About Publications

Publications from the National Academies of Sciences, Engineering, and Medicine provide objective and straightforward advice to decision makers and the public. This site includes Health and Medicine Division (HMD) publications released after 1998. A complete list of HMD’s publications from its establishment in 1970 to the present is available as a PDF.


  • Fitness Measures and Health Outcomes in Youth : Health and ... Released: September 27, 2012
    Physical fitness affects our ability to function and be active. At poor levels, it is associated with such health outcomes as diabetes and cardiovascular disease. Physical fitness testing in American youth was established on a large scale in the 1950s with an early focus on performance-related fitness that gradually gave way to an emphasis on health-related fitness. In this report, the IOM assesses the relationship between youth fitness test items and health outcomes, recommends the best fitness test items, provides guidance for interpreting fitness scores, and provides an agenda for needed research.
  • The Early Childhood Care and Education Workforce ... Released: November 15, 2011
    Early childhood care and education (ECCE) settings offer an opportunity to provide children with a solid beginning in all areas of their development. The quality and efficacy of these settings depend largely on the individuals within the ECCE workforce. Policy makers need a complete picture of ECCE teachers and caregivers in order to tackle the persistent challenges facing this workforce. The IOM and the National Research Council hosted a workshop to describe the ECCE workforce and outline its parameters. Speakers explored issues in defining and describing the workforce, the marketplace of ECCE, the effects of the workforce on children, the contextual factors that shape the workforce, and opportunities for strengthening ECCE as a profession.
  • Occupational Health Nurses and Respiratory Protection ... Released: August 02, 2011
    Occupational health nurses (OHNs) are front-line advocates for preventing illness and injury and protecting health in a variety of workplace settings, including the areas of agriculture, construction, health care, manufacturing, and public safety. OHNs need education and training in respiratory protection in order to ensure both their safety and the safety of America’s workers. At the request of the National Personal Protective Technology Laboratory of the National Institute for Occupational Safety and Health, the IOM examined existing respiratory protection curricula and made recommendations to improve education and training in respiratory protection for OHNs. The IOM finds that current respiratory protection education receives varying amounts of dedicated time and resources and is taught using a variety of approaches. Several recommendations are made to improve the respiratory protection education and training of OHNs.
  • Relieving Pain in America: A Blueprint for Transforming ... Released: June 29, 2011
    Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. At the request of HHS, the IOM assessed the state of the science regarding pain research, care, and education. The IOM recommends that HHS develop population-level strategies to increase awareness about pain and its treatments. In addition, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America.
  • Redesigning Continuing Education in the Health Professions ... Released: December 04, 2009
    Today’s professional health workforce is not consistently prepared to provide high quality health care and assure patient safety. Redesigning Continuing Education in the Health Professions examines continuing education for all health professionals, explores development of a national continuing education institute, and offers guidance on the establishment and operation of an institute to develop a coordinated continuing professional development system.
  • Conflict of Interest in Medical Research, Education, and ... Released: April 21, 2009
    Collaborations between physicians or medical researchers and pharmaceutical, medical device, and biotechnology companies can benefit society—most notably by promoting the discovery and development of new medications and medical devices that improve individual and public health. However, relationships between medicine and industry may create conflicts of interest, potentially resulting in undue influence on professional judgments. In 2007, the Institute of Medicine (IOM) appointed the Committee on Conflict of Interest in Medical Research, Education, and Practice to examine conflicts of interest in medicine and to recommend steps to identify, limit, and manage conflicts of interest without negatively affecting constructive collaborations.
  • Confronting Chronic Neglect: The Education and Training of ... Released: September 10, 2001
    Confronting Chronic Neglect: The Education and Training of Health Professionals on Family Violence, a new report from the Institute of Medicine, recommends ways to improve training opportunities and help health professionals screen, diagnose, treat, and refer victims of abuse and neglect.