Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-10T03:18:13.136Z Has data issue: false hasContentIssue false

Core Disaster Medicine Education (CDME) for Emergency Medicine Residents in the United States

Published online by Cambridge University Press:  28 August 2019

Ritu R. Sarin*
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, MassachusettsUSA
Paul Biddinger
Affiliation:
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, MassachusettsUSA
John Brown
Affiliation:
Department of Emergency Medicine, University of California, San Francisco School of Medicine, San Francisco, CaliforniaUSA
Jonathan L. Burstein
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, MassachusettsUSA
Frederick M. Burkle Jr.
Affiliation:
Harvard Humanitarian Initiative, T. H. Chan School of Public Health, Harvard University, Cambridge, MassachusettsUSA
Douglas Char
Affiliation:
Department of Emergency Medicine, Washington University, St. Louis, MissouriUSA
Gregory Ciottone
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, MassachusettsUSA
John L. Hick
Affiliation:
Department of Emergency Medicine, Hennepin County Hospital, University of Minnesota, Minneapolis, MinnesotaUSA
Kristi L. Koenig
Affiliation:
County of San Diego, Health & Human Services Agency, Emergency Medical Services, San Diego, California, USA Department of Emergency Medicine, University of California, Irvine, Department of Emergency Medicine, Orange, California, USA
Charles Little
Affiliation:
Department of Emergency Medicine, University of Colorado, Denver, ColoradoUSA
Carl Schultz
Affiliation:
Department of Emergency Medicine, University of California, Irvine, Department of Emergency Medicine, Orange, California, USA
Jeremy Maggin
Affiliation:
Kaiser Permanente Woodland Hills Medical Center, Los Angeles, CaliforniaUSA
Eric Goralnick
Affiliation:
Department of Emergency Medicine and Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical School, Boston, MassachusettsUSA
*
Correspondence: Ritu R. Sarin, MD Department of Emergency Medicine Beth Israel Deaconess Medical Center Harvard Medical School Boston, Massachusetts USA E-mail: rsarin@bidmc.harvard.edu; riturani@gmail.com

Abstract

Objectives:

Disaster Medicine (DM) education for Emergency Medicine (EM) residents is highly variable due to time constraints, competing priorities, and program expertise. The investigators’ aim was to define and prioritize DM core competencies for EM residency programs through consensus opinion of experts and EM professional organization representatives.

Methods:

Investigators utilized a modified Delphi methodology to generate a recommended, prioritized core curriculum of 40 DM educational topics for EM residencies.

Results:

The DM topics recommended and outlined for inclusion in EM residency training included: patient triage in disasters, surge capacity, introduction to disaster nomenclature, blast injuries, hospital disaster mitigation, preparedness, planning and response, hospital response to chemical mass-casualty incident (MCI), decontamination indications and issues, trauma MCI, disaster exercises and training, biological agents, personal protective equipment, and hospital response to radiation MCI.

Conclusions:

This expert-consensus-driven, prioritized ranking of DM topics may serve as the core curriculum for US EM residency programs.

