Amaso ya Kenneth Desouza yarakinguye, umwuka mubi ucika ku minwa amarira atemba.

Ihumure rikomeye nyuma y’amasaha ane yabazwe impyiko mu bitaro bya kaminuza ya Pennsylvania muri Philadelphia byamuteye ubwoba. Umutima we wuzuye, yahise ashimira Imana hanyuma ahamagara umukunzi we, Nicollette Gauthier, kugirango amworohereze.

Abaforomo bihutiye kumanuka kugira ngo babwire nyina ubutumwa bwiza, Patricia, wari warabazwe amasaha make mbere yo gutanga impyiko ku muntu utazi, ubu akaba yari akize. Haciye akanya, umugabo we, Larri, yaterefonnye avuye mu cyumba barindiriye.

Yishimye cyane ati: “Kubaga Kenny byagenze neza.

Ihumure ryabo ntirisobanuwe.

Gushimira kwabo ntikwari kwinshi - ku Mana, umuterankunga w'impyiko utavuzwe izina i Wisconsin, n'abaganga batabarika, abakozi b'ibitaro, abagize umuryango, n'inshuti.

Patricia Desouza, igice cya Peckville cya nyir'ubucuruzi buciriritse bwa Blakely, umutoza w’ubuzima, umuvugizi wa rubanda, umujyanama, umunyamuryango w’imyaka umunani mu kigo cyita ku buzima bw’abaturage, agira ati: "Nishimiye kandi ndashimira uriya mumarayika wahaye umuhungu wanjye iyi mpano." Inama yubuyobozi, hamwe na Peckville Inteko yImana yitangiye. Ati: "Ni umugisha guha umuntu amahirwe yo kubaho ubuzima bwuzuye."

Ku mfura ye mu bahungu batatu, impano yo guhindura ubuzima yakiriye ku ya 30 Mata yafunguye imiryango kuva kera kubera ibibazo byinshi by'ubuzima ndetse no mu bitaro mu myaka yashize.

Yasuzumwe na diyabete yo mu bwoko bwa 1 afite imyaka 12 nyuma akaza kurwara impyiko yitwa syndrome de neprotic mu myaka ye y'ubukure, ibikorwa bye nk'umuntu mukuru byongeye kubuzwa na catheter yo mu gatuza isabwa kugira ngo dialyse. Ndetse byamubujije kwishimira ibinezeza byoroheje, nko gufata ubwogero burebure, ubu buri hejuru kurutonde rwe rwo gukora.

Umucuranzi w'imyaka 27 ufite impano yo gucuranga ibikoresho 10, acunga sitasiyo ya lisansi, n'abakorerabushake nka minisitiri w'urubyiruko na Gauthier agira ati: "Ngiye kwiyuhagira igihe kirekire cyane." “Ngiye kujya gusiganwa ku maguru, koga mu nyanja ya Atalantika, kandi rwose ngiye kurya. Nahoraga ndya ibiryo ariko nkagabanya imirire yanjye bitewe nubuzima nari mfite. Nzakina umuziki mu rusengero rwanjye mu itsinda ryo kuramya, nsubire kuba umushumba w'urubyiruko, nsubire mu bucuruzi, kandi icy'ingenzi, kuba umugabo nzi ko Imana yangeneye kuba umugore wanjye, Nicollette. ”

Mu gihe Patricia Desouza yakize vuba kandi nta bubabare afite, ubuzima bw'umuhungu we burakomeza mu mezi kuva babagwa. Bagumye i Philadelphia ibyumweru bibiri kugira ngo abone gahunda yo kubagwa mbere yo gusubira mu rugo mu majyaruguru y'uburasirazuba bwa Pennsylvania.

Agira ati: “Ibintu byose byagenze neza kandi byose byagenze neza. Ati: "Impyiko yanjye ikora ibintu bitangaje muri (umuntu) wayakiriye kandi Kenny akora cyane nimpyiko yakiriye. Turishimye cyane kandi twishimiye kubona abantu batangaje badukikije muri iki gihe cyiza mubuzima bwacu. … Imana ni nziza! ”

Nubwo yari umuntu ukora kandi ufite ingufu, nubwo yaba ameze, umuhungu we yahise amenya akamaro ko gutegera umubiri we.

