The Elite Code Grey Team: A New Model for Residency Preparedness and Training in Advance of a Disaster

Bagatell, Stuart; Wiese, Jeff

doi:10.1097/maj.0b013e318180f60e

Cited by 12 publications

(8 citation statements)

References 3 publications

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“…Besides, their knowledge, attitude and behavior about health emergencies and the response capacity are directly related to the control and prevention of public health emergencies. However, research have indicated that primary care medical staffs of many countries are not ready to deal with the public health emergencies [8,9,14,15], which mainly due to the lack of training and experience about public health emergencies [16-18]. The public health emergencies are usually sudden, unpredictable and with considerable severity.…”

Section: Discussionmentioning

confidence: 99%

The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China

Zhou

Wang

et al. 2012

BMC Health Serv Res

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BackgroundPrimary care medical staffs’ knowledge, attitude and behavior about health emergency and the response capacity are directly related to the control and prevention of public health emergencies. Therefore, it is of great significance for improving primary care to gain in-depth knowledge about knowledge, attitude and behavior and the response capacity of primary care medical staffs. The main objective of this study is to explore knowledge, attitude and behavior, and the response capacity of primary care medical staffs of Guangdong Province, China.MethodsStratified clustered sample method was used in the anonymous questionnaire investigation about knowledge, attitude and behavior, and the response capacity of 3410 primary care medical staffs in 15 cities of Guangdong Province, China from July, 2010 to October 2010. The emergency response capacity was evaluated by 33 questions. The highest score of the response capacity was 100 points (full score), score of 70 was a standard.Results62.4% primary care medical staffs believed that public health emergencies would happen. Influenza (3.86 ± 0.88), food poisoning (3.35 ± 0.75), and environmental pollution events (3.23 ± 0.80) (the total score was 5) were considered most likely to occur. Among the 7 public health emergency skills, the highest self-assessment score is “public health emergency prevention skills” (2.90 ± 0.68), the lowest is “public health emergency risk management (the total score was 5)” (1.81 ± 0.40). Attitude evaluation showed 66.1% of the medical staffs believed that the community awareness of risk management were ordinary. Evaluation of response capacity of health emergency showed that the score of primary care medical staffs was 67.23 ± 10.61, and the response capacity of senior physicians, public health physicians and physicians with relatively long-term practice were significantly better (P <0.05). Multiple linear stepwise regression analysis showed gender, title, position, type of work, work experience and whether to participate relative training were the main factors affecting the health emergency response capacity.ConclusionsThe knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province (China) were poor. Health administrative departments should strengthen the training of health emergency knowledge and skills of the primary care medical staffs to enhance their health emergency response capabilities.

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Section: Discussionmentioning

confidence: 99%

The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China

Zhou

Wang

et al. 2012

BMC Health Serv Res

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“…[8][9][10] Unfortunately, those deficiencies may go unrecognized until a disaster occurs, and the skills are urgently needed. 11,12 In addition, because resident physicians provide a large proportion of medical care in most academic centers, it is important to know whether the response of this group to a mass casualty situation differs from that of their faculty counterparts. Although there are well-established factors that have been found to affect faculty physicians' decisions to respond to a disaster, 2 the factors that affect residents' decision making have not, to our knowledge, been studied to date.…”

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confidence: 99%

Reporting for Duty During Mass Casualty Events: A Survey of Factors Influencing Emergency Medicine Physicians

Snipes¹,

Miramonti²,

Chisholm³

et al. 2013

Journal of Graduate Medical Education

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Background Academic medical centers play a major role in disaster response, and residents frequently serve as key resources in these situations. Studies examining health care professionals' willingness to report for duty in mass casualty situations have varying response rates, and studies of emergency medicine (EM) residents' willingness to report for duty in disaster events and factors that affect these responses are lacking. Objective We sought to determine EM resident and faculty willingness to report for duty during 4 disaster scenarios (natural, explosive, nuclear, and communicable), to identify factors that affect willingness to work, and to assess opinions regarding disciplinary action for physicians unwilling to work in a disaster situation. Methods We surveyed residents and faculty at 7 US teaching institutions with accredited EM residency programs between April and November 2010. Results A total of 229 faculty and 259 residents responded (overall response rate, 75.4%). Willingness to report for duty ranged from 54.1% for faculty in a natural disaster to 94.2% for residents in a nonnuclear explosive disaster. The 3 most important factors influencing disaster response were concern for the safety of the family, belief in the physician's duty to provide care, and availability of protective equipment. Faculty and residents recommended minimal or no disciplinary action for individuals unwilling to work, except in the infectious disease scenario. Conclusions Most EM residents and faculty indicated they would report for duty. Residents and faculty responses were similar in all but 1 scenario. Disciplinary action for individuals unwilling to work generally was not recommended.

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“…However, several previous studies have found that physicians from different specialties worldwide are unprepared to respond to disasters, owing to a lack of appropriate education, training, or experience. 6,7 To date, no published study has investigated the knowledge levels, skills, or preparedness of non-frontline physicians in the Kingdom of Saudi Arabia (KSA) in the context of surge management. Accordingly, this work aimed to study the attitudes (willingness), levels of knowledge on personal protective equipment (PPE) use, and levels of confidence in airway management skills, associated with the COVID-19 pandemic, among non-frontline physicians across the KSA.…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Preparedness of Non-Frontline Physicians in Saudi Arabia Toward the COVID-19 Pandemic

Malaekah¹,

Aljahany

Alassaf

et al. 2021

Disaster med. public health prep.

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Objective: To assess the attitudes (willingness) and preparedness of non-front-line physicians across different specialties in the Kingdom of Saudi Arabia (KSA) toward the management of hospitalized COVID-19 patients. Methods: This cross-sectional study conducted between April 15, 2020 and May 5, 2020 included 6,209 physicians working in KSA. An electronic questionnaire was designed and validated for the assessment of three categorical outcome variables, namely, attitudes, confidence, and knowledge levels. Pearson’s chi-square test was used for comparing the distribution of the proportions of these three categorical variables. Results: The majority of participants (63.2%) were willing and prepared to treat COVID-19 patients. A significantly large proportion of participants specializing in anesthesiology (78.2%) had higher knowledge levels, followed by those from plastic surgery (71.1%), pediatrics (69.7%), and obstetrics and gynecology (69.1%) (p<0.0001). Lower confidence levels were found for airway management skills (38.1%); particularly among dermatologists and radiologists. Conclusion: Higher knowledge levels about personal protective equipment (PPE) use and confidence in airway management skills were proportionally related to the level of willingness to participate in COVID-19 patient management. There is an urgent need to train doctors from certain specialties on PPE use and airway management to enable their front-line support of severely ill COVID-19 patients.

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The Elite Code Grey Team: A New Model for Residency Preparedness and Training in Advance of a Disaster

Cited by 12 publications

References 3 publications

The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China

The knowledge, attitude and behavior about public health emergencies and the response capacity of primary care medical staffs of Guangdong Province, China

Reporting for Duty During Mass Casualty Events: A Survey of Factors Influencing Emergency Medicine Physicians

Attitudes and Preparedness of Non-Frontline Physicians in Saudi Arabia Toward the COVID-19 Pandemic

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