INNOVATIVE TRAINING FOR OCCUP MEDICINE RESIDENTS IN NON-URBAN & AG SETTINGS

描述(由申请人提供)：尽管几个世纪以来，工作场所因素对人类健康、疾病、伤害、残疾和死亡的贡献得到了承认，但职业医学在卫生保健界仍然是一个鲜为人知的专业。1970年《职业安全与健康法》通过后，经认可的职业医学住院医师培训方案的数量有所增加，在90年代中期达到顶峰。自那以后，尽管公认在这一领域接受过正规培训的医生短缺，但此类项目的数量迅速下降了近25%。农村社区尤其缺乏制定和维持职业病和伤害预防办法的基础设施，特别是在农业等特定工作部门，雇用的劳动力可能构成雇员的大多数。这项改善公共卫生的建议的目的将是寻求国家卫生组织的支持，不仅是为了维持和增加受过职业医学培训的医生的数量，而且是为了提供培训方面的内容，侧重于农村劳动力的职业健康需求，特别强调农业。这一培训项目的具体目标是：1.持续和。增加具有特定能力技能的合格医生的供应，以解决非城市地区的职业健康问题。2.增加接受农业职业健康培训的职业医学实习毕业生人数(德克萨斯州)。3.通过适当的临床轮换和实地经验，增加美国其他4个公共卫生地区的农业职业健康培训机会。4.通过正规的教学工具，提高对当前研究活动的认识，并创造机会参与NIOSH农业中心赞助的研究项目，从而提高职业医学驻地人员对负责任和文化上适当的研究活动的了解。5.通过与国家农民工人健康中心的合作，在区域认可的职业医学住院医师方案和社区/移民保健中心之间建立跨学科临床经验伙伴关系。

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. 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 almost 25 percent in spite of a recognized shortfall of physicians with formalized training in this area. Rural communities in particular often lack the infrastructure for developing and sustaining a preventive approach to occupational disease and injury especially for specific work sectors such as agriculture and where the hired workforce may constitute the majority of employees. The objective of this proposal to improve public health will be to seek support from NIOSH not only for sustaining and increasing the number of occupational medicine trained physicians, but also to bring a dimension of training which concentrates on the occupational health needs of the rural workforce with special emphasis on agriculture. Specific aims for this training project are to: 1. sustain and. improve the supply of qualified physicians, with specific competency skills, needed to address occupational health concerns in non-urban areas. 2. increase the number of occupational medicine residency graduates with training in agricultural occupational health regionally (Texas). 3. increase training opportunities in agricultural occupational health in 4 other U.S. Public Health regions, through appropriate clinical rotations and field experiences. 4. enhance occupational medicine resident understanding of responsible and culturally appropriate research activities through formal instructional tools, awareness of current research activities, and creation of opportunities for participation in research projects sponsored by the NIOSH Agricultural Centers. 5. nurture partnerships for interdisciplinary clinical experience between regional accredited occupational medicine residency programs and community/migrant health centers through collaboration with the National Center for Farmworker Health (NCFH).