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What Kinds of Skills Are Necessary for Physicians Involved in International Disaster Response?

  • Norihito Noguchi (a1) (a2), Satoshi Inoue (a3), Chisato Shimanoe (a4), Kaoru Shibayama (a1) (a5), Hitomi Matsunaga (a1), Sae Tanaka (a1), Akina Ishibashi (a1) and Koichi Shinchi (a1)...



Physicians are key disaster responders in foreign medical teams (FMTs) that provide medical relief to affected people. However, few studies have examined the skills required for physicians in real, international, disaster-response situations.


The objectives of this study were to survey the primary skills required for physicians from a Japanese FMT and to examine whether there were differences in the frequencies of performed skills according to demographic characteristics, previous experience, and dispatch situations to guide future training and certification programs.


This cross-sectional survey used a self-administered questionnaire given to 64 physicians with international disaster-response site experience. The questionnaire assessed demographic characteristics (sex, age, years of experience as a physician, affiliation, and specialty), previous experience (domestic disaster-relief experience, international disaster-relief experience, or disaster medicine training experience), and dispatch situation (length of dispatch, post-disaster phase, disaster type, and place of dispatch). In addition, the frequencies of 42 performed skills were assessed via a five-point Likert scale. Descriptive statistics were used to assess the participants’ characteristics and total scores as the frequencies of performed skills. Mean scores for surgical skills, health care-related skills, public health skills, and management and coordination skills were compared according to the demographic characteristics, previous experience, and dispatch situations.


Fifty-two valid questionnaires (81.3% response rate) were collected. There was a trend toward higher skill scores among those who had more previous international disaster-relief experience (P=.03). The more disaster medicine training experience the participants had, the higher their skill score was (P<.001). Physicians reported involvement in 23 disaster-relief response skills, nine of which were performed frequently. There was a trend toward higher scores for surgical skills, health care-related skills, and management and coordination skills related to more disaster medicine training experience.


This study’s findings can be used as evidence to boost the frequency of physicians’ performed skills by promoting previous experience with international disaster relief and disaster medicine training. Additionally, these results may contribute to enhancing the quality of medical practice in the international disaster relief and disaster training curricula.

Noguchi N , Inoue S , Shimanoe C , Shibayama K , Matsunaga H , Tanaka S , Ishibashi A , Shinchi K . What Kinds of Skills Are Necessary for Physicians Involved in International Disaster Response? Prehosp Disaster Med. 2016;31(4):397406.


Corresponding author

Correspondence: Norihito Noguchi, RN, PHN, MSN Department of Community and International Health Nursing Faculty of Medicine Saga University 5-1-1 Nabeshima, Saga City Saga, Japan 849-8501 E-mail:,


