在新墨西哥州，医护人员短缺问题十分严峻，Casa de Salud诊所正在培训大学生和高中健康学徒，他们了解自己所服务的社区。
In New Mexico, where a shortage is acute, Casa de Salud trains college and high-school health apprentices who understand the communities they serve“I’ll be getting a little bit closer to you to put the cuff on,” Gisselle Martinez said, demonstrating how to take a manual blood pressure in a trauma-informed manner.
“我会稍微靠近你一点，把袖带绑上，”吉塞尔·马丁内斯一边说着，一边演示如何以创伤知情的方式手动测量血压。“可能会有点紧。如果你感到任何不适，请告诉我，我可以把它取下来。”她不是医生，也不是护士——至少现在还不是——而是一名21岁的大学生。课余时间，马丁内斯在Casa de Salud诊所担任双语健康学徒，这是新墨西哥州阿尔伯克基的一家初级保健诊所。
“It might be a little tight. Let me know if you feel any discomfort and I can take it off.”She’s not a doctor or a nurse – at least, not yet – but a 21-year-old college student. Between classes, Martinez works as a bilingual health apprentice at Casa de Salud, a primary care clinic in Albuquerque, New Mexico.
除了测量生命体征，马丁内斯还获得了减害认证——她可以运营针具交换项目并发放芬太尼检测试纸。她也懂得患者的创伤和过往的忽视如何在诊室里显现出来。
On top of taking vitals, Martinez is certified in harm reduction – she can run a needle exchange and give out fentanyl test strips. And she understands how a patient’s trauma and past neglect can show up in an exam room.