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Disaster Education: A Survey Study to Analyze Disaster Medicine Training in Emergency Medicine Residency Programs in the United States

Published online by Cambridge University Press:  20 March 2017

Ritu R. Sarin*
Affiliation:
Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts USA Beth Israel Deaconess Fellowship in Disaster Medicine, Department of Emergency Medicine, Beth Israel Medical Center, Boston, Massachusetts USA
Srihari Cattamanchi
Affiliation:
Beth Israel Deaconess Fellowship in Disaster Medicine, Department of Emergency Medicine, Beth Israel Medical Center, Boston, Massachusetts USA
Abdulrahman Alqahtani
Affiliation:
Department of Emergency Medicine, King Saud Medical City, Riyadh, Saudi Arabia
Majed Aljohani
Affiliation:
Department of Emergency Medicine, King Saud Bin Abdulaziz University for Health Sciences, National Guard Hospital, Riyadh, Saudi Arabia
Mark Keim
Affiliation:
Rollins School of Public Health, Emory University, Atlanta, Georgia USA
Gregory R. Ciottone
Affiliation:
Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts USA Beth Israel Deaconess Fellowship in Disaster Medicine, Department of Emergency Medicine, Beth Israel Medical Center, Boston, Massachusetts USA
*
Correspondence: Ritu R. Sarin, MD 36 Park Street Apartment 5 Brookline, Massachusetts 02446 USA E-mail: [email protected]; [email protected]

Abstract

Background

The increase in natural and man-made disasters occurring worldwide places Emergency Medicine (EM) physicians at the forefront of responding to these crises. Despite the growing interest in Disaster Medicine, it is unclear if resident training has been able to include these educational goals.

Hypothesis

This study surveys EM residencies in the United States to assess the level of education in Disaster Medicine, to identify competencies least and most addressed, and to highlight effective educational models already in place.

Methods

The authors distributed an online survey of multiple-choice and free-response questions to EM residency Program Directors in the United States between February 7 and September 24, 2014. Questions assessed residency background and details on specific Disaster Medicine competencies addressed during training.

Results

Out of 183 programs, 75 (41%) responded to the survey and completed all required questions. Almost all programs reported having some level of Disaster Medicine training in their residency. The most common Disaster Medicine educational competencies taught were patient triage and decontamination. The least commonly taught competencies were volunteer management, working with response teams, and special needs populations. The most commonly identified methods to teach Disaster Medicine were drills and lectures/seminars.

Conclusion

There are a variety of educational tools used to teach Disaster Medicine in EM residencies today, with a larger focus on the use of lectures and hospital drills. There is no indication of a uniform educational approach across all residencies. The results of this survey demonstrate an opportunity for the creation of a standardized model for resident education in Disaster Medicine.

Sarin RR , Cattamanchi S , Alqahtani A , Aljohani M , Keim M , Ciottone GR . 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):368–373.

Type
Original Research
Copyright
© World Association for Disaster and Emergency Medicine 2017 

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Footnotes

Conflicts of interest: none

References

1. 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):174-179.CrossRefGoogle Scholar
2. ACGME Requirements for Emergency Medicine. Accredited Council for Graduate Medical Education Web site. https://www.acgme.org/acgmeweb/tabid/131/ProgramandInstitutionalAccreditation/Hospital-BasedSpecialties/EmergencyMedicine.aspx. Accessed September 3, 2015.Google Scholar
3. 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):196-208.CrossRefGoogle ScholarPubMed
4. 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(3):612-617.CrossRefGoogle ScholarPubMed
5. Pesik, N, Keim, M, Sampson, TR. Do US emergency medicine residency programs provide adequate training for bioterrorism? Ann Emerg Med. 1999;34(2):173-176.CrossRefGoogle ScholarPubMed
6. Counselman, FL, Borenstein, MA, Chisholm, CD, et al; for the EM Model Review Task Force; for the American Board of Emergency Medicine. The 2013 model of the clinical practice of emergency medicine. Acad Emerg Med. 2014;21(5):574-598.Google Scholar
7. Sauser, K, Burke, RV, Ferrer, RR, et al. Disaster preparedness among medical students: a survey assessment. Am J Disaster Med. 2010;5(5):275-284.Google Scholar
8. Smith, J, Levy, MJ, Hsu, EB, et al. Disaster curricula in medical education: pilot survey. Prehosp Disaster Med. 2012;27(5):492-494.Google Scholar
9. Jasper, E, Berg, K, Reid, M, et al. Disaster preparedness: what training do our interns receive during medical school? Am J Med Qual. 2013;28(5):407-413.Google Scholar
10. Gawande, A. Why Boston’s Hospitals Were Ready. The New Yorker. http://www.newyorker.com/news/news-desk/why-bostons-hospitals-were-ready. Published April 17, 2013. Accessed September 3, 2015.Google Scholar
11. Greenberg, R. Boston Marathon Bombing Emphasizes Vital Role of Trauma Centers. AAMC Reporter. https://www.aamc.org/newsroom/reporter/june2013/346228/trauma-centers.html. Published June 2013. Accessed September 3, 2015.Google Scholar
12. Lee, J, McKinney, M. Preparedness under assault. Modern Healthcare. http://www.modernhealthcare.com/article/20130420/MAGAZINE/304209992. Published April 20, 2013. Accessed September 3, 2015.Google Scholar
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