Agira ati: “Nari nkeneye kwiga kubyoroshya no kugenda ku mubiri wanjye, ntabwo ari umuvuduko wanjye.” Ati: “Icyo nkeneye gukora ubu ni ugukora amaraso buri cyumweru no kubonana na muganga buri kwezi - kandi mfata imiti ku gihe kugira ngo mbeho ubuzima busanzwe, bwuzuye.”

Hari igihe mumyaka yashize ibi bisa nkinzozi za kure.

Nyina avuga ko nyuma yo kubonana na Dr. Linda Thomas-Hemak, perezida akaba n'umuyobozi mukuru w'ikigo cyita ku buzima bw’abaturage n’ubuvuzi bw’abanyeshuri barangije amashuri yisumbuye, yaje kubona isuzuma ryukuri, gahunda y’ubuvuzi yuzuye, ndetse n’icyizere gishya.

Yongeyeho izina rye kuri United Network for Organ Sharing (UNOS) ku rutonde rw’abategereje guterwa transplant ku rwego rw’igihugu ku ya 8 Werurwe, yifatanya n’abantu bagera ku 104.000, barimo abanya Pennsylvaniya bagera ku 7.000 bakeneye abaterankunga. UNOS ivuga ko muri bo, abagera kuri 85%, cyangwa barenga 96.000 mu gihugu hose, bakeneye impyiko, bahura no gutegereza imyaka itatu kugeza kuri itanu.

Nubwo impyiko ya nyina yari ihuye neza, umuryango wabantu batanu bizeraga badashidikanya ko Imana izatanga irindi ryiza.

Avuga ati: “Kandi Imana yarabikoze. “Kenny yari ku cyumweru gusa ku rutonde rwo guhindurwa.”

Nyuma yuko Patricia na Larri Desouza na bo babaye abarwayi mu kigo cyita ku buzima bw’abaturage, ubuzima bw’umugabo we nabwo bwahindutse, mu gihe hari impungenge z’uko imikorere ye y’impyiko igabanuka ishobora kuba ifitanye isano no gukoresha imiti ya goutte.

Yitaweho n’umuganga we w’ibanze, Dr. Jignesh Sheth, usanzwe ari n’umuyobozi mukuru w’ubuvuzi n’amakuru mu kigo cya Wright Centre cy’ubuzima bw’abaturage, yakorewe imyiteguro yo kubaga gastrica bypass kugira ngo agabanye ibiro bikenewe kugira ngo umuntu yemerwe impyiko.

Kugabanya intsinzi yumubiri we (BMI) akoresheje kubagwa, yinjiye kurutonde rwigihugu. Nubwo yahuye n’ibibazo byinshi, yaje kubona umuterankunga uhuza kandi yahuye nuburyo bwo guhindura ubuzima nkumuhungu we mu mpeshyi 2023 ku kigo nderabuzima cya Geisinger i Danville, muri Pennsylvania.

Yakuwe ku mbogamizi z’imikorere ye ya dialyse ya triweekly, transplant yazanye impinduka zikomeye mubuzima bwe, nkuko umuhungu we ategerejweho.

Dr. Sheth avuga ko umuryango wa Desouza ari igihamya cy'impano zidasanzwe zitangwa.

Agira ati: “Inkunga y'umuntu umwe yitanze yahaye Kenneth Desouza ubuzima bushya ku buzima, byerekana ingaruka zidasanzwe umuterankunga umwe ashobora kugira.” Yakomeje agira ati: “Twubaha intwari zitanga impano y'ubuzima, nka Patricia Desouza, watanze ku bushake impyiko ye ku muntu utazi mbere y'amasaha make umuhungu we abagwa impyiko. Turashishikariza abantu bose gutekereza kuba abaterankunga. Buri cyemezo cyo gutanga ntabwo gikiza ubuzima gusa ahubwo gitera n'ibyiringiro, kwihangana, n'intangiriro nshya ku miryango itabarika. ”

Gucunga icyarimwe icyarimwe kumugabo we numuhungu murugo byabaye ingorabahizi kuri Patricia Desouza.

Agira ati: “Iyo ntagira Imana, sinzi uko nari kubikora.”

Ku muhungu we, igice kitoroshye ni ukwizera inzira.

