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: 7921801
• 负责人: JEFFREY L. LEVIN
• 金额: $ 17.56万
• 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/7921801
• 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认可，但职业医学在医疗保健界仍然是一个模糊的专业。很少强调在本科和研究生两级对医生进行职业健康教育。随着1970年《职业安全与健康法》的通过，职业医学领域获得认可的住院医师培训项目数量有所增加，在90年代中期达到顶峰。从那时起，尽管公认缺乏在这一领域受过正规培训的医生，但这类项目的数量迅速下降了35%。剩下的项目努力争取资金来维持他们的教育努力。在医疗实践的许多专业领域，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人的企业）并不是农村社区所特有的。然而，农村社区往往缺乏制定和维持预防职业病和职业伤害办法的基础设施，特别是在农业和建筑业等雇用和/或移徙劳动力可能占雇员大多数的具体工作部门。 该培训项目的具体目标是： 维持和增加合格的职业医学住院医师培训的医生的供应。 通过增加职业医学住院医师毕业生的人数来扩大能力，这些毕业生发展了具体的能力，并接受了农村/农业职业健康方面的教学培训。 通过与NIOSH农业健康与安全中心的密切互动，提高职业医学住院医师对有效推广/教育以及负责任和文化上适当的研究活动的理解。 通过与国家农场工人健康中心（NCFH）合作，培养经认可的职业医学住院医师项目和移民/社区卫生中心之间的跨学科临床经验合作伙伴关系。 在农业部门发展一系列实地经验，通过这些经验，居民可以提高在工作现场走动的技能。