Department of Emergency Medicine, Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, MassachusettsUSA.
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, MassachusettsUSA.
Prehosp Disaster Med. 2019 Oct;34(5):473-480. doi: 10.1017/S1049023X19004746. Epub 2019 Aug 28.
Disaster Medicine (DM) education for Emergency Medicine (EM) residents is highly variable due to time constraints, competing priorities, and program expertise. The investigators' aim was to define and prioritize DM core competencies for EM residency programs through consensus opinion of experts and EM professional organization representatives.
Investigators utilized a modified Delphi methodology to generate a recommended, prioritized core curriculum of 40 DM educational topics for EM residencies.
The DM topics recommended and outlined for inclusion in EM residency training included: patient triage in disasters, surge capacity, introduction to disaster nomenclature, blast injuries, hospital disaster mitigation, preparedness, planning and response, hospital response to chemical mass-casualty incident (MCI), decontamination indications and issues, trauma MCI, disaster exercises and training, biological agents, personal protective equipment, and hospital response to radiation MCI.
This expert-consensus-driven, prioritized ranking of DM topics may serve as the core curriculum for US EM residency programs.
由于时间限制、竞争优先级和项目专业知识的原因，急诊医学（EM）住院医师的灾难医学（DM）教育差异很大。研究人员的目的是通过专家和 EM 专业组织代表的共识意见来定义和确定 EM 住院医师培训计划的 DM 核心能力。
研究人员使用改良 Delphi 方法生成了 40 个 DM 教育主题的推荐、优先级核心课程，供 EM 住院医师使用。
推荐并概述纳入 EM 住院医师培训的 DM 主题包括：灾难中的患者分诊、应急能力、灾难命名法介绍、爆炸伤、医院灾害缓解、备灾、计划和应对、医院对化学大量伤亡事件（MCI）的反应、去污指征和问题、创伤 MCI、灾难演习和培训、生物制剂、个人防护设备以及医院对辐射 MCI 的反应。
这份由专家共识驱动、对 DM 主题进行优先级排序的报告，可以作为美国 EM 住院医师培训计划的核心课程。
