2019 International Conference on Disaster Medicine and Hurricane Resiliency
Presentation by Ritu Sarin, MD
Instructor in Emergency Medicine, Harvard Medical School;
Associate Director, Beth Israel Deaconess Medical Center
Fellowship in Disaster Medicine
VIII.1 Nursing Interventions to Promote Healthy Psychological responses, SELF...
Developing an Inter-Professional Education Program in Disaster Medicine
1. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
Developing an Inter-Professional Education Program in
Disaster Medicine
Ritu R. Sarin, MD, MScDM, FACEP
Instructor, Emergency Medicine, Harvard Medical School
Associate Director, BIDMC Fellowship in Disaster Medicine
March 10, 2019
International Conference on Disaster Medicine and Hurricane Resiliency
2. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
Agenda
• Post Graduate Education
• Medical Residencies
• Fellowships
• What’s next?
4. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
Why Emergency Medicine?
5. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
Background
Hypothesis
Disaster Education: A Survey Study to Analyze Disaster Medicine Training
in Emergency Medicine Residency Programs in the United States
(a1)
(a2)
(a3)
(a4)
(a5)
6. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
Core Disaster Medicine Education (CDME) for Emergency Medicine
Residents in the United States
Ritu R. Sarin, MD1
, Paul Biddinger, MD2
, John Brown, MD3
, Jonathan L. Burstein, MD1
, Frederick M. Burkle,
Jr., MD, MPH 4
, Douglas Char, MD5
, Gregory Ciottone, MD1
, John L. Hick, MD6
, Kristi L. Koenig, MD7,8
,
Charles Little, DO 9
, Carl Schultz, MD8,
, Jeremy Maggin, MD10
, Eric Goralnick, MD, MS11
(/saem)
Disaster Medicine Fellowship
Institution Application
Approval of an Disaster Medicine Fellowship program is contingent on a review of the institutional environment,
academic productivity of prior graduates and of current members of the team,and the proposed curriculum for
future fellows. All approved institutions must have an ACGME-approved residency program in place,and must meet
the criteria as set forth in the Request for Applications (see below).
Request for Application (1-year) (http://www.saem.org/docs/default-source/saem-documents/fellowship-approval
Disaster Medicine Fellowship http://www.saem.org/resources/services/fellowship-approval-progra...
7. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
Core Disaster Medicine Education for EM
8. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
(/saem)
Disaster Medicine Fellowship
Institution Application
Approval of an Disaster Medicine Fellowship program is contingent on
academic productivity of prior graduates and of current members of th
future fellows. All approved institutions must have an ACGME-approve
the criteria as set forth in the Request for Applications (see below).
Request for Application (1-year) (http://www.saem.org/docs/default-so
/disaster-medicine/draft-dm-rfa-1-year.pdf?sfvrsn=59a908fd_2) [pdf]
Request for Application (2-year) (http://www.saem.org/docs/default-so
/disaster-medicine/draft-rfa-dm-2-year.pdf?sfvrsn=5da908fd_2) [pdf]
Application fee is $400. Please make check payable to "SAEM" and
Application."
Disaster Medicine Fellowship http://www
11. DIVISION OF DISASTER MEDICINE │ DEPARTMENT OF EMERGENCY MEDICINE
Thank you!
• Questions?
Editor's Notes
Post-graduate Education
Medical Residencies
Fellowships
There are numerous guidelines of what “we” need to learn in “disaster medicine”
Seminal paper in 2012 from the Annals of Emergency Medicine with a systematic focus defining core competencies for acute care professionals
Allows for a broad inter-professional approach, especially when looking at post-graduate education
However, as an Emergency Medicine physician, it was important for me to know… what ELSE do I need to know?
Broad training competencies can often miss critical and specific needs that should be integrated into subspecialty education
Emergency Medicine (EM) physicians are at the forefront of the management of the increasing number of disasters
Disasters don’t care if you are a new graduate or a 20 year veteran
Communities trust and expect EM physicians to be prepared leaders and responders for these low frequency, high acuity events
Accreditation Council for Graduation Medical Education (ACGME) residency program requirements for EM have minimal recommendations for education in Disaster Medicine
94% of responding US residencies in Emergency Medicine teach Disaster Medicine topics
Commonly teach patient triage and decontamination
Least commonly address working with response teams, volunteer management, special needs populations
Over ½ program directors think they spend too little time on education
Most common teaching modalities are drills and lectures
International experts and representatives from ACEP, SAEM, NAEMSP reviewed currently available educational recommendations
Edited, amended, collaborated and ranked educational objectives for EM trainees through a modified Delphi methodology
The goal is that every EM physician in the US will be able to function more effectively and efficiently with a deeper and more practical understanding of current Disaster Medicine best practices
heavy emphasis on key disaster concepts surrounding hospital based emergency management, chemical-biological-radiological-nuclear explosives (CBRNE) events, and trauma
The specific topics were developed for Emergency Medicine residencies with the knowledge that some content in these categories is already covered in the EM model, though not always within the construct of Disaster Medicine-based scenarios
Expert panelists noted that many of the highest priority topics are already being taught across EM, including management of blast injuries, chemical, biological and radiation events, as well as mass casualty management from trauma
training to manage a sudden influx of casualties to the hospital from no-notice events is critical
Train US and non-US based physicians
Primarily Emergency and pediatric Emergency Medicine
Also have training program for Nurses
Have trained Family Medicine, Orthopedic Surgeons, Cardiologist
Looking towards Internal Medicine (Hospitalists)
Education through:
Weekly Didactics with local and international expert educators
Journal Club
Experience based rotations
Interactive hands-on courses
Research
International collaboration
Simulation
Developing curriculum guidelines for primary care physicians, hospitalists, and nurses
Data has shown retention is just as good using virtual reality and gaming systems versus classroom based education
We need to connect educational goals with specific training modules
Amazing work being led at Toulouse University Hospital, France by Dr. Vincent Bounes and Dr. Laurent Gout (see their talk at 5:15 pm!)
