Mbanjumucyo Gabin, DeVos Elizabeth, Pulfrey Simon, Epino Henry M
Department of Emergency Medicine, Masaka District Hospital, P.O. Box 3472, Kigali, Rwanda ; University Teaching Hospital of Kigali, Kigali, Rwanda.
University Teaching Hospital of Kigali, Kigali, Rwanda ; Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, 655 West 8th Street, Jacksonville, FL USA.
Int J Emerg Med. 2015 Jun 16;8:20. doi: 10.1186/s12245-015-0067-2. eCollection 2015.
The 1994 Rwandan war and genocide left more than 1 million people dead; millions displaced; and the country's economic, social, and health infrastructure destroyed. Despite remaining one of the poorest countries in the world, Rwanda has made remarkable gains in health, social, and economic development over the last 20 years, but modern emergency care has been slow to progress. Rwanda has recently established the Human Resources for Health program to rapidly build capacity in multiple sectors of its healthcare delivery system, including emergency medicine. This project involves multiple medical and surgical residencies, nursing programs, allied health professional trainings, and hospital administrative support. A real strength of the program is that trainers work with international faculty at Rwanda's referral hospital, but also as emergency medicine specialty trainers when returning to their respective district hospitals. Rwanda's first emergency medicine trainees are playing a unique and important role in the implementation of emergency care systems and education in the country's district hospitals. While there has been early vital progress in building emergency medicine's foundations in Rwanda, there remains much work to be done. This will be accomplished with careful planning and strong commitment from the country's healthcare and emergency medicine leaders.
1994年的卢旺达战争和种族灭绝致使100多万人丧生，数百万人流离失所，该国的经济、社会和卫生基础设施遭到破坏。尽管卢旺达仍是世界上最贫穷的国家之一，但在过去20年里，它在卫生、社会和经济发展方面取得了显著成就，不过现代急救护理的发展却较为缓慢。卢旺达最近设立了卫生人力资源项目，以迅速提升其医疗服务体系多个部门的能力，包括急诊医学。该项目涉及多个内科和外科住院医师培训项目、护理课程、专职医疗专业培训以及医院行政支持。该项目的一大优势在于，培训人员不仅在卢旺达的转诊医院与国际教员合作，回到各自所在的地区医院后还担任急诊医学专业培训师。卢旺达的首批急诊医学学员在该国地区医院的急救护理系统实施和教育工作中发挥着独特而重要的作用。虽然卢旺达在建立急诊医学基础方面已取得初步重要进展，但仍有许多工作要做。这需要该国医疗保健和急诊医学领域的领导者精心规划并坚定投入才能实现。
