PubMed Health⌕ Search

Biomedical subjects

D F Rea

Publications and source records attributed to D F Rea.

17 recordsLinked to original sources
PubMed1996

Occupational and environmental medicine in preventionist residency training programs.

In the United States today, there remains a need to train physicians with expertise in occupational medicine and its corollary, environmental medicine. To determine whether preventive medicine residency training programs provide trainees with skills and knowledge in occupational and environmental medicine, we conducted a survey among directors of general preventive medicine and combined general preventive medicine/public health programs in the United States that listed such emphases in the Directory of Preventive Medicine Residency Programs in the United States and Canada. Of the programs surveyed, over 50% included occupational and environmental medicine training opportunities. Individuals who have trained in these settings have obtained employment in positions related to this training, and some have obtained certification. Our findings suggest that preventive medicine training programs may provide an avenue for training and certification in occupational and environmental medicine.

Data Collection↗
PubMed1994

Training the clinician-manager. Assessing the reality.

Occupational medicine residents at the University of Arizona have been introduced to administrative skills and issues as part of residency training since 1983. A questionnaire survey of 17 program graduates was conducted to assess effectiveness of training and applicability of skills to present job position. Seventeen of the graduates surveyed (100%) returned a completed questionnaire. Graduates rated the extent to which certain training activities improved administrative skills, such as community-based rotations, a 1-month administration rotation, chief resident responsibilities, committee work, program or clinic administration, and residency training overall. Although ratings overall were low, we believe this stems from the need for training that residents discover on the job. The survey emphasized the importance of administrative training during the residency years and underscored the need for renewed training efforts on our part.

Arizona↗
PubMed1994

Work site risk assessment.

Awareness of the connection between work and health can be reinforced by primary care practitioners through visits to community workplaces. Physicians can use observation skills to increase understanding of work processes, hazardous exposures, potential adverse health effects, and preventive principles and control measures during inspection of work sites. They can also use site visits to augment the office occupational history and to obtain a community industrial profile. Adequate advance planning is imperative to ensure successful visits. The use of site visits by physicians is one method of realizing the goal of increased physician awareness of the work-relatedness of disease.

Databases, Bibliographic↗
PubMed1991

Introducing management skills and issues in preventive medicine residency programs: a survey.

A questionnaire survey of 60 accredited preventive medicine residency programs was conducted to determine the percentage of programs in which management training is undertaken and to identify the nature of such training. Forty eight of the 60 programs (80%) returned a completed questionnaire. Forty three of the 48 programs responding (90%) state that the teaching of management skills is a defined goal of their program. Ninety percent introduce management skills in the practicum year in an administration rotation or by providing opportunities to practice management skills in other rotations. Thirty five (73%) of responding programs present didactic sessions containing a focus on management issues, and academic year courses contain a focus on management skills or issues in 46 (96%). Considering the need for management training in preventive medicine careers, we are encouraged by these figures. However, although this survey determined the extent to which management training is undertaken and the reported content thereof, it did not attempt to evaluate the depth or effectiveness of this training. Therefore, we must continue to emphasize a longitudinal and multidimensional approach to management training during the residency years.

Curriculum↗
PubMed1989

A program of management training for residents.

To help prepare residents in preventive medicine and occupational medicine for their future management roles, the University of Arizona College of Medicine incorporated administrative training into many aspects of its residency programs, beginning in 1983. Training focuses on seven skill areas seen as needed to meet the management demands of the physicians' future specialties. The authors discuss the career choices of University of Arizona graduates and advocate long-term administrative training for all specialties.

Career Choice↗
PubMed1989

Mexico, maquiladoras, and occupational medicine training.

Industrialization and its concomitant social and environmental effects in developing countries are considered in this paper. Mexico offers one example of economic progress achieved through the promotion of industrial growth. Recognising the need for trained experts with global experience in occupational health, the University of Arizona (UA) has begun a programme to train occupational and preventive medicine residents in international aspects of occupational health in the nearby industrialized border regions of Mexico. By using the maquiladora (assembly plant) industries and the resources of the Instituto Mexicano del Seguro Social with the State of Sonora, residents observe existing problems in occupational safety and health in addition to adding to their understanding of the need for worldwide cooperation for research and reform in this field.

Arizona↗
PubMed1988

Management roles for physicians: training residents for the reality.

The University of Arizona has incorporated administrative training into general preventive medicine residency and occupational medicine residency training programs to provide preparation at the most appropriate time for future management roles for physicians. Training parallels future specialty choices and focuses on computer skills, fiscal control, budgeting, personnel management, political or regulatory process, program development, and planning and organization. Throughout the 2-year training period, residents are in a position to acquire management skills through course work, selected rotations, special projects, and a concentrated 1-month rotation in administration. Practical application is exercised in management settings within the department and in the community. A longitudinal training approach is advocated for similar programs and for other specialties to ensure successful management of health care with physicians as an integral component.

Administrative Personnel↗
PubMedDate not supplied

Farming: a hazardous occupation.

Physicians with patients who work in rural areas need to be aware of the potential for illness and injury and be well-versed in preventive measures necessary to help keep these patients well. Physicians also need to be aware that the family's principal worker is not the only one exposed to the work hazards. The family joins in the duties of the farm and shares the risks. Physicians can play an important role in reinforcing the need for safe agricultural work practices.

Accidents, Occupational↗
PubMedDate not supplied

Meanwhile back at the ranch: training residents in clinical preventive medicine.

In view of the current growing interest in prevention as an integral part of health care, it is timely to consider clinical preventive medicine (CPM) training approaches that best prepare physicians to deliver appropriate and effective preventive services. During CPM training, skills residents most need to acquire include methods of counseling on health promotion and techniques for advising patients on reducing health risks by changing disease-promoting behavior. University of Arizona residents in the General Preventive Medicine program receive this training focus at Canyon Ranch, a Tucson health resort and university training site. This training is an important component of the CPM area of emphasis in the residency program. Training emphasizes risk reduction and health promotion with a large volume of patients whose aim is to effect lifestyle changes. Emphasis is placed on acquiring skills in clinical prevention. Counseling and patient education are the primary foci. Evaluation data indicate that residents' perception of the rotation's benefit to their education is high, and interest in considering practice in a similar setting is reinforced as a result of the experience. Medical educators in preventive medicine and primary care need to turn their attention to finding appropriate training sites with suitable role models to teach counseling and patient education skills.

Arizona↗
PubMedDate not supplied

A survey of residency management training: general preventive medicine graduates.

General preventive medicine residents at the University of Arizona are introduced to management skills and issues during graduate medical training to prepare them for future administrative positions. Our objectives were to learn whether administration training was effective and if acquired skills are useful in present job duties of graduates. We mailed a questionnaire to former general preventive medicine residents who had graduated between 1983 and 1992. Twenty-one (81.8%) of the 26 graduates returned a completed questionnaire rating the extent to which certain training activities improved administration skills and assessing the extent to which residency training overall prepare them for administrative work. Ratings reflected adequate preparation and usefulness of skills on the job. The survey indicates that administrative training should begin during residency years and that a variety of short-term and long-term activities, organized throughout both academic and practicum years can produce reasonable success in graduates. Medical Subject Headings (MeSH): preventive medicine, training.

Arizona↗