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The French Labor law defines the role and its allocation criteria of occupational physician (OP) as like as in Japan. In France, the occupational medicine is one of the medical specialties. The OP resident must follow the 4 years clinical training before certificated. After finished their residency, they are entitled to work for the occupational health service office of company or company association (in the case of small and medium sized company). The most important characteristics of French system is that it covers all workers regardless of company size. The main role of OP is prevention of work related diseases and accidents. They are not allowed to do clinical services except for emergency cases. Their main activities are health examinations, health education, patrol and advice for better working condition. Formerly, it was rather difficult to attract the medical students for OP resident course because of its prevention oriented characteristics. A growing concern about the importance of health management at work site, however, has changed the situation, that is, the number of candidate for OP resident course is increasing. Their task has expanded to cover mental health and other life style related diseases. The 2011 modification of law redefines the role of OP as a director of occupational health service office who has a total responsibility of multidisciplinary services. The French and Japanese occupational health system has lots of similarities. It is expected to advance a series of comparative studies in order to ameliorate the quality of occupational health services of both countries.

A Review of the French Occupational Health System —From the Viewpoint of International Comparison between France and Japan—