays an important role, as do the health care providers. An opportunity to align the goals of SSI and SSDI more closely with the ADA may lie in efforts to expand health care approaches to disability, based on the IOM Model of Disability, and link such practice with disability management efforts in the workplace.
The European Group on Ethics and New Technologies, which advises the European Commission, has published an opinion paper on ethical aspects of genetic testing in the workplace. The paper goes well beyond the usual ethical issues, presenting a summary of genetic testing in the workplace in the United States and Europe and criteria for appropriate testing. Unlike many other documents on ethics, it pays close attention to the problem of false-positive and false-negative test results. Although no genetic tests are currently appropriate for screening workers or applicants for jobs in which occupational hazards exist, inappropriate testing has occurred and regulations are needed to ensure that only appropriate testing is used in the future. Workers or their representatives should be involved in deciding when and how genetic testing in the workplace is done.
Nonclinical populations of male and female subjects of middle socioeconomic level and different age ranges were assessed by means of the content analysis method developed by Gottschalk and associates. Verbal samples consisted of written productions in response to a standard ambiguous instruction to narrate a dramatic or interesting life experience and were scored for anxiety and hostility. Results show that the method shows no influence of gender under the conditions of this study and can be employed for diagnostic purposes, assuming that personality factors and psychopathological influences might have a more pronounced impact on affect scores.
Eighty-nine subjects were recruited from inpatient and community psychiatric treatment programs in the Los Angeles area to participate in the Brentwood Job Finding Club. They were trained in job-seeking skills and were given logistical support during their job search. Thirty-six percent either obtained a job or entered a job training program. Persons with good work histories, good job interviewing skills, and nonpsychotic diagnoses were more likely to find employment. Persons with psychotic diagnoses and poor work histories and those receiving Supplemental Security Income were the least successful.
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