Lessons learned from international emergency medicine development

Arnold, Jeffrey L.; Holliman, C. James

doi:10.1016/j.emc.2004.10.001

Cited by 34 publications

(28 citation statements)

References 53 publications

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“…Improvements and changes to the ambulance services themselves will have limited impact unless people's perceptions about the importance and role of ambulances in prehospital care are modified concomitantly. With attempts to improve emergency and prehospital care globally, it is important to keep in mind that a prehospital system must be tailored to the population that it serves 16. This study highlights some of the areas in which patient education must focus in order to improve the image and use of ambulance services in Karachi and other resource-limited settings.…”

Section: Discussionmentioning

confidence: 98%

Insights on the effects of patient perceptions and awareness on ambulance usage in Karachi, Pakistan

et al. 2013

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Section: Discussionmentioning

confidence: 98%

Insights on the effects of patient perceptions and awareness on ambulance usage in Karachi, Pakistan

et al. 2013

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“…1 In the last several years, some developing countries have begun to incorporate EM as a specialty and to develop their own training programs. 2 South Africa is a country of 50 million that lies at the southernmost tip of Africa.…”

Section: Ré Sumémentioning

confidence: 99%

Perceptions of graduates from Africa's first emergency medicine training program at the University of Cape Town/Stellenbosch University

Wen

Geduld

Nagurney

et al. 2012

CJEM

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Objective: Africa's first postgraduate training program in emergency medicine (EM) was established at the University of Cape Town/Stellenbosch University (UCT/SUN) in 2004. This study of the UCT/SUN EM program investigated the backgrounds, perceptions, and experiences of its graduates. Methods: This was a cross-sectional descriptive study. The study population was the 30 graduates from the first four classes in the UCT/SUN EM program (2007)(2008)(2009)(2010). We employed a scripted interview with a combination of closed and open-ended questions. Data were analyzed using the thematic method of qualitative analysis. Results: Twenty-seven (90%) graduates were interviewed. Initial career goals were primarily (78%) to practice EM in a nonacademic clinical capacity. At the time of the interview, 52% held academic positions, 15% had nonacademic clinical positions, and 33% had temporary positions and were looking for other posts. The three most commonly cited strengths of their program were diversity of clinical rotations (85%), autonomy and procedural experience (63%), and importance of being pioneers within Africa (52%). The three most commonly cited weaknesses were lack of bedside teaching in the ED (96%), lack of career options after graduation (74%), and lack of preparation for academic careers (70%). Conclusions: The lessons identified from structured interviews with graduates from Africa's first EM training include the importance of strong clinical training, difficulty of ensuring bedside teaching in a new program, the necessity of ensuring postgraduation positions, and the need for academic training. These findings may be useful for other developing countries looking to start EM training programs.

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“…CT, computerised axial tomography; XR, X-ray; HCT, haematocrit It is clear that the new specialty of emergency medicine has been experiencing a rapid increase in international development over the past 20 years. Doney and Macias examine this recent growth of emergency medicine by region and note the universality of underlying challenges [3,13]. In a comprehensive overview, Arnold et al recently categorised important current topics in international emergency medicine by type of illness, systems development issues and resources needed [5].…”

Section: Discussionmentioning

confidence: 98%

An attempt to measure the spread of emergency medicine internationally

et al. 2007

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A survey of international EM is challenging to achieve because of difficulty in both identifying and in contacting potential respondents. Based on sparse data, population density (urban, rural) appears to be related to both the location to which acutely ill patients are taken for their care and to the level of technology available. The specialty of EM is now recognised internationally and education in EM is common.

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Lessons learned from international emergency medicine development

Cited by 34 publications

References 53 publications

Insights on the effects of patient perceptions and awareness on ambulance usage in Karachi, Pakistan

Insights on the effects of patient perceptions and awareness on ambulance usage in Karachi, Pakistan

Perceptions of graduates from Africa's first emergency medicine training program at the University of Cape Town/Stellenbosch University

An attempt to measure the spread of emergency medicine internationally

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