2019 International Conference on Disaster Medicine and Hurricane Resiliency Presentation by Selwyn Mahon, MD AUC Disaster Medicine Fellowship Co-Director and Medical Director, Caribbean Center for Disaster Medicine

1. PROFESSIONAL

2. PERSONAL

3. Developing an Inter-Professional
Education Program in Disaster
Medicine: Pre-Residency
Education
Selwyn E. Mahon MD, FACEP

4. Disaster
Medicine
Education
•Rapidly evolving to keep
pace with the demand
•Once considered the domain
of Military and Emergency
Medicine
•Because all disasters are
local it must transcend the
experts
•So Who, What, Why,
When….

5. Disaster
Medicine
Education
Who?
•First responders
•First receivers
•Emergency Managers
and Public Health
Officials
•Public
•Experts – Academic
and Operations

6. Disaster
Medicine
Education
What?
• To Expert Level
•Core competencies- based on
level of participation
•Educational Delivery System
•Certificates, Masters,
Fellowship, Board
Certification?
•Foundation- Emergency
Medicine, Emergency
Management, and Public
Health

7. Disaster
Medicine
Education
Why?
• Traditionally the medicine has been
focused on Emergency Response
and that’s understandable
because…
• Surgeons- difference in ballistics in
civilian Mass shooting; Injury
patterns When Vehicles used as
weapons
• Pediatric concerns- Triage, Toxic
exposures
• Orthopedics, Infectious diseases,
even OB-GYN
• Never forget Mental Health

8. Disaster
Medicine
Education
Why?
•But what about the rest of the
cycle: Mitigation, Preparation,
Recovery
•Must involve Multidisciplinary
approach – all specialties, One
Health
•All Hazard Concerns- Stock
piles, Crisis standards of care,
Quarantine, Pathogen of the
day, Mental health etc.
•Incidents occurs on everyone's
watch

9. Disaster
Medicine
Education
When?
• Just in Time, Pre-incident, Post-
incident? – Yes
• Fellowship, Residencies,
Medical School, Undergraduate,
High School, kindergarten ?- Yes
• Doctors, Nurses, Healthcare
providers, non-medical public?
Yes
• Our panel shows some of the
diversity of education

10. Pre-Residency
Disaster
Medicine
Education
• Medical Schools, and Pre-
residency Fellowships
• Lectures, Electives, Certificates,
Fellowships, Masters
• Based on the Foundation of
Disaster Medicine
• Highlights research and
participation
• Shares curriculum with Disaster
Medicine, Humanitarianism and
Global Heath programs

11. Pre-Residency
Disaster
Medicine
Education
• Few curricula for medical
student disaster medicine
education have been published.
• Few of Medical schools
surveyed required some type of
disaster training coursework
• < 50% of interns received formal
training in disaster
preparedness in medical school;
• Most of these training programs
included some type of
simulation and many have
interest groups

12. Conclusion
There is a need
to improve the
level of
disaster
preparedness
training in
medical school
AUC / CCDM
• Lecture series covering topics in
disaster medicine
• Workshop series to build
capacity and skill
• Continuing Medical Education
Conferences
• Disaster Medicine elective
courses for AUC students
• Pre-residency fellowship training
program in disaster medicine
and global health

13. THANK YOU