Pilot study of a longitudinal integrated disaster and military medicine education program for undergraduate medical students

Tsai, Yang‐Te; Tsai, Shih‐Hung; Chen, Sy‐Jou; Chen, Yin-Chung; Hsu, Chia-Ching; Chen, Ying-Hsin; Yang, Tse-Chun; Li, Chih-Wei; Cheng, Cheng‐Yi

doi:10.1097/md.0000000000020230

Cited by 7 publications

(5 citation statements)

References 32 publications

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“…The diverse responses from respondents included in this study regarding CMC dimensions indicate a difference between their perceptions compared to that of authorities, which also calls for the evaluation of ethical views in CMC. Firm leadership, collaboration, coordination, and decision-making are all crucial for planning, executing, and harmonizing all efforts needed for successful crisis management [3,4,64,77]. In opposition to previous studies, the current study may indicate that COVID-19 has offered new opportunities for a fruitful collaboration in command and control between military and civilian authorities [78][79][80][81].…”

Section: Discussionmentioning

confidence: 71%

“…One significant advantage of CM collaboration is what both organizations can learn from each other. The collaboration aims at generating the same goal and such partnership requires opportunities that enhance learning of each other's limitations and capabilities [64,65], which also eases up and enables better resource and capacity sharing. The ideal collaboration should be developed through time [29,66].…”

Section: The Core Findings Of the Reviewmentioning

confidence: 99%

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Civilian-Military Collaboration before and during COVID-19 Pandemic—A Systematic Review and a Pilot Survey among Practitioners

et al. 2022

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Due to the similarity in skills and assets, Civilian-Military collaboration has emerged as one of the most reliable partnerships during the disaster and public health emergency management to address all necessary elements of surge capacity, i.e., staff, stuff, structure (space), and systems. This study aimed to evaluate this collaboration before and during the coronavirus 2019 pandemic. The outcomes of the systematic review revealed several published reports on successful civilian-military collaboration and proposed a need for further improvement. One hundred sixty-six individuals from 19 countries responded to nine questions, included in an online survey with the possibility to leave comments if necessary. The questionnaire referred to elements such as command and control, safety, communication, assessment, triage, treatment, and transport, as the crucial components of emergency management. The comprehensive examination of the survey results together with registered comments revealed a possible improvement in collaboration particularly on the strategic levels, i.e., meetings at the command-and-control level, safety, communication, and networking issues. While logistic collaboration seemed to be unchanged, the practical parts of the collaboration, i.e., clinical and non-clinical operational partnership (Triage and Treatment), mutual education, training, and operational understanding of each organization remained unchanged. In conclusion, although the current pandemic may have facilitated a more intense collaboration between civilian and military healthcare organizations, it lacks practical partnership and operative engagement, representing two crucial elements necessary for harmony and compatibility of both systems. Such collaboration may require a political will and perhaps a mutual civilian-military authority.

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Section: Discussionmentioning

confidence: 71%

Section: The Core Findings Of the Reviewmentioning

confidence: 99%

Civilian-Military Collaboration before and during COVID-19 Pandemic—A Systematic Review and a Pilot Survey among Practitioners

et al. 2022

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“…In USA, disaster medicine training remains minimal despite the recommendations by the Association of American Medical Colleges (AAMC) to include it as integral part of medical education. 5 In Germany, federal laws have been enacted mandating medical students to be familiar with disaster medicine principles. 5 In Italy a nationwide pilot programme called DisasterSIMS was developed which reached 88% of the Italian medical schools between 2013 and 2018.…”

Section: Core Modules In Conflict Medicinementioning

confidence: 99%

“…5 In Germany, federal laws have been enacted mandating medical students to be familiar with disaster medicine principles. 5 In Italy a nationwide pilot programme called DisasterSIMS was developed which reached 88% of the Italian medical schools between 2013 and 2018. Based on the success, an international version was also developed.…”