Type
Original Research
Copyright
© World Association for Disaster and Emergency Medicine 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Katzer, R, Cabanas, JG, Martin-Gill, C, et al. Emergency medical services education in emergency medicine residency programs: a national survey. Acad Emerg Med. 2012;19(2):174179.CrossRefGoogle Scholar
ACGME Requirements for Emergency Medicine, Accredited Council for Graduate Medical Education web site. http://www.acgme.org/Specialties/Program-Requirements-and-FAQs-and-Applications/pfcatid/7/Emergency%20Medicine. Accessed June 18, 2018.Google Scholar
Sarin, RR, Cattamanchi, S, Alqahtani, A, et al. Disaster education: a survey study to analyze disaster medicine training in emergency medicine residency programs in the United States. Prehosp Disaster Med. 2017;32(4):368373.CrossRefGoogle Scholar
Schultz, CH, Koenig, KL, Whiteside, M, et al. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59(3):196208.CrossRefGoogle ScholarPubMed
Linstone, HA, Turoff, M, (eds). The Delphi Method: Techniques and Applications. Reading, Massachusetts USA: Addison-Wesley Publishing Co.; 1975.Google Scholar
Witkin, BR, Altschuld, JW. Planning and Conducting Needs Assessments: A Practical Guide. Thousand Oaks, California USA: Sage Publications, Inc.; 1995.Google Scholar
Phillips, AC, Lewis, KL, McEvoy, MP, et al. A Delphi survey to determine how educational interventions for evidence-based practice should be reported: stage 2 of the development of a reporting guideline. BMC Med Educ. 2014;14:159.CrossRefGoogle ScholarPubMed
Waeckerle, JF, Seamans, S, Whiteside, M, et al. Executive Summary: developing objectives, content, and competencies for the training of emergency medical technicians, emergency physicians, and emergency nurses to care for casualties resulting from nuclear, biological, or chemical (NBC) incidents. Ann Emerg Med. 2001;37(6):587601.CrossRefGoogle ScholarPubMed
Hsu, E, Thomas, TL, Bass, EB, et al. Healthcare worker competencies for disaster training. BMC Med Educ. 2006;6:19.CrossRefGoogle ScholarPubMed
Walsh, L, Subbarao, I, Gebbe, K, et al. Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012;6(1):4452.CrossRefGoogle ScholarPubMed
Disaster Medicine Curriculum for Emergency Medicine Residents; ACEP proposal. https://www.acep.org/by-medical-focus/disaster-medicine/. Accessed August 25, 2015.Google Scholar
Emergency Medicine Residency Disaster Curricula Model; ACEP proposal. https://www.acep.org/by-medical-focus/disaster-medicine/. Accessed August 25, 2015.Google Scholar
Collander, B, Green, B, Millo, Y, et al. Development of an “all-hazards” hospital disaster preparedness training course utilizing multi-modality teaching. Prehosp Disaster Med. 2008;23(l):6367.CrossRefGoogle ScholarPubMed
Ingrassia, PL, Ragazzoni, L, Tengattini, M, et al. Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools. Prehosp Disaster Med. 2014;29(5):508515.CrossRefGoogle ScholarPubMed
Subbarao, I, Lyznicki, JM, Hsu, EB, et al. A consensus based educational framework and competency set for the discipline of disaster medicine and public health preparedness. Disaster Med Public Health Prep. 2008;2(1):5768.CrossRefGoogle ScholarPubMed
Hansoti, B, Kellogg, DS, Aberle, SJ, et al. Preparing emergency physicians for acute disaster response: a review of current training opportunities in the US. Prehosp Disaster Med. 2016;31(6):643647.CrossRefGoogle ScholarPubMed
Counselman, FL, Babu, K, Edens, MA, et al. The 2016 model of the clinical practice of emergency medicine. J Emerg Med. 2017;52(6):846849.CrossRefGoogle ScholarPubMed
Guha-Sapir, D, Hoyois, PH, Wallemacq, P, et al. Annual Disaster Statistical Review 2016: The Numbers and Trends. Brussels, Belgium: CRED; 2016.Google Scholar
National Consortium for the Study of Terrorism and Responses to Terrorism (START). Global Terrorism Database; 2017. https://www.start.umd.edu/gtd. Accessed June 18, 2018.Google Scholar
Curtis, HA, Trang, K, Chason, KW, et al. Video-based learning vs traditional lecture for instructing emergency medicine residents in disaster medicine principles of mass triage, decontamination, and personal protective equipment. Prehosp Disaster Med. 2018;33(1):712.CrossRefGoogle ScholarPubMed
Ngo, J, Schertzer, K, Harter, P, et al. Disaster medicine: a multi-modality curriculum designed and implemented for emergency medicine residents. Disaster Med Public Health Prep. 2016;10(4):611614.CrossRefGoogle ScholarPubMed
Supplementary material: File

Sarin et al. supplementary material

Appendix 1

Download Sarin et al. supplementary material(File)
File 25.4 KB