Capacity building in emergency care: An example from <scp>M</scp>adang, <scp>P</scp>apua <scp>N</scp>ew <scp>G</scp>uinea

Phillips, Georgina; Hendrie, James; Atua, Vincent; Manineng, Clement

doi:10.1111/j.1742-6723.2012.01597.x

Cited by 12 publications

(18 citation statements)

References 7 publications

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“…Under this programme, EM training was structured, EM was added to the curriculum of medical students, ED was supported with senior staff and research projects. They also involved an experienced emergency nurse from Australia to educate their nurses [40,41]. …”

Section: Resultsmentioning

confidence: 99%

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

et al. 2017

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Background: The burden of stroke in low- and middle-income countries (LMICs) is large and increasing, challenging the already stretched health-care services. Aims and Objectives: To determine the quality of existing stroke-care services in LMICs and to highlight indigenous, inexpensive, evidence-based implementable strategies being used in stroke-care. Methods: A detailed literature search was undertaken using PubMed and Google scholar from January 1966 to October 2015 using a range of search terms. Of 921 publications, 373 papers were shortlisted and 31 articles on existing stroke-services were included. Results: We identified efficient models of ambulance transport and pre-notification. Stroke Units (SU) are available in some countries, but are relatively sparse and mostly provided by the private sector. Very few patients were thrombolysed; this could be increased with telemedicine and governmental subsidies. Adherence to secondary preventive drugs is affected by limited availability and affordability, emphasizing the importance of primary prevention. Training of paramedics, care-givers and nurses in post-stroke care is feasible. Conclusion: In this systematic review, we found several reports on evidence-based implementable stroke services in LMICs. Some strategies are economic, feasible and reproducible but remain untested. Data on their outcomes and sustainability is limited. Further research on implementation of locally and regionally adapted stroke-services and cost-effective secondary prevention programs should be a priority.

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Section: Resultsmentioning

confidence: 99%

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

et al. 2017

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“…First, the College has employed a GEC Manager and Co‐ordinator, who will both play essential roles in the facilitation and prospective accreditation of GEC terms. In concert with this move, several established GEC rotations across the Pacific region (Box ) have now been coalesced under the banner of the VEMRP. The VEMRP, administered by AVI as part of the Australian Volunteers Program, will facilitate ACEM trainee placements in Papua New Guinea, Solomon Islands and Vanuatu.…”

Section: Discussionmentioning

confidence: 99%

Demand for global health training and experiences among emergency medicine trainees in Australia and New Zealand

Mitchell

Phillips

et al. 2020

Emerg Medicine Australasia

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Objective Demand for global health (GH) training and experiences among emergency medicine trainees is unknown. The primary objective of the Trainee Interest in Global Health Training (TIGHT) study was to quantify the number of trainees interested in completing a rotation in a resource‐limited environment within a low‐ or middle‐income country during their specialty training. Methods A cross‐sectional study of trainees in seven specialty training programmes was conducted between August and October 2018. Data were collected using a voluntary, anonymous, self‐reporting, web‐based survey. This study describes the results of a planned sub‐group analysis of ACEM trainees. Results There were 203 respondents among 2525 ACEM trainees. Although only a small number (36/198, 18.2%) had undertaken a GH experience as a specialty trainee, 85.6% (167/195) were keen to do so. The vast majority of respondents (179/194, 87.1%) were interested or very interested in having their GH experience accredited for training, but 68.9% (133/193) reported that accessing a suitable placement was a barrier. More than 79% (147/186) expressed interest in undertaking an integrated GH training or fellowship programme as an adjunct to specialty training. Conclusions Notwithstanding the limitations of a self‐reporting survey with a sub‐optimal response rate, there is significant demand for GH training and experiences among ACEM trainees. These findings should inform the development of safe and effective global emergency care training pathways, underpinned by mutually beneficial, international partnerships with educational and development objectives.

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“…IEMSIG newsletters frequently highlight the opportunities available to EM registrars, and trainees have provided reflections on accredited rotations in PNG, Nepal and, through MSF, in South Sudan . Among these, the Visiting Clinical Lecturer Program in Madang, PNG, stands out as an example that delivers a rich IEM educational experience in the context of an established capacity‐building project . This placement is now formalised as part of the Australian Government's Australian Volunteers for International Development scheme…”

Section: Training In International Emergency Medicinementioning

confidence: 99%