Training the Next Generation of Occupational and Environmental Physicians

本次更新申请的目的是为现有的职业和环境基金提供资金， 医学（OEM）在宾夕法尼亚大学（UPENN）住院医师。最大的民用OEM 居住计划在全国，这个独特的，创新的，培训到位的OEM计划，与可衡量的 结果，自1997年以来一直存在，是为了响应国家医学科学院的号召， 2000年开发新的OEM认证路线。旨在培训职业中期的医生， 扩大到也培训最近的医学院毕业生。与健康人2020相结合，该计划 培训医生，通过预防和早期干预，促进工作人员的健康和安全。 干预该计划还与国家职业研究议程保持一致，目前在其 第三次迭代，实施改进的工作场所做法，培训合格的医生， 《职业安全与健康法》的目的。它以能力为基础，有助于解决国家 在美国的OEM医生短缺，允许学员资格的美国预防委员会 医学检查（ABPM），并为他们提供改进的临床，行政，教学， 人口管理和研究技能。总体目标是在5年内使30名受训人员毕业 资助期间，包括5个NIOSH支持。合格申请人已完成至少1个临床年 并有公共卫生硕士或同等学位，或计划完成学位之前， 符合美国医学研究生教育理事会（ACGME）的要求。 有两个轨道：内部轨道（IT）和外部轨道（ET）。宾夕法尼亚大学外部，培训到位， 跟踪有助于克服障碍，阻止其他动机的医生从专科培训。ET 住院医师在经批准的临床培训中心（CTS）全职担任OEM医生， ABPM认证医师。IT居民，通常是最近的医学院毕业生，在 宾夕法尼亚大学及其附属医院、政府机构和工业界。该计划有两个相互关联的 是：应用组件在CTS和教学组成部分，包括每月3天 在宾夕法尼亚州的届会：第一年12届，第二年5届。两个组件都工作 同时允许收购ACGME里程碑，计划和美国OEM学院 能力，并在认证考试中取得成功。教师是特定领域的国家专家 他们是ABPM的外交官自成立以来，该计划已毕业134名居民。 毕业生组成了一个多元化的劳动力，地理上分散代表每个美国地区， 大多数在25个最大的标准大都市统计区之外工作。他们表示满意 通过培训，达到所有里程碑，在认证考试中取得有竞争力的分数。毕业生 在过去十年中占新ABPM患者的8%。95%以上的人留在外地。

The purpose of this renewal application is for funding of the existing Occupational and Environmental Medicine (OEM) Residency at the University of Pennsylvania (UPENN). The largest civilian OEM residency program in the nation, this unique, innovative, train-in-place OEM program, with measureable outcomes, in existence since 1997, was created in response to the National Academy of Medicine's call in 2000 to develop new routes to OEM certification. Designed to train midcareer physicians it was recently expanded to also train recent medical school graduates. Aligned with Healthy People 2020, the program trains physicians to promote the health and safety of people at work through prevention and early intervention. The program is also aligned with the National Occupational Research Agenda, now in its third iteration, to implement improved workplace practices, training qualified physicians to carry out the purpose of the Occupational Safety and Health Act. It is competency-based and helps address the national shortage of OEM physicians in the US, allows trainees eligibility for the American Board of Preventive Medicine Examination (ABPM) and equips them with improved clinical, administrative, teaching, population management and research skills. The overall purpose is to graduate 30 trainees over the 5-year grant period, including 5 NIOSH supported. Qualified applicants have completed at least 1 clinical year and have a Master of Public Health or equivalent degree, or a plan for completing the degree before graduation, in keeping with American Council of Graduate Medical Education (ACGME) requirements. There are two tracks: Internal Track (IT) and External Track (ET). The UPENN External, train-in-place, track helps overcome barriers that deter otherwise motivated physicians from specialist training. ET residents work full-time as OEM physicians at an approved clinical training site (CTS) supervised by an ABPM certified physician. IT residents, usually more recent medical school graduates, rotate at the UPENN and affiliated hospitals, governmental agencies and industry. The program has two interrelated are: the applied component at the CTS and the didactic component that consists of monthly 3-day sessions at PENN: 12 sessions during the first year and 5 during the second year. Both components work in tandem to allow acquisition of the ACGME milestones, program and American College of OEM competencies, and success on the certifying examination. Faculty are national experts in the specific area they teach and are ABPM diplomats. The program has graduated 134 residents since inception. Graduates comprise a diverse workforce, are geographically dispersed representing every US region with most working outside of the 25 largest standard metropolitan statistical areas. They express satisfaction with training, achieve all milestones, score competitively on the certifying examination. Graduates comprised 8% of new ABPM diplomates over the past decade. More than 95% have remained in the field.