Abstract
Objectives
Disaster medicine teaching is an important, and understudied, component of EM residency training programs. Little is known about disaster medicine training in Canadian EM programs, particularly within the 1-year EM enhanced skills programs. The purpose of this study is to (1) understand which disaster medicine topics are currently taught in EM enhanced skills programs and (2) establish a list of the highest priority disaster medicine teaching topics for those programs.
Methods
We distributed an eight-question survey to all 31 EM enhanced skills site directors across Canada by email. Questions on the survey asked which of 39 disaster medicine subtopics were (1) currently taught and (2) should be taught to EM enhanced skills residents.
Results
Of 31 invited participants, 16 completed the study (52% response rate). The most taught topic was introduction to disaster medicine/nomenclature (13/16 programs), while 11/16 programs currently teach decontamination indications and issues, personal protective equipment, prehospital disaster management, and trauma mass casualty incidents. Topics reported high or essential priority for teaching included introduction to disaster medicine/nomenclature (12/16 programs), decontamination indications and issues, personal protective equipment, and prehospital disaster management (11/16 programs).
Conclusions
This study identified disaster medicine topics currently taught at Canadian EM enhanced skills programs, along with recommending a list of priority teaching topics. These findings can inform future disaster medicine content in EM training program curricula.
Résumé
Objectifs
L’enseignement de la médecine de catastrophe est une composante importante et peu étudiée des programmes de résidence en MU. On sait peu de choses sur la formation à la médecine de catastrophe dans les programmes canadiens de MU, en particulier dans les programmes d'un an visant à améliorer les compétences en MU. L'objectif de cette étude est de 1) comprendre quels sujets relatifs à la médecine de catastrophe sont actuellement enseignés dans les programmes d'amélioration des compétences en MU et 2) d'établir une liste des sujets d'enseignement de la médecine de catastrophe les plus prioritaires pour ces programmes.
Méthodes
Nous avons distribué par courriel un questionnaire de huit questions aux 31 directeurs de sites d'amélioration des compétences en MU au Canada. Les questions de l'enquête portaient sur les 39 sous-thèmes de la médecine de catastrophe qui 1) sont actuellement enseignés et 2) devraient être enseignés aux résidents ayant des compétences renforcées en MU.
Résultats
Sur les 31 participants invités, 16 ont terminé l'étude (taux de réponse de 52 %). Le sujet le plus enseigné était l'introduction à la médecine de catastrophe/la nomenclature (13/16 programmes), tandis que 11/16 programmes enseignent actuellement les indications et les problèmes de décontamination, l'équipement de protection individuelle, la gestion préhospitalière des catastrophes et les traumatismes liés aux incidents de masse. Les sujets considérés comme prioritaires ou essentiels pour l'enseignement comprenaient l'introduction à la médecine de catastrophe/la nomenclature (12/16 programmes), les indications et les problèmes de décontamination, l'équipement de protection individuelle et la gestion préhospitalière des catastrophes (11/16 programmes).
Conclusions
Cette étude a permis d'identifier les sujets relatifs à la médecine de catastrophe actuellement enseignés dans les programmes canadiens d'amélioration des compétences en MU, et de recommander une liste de sujets d'enseignement prioritaires. Ces résultats peuvent éclairer le contenu futur de la médecine de catastrophe dans les programmes de formation en médecine d'urgence.
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References
Centre for Research on the Epidemiology of Disasters (CRED). Disasters year in review 2021. In: Emergency Events Database (EM-DAT). Brussels: CRED; 2022.
Goniewicz K, Burkle FM, Khorram-Manesh A. The gap of knowledge and skill—one reason for unsuccessful management of mass casualty incidents and disasters. Am J Emerg Med. 2021;46:744–5.
Katzer R, Cabanas JG, Martin-Gill C. Emergency medical services education in emergency medicine residency programs: a national survey. Acad Emerg Med. 2012;19:174–9.
Sarin RR, Cattamanchi S, Alqahtani A, Aljohani M, Keim M, Ciottone GR. Disaster education: a survey study to analyze disaster medicine training in emergency medicine residency programs in the United States. Prehosp Disaster Med. 2017;32(4):368–73.
College of Family Physicians of Canada. Emergency medicine key features of the priority topics for the assessment of competence in family medicine at the enhanced skills level. Mississauga: The College; 2017. https://www.cfpc.ca/CFPC/media/Images/PDF/EM_KF-2017_Final_ENG.pdf
Kollek D, Bezanson J, Carby S, Chowdhury S, Davidson R, Dodd G, et al. CAEP position statement—hospital disaster preparedness. CJEM. 2020;22(4):471–4.
MacDonald RD, Ip J, Wanger K, Rothney A, McLelland K, Travers AH, et al. The development of a national emergency medical services curriculum framework for physicians in Canada. Prehosp Emerg Care. 2008;12(3):372–80.
Sarin RR, Biddinger P, Brown J, Burstein JL, Burkle FM, Char D, Ciottone G, Hick JL, Koenig KL, Little C, Schultz C, Maggin J, Goralnick E. Core disaster medicine education (CDME) for emergency medicine residents in the United States. Prehosp Disaster Med. 2019;34(5):473–80.
American College of Emergency Physicians. Emergency medicine residency disaster curricula model: an information paper. ACEP; 2022. https://www.acep.org/globalassets/uploads/uploaded-files/acep/clinical-and-practice-management/policy-statements/information-papers/emergency-medicine-residency-disaster-curricula-model.pdf
Kaji AH, Waeckerle JF. Disaster medicine and the emergency medicine resident. Ann Emerg Med. 2003;41:865–70.
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Belyea, A., Jain, T. & Sibley, A. Examining the disaster medicine curriculum in Canadian Emergency Medicine enhanced skills programs. Can J Emerg Med 25, 382–386 (2023). https://doi.org/10.1007/s43678-023-00478-2
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DOI: https://doi.org/10.1007/s43678-023-00478-2