家庭医生边境卫生培训:有需要和兴趣吗?
Danielle Fitzsimmons-Pattison1, Olga Valdman2, Mary Alice Scott3
1Southern New Mexico Family Medicine Residency Program, Las Cruces, NM.
家庭医学居民需要专门的边境卫生培训 (BHT) 由于独特的医疗保健挑战. 调查结果显示,对BHT有很强的兴趣,在语言,医学知识和跨文化护理方面有特殊需求.
科学领域:
- 医学教育 医学教育
- 公共卫生 公共卫生
- 家庭医学 家庭医学 家庭医学
背景情况:
- 美国 - 墨西哥边境带来了独特的医疗保健挑战,这些挑战源于结构因素.
- 有效的医疗保健提供需要经过培训的提供者来克服这些障碍.
- 家庭医学已经建立了超出核心课程的专业内容的培训方法.
研究的目的:
- 评估家庭医学医生对边境卫生培训 (BHT) 的感知需求,兴趣,内容和持续时间.
- 评估各种BHT模式的吸引力和可行性.
- 为了比较来自边境地区,边境州和美国其他地区的参与者对培训格式的意见.
主要方法:
- 电子调查分发给家庭医学学员,教师和社区医生.
- 参与者对BHT的吸引力,可行性,首选内容和持续时间提供了反.
- 响应分析基于地理位置 (边境地区,边境州,美国其他地区) 的观点进行了比较.
主要成果:
- 74%的人认识到边境初级保健的独特性,79%的人认为需要专门的BHT.
- 确定了最重要的培训领域:语言 (86%),医疗知识 (82%),护理寻求庇护者 (74%),跨文化伦理 (72%) 和宣传 (72%).
- 居民倾向于短期轮换,而教师则建议研究生奖学金.
结论:
- 对于开发多样化的BHT计划存在明显的需求和重大兴趣.
- 多样化的培训经验可以吸引更广泛的参与边境卫生.
- 培训发展应优先考虑最大限度地提高边境社区的利益.
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