Hill L, Patrick K, Avila P
University of California, San Diego, USA.
Am J Prev Med. 1996 May-Jun;12(3):156-60.
The population of uninsured and underinsured individuals in the United States continues to grow, compounding problems of adequate access to medical care. Some of the medical needs of this population are met by community health centers (CHCs). However, CHCs often have difficulty recruiting and retaining physicians, especially those with skills in community medicine. This article describes a general preventive medicine residency program that has been successful in preparing physicians for practice in these settings-what we call training in community-oriented preventive medicine (COPM). At the heart of COPM training are mutually beneficial relationships between CHCs and the residency program. This process has been greatly facilitated through the use of Health Resources and Services Administration (HRSA) federal training grant support to "match" funds provided by CHCs. As of July 1994, 11 residents have entered the COPM track, with eight graduates and three current residents. Thus far, all graduates have remained involved in community-based medical care and preventive medicine activities for medically underserved populations. This training arrangement can serve as a model for other preventive medicine residency programs and for CHCs interested in enhancing physician recruitment and retention. Medical Subject Headings (MeSH): community-oriented preventive medicine, medically uninsured, preventive medicine residency training, community health centers.
美国未参保和参保不足的人群数量持续增加，这使得获得充分医疗服务的问题更加复杂。社区卫生中心（CHC）满足了这部分人群的一些医疗需求。然而，社区卫生中心在招聘和留住医生方面往往存在困难，尤其是那些具备社区医学技能的医生。本文介绍了一个普通预防医学住院医师培训项目，该项目成功地为在这些环境中执业的医生做好了准备，即我们所说的社区导向预防医学（COPM）培训。COPM培训的核心是社区卫生中心与住院医师培训项目之间的互利关系。通过利用卫生资源和服务管理局（HRSA）的联邦培训拨款来“匹配”社区卫生中心提供的资金，这一过程得到了极大的促进。截至1994年7月，已有11名住院医师进入COPM培训轨道，其中8人毕业，3人仍在培训。到目前为止，所有毕业生都继续参与为医疗服务不足人群提供的社区医疗和预防医学活动。这种培训安排可以为其他预防医学住院医师培训项目以及有兴趣加强医生招聘和留用的社区卫生中心提供一个模式。医学主题词（MeSH）：社区导向预防医学、未参保人群、预防医学住院医师培训、社区卫生中心。
