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

项目总结/摘要 非城市人口在医疗实践的许多方面很少受到关注。农村社区往往 缺乏制定和维持职业病和职业伤害预防办法的基础设施， 特别是对农业等具体工作部门而言，雇用和/或移徙劳动力可能 占大多数。德克萨斯州东北部拥有约150万人口，分布在35个县， 是该州最大的农村人口，也是最不健康的人口之一。有一个 相当大的需要培训医学生和毕业生一般，职业医学居民， 特别是要有能力掌握与农村和移民人口有关的知识和技能， 特殊的文化需要和考虑。 作为该地区唯一的大学医疗中心，德克萨斯大学泰勒健康科学中心 （UTHSCT）是病人护理和社区卫生，医疗和 健康教育以及生物医学和临床研究。农村县医生短缺 在整个德克萨斯州东北部，UTHSCT有责任培训下一代医生。 泰勒（OMR）的职业医学住院医师项目是七个ACGME认证的毕业生之一 由该机构赞助的医学教育（GME）计划。总的目标和使命 该方案是："增加有足够经验的职业医学医生的数量， 有足够的能力在没有直接监督的情况下进入实践，同时特别注重培训 在农村劳动力的职业健康需求，以帮助服务于得克萨斯州东北部的人口， 超越。这符合该机构的总体使命。 该方案的具体目标是：1。增加委员会认证的职业医学毕业生人数 能够在各种环境中从事基于证据的独立实践，包括 在德州和农村地区，2。增强在农村/农业地区的强大居住体验 职业健康、安全、保护和促进。 在一般情况下，特别是在农业领域，工伤和职业病仍然是一个公认的负担。 本提案被视为对融资机会公告PAR-15-352的响应， 职业医学住院医师（OMR）培训的医生劳动力需求（核心学科）的关键差距。 拟议的方案将通过实施多方面的培训， 一种依赖于跨专业教育团队努力的方法，同时也利用了 NIOSH支持的西南农业健康、伤害预防和教育中心， 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.