NIOSH Region II Educational resource Center: Occupation*

NIOSH 第二区教育资源中心：职业*

• 批准号: 6930915
• 负责人: Jacqueline Moline
• 金额: $ 128.26万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6930915
• 关键词: NIOSH; Region; II; Educational; resource

DESCRIPTION (OM-Mt Sinai) The residency training program at Mt. Sinai School of Medicine, a full-time 2-year residency training program, is housed in the Division of Environmental and Occupational Medicine in the Department of Community and Preventive Medicine. The program has trained physicians in occupational medicine since 1973 and has received support from NIOSH since 1978. The Division of Environmental and Occupational Medicine includes over 20 full-time MD and PhD faculty. Additional faculty within the Department of Community and Preventive Medicine and other departments participate in the training program. Key faculty are clearly listed in the application. The occupational medicine residency training program is accredited from the American Council for Graduate Medical Education (2002-2007). The Mt Sinai occupational medicine residency has four essential components (1) a didactic academic program that leads to a Master in Public Health degree, (2) clinical training in occupational medicine, (3) field placement in diverse occupational settings and (4) research training, which are clearly and accurately described in the ERC grant application. Seven specific objects of the training program are listed. The most recent prior NIOSH review (2000) cited mainly strengths and a few weaknesses, which are addressed. The academic component, the MPH degree, requires 39 credits including 25 credits of required courses, 8 credits for completion of the master's thesis and 6 elective credits, fully detailed in the application. All required courses are taught by faculty in the Department of Community and Preventive Medicine, except the industrial hygiene course, which is taught at Hunter College, an ERC affiliated industrial hygiene program. Since the last NIOSH review the courses have been rescheduled to take place predominantly from 4-7pm to enable other students in the Department of Community and Preventive Medicine to jointly complete MPH courses, resulting in larger classes and a broader MPH academic experience. In response to a prior concern regarding the lack of a safety course, all residents now participate in the OSHA 10 hour safety course and a new one credit supplemental safety and ergonomic course was added. There is no specific course on research methodology but this topic is covered in several courses within the MPH program. The second component of the training program, clinical training in occupational and environmental medicine, is accomplished by a well-organized and supervised clinical experience for residents in the Irving J. Selikoff Center for Occupational and Environmental Medicine at Mount Sinai. This large active clinical center receives New York State funding, is the flagship of the statewide system, and has expanded substantially since the World Trade Center disaster. Residents attend 1 clinic session a week, evaluating 2-4 patients /session, under the direct supervision of a designated teaching attending physician. Patients are pre-selected from a larger number of patients being evaluated at the Selikoff Center to ensure exposure to a wide a wide spectrum of occupational and environmental problems. Residents participate in field surveys of groups of workers with common exposures, which provides experience with screening of exposed workers, field collection of data, and data analysis. The residents also rotate through the World Trade Center medical monitoring program. The third component of the training program involves field placement in different occupational health settings during the two year residency. A number of practicum experiences, outlined in the grant application and appendices are available, some mandatory and some elective, including OSHA, Consolidated Edison, New York City Department of Health, Exxon, and the Miller Health Institute for Performing Artists. These practicum / field rotations are focused more on governmental agencies, corporate occupational health facilities, and specialized clinical services, rather than industrial manufacturing sites (likely reflecting the New York City area economy). They appear to be well organized and provide a diverse and rich spectrum of practicum experiences. Sites are revised and changed in response to resident feedback and practical considerations. The fourth component of the training program is research training. A research project is required to complete the MPH degree, but a specific plan for research training is not described in detail in the Occupational medicine training program application. However, specific funding for research training is not requested and the separate Pilot Research Training Program provides a very effective means of fostering new investigators in the field. Importantly, the Mt. Sinai Division of Environmental and Occupational Medicine and other components of the ERC provide a strong productive research environment with substantial external funding and numerous opportunities for residents to gain research experience. Numerous educational conferences and seminars occur on a regular weekly or bi-monthly basis, including a clinical case conference, a clinical lecture, radiographic review session, a regular journal club, and research conferences. The weekly schedule is clearly outlined. The Mt. Sinai occupational medicine residency program currently has 5 residents and has graduated 12 residents in the past 5 years. The program is limited to 2 residents / year by the graduate division of Mt Sinai School of Medicine. The residency program attracts very well qualified applicants many of whom have completed three years of post graduate medical education in internal medicine or another primary care specialty prior to starting their residency in occupational medicine. There is a substantial national and regional need for physicians trained in occupational and environmental medicine, which has grown since 9/11/01. The Mount Sinai program is the only full time occupational medicine training program in New York State. There are more jobs available in the region than trained occupational medicine physicians.

