Innovative Training Experiences for Occ Med Residents in Non-urban & Ag Settings

项目摘要/摘要 在医疗实践的许多方面，非城市人口很少受到关注。农村社区经常 缺乏制定和维持职业病和伤害预防办法的基础设施， 特别是对于农业等特定工作部门，在这些部门，雇用和/或移徙劳动力可能 构成多数。德克萨斯州东北部是35个县约150万人的家园，被认为是 是该州最大的乡村分布人口，也是最不健康的人口之一。有一个 相当有必要培训医学生和毕业生，以及职业医学住院医师 特别是在与农村和移徙人口有关的知识和技能方面具有能力，这些人具有 特殊的文化需求和考虑。 作为该地区唯一的大学医疗中心，位于泰勒的德克萨斯大学健康科学中心 (UTHSCT)是患者护理和社区卫生、医疗和医疗领域一些最新发展的发源地 健康教育、生物医学和临床研究。在农村县，医生短缺。 在整个德克萨斯州东北部，UTHSCT有责任培训未来一代医生。 Tyler(OMR)职业医学住院医师项目是ACGME认可的七名毕业生之一 由该机构赞助的医学教育(GME)项目。委员会的总体目标和使命 计划是；增加具有足够经验和 足够的能力在没有直接监督的情况下进入实践，同时增加对培训的特别关注 在农村劳动力的职业健康需求方面，帮助服务于德克萨斯州东北部和 超越‘。这与该机构的总体使命是一致的。 该计划的具体目标是：1.增加委员会认证的职业医学毕业生人数 能够在各种环境下从事以证据为基础的独立实践，包括比例 留在德克萨斯州和农村地区，2.增强农村/农业的强大居住体验 职业健康、安全、保护和促进。 普遍存在公认的工伤和疾病负担，特别是在农业方面。 这项提案被认为是对融资机会公告PAR-15-352的回应，通过以下方式 职业医学住院医师(OMR)培训的医生劳动力需求(核心学科)的严重缺口。 拟议的计划将通过实施多方面的培训来整合农业安全和健康 这种方法依赖于跨专业教育团队的努力，同时也利用 NIOSH支持的西南农业健康、伤害预防和教育中心实现 对劳动力的持续扩张产生重大影响。

Project Summary/Abstract Non-urban populations are given little attention in many aspects of medical practice. 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, where the hired and/or migrant workforce may constitute the majority. Northeast Texas, home to about 1.5 million people spanning 35 counties, is considered the largest rurally distributed population in the state, and is also one of the unhealthiest. There is a considerable need to train medical students and graduates in general, and occupational medicine residents in particular, to be competent in knowledge and skills pertaining to rural and migrant populations, who have special cultural needs and considerations. As the region’s only university medical center, the University of Texas Health Science Center at Tyler (UTHSCT) is home to some of the latest developments in patient care and community health, medical and health education, and biomedical and clinical research. There is a physician shortage in rural counties throughout Northeast Texas, and UTHSCT has the responsibility of training the future generation of physicians. The occupational medicine residency program at Tyler (OMR) is one of seven ACGME-accredited graduate medical education (GME) programs sponsored by the institution. The overall objective and mission of the program is; ‘to increase the number of occupational medicine physicians who have adequate experience and sufficient competence to enter the practice without direct supervision, while adding a special focus on training in the occupational health needs of the rural workforce, to help serve the population of Northeast Texas and beyond’. This is in alignment with the overall mission of the institution. Specific aims of the program are to: 1. Increase the number of board certified occupational medicine graduates able to engage in evidence based and independent practice in various settings including the proportion remaining in Texas and rural areas, 2. Enhance a robust residency experience in rural / agricultural occupational health, safety, protection and promotion. There remains a recognized burden of occupational injury and illness in general and in agriculture specifically. This proposal is considered responsive to the Funding Opportunity Announcement PAR-15-352 by addressing a critical gap in Occupational Medicine Residency (OMR) trained physician workforce needs (core discipline). The proposed program will integrate agricultural safety and health by implementing a multi-faceted training approach that relies upon an inter-professional educational team effort, while also leveraging the strengths of the NIOSH-supported Southwest Center for Agricultural Health, Injury Prevention and Education to achieve a significant impact on continued workforce expansion.