Section: Core Modules In Conflict Medicinementioning

confidence: 99%

Covid-19 and Ukrainian Crisis Exponentiates the Need for the Inclusion of Conflict and Disaster Medicine in Medical Curriculum

Jain

Prasad

Bordeniuc

et al. 2022

Journal of Medical Education and Curricular Development

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Conflict medicine is an age-old branch of medicine which focuses on delivering healthcare services to the injured in the setting of conflicts, wars, disasters, and/or other calamities. The course in its purest form has been traditionally given only in military medical schools while civilian medical students are usually taught parts of the course in other overlapping subjects like surgery, infectious diseases, etc. However, in a crisis situation, civilian doctors are expected to double up as military doctors, which leads to emotional, mental, and physical stress for the civilian doctors along with logistical and organizational challenges. The current Covid-19 pandemic and the Russo-Ukrainian conflict have highlighted once again the emergent need for the implementation of conflict medicine courses in regular medical curricula, so as to make the medical students situation-ready. With our present discussion, we aim to provide a brief overview of the course, its core modules, challenges to its implementation, and possible solutions. We believe that the complex management skills gained by this course are not only useful in conflict scenario but are also valuable in managing day-to-day medical emergencies.

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“…Globally, disaster medicine is inadequately represented in the undergraduate medical curriculum ( 1 ). Even though more medical schools have incorporated disaster medicine into their curriculum lately, it is believed that medical undergraduates still do not possess adequate knowledge and skill in this area ( 2 ). Teaching disaster response medicine (DRM) to undergraduate (UG) medical students is challenging, and not all medical schools include DRM as part of their curriculum ( 3 – 5 ).…”

Section: Introductionmentioning

confidence: 99%

E-Learning in Teaching Emergency Disaster Response Among Undergraduate Medical Students in Malaysia

Saiboon

Zahari

Isa

et al. 2021

Front. Public Health

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Introduction: Teaching disaster response medicine (DRM) to medical students requires considerable resources. We evaluate the effectiveness of e-learning in teaching emergency disaster response (ELITE-DR), a novel initiative, in educating medical students of the cognitive aspect of DRM.Methods: A prospective cross-sectional study among pre-clinical year medical students was carried out to determine their knowledge on DRM and perception regarding the ELITE-DR initiative using a validated online questionnaire. A three-part self-learning video covering the principles and medical management of DRM were distributed before answering the questionnaire served as the training.Results: A total of 168 students participated in the study. Their overall knowledge showed a significant increase in between pre-and-post-interventions. Recall and simple decision-making knowledge aspects were better than complex decision-making knowledge. It appeared that participants assimilate knowledge better from visual rather than audio stimuli. Participants with high perception-scores demonstrated better knowledge-scores. However, e-learning was not preferred as a substitute for face-to-face (F2F) teaching.Conclusion: ELITE-DR shows promise in teaching DRM. Simple recall and comprehension levels of knowledge were well-served through this technique. However, for more complex decision-making knowledge, a different approach might be required. ELITE-DR offers flexibility, accessibility, and personalized learning. The content presentation is improved by using several different visual stimuli. This approach is useful for cognitive aspect learning, but it should not replace standard F2F teaching.

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Pilot study of a longitudinal integrated disaster and military medicine education program for undergraduate medical students

Abstract: Supplemental Digital Content is available in the text

Cited by 7 publications

References 32 publications

Civilian-Military Collaboration before and during COVID-19 Pandemic—A Systematic Review and a Pilot Survey among Practitioners

Civilian-Military Collaboration before and during COVID-19 Pandemic—A Systematic Review and a Pilot Survey among Practitioners

Covid-19 and Ukrainian Crisis Exponentiates the Need for the Inclusion of Conflict and Disaster Medicine in Medical Curriculum

E-Learning in Teaching Emergency Disaster Response Among Undergraduate Medical Students in Malaysia

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