Tsai Yi-Da, Tsai Shih-Hung, Chen Sy-Jou, Chen Yin-Chung, Wang Jen-Chun, Hsu Chia-Ching, Chen Ying-Hsin, Yang Tse-Chun, Li Chih-Wei, Cheng Cheng-Yi
Department of Emergency Medicine, Tri-Service General Hospital.
Department of Physiology and Biophysics, Graduate Institute of Physiology.
Medicine (Baltimore). 2020 May;99(20):e20230. doi: 10.1097/MD.0000000000020230.
Disaster medicine education in medical curricula is scarce and frequently nonexistent. It is reasonable to initiate educational approaches for physicians in this field at the medical school level. An understanding of disaster medicine and the health care system during massive casualty incidents has been recommended as an integral part of the medical curriculum in the United States and Germany.The goal of the reformed curriculum was to develop a longitudinal integrated disaster and military medicine education program extending from the first year to the sixth year based on previously separated clinical and military medicine topics. Emergency medicine physicians, military emergency medical technicians, and Tactical Combat Casualty Care instructors formed an interprofessional faculty group and designed a learning curriculum.A total of 230 medical students participated in the revised disaster preparedness curriculum. Satisfaction survey response rates were high (201/230, 87.4%). Most of the free-text comments on the program were highly appreciative. The students considered the number of teaching hours for the whole program to be adequate. The students showed significant improvements in knowledge and judgment regarding disaster medicine after the program.We found that medical students were highly interested, were appreciative of, and actively participated in this longitudinal integrated disaster and military medicine education program, but gaps existed between the students' scores and the educators' expectations. The educators believed that the students needed more disaster preparedness knowledge and skills.
医学课程中的灾难医学教育稀缺,且常常不存在。在医学院层面为该领域的医生启动教育方法是合理的。在美国和德国,对大规模伤亡事件中的灾难医学和医疗保健系统的理解已被推荐为医学课程的一个组成部分。改革后的课程目标是基于先前分开的临床和军事医学主题,制定一个从第一年到第六年的纵向综合灾难与军事医学教育计划。急诊医学医生、军事急救医疗技术人员和战术战斗伤亡护理教员组成了一个跨专业教师团队,并设计了一个学习课程。共有230名医学生参加了修订后的灾难准备课程。满意度调查的回复率很高(201/230,87.4%)。关于该项目的大多数自由文本评论都高度赞赏。学生们认为整个项目的教学时长是足够的。该项目结束后,学生们在灾难医学知识和判断力方面有了显著提高。我们发现,医学生对这个纵向综合灾难与军事医学教育项目非常感兴趣,很欣赏并积极参与,但学生的成绩与教育工作者的期望之间存在差距。教育工作者认为学生需要更多的灾难准备知识和技能。