A report on a workshop on the National Institute for Occupational Safety and Health B Reader Certification Program.
Attfield MD; Wagner GR
J Occup Med 1992 Sep; 34(9):875-878
This report presents a summary of a 2 day workshop held to discuss the current status of the National Institute for Occupational Safety and Health (NIOSH) B-reader certification program. The NIOSH-B reader program was used to train and certify physicians in the use of the International Labor Office (ILO) system for classifying radiographs for the presence of pneumoconioses. Recently, this program has been criticized for variability among readers, and for biased readings during legal proceedings. The workshop generated many comments and suggestions including the following: an endorsement for the continuation of such a program, the need for trained and competent readers able to participate in public health surveillance of dust exposed workers, ongoing quality assurance of readers beyond that offered by quadrennial recertification, the need to expand the training of medical practitioners to improve competence in the recognition and prevention of occupational lung diseases, and the need for further research.
JOCMA7; NIOSH-Author; Diagnostic-techniques; Respiratory-system-disorders; Lung-disease; X-ray-diagnosis; Chest-X-rays; Coal-workers-pneumoconiosis; Pneumoconiosis
Journal of Occupational Medicine