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Disaster Training Needs and Expectations Among Turkish Emergency Medicine Physicians – A National Survey

Published online by Cambridge University Press:  04 July 2019

Erkan Gunay ,
Murat Ersel ,
Justin A. Yax ,
Johnathan M. Sheele ,
Gunnur Karakurt ,
Kerim Acar  and
Scott H. Frank
Erkan Gunay
Affiliation:
Department of Emergency Medicine, Sisli Hamidiye Etfal T&R Hospital, Istanbul, Turkey
Murat Ersel
Affiliation:
Department of Emergency Medicine, Ege University, Izmir, Turkey
Justin A. Yax
Affiliation:
Department of Emergency Medicine, University Hospitals Cleveland Medical Center & Case Western Reserve University, Cleveland, Ohio
Johnathan M. Sheele*
Affiliation:
Department of Emergency Medicine, University Hospitals Cleveland Medical Center & Case Western Reserve University, Cleveland, Ohio
Gunnur Karakurt
Affiliation:
Department of Psychiatry, Case Western Reserve University, Cleveland, Ohio
Kerim Acar
Affiliation:
Department of Emergency Medicine, Menemen State Hospital, Izmir, Turkey
Scott H. Frank
Affiliation:
Department of Epidemiology and Biostatistics MPH Program, Case Western Reserve University, Cleveland, Ohio
*
Correspondence and reprint requests to Johnathan Michael Sheele, M.D., M.P.H., M.H.S., Assistant Professor, Director of Research, Associate Fellowship Director, Division of International Emergency Medicine, Department of Emergency Medicine, University Hospitals Cleveland Medical Center & Case Western Reserve University, 11100 Euclid Ave., B-517K, Cleveland, OH 44106. 216-844-3733 (e-mail: jsheele@gmail.com)
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Abstract

Objectives:

Earthquakes, landslides, and floods are the most frequent natural disasters in Turkey. The country has also recently experienced an increased number of terrorist attacks. The purpose of this study is to understand the expectations and training of Turkish emergency medicine attending physicians in disaster medicine.

Methods:

An online questionnaire was administered to the 937 members of the Emergency Medicine Association of Turkey, of which 191 completed the survey (20%).

Results:

Most participants (68%) worked at a Training and Research Hospital (TRH) or a University Hospital (UH), and 69% had practiced as an attending for 5 years or less. Mass immigration, refugee problems, and war/terror attacks were considered to be the highest perceived risk topics. Most (95%) agreed that disaster medicine trainings should occur during residency training. Regular disaster drills and exercises and weekly or monthly trainings were the most preferred educational modalities. Most respondents (85%) were interested in advanced training in disaster medicine, and this was highest for those working less than 5 years as an attending. UH and TRH residency training programs were not considered in themselves to be sufficient for learning disaster medicine.

Conclusions:

Turkish emergency medicine residency training should include more disaster medicine education and training.

