Southern New Mexico Family Medicine Residency Program, Las Cruces, NM.
University of Massachusetts Massachusetts Chan Medical School, Worcester, MA.
Fam Med. 2023 May;55(5):291-297. doi: 10.22454/FamMed.2023.283488. Epub 2023 Feb 21.
The United States-Mexico border has unique health care challenges due to a range of structural factors. Providers must be trained to address these barriers to improve health outcomes. Family medicine as a specialty has developed various training modalities to address needs for specific content training outside of core curriculum. Our study assessed perceived need, interest, content, and duration of specific border health training (BHT) for family medicine residents.
Electronic surveys of potential family medicine trainees, faculty, and community physicians assessed appeal, feasibility, preferred content, and duration of BHT. We compared responses from participants from the border region, border states and the rest of the United States in their opinions about modality, duration, content of training, as well as perceived barriers.
Seventy-four percent of survey participants agreed that primary care on the border is unique; 79% indicated a need for specialized BHT. Most border-region faculty were interested in participating as instructors. Most residents expressed interest in short-term rotation experience, yet most faculty recommended postgraduate fellowship. Respondents selected language training (86%), medical knowledge (82%), care of asylum seekers (74%), ethics of cross-cultural work (72%), and advocacy (72%) as the top-five needed training areas.
Results of this study indicate a perceived need and sufficient interest in a range of BHT formats to warrant developing additional experiences. Developing a variety of training experiences can engage a wider audience interested in this topic; that should be done in a way ensuring maximum benefit to border-region communities.
由于一系列结构性因素，美墨边境地区的医疗保健面临独特的挑战。为了改善健康结果，必须对提供者进行培训以解决这些障碍。家庭医学作为一个专业，已经开发了各种培训模式，以满足核心课程之外特定内容培训的需求。我们的研究评估了家庭医学住院医师对特定边境健康培训（BHT）的感知需求、兴趣、内容和持续时间。
对潜在的家庭医学受训者、教师和社区医生进行电子调查，评估 BHT 的吸引力、可行性、首选内容和持续时间。我们比较了来自边境地区、边境州和美国其他地区的参与者对模式、持续时间、培训内容以及感知障碍的看法。
74%的调查参与者同意边境地区的初级保健是独特的；79%表示需要专门的 BHT。大多数边境地区的教师都有兴趣担任讲师。大多数住院医师对短期轮训经验表示兴趣，但大多数教师建议毕业后参加研究员培训。受访者选择语言培训（86%）、医学知识（82%）、庇护寻求者护理（74%）、跨文化工作伦理（72%）和宣传（72%）作为最需要的培训领域前五名。
这项研究的结果表明，对各种 BHT 模式存在感知需求和足够的兴趣，值得开发更多的体验。开发各种培训经验可以吸引更多对该主题感兴趣的受众；应确保以最大限度地造福边境地区社区的方式来开展。
