International technical transfer of training systems and skills in emergency medicine and trauma management: experiences of the National Center for Global Health and Medicine, Japan.

For over 20 years, the National Center for Global Health and Medicine (NCGM), Japan has been involved in international assistance for emergency medicine and trauma management in many countries, including Bolivia, Vietnam, Laos, Cambodia, and Mongolia. Among the NCGM activities conducted, the most important is technical assistance for the appropriate transfer of training systems and skills in life support management. In most of the target countries, the development and execution of customized simulation training suitable for each setting has successfully motivated trainees, who are healthcare workers responsible for improving emergency medical services in their home country. Moreover, the development of appropriate training systems for trainers selected from among capable participants has played a key role in the subsequent sustained conducting of training courses independent of NCGM involvement.