Keywords

Turkeyemergency medicineemergency preparednessresidency trainingdisaster medicine
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 2 , April 2020 , pp. 229 - 235
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Suner, S.History of disaster medicine. Turk J Emerg Med. 2015;15:1–4.Google ScholarPubMed
Ural, DN.Emergency management in Turkey: Disasters experienced, lessons learned, and recommendations for the future. Transportation. 2001;22.Google Scholar
Distribution of Disaster Events and Damages According to Provinces and Districts (According to Types of Disasters). https://www.afad.gov.tr/upload/Node/3502/xfiles/92-20140602121022-afetler_il_ilce_eng.pdf. Accessed June 2019.Google Scholar
Prime Ministry Disaster and Emergency Management Authority retrieved on 12.28.2015. https://www.afad.gov.tr/EN/IcerikDetay.aspx?ID%3d1.Google Scholar
Rodoplu, U, Arnold, J, Ersoy, G.Terrorism in Turkey. Prehosp Disaster Med. 2003;18(2):152–160.Google ScholarPubMed
Country Reports on Terrorism 2014, United States Department of State Publication Bureau of Counterterrorism, June 2015.Google Scholar
GOV.UK. Foreign travel advice, Turkey. https://www.gov.uk/foreign-travel-advice/turkey/terrorism. Accessed June 2016.Google Scholar
Doğan, NÖ, Aksel, G.Van earthquake: Development of emergency medicine in a country. Emerg Med J. 2012;29:689.Google Scholar
Master Programs in Turkey, http://www.osym.gov.tr/Eklenti/2145,bolum1pdf.pdf?0. Accessed June 2019.Google Scholar
Disaster Commission of Emergency Medicine Association of Turkey. http://tatd.org.tr/altbirim/14/afet-komisyonu/anasayfa/#.VoFzF7YrK1s. Accessed June 2016.Google Scholar
Disaster Taskforce of Emergency Medicine Association of Turkey. http://www.atuder.org.tr/menu/162/afet-calisma-grubu. Accessed June 2016.Google Scholar
Yurdakul, A, Piroglu, F, Okay, N.Kocaeli Derince Egitim ve Arastirma Hastanesi mevcut afet plani cercevesinde, calisanlarin afete hazirliginin degerlendirilmesi. MAKU J. Health Sci Inst. 2014;75–85. https://dergipark.org.tr/maeusabed/issue/19412/206486Google Scholar
Ersel, M, Aksay, E, Kyan, S.Disaster preparedness and education levels at Turkish Academic Emergency Departments. Turk J Emerg Med. 2009;9:115–121.Google Scholar
Türkan, H.Experiences after the earthquake. J Emerg Med. 2001;21:79–81.CrossRefGoogle ScholarPubMed
Dursun, R, Görmeli, CA, Görmeli, G.Evaluation of the patients in Van Training and Research Hospital following the 2011 Van earthquake in Turkey. Ulus Travma Acil Cerrahi Derg. 2012;18:260–4.Google ScholarPubMed
Düzenli, E, Sever, M, Aksay, E.Mechanical ventilation practices of Turkish emergency physicians: A national survey. Turk J Emerg Med. 2013;3:119–126.Google Scholar
Çakmak, H, Aydın Er, R, Can Öz, Y, et al.Determination of the influencing status of the Marmara earthquake and preparation status for possible disasters of the 112 emergency staff in Kocaeli City. JAEM. 2010;2:83–88.Google Scholar
Altıntaş, KH.Afet tıbbında öğretim ve eğitim (Education and training for disaster medicine: review). Hacettepe Tıp Dergisi. 2005;36:139–146.Google Scholar
Basol, N, Çelenk, Y, Okan, İ. Thoughts of emergency physicians about palliative care: Evaluation of awareness. JAEM. 2015;14:75.Google Scholar
Sezik, S, Aksay, E, Temizyurek, Z, et al.A national survey of Turkish emergency residents’ perspectives regarding rotation effectiveness/Acil tipta uzmanlik ogrencilerinin, rotasyon etkinligi uzerine gorusleri: ulusal anket calismasi. Turk J Emerg Med. 2012;12:8–15.Google Scholar
Dennis, AJ, Brandt, MM, Steinberg, J, et al.Are general surgeons behind the curve when it comes to disaster preparedness training? A survey of general surgery and emergency medicine trainees in the United States by the Eastern Association for the Surgery for Trauma Committee on Disaster Preparedness. J Trauma Acute Care Surg. 2012;73:612–617.Google ScholarPubMed
UNHCR Syria regional refugee response. https://data2.unhcr.org/en/situations/syria. Accessed June 2019.Google Scholar
Bilgin, H, Inel, M, Özmen, HB. Kamu Yapılarının Deprem Kapasitelerinin Değerlendirilmesi. Yapısal Onarım ve Güçlendirme Sempozyumu Bildiriler Kitabı. 2006:237–46.Google Scholar
Williams, J, Nocera, M, Casteel, C.The effectiveness of disaster training for health care workers: A systematic review. Ann Emerg Med. 2008;52:211–222.CrossRefGoogle ScholarPubMed
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