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Preparing Emergency Physicians for Acute Disaster Response: A Review of Current Training Opportunities in the US

Published online by Cambridge University Press:  19 September 2016

Bhakti Hansoti Open the ORCID record for Bhakti Hansoti [Opens in a new window] ,
Dylan S. Kellogg ,
Sara J. Aberle ,
Morgan C. Broccoli ,
Jeffrey Feden ,
Arthur French ,
Charles M. Little ,
Brooks Moore ,
Joseph Sabato Jr.  and
Tara Sheets
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Bhakti Hansoti*
Affiliation:
Johns Hopkins University, Department of Emergency Medicine, Baltimore, MarylandUSA
Dylan S. Kellogg
Affiliation:
Johns Hopkins University, Department of Emergency Medicine, Baltimore, MarylandUSA
Sara J. Aberle
Affiliation:
Mayo Clinic, Emergency Medicine, Rochester, MinnesotaUSA
Morgan C. Broccoli
Affiliation:
Johns Hopkins University, Department of Emergency Medicine, Baltimore, MarylandUSA
Jeffrey Feden
Affiliation:
Brown University, Emergency Medicine, Providence, Rhode IslandUSA
Arthur French
Affiliation:
VA Puget Sound Health Care System - Seattle Division, Emergency Medicine, Seattle, WashingtonUSA
Charles M. Little
Affiliation:
University of Colorado Denver, Emergency Medicine, Denver, ColoradoUSA
Brooks Moore
Affiliation:
Emory University, Emergency Medicine, Atlanta, GeorgiaUSA
Joseph Sabato Jr.
Affiliation:
University of Florida, Emergency Medicine, Gainesville, FloridaUSA
Tara Sheets
Affiliation:
Baylor College of Medicine, Emergency Medicine, Houston, TexasUSA
R. Weinberg
Affiliation:
Massachusetts Institute of Technology (MIT), Cambridge, MassachusettsUSA
Pat Elmes
Affiliation:
American College of Emergency Physicians (ACEP), Irving, TexasUSA
Christopher Kang
Affiliation:
Madigan Army Medical Center, Emergency Medicine, Tacoma, WashingtonUSA
*
Correspondence: Bhakti Hansoti, MBChB, MPH Department of Emergency Medicine Johns Hopkins University Baltimore, Maryland USA E-mail: bhakti.hansoti@gmail.com
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Abstract

Study Objective

This study aimed to review available disaster training options for health care providers, and to provide specific recommendations for developing and delivering a disaster-response-training program for non-disaster-trained emergency physicians, residents, and trainees prior to acute deployment.

Methods

A comprehensive review of the peer-reviewed and grey literature of the existing training options for health care providers was conducted to provide specific recommendations.

Results

A comprehensive search of the Pubmed, Embase, Web of Science, Scopus, and Cochrane databases was performed to identify publications related to courses for disaster preparedness and response training for health care professionals. This search revealed 7,681 unique titles, of which 53 articles were included in the full review. A total of 384 courses were found through the grey literature search, and many of these were available online for no charge and could be completed in less than six hours. The majority of courses focused on management and disaster planning; few focused on clinical care and acute response.

Conclusion

There is need for a course that is targeted toward emergency physicians and trainees without formal disaster training. This course should be available online and should utilize a mix of educational modalities, including lectures, scenarios, and virtual simulations. An ideal course should focus on disaster preparedness, and the clinical and non-clinical aspects of response, with a focus on an all-hazards approach, including both terrorism-related and environmental disasters.

HansotiB, KelloggDS, AberleSJ, BroccoliMC, FedenJ, FrenchA, LittleCM, MooreB, SabatoJJr., SheetsT, WeinbergR, ElmesP, KangC. Preparing Emergency Physicians for Acute Disaster Response: A Review of Current Training Opportunities in the US. Prehosp Disaster Med. 2016;31(6):643–647.

Keywords

disaster trainingeducationemergency physician
Type
Comprehensive Reviews
Information
Prehospital and Disaster Medicine , Volume 31 , Issue 6 , December 2016 , pp. 643 - 647
Copyright
© World Association for Disaster and Emergency Medicine 2016 

