Frumkin Howard, Mason Suzanne
Department of Environmental and Occupational Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta, GA 30322, USA.
J Agromedicine. 2004;9(2):267-87.
This paper describes the Emory Agromedicine Training Project, a component of Occupational Medicine residency training at Emory University since 1991. The Project places occupational medicine residents in rural settings, where they perform a range of activities: working on farms, service visits to farms, grand rounds presentations to rural hospitals, public presentations in farm communities, and clinical service in the migrant health program. In addition they complete a directed reading syllabus and a research project. The rotation has been successful in building the residents' knowledge of agricultural safety and health, instilling positive attitudes toward the field, and achieving desired behaviors and skills. In addition, strong statewide networking was accomplished through this initiative. Areas of limited success include the small number of residents trained, some resident dissatisfaction with intense travel requirements and security concerns, and inability to secure long-term funding. We conclude that agricultural safety and health is highly suitable for inclusion in occupational medicine training, and this model should be extended to primary care specialties such as family practice.
本文介绍了埃默里农业医学培训项目，该项目自1991年起成为埃默里大学职业医学住院医师培训的一部分。该项目将职业医学住院医师安排在农村地区，他们在那里开展一系列活动：在农场工作、到农场进行服务访问、为农村医院进行大查房汇报、在农场社区进行公开演讲以及在移民健康项目中提供临床服务。此外，他们还要完成一份定向阅读大纲和一个研究项目。这次轮转在增强住院医师对农业安全与健康的知识、灌输对该领域的积极态度以及培养所需行为和技能方面取得了成功。此外，通过这一举措在全州范围内建立了强大的网络联系。成效有限的方面包括培训的住院医师数量较少、一些住院医师对繁重的出行要求和安全问题不满，以及无法获得长期资金。我们得出结论，农业安全与健康非常适合纳入职业医学培训，并且这种模式应扩展到家庭医学等初级保健专业。