Agira ati: “Byatwaye igihe kugira ngo ibintu byose bigende kandi ubuzima bwanjye bwarushijeho kuba bubi no gucunga.” “Nari narumiwe. Ariko umukunzi wanjye yamfashije cyane muri kariya gace kandi ni ukubera we n'umuryango we ndetse n'Imana yanjye nashoboye kugira kwizera kutajegajega no kwizera muri icyo gikorwa. ”

Yashimiye kandi imbaraga za nyina, kwizera Imana, no kwigomwa.

Agira ati: “Nishimiye cyane kandi nagize amahirwe kuba mfite umubyeyi ukunda umuhungu we urukundo rutagira akagero kandi yankorera ibi.” “Nabwiye mama… nitumara gukira, tuzabyinira ku rubyiniro mu mezi abiri (mu bukwe bwe na Gauthier).”

Desouzasi ishimangira akamaro gakomeye ko gutanga ingingo. Batanga kandi inkunga kubategereje umuterankunga.

Kenneth Desouza asangira agira ati: “Kwizera, kwihangana, n'ibyiringiro ni inshuti zawe zikomeye. “Buri munsi urengana urakwegera intangiriro nshya, igihe gishya, amahirwe yo kuvugurura imbaraga zawe no kubaho ubuzima nkuko wabigambiriye. Wibuke, ukikijwe nurukundo ninkunga yabakwitayeho cyane. Umuryango, inshuti, abo mukorana, uwo ari we wese, babone itsinda ryunganira. Koranyiriza hamwe abantu bakomeye bafite kwizera hamwe na bateri ya bateri, ntabwo ari imiyoboro. Komeza kwizera Imana gukomera n'umutima wawe, kuko iminsi iri imbere. ”

Uburyo bwo Gutanga:
Nubwo abanya Pennsylvaniya barenga miliyoni 4.9 biyandikishije nkabaterankunga bingingo, ijisho, nuduce, ibikenewe biracyari kure cyane impano. Kwiyandikisha gutanga, sura DonateLifePA.org/register , cyangwa kubindi bisobanuro, sura DonateLifePA.org . Icyemezo cy'umuntu umwe gusa gishobora gutanga ubuzima bugera ku munani kandi bikagira ingaruka nziza kubandi 75.

Dr. Caitlin McCarthy ukomoka mu gace ka Scranton, yafashije gushinga ivuriro ry’amenyo mu kigo cya Wright Centre for Community Health Scranton Practice mu gace ko mu majyepfo y’umujyi. Kugeza ubu avura abarwayi aho kandi agafasha guhugura no gutoza abavuzi b'amenyo biyandikishije muri gahunda yo gutura umwaka umwe.

Muganga McCarthy ahugura abavuzi bashya b'amenyo kugirango batange ubuvuzi ahantu hadakwiye nk'umujyi akunda-abakozi bakorera

Kugira ngo abe umuganga w'amenyo, Dr. Caitlin McCarthy yanze kuva mu muryango we ndetse no mu gace kavukire ka Pennsylvania y'Amajyaruguru, amara imyaka ine mu ishuri ry'amenyo muri Philadelphia n'umwaka umwe mu mahugurwa yo gutura mu kibaya cya Lehigh.

Umutima we, wagumye muri Scranton.

Today the West Scranton High School alumna – who says she had been “inching back” to her hometown through a succession of early-career jobs – is finally in the place she wants to be, working for a Scranton-based nonprofit organization whose mission matches her personal philosophy of putting patients first.

McCarthy, ufite imyaka 33, yagize ati “ubutumwa bufite aho buhurira n'indangagaciro zanjye z'ingenzi. - turashobora gutuma ibintu bibaho kubantu. Ntabwo ari ibyerekeye uwo murongo wo hasi. ”

McCarthy joined The Wright Center in October 2019, jumping at the chance to help launch a dental clinic at its startup Scranton Practice in the city’s South Side neighborhood. Today, the busy dental clinic serves a patient population that appeals to McCarthy’s blue-collar sensibilities, including Medicaid users and individuals from traditionally underserved populations who often face challenges in getting routine oral care.

Abarwayi b'amenyo bagera kuri 120 baboneka buri cyumweru muri Scranton Practice. Nkuko bigenda ku biro byinshi by’amenyo, gutegereza gahunda yambere birashobora kuba ibyumweru - ibintu bibabaje byatewe no kubura amenyo muri Pennsylvania y'Amajyaruguru.