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References

1. Greenberg, MI, Jurgens, SM, Gracely, EJ. Emergency department preparedness for the evaluation and treatment of victims of biological or chemical terrorist attack. J Emerg Med. 2002;22(3):273-278.Google Scholar
2. Hauswald, M, Richards, ME, Kerr, NL, Schmidt, TA, Helderman, T. The Haitian Earthquake and Academic Emergency Medicine. Acad Emerg Med. 2010;17(7):762-764.Google Scholar
3. Kaji, AH, Waeckerle, JF. Disaster medicine and the emergency medicine resident. Ann Emerg Med. 2003;41(6):865-870.Google Scholar
4. Lee, S, Tenny, M. The Haiti Earthquake: disaster lessons and response from an emergency medicine perspective. West J Emerg Med. 2010;11(1). http://escholarship.org/uc/item/95j3f5mp. Accessed June 16, 2015.Google Scholar
5. Van Hoving, DJ, Wallis, LA, Docrat, F, Vries, SD. Haiti disaster tourism—a medical shame. Prehosp Disaster Med. 2010;25(3):201-202.Google Scholar
6. Hsu, EB, Jenckes, MW, Catlett, CL, et al. Effectiveness of hospital staff mass-casualty incident training methods: a systematic literature review. Prehosp Disaster Med. 2004;19(3):191-199.CrossRefGoogle ScholarPubMed
7. Centers for Medicare & Medicaid Services. Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers; Extension of Comment Period. February 2014. https://www.federalregister.gov/articles/2014/02/21/2014-03710/medicare-and-medicaid-programs-emergency-preparedness-requirements-for-medicare-and-medicaid. Accessed June 11, 2015.Google Scholar
8. American College of Emergency Physicians. Disaster Medicine Curriculum for Emergency Medicine Residents. http://www.acep.org/workarea/DownloadAsset.aspx?id=47630. Accessed June 1, 2015.Google Scholar
9. American College of Emergency Physicians. Recommendations for Specialized Disaster Medical Training. http://www.acep.org/workarea/DownloadAsset.aspx?id=47629. Accessed June 1, 2015.Google Scholar
10. Atack, L, Bull, E, Dryden, T, Maher, J, Rocchi, M. An evaluation of learner perception of competency and satisfaction with three models of an interdisciplinary surge capacity course. J Allied Health. 2012;41(3):106-112.Google ScholarPubMed
11. Ablah, E, Wetta-Hall, R, Molgaard, CA, et al. Evaluation of interdisciplinary terrorism preparedness programs: a pilot focus group study. J Allied Health. 2006;35(4):189-197.Google ScholarPubMed
12. Bistaraki, A, Waddington, K, Galanis, P. The effectiveness of a disaster training program for healthcare workers in Greece. Int Nurs Rev. 2011;58(3):341-346.Google Scholar
13. Fox, L, Timm, N. Pediatric issues in disaster preparedness: meeting the educational needs of nurses—are we there yet? J Pediatr Nurs Nurs Care Child Fam. 2008;23(2):145-152.Google Scholar
14. Gershon, R, Canton, A, Magda, L, DiMaggio, C, Gonzalez, D, Dul, M. Web-based training on weapons of mass destruction response for Emergency Medical Services personnel. Am J Disaster Med. 2008;4(3):153-161.CrossRefGoogle Scholar
15. Behar, S, Upperman, J, Ramirez, M, Dorey, F, Nager, A. Training medical staff for pediatric disaster victims: a comparison of different teaching methods. Am J Disaster Med. 2007;3(4):189-199.Google Scholar
16. Federal Emergency Management Agency. FEMA. Incident Command System Resources. https://www.fema.gov/incident-command-system-resources. Accessed June 1, 2015.Google Scholar
17. American Red Cross. Red Cross Web site. www.redcross.org. Accessed June 1, 2015.Google Scholar
18. Centers for Disease Control and Prevention. Public Health Preparedness Capabilities: National Standards for State and Local Planning. Atlanta, Georgia USA: Center for Disease Control and Prevention; 2011.Google Scholar
19. Centers for Disease Control and Prevention, Association of Schools of Public Health. Public health preparedness and response: core competency model. December 2010. http://www.cdc.gov/phpr/documents/perlcPDFS/PreparednessCompetencyModelWorkforce-Version1_0.pdf. Accessed June 1, 2015.Google Scholar
20. Schultz, CH, Koenig, KL, Whiteside, M, Murray, R, National Standardized All-Hazard Disaster Core Competencies Task Force. Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals. Ann Emerg Med. 2012;59(3):196-208.e1.Google Scholar
21. Williams, J, Nocera, M, Casteel, C. The effectiveness of disaster training for health care workers: a systematic review. Ann Emerg Med. 2008;52(3):211-222, 222.e1-e2.CrossRefGoogle ScholarPubMed
22. Farra, S, Miller, E, Timm, N, Schafer, J. Improved training for disasters using 3-D virtual reality simulation. West J Nurs Res. 2013;35(5):655-671.CrossRefGoogle ScholarPubMed
23. Cohen, D, Sevdalis, N, Taylor, D, et al. Emergency preparedness in the 21st century: training and preparation modules in virtual environments. Resuscitation. 2013;84(1):78-84.Google Scholar
24. Della Corte, F, La Mura, F, Petrino, R. E-learning as educational tool in emergency and disaster medicine teaching. Minerva Anestesiol. 2005;71(5):181-195.Google Scholar
25. Franc, JM, Nichols, D, Dong, SL. Increasing emergency medicine residents’ confidence in disaster management: use of an emergency department simulator and an expedited curriculum. Prehosp Disaster Med. 2012;27(1):31-35.Google Scholar
26. Casebeer, L, Andolsek, K, Abdolrasulnia, M, et al. Evaluation of an online bioterrorism continuing medical education course. J Contin Educ Health Prof. 2006;26(2):137-144.Google Scholar
27. Chandler, T, Qureshi, K, Gebbie, KM, Morse, SS. Teaching emergency preparedness to public health workers: use of blended learning in web-based training. Public Health Rep. 2008;123(5):676-680.Google Scholar
28. Walsh, L, Subbarao, I, Gebbie, K, et al. Core competencies for disaster medicine and public health. Disaster Med Public Health Prep. 2012;6(1):44-52.Google Scholar
29. Middendorf, J, Kalish, A. The “Change-Up” in Lectures. Natl Teach Learn Forum. 1996;5(2):1-12.Google Scholar
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