Amakuru
Nyuma yo gutura kwa Wright Centre, uyu muganga yiteguye urugendo rurerure
Dr. Kevin Beltré yatahuye ko ubuvuzi bw'ibanze aribwo buryo bwiza bwo guhitamo umwuga kuri we igihe yarangirizaga Ubuvuzi bw’Umuryango mu Karere ka Wright Centre for Graduate Medical Education Education muri Scranton. Uwahoze atuye i Philadelphia arashaka kuguma no gukorera muri ako gace nyuma yo guhabwa impamyabumenyi, ageza ku baturage bo mu majyaruguru y'uburasirazuba bwa Pennsylvania.
Muganga Beltré ateganya kuramba mubuzima mubuvuzi bwumuryango - akabona umwanya muri NEPA
Aho kugira ngo Dr. Kevin Beltré agamije kujya mu kiruhuko cy'izabukuru mu gihe cya mbere, arateganya kuguma mu buvuzi igihe kirekire kandi akaba “umwe muri abo baganga bakora neza kugeza mu myaka 70.”
Beltré w'imyaka 32, uri mu nzira yo kurangiza vuba ikigo cya Wright Centre for Graduate Medical Education's Regional Family Medicine Residency.
Kugira ngo agabanye amahirwe yo gucika intege, umuganga yamaze gufata umwanzuro umwe ushize amanga: Yahinduye mu myaka mike ishize avuye mu bitaro by’ubuvuzi bwihutirwa, abona ko bitamukwiriye, yerekeza mu buvuzi bw’umuryango, aho yasanze ibye niche nubushake bwo kwivuza bwibanze mubuzima bwose. Vuba aha uwahoze atuye i Philadelphia yahisemo ubundi buzima bukomeye, bumwe bwerekana ko yiyemeje umwuga we ndetse na Pennsylvania y'Amajyaruguru.
Yasinyanye amasezerano y’akazi n’urusobe rw’ubuzima rwa Lehigh Valley ruzakomeza gutuma yita cyane ku bana ndetse n’abantu bakuru rwagati mu Ntara ya Lackawanna - aho yize amashuri y’ubuvuzi ndetse akaba ari naho azarangirira gutura mu kigo cya Wright Centre mu Kuboza.
Yitezeho gutangira akazi mu ntangiriro za Werurwe 2023 ku biro hafi y’ibitaro bishya bya Lehigh Valley-Umujyi wa Dickson. Kuri Beltré, bizaba intambwe ikomeye yumuntu ku giti cye. Agira ati: "Ntabwo nshobora gutegereza kuhaba ku ya 6 Werurwe ndi umuganga witabye."
Kuri Wright Centre, bizasobanura ko inshingano zayo zujujwe - kandi amateka y’umuryango agitsindira bikomeje kwandikwa.
Kuva yatangira mu 1976, Wright Centre for Graduate Medical Education yiyemeje gutanga umurongo uhoraho w’abaganga babishoboye, impuhwe kandi batekereza ku baturage kugira ngo bafashe kugendana n’ibikenerwa by’abarwayi no gukemura ikibazo cy’ibura ry’inzobere mu buvuzi mu karere kandi muri Amerika.
Abashyigikiye kare gahunda yo guhugura abaganga bashingiye kuri Scranton bashishikajwe cyane no guteza imbere abaganga bahitamo kwimenyereza aho. Aba bayobozi b’abaturage, barimo uwashinze amazina Dr. Robert Wright, babonye imbogamizi ziri imbere mu kuzuza ibibanza by’abaganga bagiye mu kiruhuko cyiza ndetse no kwita ku buzima bw’ubuzima bugenda bwiyongera ku baturage bageze mu za bukuru. Batangije ubuvuzi bwimbere, icyiciro cyambere cyari kigizwe nabahugurwa batandatu.
