Innovative Training for Occupational Med Residents in Non-Urban and Agr Settings

非城市和农业环境中职业住院医师的创新培训

• 批准号: 8109896
• 负责人: JEFFREY L. LEVIN
• 金额: $ 19万
• 依托单位: UNIVERSITY OF TEXAS HLTH CTR AT TYLER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8109896
• 关键词: Innovative; Training; Occupational; Med; Residents

DESCRIPTION (provided by applicant): Despite centuries of recognition of the contribution of workplace factors to human health, disease, injury, disability, and death, occupational medicine remains an obscure specialty within the health care community. Little emphasis is given to educating physicians at both the undergraduate and post-graduate levels concerning occupational health. Following passage of the Occupational Safety and Health Act of 1970, there was a rise in the number of accredited residency training programs in occupational medicine, reaching a peak in the mid-90s. Since then, the number of such programs has declined rapidly by 35 percent in spite of a recognized shortfall of physicians with formalized training in this area. Remaining programs struggle for funding to sustain their educational efforts. In many specialty areas of medical practice, there is also little attention given to the special needs of non- urban environments. Small employers (e.g., those with fewer than 100 employees) are not unique to rural communities. However, rural communities often lack the infrastructure for developing and sustaining a preventive approach to occupational disease and injury particularly for specific work sectors such as agriculture and construction where the hired and/or migrant workforce may constitute the majority of employees. Specific aims for this training project are to: Sustain and increase the supply of qualified occupational medicine residency trained physicians. Expand capacity by increasing the number of occupational medicine resident graduates who develop specific competencies and receive didactic training in rural/agricultural occupational health. Enhance occupational medicine resident understanding of effective outreach/education and responsible and culturally appropriate research activities through close interaction with a NIOSH Agricultural Health and Safety Center. Nurture partnerships for interdisciplinary clinical experience between an accredited occupational medicine residency program and migrant/community health centers through collaboration with the National Center for Farmworker Health (NCFH). Develop a range of field experiences in the agricultural sector through which residents can improve skills in worksite walk-through.

描述（由申请人提供）：尽管认识到工作场所因素对人类健康，疾病，伤害，残疾和死亡的贡献几个世纪，但职业医学仍然是卫生保健社区内的晦涩专业。关于职业健康的本科和研究生级别的教育医生几乎没有重视。通过1970年的《职业安全与健康法》，在职业医学中获得认可的住院医师培训计划的数量增加，在90年代中期达到了高峰。从那时起，尽管公认的医生在该领域接受了正式培训，但此类计划的数量迅速下降了35％。剩下的计划努力为维持其教育工作而努力。在许多医学实践的专业领域，也很少关注非城市环境的特殊需求。小型雇主（例如，雇员少于100名的雇主）并非农村社区所独有的。但是，农村社区通常缺乏发展和维持用于职业疾病和伤害的预防方法的基础设施，尤其是对于特定的工作部门，例如农业和建筑，在农业和建筑中，雇用和/或移民劳动力可能构成大多数员工。 该培训项目的具体目标是： 维持并增加经过职业医学培训的医生的供应。 通过增加发展特定能力并接受农村/农业职业健康中的教学培训的职业医学居民的数量来扩大能力。 通过与NIOSH农业健康和安全中心进行密切互动，增强对有效的外展/教育以及负责任和文化适当的研究活动的居民理解。 通过与国家农场工人卫生中心（NCFH）合作，培育合法的职业医学居住计划与移民/社区卫生中心之间的跨学科临床经验的合作伙伴关系。 在农业领域发展了一系列的现场经验，居民可以通过这些经验来提高工作地点的技能。