描述（OM-西奈山） 西奈山医学院的住院医师培训项目是一个为期 2 年的全日制住院医师培训项目，设在社区和预防医学系的环境和职业医学科。该项目自 1973 年以来一直在职业医学方面培训医生，并自 1978 年以来一直得到 NIOSH 的支持。环境和职业医学部门包括 20 多名全职医学博士和博士教师。社区和预防医学系以及其他部门的其他教职人员参加了培训计划。 申请表中清楚地列出了主要教师。职业医学住院医师培训计划获得美国研究生医学教育委员会的认可（2002-2007）。 西奈山职业医学住院医师培训有四个基本组成部分（1）获得公共卫生硕士学位的教学学术课程，（2）职业医学临床培训，（3）不同职业环境中的现场实习和（4）研究培训，这些内容在 ERC 拨款申请中进行了清晰准确的描述。 培训计划列出了七个具体对象。最近的 NIOSH 审查（2000 年）主要列举了优点和一些缺点，并予以解决。 学术部分，MPH学位，需要39个学分，其中包括25个必修课程学分、8个用于完成硕士学位论文的学分和6个选修学分，在申请中详细说明。 所有必修课程均由社区和预防医学系的教师教授，但工业卫生课程除外，该课程在亨特学院（ERC 附属工业卫生项目）教授。自上次 NIOSH 审查以来，课程已重新安排为主要在下午 4 点至 7 点进行，以便社区和预防医学系的其他学生能够共同完成 MPH 课程，从而获得更大的班级和更广泛的 MPH 学术经验。为了回应之前对缺乏安全课程的担忧，所有居民现在都参加 OSHA 10 小时安全课程，并添加了新的一个学分补充安全和人体工程学课程。 没有关于研究方法的具体课程，但 MPH 项目内的几门课程涵盖了该主题。 培训计划的第二个组成部分，职业和环境医学临床培训，是通过西奈山欧文·J·塞利科夫职业和环境医学中心的住院医师精心组织和监督的临床经验来完成的。 这个大型活跃的临床中心接受纽约州的资助，是全州系统的旗舰，自世贸中心灾难以来已大幅扩展。 住院医师每周参加 1 次临床会议，每次会议评估 2-4 名患者，并在指定的教学主治医师的直接监督下进行。 患者是从塞利科夫中心接受评估的大量患者中预先选出的，以确保接触到广泛的职业和环境问题。 居民参与对常见接触者群体的现场调查，这提供了筛选接触者、现场数据收集和数据分析的经验。 居民还轮流参加世贸中心的医疗监测计划。 培训计划的第三个组成部分涉及在两年住院期间在不同职业健康环境中的现场安置。 拨款申请和附录中概述了许多实习经验，其中一些是强制性的，一些是选修的，包括 OSHA、联合爱迪生公司、纽约市卫生部、埃克森公司和米勒表演艺术家健康研究所。这些实习/现场轮换更多地关注政府机构、企业职业健康设施和专业临床服务，而不是工业制造场所（可能反映纽约市地区经济）。他们似乎组织得很好，并提供了多样化和丰富的实习经验。网站根据居民反馈和实际考虑进行修改和更改。 培训计划的第四个组成部分是研究培训。完成MPH学位需要一个研究项目，但职业医学培训项目申请中没有详细描述研究培训的具体计划。然而，研究培训不需要专门的资金，单独的试点研究培训计划提供了培养该领域新研究人员的非常有效的手段。重要的是，西奈山环境与职业医学部和 ERC 的其他组成部分提供了强大的富有成效的研究环境，提供了大量的外部资金，并为居民提供了大量获得研究经验的机会。 许多教育会议和研讨会每周或每两个月定期举行，包括临床病例会议、临床讲座、放射学审查会议、定期期刊俱乐部和研究会议。每周的日程安排都清晰可见。 西奈山职业医学住院医师项目目前有 5 名住院医师，过去 5 年已毕业 12 名住院医师。该计划每年仅限 2 名住院医师，由西奈山医学院研究生院负责。 该住院医师计划吸引了非常合格的申请人，其中许多人在开始职业医学住院医师培训之前已经完成了三年内科或其他初级保健专业的研究生医学教育。 自 2001 年 9 月 11 日以来，国家和地区对接受职业和环境医学培训的医生的需求不断增长。 西奈山计划是纽约州唯一的全日制职业医学培训计划。该地区的工作岗位比经过培训的职业医学医生还要多。