Pathophysiologic Origins of Brachial Plexus Injury.
Pathophysiologic Origins of Brachial Plexus Injury.
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臂丛神经损伤的病理生理学起源。
DOI：
10.1097/aog.0000000000004220
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发表时间：
2021
影响因子：
7.2
通讯作者：
Allen,RobertH
中科院分区：
文献类型：
--
作者：
GurewitschAllen,Edith;Allen,RobertH
我怀着兴趣和怀旧的心情阅读了Waxman等人在2020年10月出版的关于美国妇产科医师学院和印度卫生服务局过去和目前为改善美国土著妇女围产期护理所做的努力的评论。[1] 1980年至1982年，我有幸在俄克拉荷马州克莱尔莫尔的克莱尔莫尔印第安医院担任军官，享受国家卫生服务团奖学金。印度卫生服务的经验是一个宝贵的过渡，从居住。我们在教学和学习环境中为高风险人群提供服务，目前很少有新毕业生经历。我从我的同事那里、从工作人员那里（他们中的许多人来自搬迁到俄克拉荷马州的各个部落），尤其是从病人那里学到了很多东西。虽然我们为更多的城市人口提供服务，但有机会了解部落文化，患者和工作人员总是愿意分享。我还有幸见到了哈夫纳博士，他的专业精神是我们所追求的标准。我经常听说新的妇产科毕业生没有为独立实践做好准备。花时间在印度卫生服务提高了我的手术技巧和决策能力，使我成为一个更好的医生在我的职业生涯。如果没有国家卫生服务奖学金计划，我永远不会有这样的机会，我完全同意重新授权军团的建议。在印第安人卫生服务中照顾美洲土著妇女深刻地影响了我在妇产科的职业生涯，应该由美国妇产科医师学院和国家卫生服务团推广。
I read with interest and nostalgia the Current Commentary by Waxman et al in the October 2020 issue about past and current efforts by the American College of Obstetricians and Gynecologists and the Indian Health Service to improve perinatal care for Native American women. 1 I was privileged from 1980 to 1982 to serve my National Health Service Corps Scholarship time as a commissioned officer at the Claremore Indian Hospital in Claremore, Oklahoma. The Indian Health Service experience was an invaluable transition from residency. We served a high-risk population in a teaching and learning environment, which currently few new graduates experience. I learned from my colleagues, from the staff (many of whom were from the various tribes relocated to Oklahoma), and most of all from the patients. Although we served a more urban population, there was an opportunity to learn about tribal culture, which patients and staff were always willing to share. I was also privileged to meet Dr. Haffner, whose professionalism was a standard to which we aspired. I often hear that new obstetrics and gynecology graduates are ill-prepared for independent practice. Spending time in the Indian Health Service improved my surgical skills and decision-making abilities and made me a much better practitioner throughout my career. I never would have had that opportunity without the National Health Service Scholarship program, and I completely agree with the recommendation that the Corps be reauthorized. Caring for Native American women in the Indian Health Service profoundly influenced my career in obstetrics and gynecology and should be promoted by the American College of Obstetricians and Gynecologists and the National Health Service Corps.