A Disaster Medicine Curriculum for Medical Students

Kaji, Amy H.; Coates, Wendy C.; Fung, Cha-Chi

doi:10.1080/10401331003656561

Cited by 49 publications

(44 citation statements)

References 8 publications

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“…13 When communities become isolated, as in some natural disasters, Family Practice physicians might be the only source of medical expertise available until external help is organised; 14 for this reason, the Association of American Medical Colleges recommends that all medical schools should thoroughly educate their students about disaster medicine in order to bolster a coordinated response to weapons of mass destruction, or to other major acute public health threats. 15 Recent objective evaluations prove that disaster education of medical students is still limited, provoking a call for instituting a national medical disaster-training curriculum.…”

Section: Discussionmentioning

confidence: 99%

Are Belgian military students in medical sciences better educated in disaster medicine than their civilian colleagues?

Mortelmans

Lievers²,

Dieltiens

et al. 2016

J R Army Med Corps

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IntroductionHistorically, medical students have been deployed to care for disaster victims but may not have been properly educated to do so. A previous evaluation of senior civilian medical students in Belgium revealed that they are woefully unprepared. Based on the nature of their military training, we hypothesised that military medical students were better educated and prepared than their civilian counterparts for disasters. We evaluated the impact of military training on disaster education in medical science students.MethodsStudents completed an online survey on disaster medicine, training, and knowledge, tested using a mixed set of 10 theoretical and practical questions. The results were compared with those of a similar evaluation of senior civilian medical students.ResultsThe response rate was 77.5%, mean age 23 years and 59% were males. Overall, 95% of military medical students received some chemical, biological, radiological and nuclear training and 22% took part in other disaster management training; 44% perceived it is absolutely necessary that disaster management should be incorporated into the regular curriculum. Self-estimated knowledge ranged from 3.75 on biological incidents to 4.55 on influenza pandemics, based on a 10-point scale. Intention to respond in case of an incident ranged from 7 in biological incidents to 7.25 in chemical incidents. The mean test score was 5.52; scores improved with educational level attained. A comparison of survey data from civilian senior medical master students revealed that, except for influenza pandemic, military students scored higher on knowledge and capability, even though only 27% of them were senior master students. Data on willingness to work are comparable between the two groups. Results of the question/case set were significantly better for the military students.ConclusionsThe military background and training of these students makes them better prepared for disaster situations than their civilian counterparts.

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Section: Discussionmentioning

confidence: 99%

Are Belgian military students in medical sciences better educated in disaster medicine than their civilian colleagues?

Mortelmans

Lievers²,

Dieltiens

et al. 2016

J R Army Med Corps

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“…This addresses a critique of some widely available EPT programs that tend to focus on First Responders (EMS, Hazmat and Fire personnel) who mitigate a disaster scene. 73 Because 60–85% of patients will circumvent First Responders during a large scale disaster, 1, 74–79 we strongly support the broadening of traditional EPT programs in the US to recognize the unique training needs of First Receivers.…”

Section: Discussionmentioning

confidence: 87%

High-fidelity multiactor emergency preparedness training for patient care providers

Scott¹,

Maddux²,

Schnellmann³

et al. 2012

Am J Disaster Med

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Background: Providing comprehensive emergency preparedness training (EPT) for patient care providers is important to the future success of emergency preparedness operations in the United States. Disasters are rare, complex events involving many patients and environmental factors that are difficult to reproduce in a training environment. Few EPT programs possess both competency-driven goals and metrics to measure life-saving performance during a multiactor simulated disaster.Methods: The development of an EPT curriculum for patient care providers—provided first to medical students, then to a group of experienced disaster medical providers—that recreates a simulated clinical disaster using a combination of up to 15 live actors and six high-fidelity human simulators is described. Specifically, the authors detail the Center for Health Professional Training and Emergency Response’s (CHPTER’s) 1-day clinical EPT course including its organization, core competency development, medical student self-evaluation, and course assessment.Results: Two 1-day courses hosted by CHPTER were conducted in a university simulation center. Students who completed the course improved their overall knowledge and comfort level with EPT skills.Conclusions: The authors believe this is the first published description of a curriculum method that combines high-fidelity, multiactor scenarios to measure the life-saving performance of patient care providers utilizing a clinical disaster scenario with 10 patients at once. A larger scale study, or preferably a multicenter trial, is needed to further study the impact of this curriculum and its potential to protect provider and patient lives.

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“…Several studies have assessed the efficacy of educational programs or seminars on MCT through the evaluation of the knowledge acquired [10][11][12][13], but only a few have the ability of such teaching sessions to improve triage performance during a simulated MCI [16,26,[29][30][31].…”

Section: Discussionmentioning

confidence: 99%

“…The medical scientific community has become very sensitive toward disaster education [9] and has been working to create an effective teaching and training program to improve MCT expertise among health personnel [10][11][12][13]. Simulation is the current cornerstone of modern disaster medicine education, with a strong potential for generating positive learning outcomes [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30].…”

Section: Introductionmentioning

confidence: 99%

Virtual reality and live simulation

Ingrassia

Ragazzoni

Carenzo

et al. 2015

European Journal of Emergency Medicine

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A Disaster Medicine Curriculum for Medical Students

Abstract: A comprehensive 2-week medical student disaster elective, based upon an introductory disaster seminar, was evaluated highly by student participants.

Cited by 49 publications

References 8 publications

Are Belgian military students in medical sciences better educated in disaster medicine than their civilian colleagues?

Are Belgian military students in medical sciences better educated in disaster medicine than their civilian colleagues?

High-fidelity multiactor emergency preparedness training for patient care providers

Virtual reality and live simulation

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