Nationwide Program of Education for Undergraduates in the Field of Disaster Medicine: Development of a Core Curriculum Centered on Blended Learning and Simulation Tools

Ingrassia, Pier Luigi; Ragazzoni, Luca; Tengattini, Marco; Carenzo, Luca; Corte, Francesco Della

doi:10.1017/s1049023x14000831

Cited by 54 publications

(53 citation statements)

References 56 publications

(118 reference statements)

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“…In addition, the inverted classroom methodology has been applied to topics such as geriatric medicine,33 disaster medicine,34 advanced cardiac life support,35 and an elective related to medicine as a business 36. Generally, authors did not allude to temporal considerations related to their applications of the FC in clinical medical student education, as was sometimes the case for preclinical FCs.…”

Section: Resultsmentioning

confidence: 99%

Advances in medical education and practice: student perceptions of the flipped classroom

Ramnanan

Pound

2017

AMEP

271

206

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The flipped classroom (FC) approach to teaching has been increasingly employed in undergraduate medical education in recent years. In FC applications, students are first exposed to content via online resources. Subsequent face-to-face class time can then be devoted to student-centered activities that promote active learning. Although the FC has been well received by students in other contexts, the perceptions of medical students regarding this innovation are unclear. This review serves as an early exploration into medical student perceptions of benefits and limitations of the FC. Medical students have generally expressed strong appreciation for the pre-class preparation activities (especially when facilitated by concise, readily accessed online tools) as well as for interactive, engaging small group classroom activities. Some students have expressed concerns with the FC and noted that suboptimal student preparation and insufficient direction and structure during active learning sessions may limit the student-centered benefits. Although students generally perceive that FC approaches can improve their learning and knowledge, this has not been conclusively shown via performances on assessment tools, which may be related to caveats with the assessment tools used. In any case, lifelong self-directed learning skills are perceived by medical students to be enhanced by the FC. In conclusion, medical students have generally expressed strong satisfaction with early applications of the FC to undergraduate medical education, and generally prefer this method to lecture-based instruction.

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Section: Resultsmentioning

confidence: 99%

Advances in medical education and practice: student perceptions of the flipped classroom

Ramnanan

Pound

2017

AMEP

271

206

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“…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. 16 17 Looking at the status of this kind of education presently in Europe, Germany is the only country with a well-established curriculum, 18 Italy is in the experimental phase of testing such a programme and using these educational methods in several medical schools 19 with motivated students expressing the clear need to do so. 20 Belgium has a limited introduction of such an educational programme in three faculties, 8 and the Netherlands has no disaster medicine programmes in their medical schools, but one faculty has expressed interest after participating in a recent national survey.…”

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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“…Therefore, mock drills are one principal form of applied mass casualty training with mock patients or dummies [61]. Moreover, exercises and simulations have been shown to be an effective way to assess different areas of disaster management to test and evaluate performance in, for example, decision making, triage, and patient management [62,63]. One simulation tool, Emergo Train System ® (ETS) [64], was developed in Sweden [65] but is currently adapted for international use in several parts of the world [64].…”

Section: Training and Educationmentioning

confidence: 99%

TRIAGE : Management of the trauma patient

Lampi¹

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Triage, derived from the French word for sorting, aims to assess and prioritize injured patients, regardless of whether the injuries are sustained from everyday road traffic accident with few injured or a mass casualty incident. Triage seeks to provide the greatest benefit to the largest number of casualties in order to minimize morbidity and mortality. Triage in a pre-hospital setting entails management and sorting of patients according to an assessment of medical need, prioritization, and evacuation. In-hospital triage aims to rapidly identify the most injured and ensure timely and appropriate treatment according to the patient's clinical urgency. A number of different systems for performing triage have been established and implemented globally. The methodology is recognized and utilized but there is still a need for an evidence-based strategy to optimize training and the efficacy of the different systems.The main aim of this thesis was to determine triage performance among prehospital personnel and investigate the potential advantage of a triage system for trauma patients. The papers included in this thesis evaluated the triage skills of physicians, pre-hospital personnel, and rescue services personnel by testing their performance before and after an educational intervention. The last paper evaluated potential benefits of using a triage system for trauma patients admitted to the emergency department at MOI Teaching and Referral Hospital in Eldoret, Kenya.The results presented in this thesis illustrate that triage skills are lacking among physicians. Experienced pre-hospital personnel are more skilled in performing triage than physicians. The triage skills of the rescue services personnel improved significantly after the educational intervention. Moreover, the potential benefit to trauma patients of implementing an in-hospital triage system in a resource-poor environment was shown. In conclusion, health care personnel, especially physicians without experience but highly involved in trauma patient management, seem to be in need of triage training. How to train, how to implement, and how to evaluate triage skills must be considered in order to develop effective training. POPULÄRVETENSKAPLIG SAMMANFATTNINGOrdet triage kommer från franskans "sortera" och är ett av det första stegen i omhändertagandet av skadade när det råder resursbrist. Från 1800-talets blodiga slagfält, till dagens skadeplats och akutmottagningar har sättet att triagera patienter utvecklats. Men då, som nu, är grundtanken den samma, att sortera och prioritera de skadade utifrån tillgängliga resurser och patienternas vårdbehov. Följaktligen har begreppet kommit att bli centralt inom ämnet katastrofmedicin. Att avlida till följd av skador i samband med allvarliga händelser men också skador i till exempel vardagstrafiken är ett globalt hälsoproblem. Tiden från olycka till sjukhusbehandling är en viktig och ofta avgörande överlevnadsfaktor för en patient. I det här sammanhanget talas det om "den gyllene timmen", som påvisar vikten av att få ...

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Nationwide Program of Education for Undergraduates in the Field of Disaster Medicine: Development of a Core Curriculum Centered on Blended Learning and Simulation Tools

Cited by 54 publications

References 56 publications

Advances in medical education and practice: student perceptions of the flipped classroom

Advances in medical education and practice: student perceptions of the flipped classroom

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

TRIAGE : Management of the trauma patient

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