Abstract
Tabulations of 20 years of advertisements from the Journal of Occupational Medicine reflect shifts in the career options of occupational physicians. Advertised opportunities have imcreased modestly from 1968 through 1987. The largest sector increases come from community hospital-based clinics, academic faculty positions, free-standing industrial practice, and especially from within multispecialty group practices. Opportunities in industry show the opposite trend; these comprised about 70% of advertised positions in the late 1960s through the mid-1970s, but have since decreased steadily as a percent of the total and in absolute terms. Advertised searches for occupational physicians are more diversified than in the past, reflecting growth in settings other than within industry.

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