Lackawanna, Luzerne, and Susquehanna counties are designated by the federal government as Health Professional Shortage Areas for dental care, specifically when it comes to care for the low-income population. Public health officials and others have long recognized the barriers that low-income individuals often face in accessing oral care in the Keystone State, noting that in 2015 less than one-quarter of the state’s general dentists were accepting Medicaid as payment.

Ishami rya Leta ry’ubuzima ryita ku buzima bw’ubuzima bwa Pennsylvania “2020-2030 ” rigira riti: “Ku bantu bo mu cyaro, ntibisanzwe ko abantu… bategereza amezi kugira ngo babone umuganga w'amenyo.”

McCarthy arashobora guhamya uburyo ibintu byababaje abarwayi basigaye bafite aho bahurira. Agira ati: “Nagize abarwayi benshi baza mu myaka mike ishize kuko umuganga wabo w'amenyo yaretse gufata ubwishingizi bwabo.” Ati: "Nanjye ninjiye mu barwayi benshi kubera ko ibiro byabo by'amenyo byafunze igihe icyorezo cya COVID-19 cyatangiraga."

Mu rwego rwo gufasha gukenera ubuvuzi buhendutse kandi bufite ireme, Ikigo cya Wright gikora amavuriro abiri agezweho y’amenyo y’amenyo, muri Scranton na Jermyn, kandi yiteze ko vuba aha azafungura ivuriro rya gatatu mu bikorwa byateganijwe na Wilkes-Barre kuri 169. N. Pennsylvania Ave.

The Wright Center also has expanded its oral care services beyond basic cleanings and fillings and significantly increased its workforce in recent years, hiring skilled and compassionate dentists like McCarthy as well as hygienists, assistants, and support staff. Together, these professionals strive to offer a level of care far above what is known derisively in the dental field as “drill and bill.”

Abagize itsinda rya Wright Centre ahubwo bakoresha uburyo bushingiye ku barwayi. Bazabaza ibyifuzo byumuntu kugiti cye mugihe, urugero, aho amahitamo agomba gukurura iryinyo ryangiritse cyangwa kuririnda. Kandi bazavugana numurwayi kubyerekeye amafaranga yo kwivuza hamwe nuburyo bwo kwishyura.

Under Pennsylvania’s current system, Medicaid typically doesn’t cover crowns, root canals, and other advanced procedures. The dental team will help the patient to explore other avenues of making the services affordable, including the organization’s sliding-fee discount program that is based on family size and income.

McCarthy yishimira kuba ashobora gukorera abaturage bose, kandi ashima kutumva igitutu kiboneka mubikorwa bimwe na bimwe byigenga kugirango binjize amafaranga. Agira ati: "Ndatekereza ko ushobora kubona impamvu yo gushyira ikamba ku menyo yose." Ati: "Ariko nzi ko abantu bakora cyane kubera amafaranga yabo, kandi ntabwo ngiye kubarenga."

'Kurengera Scranton'

Indangagaciro za McCarthy n'imyitwarire y'akazi ahanini byashizweho n'ababyeyi be, bombi bakaba bari abanyamuryango.

Her father is a retired electrician. Her mother is a retired public school teacher, from whom she picked up a love of learning and possibly her affinity for Greater Scranton. McCarthy fondly recalls how her mother made the most of summer breaks from school, shuttling her, her sister, and brother to educational sites around town such as the coal mine tour, trolley ride and museum. 

Umunyamakuru w'ikinyamakuru Scranton yabajije McCarthy muri kiriya gihe. Ingingo yavuyemo yerekanaga ko yatoranijwe n’umuryango w’amenyo w’akarere ka Scranton kubera igihembo cyayo cya Dr. Bernard Shair Memorial Scholarship Award, gitangwa buri mwaka ku muntu wifuza kuvura amenyo ufite amateka y’imirimo ya serivisi.

Muri iyo ngingo, McCarthy yavuze ko yifuza “kuba umuganga w'amenyo na we ugira uruhare mu baturage.” Yagaragaje kandi bimwe mu byo akunda - kureba imikino ya NBA no gufatana - maze abajijwe ibyo yanga, asubiza ko adashimira abantu “bavuga imyanda” mu karere. Ati: "Ndengera cyane Scranton."

Kuzana murugo

Not surprisingly, McCarthy considered attending only those dental schools near her hometown, so she could easily get home on weekends to be with family, friends, and her dog.

