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.


  • Provision of Mental Health Counseling Services under ... Released: February 12, 2010
    In this report, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE—the DOD’s health care benefits program. This would change current policy, which requires all counselors to practice under a physician’s supervision without regard to their education, training, licensure or experience.
  • 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.
  • Assessing and Improving Value in Cancer Care. Workshop ... Released: November 04, 2009
    Like other areas of health care, oncology is under pressure to control expenses while improving patient outcomes and the quality of care. Unlike many other areas of health care, however, oncology faces unique challenges that can make it especially difficult to control costs. On February 9-10, 2009, the National Cancer Policy Forum held a workshop to explore these issues from multiple perspectives, including those of patients and patient advocates, providers, insurers, health care researchers, federal agencies, and industry. Assessing and Improving the Value in Cancer Care summarizes workshop discussions and presentations.
  • Guidance for Establishing Crisis Standards of Care for Use in ... Released: September 24, 2009
    There is an immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly require and seek medical care in communities across the United States. In the event of such emergencies, officials rely on standards of care policies and protocols to protect the public’s health. The IOM’s report Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations is focused on articulating current concepts and guidance that can assist in the development of systematic and comprehensive policies and protocols for crisis standards of care in disasters where resources are scarce.
  • The National Emergency Care Enterprise: Advancing Care ... Released: September 09, 2009
    In 2006, the Institute of Medicine (IOM) released a series of three reports on the Future of Emergency Care in the United States Health System. Following the release of the IOM reports, the federal government established the “National Emergency Care Enterprise,” a collaborative construct that covers federal government activities across the entire spectrum of emergency care. On May 21-22, 2009, the IOM hosted a workshop to bring stakeholders and policy makers together to examine the progress in the past three years in moving the nation towards the IOM’s broader vision of a “regionalized, coordinated, and accountable” emergency care system.
  • Respiratory Protection for Healthcare Workers in the ... Released: September 03, 2009
    During any flu season, health care workers are at the front lines of fighting the disease and protecting public health. In preparation for this year’s fall and winter flu season with novel H1N1 influenza A (nH1N1), the Centers for Disease Control and Prevention and the Occupational Safety and Health Administration asked the Institute of Medicine to provide recommendations on necessary respiratory protection for healthcare workers in their workplace against nH1N1. The resulting report, Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A, focuses on the scientific and empirical evidence on the efficacy of various types of personal respiratory protection technologies (e.g., medical masks and respirators) as one measure to protect healthcare workers against nH1N1.
  • The US Oral Health Workforce in the Coming Decade. ... Released: August 06, 2009
    The current oral health workforce fails to meet the needs of many segments of the U.S. population. This variability in access to oral health services is often related to geography, insurance status, sociodemographic characteristics, and income levels. The Institute of Medicine hosted a workshop on February 9-11, 2009, jointly sponsored by the California HealthCare Foundation and the Health Resources and Services Administration to discuss these issues.
  • Ensuring Quality Cancer Care through the Oncology ... Released: April 24, 2009
    The American Society of Clinical Oncology (ASCO) predicts that by 2020, there will be an 81 percent increase in people living with or surviving cancer but only a 14 percent increase in the number of practicing oncologists. As a result, there may be too few oncologists to meet the population’s need for cancer care. To help address the challenges in overcoming this potential crisis of cancer care, the National Cancer Policy Forum of the Institute of Medicine (IOM) convened the workshop “Ensuring Quality Cancer Care through the Oncology Workforce: Sustaining Care in the 21st Century” in Washington, DC on October 20 and 21, 2008.
  • Resident Duty Hours: Enhancing Sleep, Supervision, and ... Released: December 15, 2008
    Medical residency in the United States aims to prepare recent medical school graduates to practice medicine independently. Residents often work long hours with limited time off to catch up on their sleep. However, many medical educators believe extensive duty hours are essential to provide residents with the educational experiences they need to become competent in diagnosing and treating patients. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety asserts that revisions to medical residents’ workloads and duty hours are necessary to better protect patients against fatigue-related errors and to enhance the learning environment for doctors in training.
  • Design Considerations for Evaluating the Impact of PEPFAR. ... Released: September 15, 2008
    Design Considerations for Evaluating the Impact of PEPFAR is the summary of a 2-day workshop on methodological, policy, and practical design considerations for a future evaluation of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) interventions carried out under the President’s Emergency Plan for AIDS Relief (PEPFAR), which was convened by the Institute of Medicine (IOM) on April 30 and May 1, 2007.