Mu myaka irenga 45 kuva icyo gihe, ikigo cya Wright Centre for Graduate Medical Education cyiyongereye mu bunini no mu rwego rwo kwerekana ibyo abaturage ndetse n’igihugu gikeneye iterambere, ubu kikaba gihugura abaturage bagera kuri 250 na bagenzi babo buri mwaka w’amashuri.
Uyu munsi, Wright Centre yishimiye kuba ikigo kinini cy’ubuzima muri Amerika gishinzwe ubuzima n’ibikorwa byatewe inkunga n’ubuyobozi bwigisha ikigo nderabuzima cya Graduate Medical Education consortium mu gihugu. Itanga gutura mubyiciro bine - ubuvuzi bwumuryango, ubuvuzi bwimbere, ubuvuzi bwumubiri & reabilité, hamwe nubuvuzi bwo mu mutwe - hamwe nubusabane mu ndwara zifata umutima, gastroenterology na geriatrics. Gahunda zayo zose zemewe ninama ishinzwe kwemeza impamyabumenyi yubuvuzi.
Benshi mu bayiga bagaragaje ubushake bwo gukorera ahantu hashingiye ku baturage, bitandukanye n'ibitaro, no kuvura abarwayi bo mu baturage basanzwe bahejejwe inyuma. Byaba byiza, nyuma yo guhabwa impamyabumenyi, abanyeshuri barangije muri Centre ya Wright bazahitamo gukoresha impano zabo mukarere ka Scranton - nkuko Beltré abiteganya gukora - cyangwa muri kamwe mu turere twinshi two muri Amerika badafite ubuvuzi, nko mu mijyi itishoboye yo mu mijyi no mu cyaro.
Dr. William Dempsey, umuyobozi wungirije ushinzwe ubuvuzi mu kigo cy’ubuzima cya Wright, agira ati: “Urugendo rwa Muganga Beltré mu buryo bwinshi rugaragaza impamvu ikigo cya Wright kibaho.” Ati: "Ni umuganga wuje impuhwe wakuriye muri iyi leta, yakoranye imyitozo natwe none azakoresha ubumenyi n'ubumenyi muri uyu muryango ku nyungu z'abaturage baho - bishoboka mu myaka mirongo."
Urugendo rufite 'intangiriro ebyiri'
Umuganga wakozwe na Pennsylvania yuzuye, Dr. Kevin Beltré yarangije amashuri ye yose n’amahugurwa y’ubuvuzi muri leta, ibyinshi muri byo akiri muri Scranton. Yemeye akazi mu rusobe rw'ubuzima mu majyaruguru y'uburasirazuba bwa Pennsylvania kandi ateganya gutangira muri Werurwe 2023.
Beltré, wabyawe n'ababyeyi bo muri Dominikani kandi akurira cyane cyane mu gace ka Philadelphia gaherereye mu gace ka Somerton, yari azi mu gihe cy'amashuri yisumbuye ko bishoboka ko agomba gukora umwuga w'ubuvuzi.
Avuga ko nyina, ubu akaba ari umuhanga mu kuvura indwara zo mu mutwe, na nyirarume ukora akazi ko kuba radiologue muri Repubulika ya Dominikani yagize uruhare mu cyemezo cye cyo kwinjira mu mwuga wo gukiza. Ndetse na mbere yo guhabwa impamyabumenyi mu ishuri ryisumbuye rya Gatolika ry’Abaroma ry’Abahungu, yabaye umurinzi w’ikidendezi, ahabwa amasomo y’ibanze y’ubufasha kandi yambika abasore bake boga koga.
Se wa Beltré, umwubatsi, na we yari ashyigikiye ko umuhungu we akora umwuga, kandi yishimiraga igihe yatangaga buruse yo kwiga kaminuza ya Leta ya Penn.
Beltré agira ati: “Nari nk'ifarashi ifite impumyi, gusa nibanda ku buvuzi muri kaminuza. Ati: "Icyo ni cyo kintu cyonyine natekerezaga: kubona amanota meza (ku buryo nakwemerwa mu ishuri ry'ubuvuzi)."