Yize muri kaminuza ya Pennsylvania Ishuri ry’Ubuvuzi bw'amenyo, ashukwa igice kimwe nibyo yashoboraga kwiga hejuru y'urukuta rw'ishuri. Agira ati: “Numvaga Penn afite gahunda nyinshi zo kwegera no gukenera abaturage - ibintu byankura ku ntebe y'amenyo no mu baturage.”

Akora nk'umuyobozi wa porogaramu ishinzwe uburezi buhanitse muri Rusange y’amenyo, atangwa mu karere ku bufatanye n’ubuvuzi bw’amenyo ya NYU Langone. Kuva mu 2021, ikigo cya Wright cyabaye nk'amahugurwa y’amajyaruguru y’amajyaruguru ya Pennsylvania y’abatuye amenyo ya NYU, yakira abagera kuri babiri buri mwaka mu mavuriro y’akarere ka Scranton. McCarthy yishimira cyane kureba mugihe abagore benshi binjira mubyari bisanzwe byahoze byiganjemo abagabo.

Kandi mu gihe hari ugushidikanya, yego, niba ikigo cya Wright cyaragize uruhare muri gahunda yo gutura amenyo y’abaturage mu gihe yari arimo kwitoza, McCarthy agira ati: "Birashoboka ko naba narabaye muri Centre ya Wright."

Erega burya, byari kuba bimeze nkurugo.

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'

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.”

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.

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 .

Andy na Agnes Touch barasaza bafite ubuntu no gusetsa murugo rwabo rwa Archbald, tubikesha kubitaho buri gihe Agnes ahabwa na Wright Centre yubuzima bwabaturage. Aba bombi 'batekereza isi' y’umuganga we, Dr. Linda Thomas-Hemak, umaze igihe yita kuri Agnes
Imyaka 15.

Nubwo bahamagaye hafi, umuryango wa Touch wirinda uburwayi bukomeye mu gihe cy’icyorezo kandi ushima abitaho, hafi y’urugo

Umva Agnes na Andy Touch bavuga kubyerekeye Wright Centre yubuzima bwabaturage, kandi ushobora kwibeshya abashakanye bamaranye igihe kirekire kubavugizi bahembwa.

Agnes Touch arashimira abakozi ubwitonzi bwimpuhwe. Andy Touch yita Ikigo cya Wright "umutungo ukomeye w'abaturage." 

Ariko aba bombi, buri wese ufite imyaka 80, ntabwo abona igiceri cyo kuzamura serivisi zita kubuvuzi bwa Wright Centre. Mubyukuri, Andy ntabwo ari umurwayi usanzwe.

Abenegihugu bo mu majyaruguru y'uburasirazuba bwa Pennsylvania baha agaciro gusa ubufasha bahawe n'ikigo cya Wright - cyane cyane mu gihe cy'icyorezo cya COVID-19 igihe bo n'umwe mu bakobwa babo bavurizaga virusi - kandi bifuza ko abandi bo mu karere kose bamenya ibyo umuryango utanga byose. gufasha abantu nimiryango kugira ubuzima bwiza.

Andy yaramuherekeje amubaza niba na we ashobora kubona icyo akeneye, ariko akaba ataraboneka urukingo. Dr. Linda Thomas-Hemak, perezida akaba n'umuyobozi mukuru wa Wright Centre akaba n'umuganga ukora imyitozo, yasabye ko yabanza gukora ikizamini kirimo kugenzura ibimenyetso by'ingenzi. Andy yarabyemeye - byaje kuba icyemezo gishobora gukumira ibiza.

Nubwo hari ingamba, Andy yagerageje ibyiza. Mu buryo bwihuse, we, Agnes n'umukobwa wabo Gina Touch Mercer, wasuye mu rugo rwe rwa Arizona mu mpera za Mata, bose bitabaje ikigo cya Wright kugira ngo bavurwe. Abaforomo batanze imiti yo mu bwoko bwa COVID-19 ya monoclonal antibody infusion ivura abagize umuryango, kandi buri wese yirinda kurwara cyane. 

Ntabwo bitangaje kuba Touches ivuga ko "batekereza isi" ya Dr. Thomas-Hemak hamwe nitsinda ryita kuri Wright Center. Agnes agira ati: “Abakozi ni beza kandi bafasha abantu bose. “Bameze nk'incuti.”