Alexander Ashlin J, Bandiera Glen W, Mazurik Laurie
Department of Emergency Services, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8.
Acad Emerg Med. 2005 May;12(5):404-9. doi: 10.1197/j.aem.2004.11.025.
Disaster planning is a core curriculum requirement for emergency medicine (EM) residency programs. Few comprehensive training opportunities in disaster planning incorporating the appropriate competencies have been reported.
To design, pilot, and evaluate a combination interactive Web-based disaster planning curriculum and real-time multidisciplinary full-scale disaster exercise.
Residents were assigned to groups led by a faculty mentor. Each group used an Internet-based platform to review the literature pertaining to their component of a disaster plan. The groups then used the platform to redesign an existing institutional disaster plan. Finally, they implemented their disaster plan for 80 simulated casualties resulting from a police, fire department, and emergency medical services multiple-casualty rescue exercise. All health professions then participated in a joint debriefing session. All aspects of the program were supervised by specialty EM faculty, and the exercise was evaluated using a five-point Likert scale with specific anchored descriptors.
Sixteen residents and 17 faculty members participated in the exercise. Trained volunteers and high-fidelity simulations represented casualties varying in age from 6 months to 65 years, and in severity from ambulatory to moribund. Residents found the exercise enjoyable (4.9/5), relevant (4.6/5), and educational (4.8/5).
Emergency medicine residency programs can benefit from participating in high-quality medical disaster exercises coordinated with local disaster response agencies. Residents report high satisfaction and learning from realistic simulations of disasters, and from collaboration with other community services.
灾难规划是急诊医学（EM）住院医师培训项目的核心课程要求。据报道，很少有全面的灾难规划培训机会能涵盖适当的能力要求。
设计、试行并评估一个基于网络的交互式灾难规划课程与实时多学科全面灾难演习相结合的项目。
将住院医师分成由教员导师带领的小组。每个小组使用基于互联网的平台复习与灾难计划各部分相关的文献。然后各小组利用该平台重新设计现有的机构灾难计划。最后，他们针对一场由警察、消防部门和紧急医疗服务部门参与的多伤亡救援演习中产生的80名模拟伤员实施其灾难计划。所有卫生专业人员随后参加联合汇报会。该项目的所有方面均由急诊医学专业教员监督，并使用带有具体锚定描述词的五点李克特量表对演习进行评估。
16名住院医师和17名教员参与了此次演习。训练有素的志愿者和高保真模拟代表了年龄从6个月到65岁不等、严重程度从能走动到濒死的伤员。住院医师们认为此次演习有趣（4.9/5）、相关（4.6/5）且有教育意义（4.8/5）。
急诊医学住院医师培训项目可从参与与当地灾难应对机构协调开展的高质量医疗灾难演习中受益。住院医师报告称对逼真的灾难模拟以及与其他社区服务机构的合作满意度很高且收获颇丰。
