Rudolphi Josie M, Donham Kelley J
a Department of Occupational and Environmental Health , University of Iowa , Iowa City , Iowa , USA.
J Agromedicine. 2015;20(1):77-83. doi: 10.1080/1059924X.2014.977503.
ABSTRACT The agricultural industry poses specific hazards and risks to its workers. Since the 1970s, the University of Iowa has been establishing programs to educate rural health care and safety professionals who in turn provide education and occupational health and safety services to farm families and farm workers. This program has been well established in the state of Iowa as a program of Iowa's Center for Agricultural Safety and Health (I-CASH). However, the National 1989 Agriculture at Risk Report indicated there was a great need for agricultural medicine training beyond Iowa's borders. In order to help meet this need, Building Capacity: A National Resource of Agricultural Medicine Professionals was initiated as a project of the National Institute for Occupational Safety and Health (NIOSH)-funded Great Plains Center for Agricultural Health in 2006. Before the first phase of this project, a consensus process was conducted with a group of safety and health professionals to determine topics and learning objectives for the course. Over 300 students attended and matriculated the agricultural medicine course during first phase of the project (2007-2010). Beginning the second phase of the project (2012-2016), an expanded advisory committee (38 internationally recognized health and safety professionals) was convened to review the progress of the first phase, make recommendations for revisions to the required topics and competencies, and discuss updates to the second edition of the course textbook (Agricultural Medicine: Occupational and Environmental Health for the Health Professions). A formal consensus process was held and included an online survey and also a face-to-face meeting. The group was charged with the responsibility of developing the next version of this course by establishing best practices and setting an agenda with the long-term goal of developing a national course in agricultural medicine.
摘要 农业产业给其工人带来了特定的危害和风险。自20世纪70年代以来，爱荷华大学一直在设立项目，以培养农村医疗保健和安全专业人员，这些专业人员进而为农户和农场工人提供教育以及职业健康和安全服务。作为爱荷华州农业安全与健康中心（I-CASH）的一个项目，该计划在爱荷华州已得到充分确立。然而，1989年的《国家农业风险报告》表明，爱荷华州以外地区对农业医学培训有很大需求。为了帮助满足这一需求，2006年启动了“能力建设：农业医学专业人员的国家资源”项目，该项目由美国国家职业安全与健康研究所（NIOSH）资助的大平原农业健康中心负责实施。在该项目的第一阶段之前，与一群安全与健康专业人员进行了一次共识达成过程，以确定课程的主题和学习目标。在项目的第一阶段（2007 - 2010年），有300多名学生参加并注册了农业医学课程。在项目的第二阶段（2012 - 2016年）开始时，召集了一个扩大的咨询委员会（38名国际认可的健康与安全专业人员）来审查第一阶段的进展情况，就必修主题和能力的修订提出建议，并讨论课程教材第二版（《农业医学：卫生专业人员的职业与环境卫生》）的更新内容。举行了一次正式的共识达成过程，包括一次在线调查和一次面对面会议。该小组负责通过确立最佳实践并制定议程来开发该课程的下一版本，其长期目标是开发一门全国性的农业医学课程。
