Belyea Andrew, Jain Trevor, Sibley Aaron
Dalhousie University, Halifax, NS, Canada.
Paramedicine Degree Program UPEI, Charlottetown, PEI, Canada.
CJEM. 2023 May;25(5):382-386. doi: 10.1007/s43678-023-00478-2. Epub 2023 Mar 29.
Disaster medicine teaching is an important, and understudied, component of EM residency training programs. Little is known about disaster medicine training in Canadian EM programs, particularly within the 1-year EM enhanced skills programs. The purpose of this study is to (1) understand which disaster medicine topics are currently taught in EM enhanced skills programs and (2) establish a list of the highest priority disaster medicine teaching topics for those programs.
We distributed an eight-question survey to all 31 EM enhanced skills site directors across Canada by email. Questions on the survey asked which of 39 disaster medicine subtopics were (1) currently taught and (2) should be taught to EM enhanced skills residents.
Of 31 invited participants, 16 completed the study (52% response rate). The most taught topic was introduction to disaster medicine/nomenclature (13/16 programs), while 11/16 programs currently teach decontamination indications and issues, personal protective equipment, prehospital disaster management, and trauma mass casualty incidents. Topics reported high or essential priority for teaching included introduction to disaster medicine/nomenclature (12/16 programs), decontamination indications and issues, personal protective equipment, and prehospital disaster management (11/16 programs).
This study identified disaster medicine topics currently taught at Canadian EM enhanced skills programs, along with recommending a list of priority teaching topics. These findings can inform future disaster medicine content in EM training program curricula.
灾难医学教学是急诊医学住院医师培训项目的一个重要但研究不足的组成部分。对于加拿大急诊医学项目中的灾难医学培训，尤其是在为期1年的急诊医学强化技能项目中，我们了解甚少。本研究的目的是：（1）了解急诊医学强化技能项目目前教授哪些灾难医学主题；（2）为这些项目确定一份优先级最高的灾难医学教学主题清单。
我们通过电子邮件向加拿大所有31位急诊医学强化技能项目主任发放了一份包含8个问题的调查问卷。问卷中的问题询问了39个灾难医学子主题中哪些（1）目前正在教授；（2）应该教授给急诊医学强化技能住院医师。
在31位受邀参与者中，16位完成了研究（回复率为52%）。教授最多的主题是灾难医学/术语介绍（13/16个项目），而11/16个项目目前教授去污指征与问题、个人防护装备、院前灾难管理以及创伤大规模伤亡事件。报告为高优先级或必需优先级教学的主题包括灾难医学/术语介绍（12/16个项目）、去污指征与问题、个人防护装备以及院前灾难管理（11/16个项目）。
本研究确定了加拿大急诊医学强化技能项目目前教授的灾难医学主题，并推荐了一份优先级教学主题清单。这些研究结果可为急诊医学培训项目课程未来的灾难医学内容提供参考。