Umuganga wakozwe na Pennsylvania yuzuye, Beltré yarangije amashuri ye yose namahugurwa yubuvuzi muri leta.
Tuvugishije ukuri, ntabwo ari umunyeshuri ugororotse-Umunyeshuri muri kaminuza, nyamara yari ashishikajwe cyane n’amasomo ye maze asanga umujyi wa Scranton ufasha uburambe mu ishuri ry’ubuvuzi - ufite ibirangaza bike ugereranije n’umujyi yavukiyemo cyangwa utundi turere twinshi twa metero. Yarangije mu ishuri ry'ubuvuzi rya Geisinger Commonwealth.
Kubaho muri Scranton haba mwishuri ryubuvuzi ndetse n’ikigo cyigenga cy’ubuvuzi cyarangije amashuri y’ubuvuzi cyashyizeho umuyoboro w’umuganga utera imbere kandi uhinduka ikarita yo gushushanya inzobere mu buzima bw’ubuzima, bamwe muri bo bakaba barabonye impamyabumenyi ya MD ku ishuri hanyuma bagahita binjira muri imwe muri The Gahunda yo gutura ya Wright Centre yo gukomeza amahugurwa.
The two organizations – bound by a shared interest in creating physicians ready to meet 21st century challenges – consistently find ways to collaborate and share expertise. Each is a community-minded institution that reflects the ideals of the Beyond Flexner Alliance.
Beltre yari umukunzi w'ishuri ry'ubuvuzi uburyo bushya bwo kwigisha. Yahishuye abanyeshuri buri munsi yibitekerezo byubuvuzi, aho kubibiza muri kimwe gusa ibyumweru icyarimwe. Agira ati: “Byangiriye akamaro. “Nshobora kuba narambiwe gukora ikintu kimwe buri gihe.”
Nyuma yo kurangiza amashuri y’ubuvuzi hanyuma yinjira mu kigo cy’ubuvuzi cyihutirwa mu kigo cyihariye cy’akarere, Beltré yongeye guhindura inzira yakoraga maze yinjira mu kigo cya Wright. Birashoboka ko atari ku bw'impanuka, mu gihe kimwe, yabonye umunya Siberiya maze ayita Genji, ijambo ry'Ikiyapani risobanura “intangiriro ebyiri.”
Now in his career comfort zone, Beltré’s commitment to patients comes shining through in his daily work. The bilingual doctor frequently uses his fluency in Spanish to assist patients at The Wright Center’s practices in Clarks Summit, Jermyn, and Scranton, and says he is privileged to earn patients’ trust.
Agira ati: “Mu buvuzi bw'umuryango, mfite igihe kinini cyo kuganira n'umurwayi, kugirana umubano nabo.” Ati: "Mu gihe kirekire, nzumva mfite ishema, ibihembo byinshi mu gukorana n'abarwayi muri ibi bihe, aho usanga ubuvuzi bukomeza kuva mu bwana kugeza bukuze."
Ashimira abarwayi bamwe ko bamwigishije amasomo, mubyukuri akamugira umuganga mwiza.
Muganga Kevin Beltré na Husky we wo muri Siberiya witwa Genji bishimira guhagarara mu iduka rya kawa ryamamaye mu mujyi wa Scranton, kamwe mu hantu umuganga utuye asanga ashimishije cyane mu baturage.
Mu buryo nk'ubwo, arashimira inkunga y'itsinda rya Wright Centre, barimo Dr. Enrique Samonte , umuyobozi wa gahunda y’ubuvuzi bw’imiryango yo mu karere, na Dr. Maureen Litchman , umuyobozi wungirije wa gahunda.
He fondly remembers a social gathering held at Samonte’s house this spring, during which the family medicine residents were encouraged to sing karaoke, play video games, and otherwise unwind. “It was cool to see everybody outside the academic setting just having a good time,” says Beltré. “That really stands out to me; it was just very stress-free.”
