Wiesner Lauren, Kappler Shane, Shuster Alex, DeLuca Michael, Ott James, Glasser Eric
Department of Emergency Medicine, MedStar Washington Hospital Center/MedStar Georgetown University Hospital, Washington, DC.
Georgetown University School of Medicine, Washington, DC.
J Emerg Med. 2018 Mar;54(3):348-353. doi: 10.1016/j.jemermed.2017.12.008. Epub 2018 Feb 13.
Over a decade ago, the Association of American Medical Colleges called for incorporation of disaster medicine training into the education of medical students in the United States. Despite this recommendation, similar suggestions by other professional organizations, and significant interest from medical students and educators, few medical schools explicitly include robust disaster training in their curricula.
This study describes the results of the implementation of a novel medical student curriculum in disaster response at an allopathic U.S. medical school. Specifically, this study evaluates the effectiveness of a voluntary training program in increasing the knowledge of medical students to respond to disasters.
Over 2 years, 24 hours of training consisting of didactics and hands-on exercises was delivered to medical students by volunteers from the Department of Emergency Medicine. Student knowledge was tested prior to and after each training session through a multiple-choice questionnaire and evaluated using a paired t-test.
Consistent with previous studies, this voluntary disaster curriculum improved students' knowledge of emergency preparedness. The mean test score for all students participating in the training increased from 5.30 ± 1.05 (with a maximum score of 10), to 7.98±0.96 post course.
This intervention represents a low-cost, high-impact mechanism for improving the capacity of an underutilized segment of the health care team to respond to public health emergencies.
十多年前，美国医学院协会呼吁将灾害医学培训纳入美国医学生的教育中。尽管有这一建议、其他专业组织的类似提议，以及医学生和教育工作者的浓厚兴趣，但很少有医学院校在其课程中明确纳入全面的灾害培训。
本研究描述了美国一所全科医学院实施的一项针对医学生的新型灾害应对课程的结果。具体而言，本研究评估了一项自愿培训计划在提高医学生应对灾害知识方面的有效性。
在两年时间里，急诊医学系的志愿者为医学生提供了24小时由理论教学和实践练习组成的培训。通过多项选择题问卷在每次培训课程前后对学生的知识进行测试，并使用配对t检验进行评估。
与之前的研究一致，这项自愿性灾害课程提高了学生的应急准备知识。参加培训的所有学生的平均测试成绩从5.30±1.05（满分10分）提高到课程结束后的7.98±0.96。
这项干预措施是一种低成本、高影响力的机制，可提高医疗团队中未充分利用部分应对突发公共卫生事件的能力。
