El-Shinawi Mohamed, McCunn Maureen, Sisley Amy C, El-Setouhy Maged, Hirshon Jon Mark
Department of General Surgery, Ain Shams University, Cairo, Egypt.
Department of Anesthesiology, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland.
J Surg Educ. 2015 Jul-Aug;72(4):e29-32. doi: 10.1016/j.jsurg.2014.12.001. Epub 2015 Jan 16.
As one of the leading causes of death and disability in the world, human trauma and injury disproportionately affects individuals in developing countries. To meet the need for improved trauma care in Egypt, the Sequential Trauma Emergency/Education ProgramS (STEPS) course was created through the collaborative effort of U.S. and Egyptian physicians. The objective of course development was to create a high-quality, modular, adaptable, and sustainable trauma care course that could be readily adopted by a lower- or middle-income country.
We describe the development, transition, and host nation sustainability of a trauma care training course between a high-income Western nation and a lower-middle-income Middle Eastern/Northern African country, including the number of physicians trained and the challenges to program development and sustainability.
STEPS was developed at the University of Maryland, based in part on World Health Organization's Emergency and Trauma Care materials, and introduced to the Egyptian Ministry of Health and Population and Ain Shams University in May 2006. To date, 639 physicians from multiple specialties have taken the 4-day course through the Ministry of Health and Population or public/governmental universities. In 2008, the course transitioned completely to the leadership of Egyptian academic physicians. Multiple Egyptian medical schools and the Egyptian Emergency Medicine Board now require STEPS or its equivalent for physicians in training.
Success of this collaborative educational program is demonstrated by the numbers of physicians trained, the adoption of STEPS by the Egyptian Emergency Medicine Board, and program continuance after transitioning to in-country leadership and trainers.
作为全球主要的死亡和残疾原因之一，人类创伤和损伤对发展中国家个人的影响尤为严重。为满足埃及改善创伤护理的需求，美国和埃及医生共同努力创建了创伤紧急情况/教育连续课程（STEPS）。课程开发的目标是创建一个高质量、模块化、适应性强且可持续的创伤护理课程，以便低收入或中等收入国家能够轻松采用。
我们描述了一个高收入西方国家与一个中低收入中东/北非国家之间创伤护理培训课程的开发、过渡以及东道国的可持续性，包括培训的医生数量以及课程开发和可持续性面临的挑战。
STEPS课程由马里兰大学开发，部分基于世界卫生组织的紧急情况和创伤护理材料，并于2006年5月引入埃及卫生和人口部以及艾因夏姆斯大学。迄今为止，已有来自多个专业的639名医生通过卫生和人口部或公立/政府大学参加了为期4天的课程。2008年，该课程完全过渡到由埃及学术医生领导。埃及多所医学院校和埃及急诊医学委员会现在要求实习医生参加STEPS课程或其等效课程。
接受培训的医生数量、埃及急诊医学委员会对STEPS课程的采用以及在过渡到国内领导和培训人员后课程的持续开展，都证明了这个合作教育项目的成功。