Kugera ku buringanire, kwirinda umunaniro
Finding the proper work-life balance will continue to be an important issue for physicians, especially in the wake of the COVID-19 pandemic – which is expected to exacerbate health care workforce shortages. “Burnout of working through the pandemic could drive physicians to retire earlier than they might otherwise have done,” wrote Michael Dill, director of workforce studies at the Association of American Medical Colleges (AAMC), in a June 2021 “Insights” column. Dill noted that “within the next decade, 2 out of every 5 physicians in the United States will be age 65 or older.”
AAMC yagereranije ko mu 2034 Amerika izahura n’ibura ry’abaganga b’ibanze bari hagati ya 17.800 na 48.000.
Mu rwego rwo gufasha guca icyuho no kuzamura abakozi b’abaganga, abadepite mu myaka yashize bateguye imishinga y'amategeko yatanga inkunga yo gutangiza gahunda nshya zo gutura cyangwa kwagura umubare w’imyitozo yo gutura muri gahunda zisanzwe.
In June 2021, for example, the Doctors of Community Act, or DOC Act, was introduced to support the development of 100 new residency programs and create an estimated 1,600 new residency slots. If approved, the legislation would result in the largest residency expansion since 1997. It also would authorize a permanent funding stream for the nation’s Teaching Health Center Graduate Medical Education Program, eliminating uncertainty and allowing organizations like The Wright Center for Graduate Medical Education to manage their residency programs more efficiently.
Niba byose bigenda nkuko byari byateganijwe, Dr. Kevin Beltré azakomeza kwambara ikote rya muganga kandi akorere abarwayi imyaka myinshi nyuma yo kurangiza gutura mu muryango we w’ubuvuzi mu Kuboza mu kigo cyitwa Wright Centre for Graduate Medical Education. Beltré, ufite imyaka 32, avuga ko intego ye mu kazi ari ugukora 'kugeza mu myaka 70.'
Mu gihe hashakishijwe ibisubizo binini ku kibazo cyo kubura kwa muganga, ikigo cya Wright Centre for Graduate Medical Education gikomeza buri mwaka kugira ngo kigire uruhare runini mu kuzuza abakozi, gitegura abaganga n’abandi bahanga mu by'ubuzima kugira uruhare mu bice bikenerwa cyane muri Leta zunze ubumwe za Amerika Ibihugu.
Its family medicine residents train in either a regional residency program based in Northeast Pennsylvania or a first-of-its-kind National Family Medicine Residency, which has four partner training sites at community health centers in Arizona, Ohio, Washington state, and Washington, D.C.
Benshi mu barangije porogaramu baguma aho hantu cyangwa bagashaka akazi ku bigo nderabuzima bisa, aho bitabwaho hatitawe ku bushobozi bw'umurwayi bwo kwishyura.
Mu mahugurwa yo gutura, abaganga nka Beltré bumva akamaro ko kwiyitaho kugira ngo bamererwe neza mu mutwe no kuramba mu kazi, kandi barashobora kugira uruhare mu bikorwa bya Wright Centre bigenda byiyongera mu bikorwa byiza no guhangana .
His self-care regimen includes frequent trips to the gym, walks with his dog Genji, video games, drumming, and socialization with family and friends.
Kuri Beltré, undi murinzi wirinda umunaniro wumwuga ni ugutera imbaraga mubwenge mubuvuzi, akaba ari umurima uhora utera imbere. “Ugomba guhora usoma ibintu bishya, uhora wiga. Ntekereza ko ubuvuzi aribwo buryo bwiza bwo gutekereza kwanjye ”. “Ntabwo mbona ikindi kintu nkora.”
Wige byinshi kubyerekeranye na Wright Centre for Graduate Medical Education Education, hamwe na gahunda yo gutura hamwe na gahunda yo gusabana, usura TheWrightCenter.org .