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1. World Health Organization. Classification and minimum standards for foreign medical teams in sudden-onset disasters. fmt_guidelines_september2013.pdf. Published 2013. Accessed July 28, 2015.
2. Ministry of Foreign Affairs of Japan. Earthquake damage in Nepal: dispatch of the Japan Disaster Relief Medical Team. Ministry of Foreign Affairs of Japan Web site. Accessed July 28, 2015.
3. Nickerson, JW, Chackungal, S, Knowlton, L, et al. Surgical care during humanitarian crises: a systematic review of published surgical caseload data from foreign medical teams. Prehosp Disaster Med. 2012;27(2):184-189.
4. Mohebbi, HA, Mehrvarz, S, Saghafinia, M, et al. Earthquake related injuries: assessment of 854 victims of the 2003 Bam disaster transported to tertiary referral hospitals. Prehosp Disaster Med. 2008;23(6):510-515.
5. Morey, TE, Rice, MJ. Anesthesia in an austere setting. Lessons learned from the Haiti relief operation. Anesthesiol Clin. 2013;31(1):107-115.
6. Redmond, AD, Mardel, S, Taithe, B, et al. A qualitative and quantitative study of the surgical and rehabilitation response to the earthquake in Haiti, January 2010. Prehosp Disaster Med. 2011;26(6):449-456.
7. Bar-Tal, D. Prosocial Behavior. Washington, DC USA: Hemisphere Publishing Corporation; 1976: 97.
8. United Nations Statistics Division. Composition of macro geographical (continental) regions, geographical sub-regions, and selected economic and other groupings. UN Statistics Division Web site. Accessed July 28, 2015.
9. World Health Organization and International Council of Nurses. ICN Framework of Disaster Nursing Competencies. DisasterPreparednessNetwork/Disaster_Nursing_Competencies_lite.pdf. Published 2009. Accessed July 28, 2015.
10. Fukuyama, Y, Shinchi, K, Shinchi, T, et al. The role of nurses in international disaster relief operations: survey among participants. J Int Health. 2006;21(3):169-174; (in Japanese).
11. Yin, H, He, H, Arbon, P. A survey of the practice of nurses’ skills in Wenchuan earthquake disaster sites: implications for disaster training. J Adv Nurs. 2011;67(10):2231-2238.
12. Waltz, CF, Strickland, OL, Lenz, ER. Measurement in Nursing and Health Research. 4th ed.. New York, USA: Springer; 2010: 189.
13. Lynn, MR. Determination and quantification of content validity. Nurs Res. 1986;35:382-385.
14. Djalali, A, Ingrassia, PL, Corte, FD, et al. Identifying deficiencies in national and foreign medical team responses through expert opinion surveys: implications for education and training. Prehosp Disaster Med. 2014;29(4):364-368.
15. Ingrassia, PL, Foletti, MD, Jalali, A, et al. Education and training initiatives for crisis management in the European Union: a web-based analysis of available programs. Prehosp Disaster Med. 2014;29(2):115-126.
16. Scott, LA, Swartzentruber, DA, Davis, CA, et al. Competency in chaos: lifesaving performance of care providers utilizing a competency-based, multi-actor emergency preparedness training curriculum. Prehosp Disaster Med. 2013;28(4):322-333.
17. Glow, SD, Colucci, VJ, Allington, DR, et al. Managing multiple-casualty incidents: a rural medical preparedness training assessment. Prehosp Disaster Med. 2013;28(4):334-341.
18. Pesiridis, T, Sourtzi, P, Galanis, P, et alz. Development, implementation, and evaluation of a disaster training program for nurses: a switching replications randomized controlled trial. Nurse Educ Pract. 2015;15(1):63-67.
19. Aghababaeian, H, Sedaghat, S, Tahery, N, et al. A comparative study of the effect of triage training by role-playing and educational video on the knowledge and performance of Emergency Medical Service staffs in Iran. Prehosp Disaster Med. 2013;28(6):605-609.
20. Su, T, Han, X, Chen, F, et al. Knowledge levels and training needs of disaster medicine among health professionals, medical students, and local residents in Shanghai, China. PLoS One. 2013;8(6):e67041.
21. Williams, J, Nocera, M, Casteel, C. The effectiveness of disaster training for health care workers: a systematic review. Ann Emerg Med. 2008;52(3):211-222; e2.
22. Jiang, L, He, H, Zhou, W, et al. Knowledge, attitudes, and competence in nursing practice of typhoon disaster relief work among Chinese nurses: a questionnaire survey. Int J Nurs Pract. 2015;21(1):60-69.
23. Farrow, GB, Rosenfeld, JV, Crozier, JA, et al. Military surgery in Rwanda. Aust N Z J Surg. 1997;67(10):696-702.
24. Lim, GH, Lim, BL, Vasu, A. Survey of factors affecting health care workers’ perception towards institutional and individual disaster preparedness. Prehosp Disaster Med. 2013;28(4):353-358.
25. Kim, H, Ahn, ME, Lee, KH, et al. Disaster medical assistance in super typhoon Haiyan: collaboration with the local medical team that resulted in great synergy. Ulus Travma Acil Cerrahi Derg. 2015;21(2):143-148.
26. Bremer, R. Policy development in disaster preparedness and management: lessons learned from the January 2001 earthquake in Gujarat, India. Prehosp Disaster Med. 2003;18(4):372-384.
27. Chambers, AJ, Campion, MJ, Courtenay, BG, et al. Operation Sumatra Assist: surgery for survivors of the tsunami disaster in Indonesia. ANZ J Surg. 2006;76(1-2):39-42.
28. Helminen, M, Saarela, E, Salmela, J. Characterization of patients treated at the Red Cross field hospital in Kashmir during the first three weeks of operation. Emerg Med J. 2006;23(8):654-656.
29. Schnitzer, JJ, Briggs, SM. Earthquake relief - the US medical response in Bam, Iran. N Engl J Med. 2004;350(12):1174-1176.
30. Halpern, P, Rosen, B, Carasso, S, et al. Intensive care in a field hospital in an urban disaster area: lessons from the August 1999 earthquake in Turkey. Crit Care Med. 2003;31(5):1410-1414.
31. Farfel, A, Assa, A, Amir, I, et al. Haiti earthquake 2010: a field hospital pediatric perspective. Eur J Pediatr. 2011;170(4):519-525.


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What Kinds of Skills Are Necessary for Physicians Involved in International Disaster Response?

  • Norihito Noguchi (a1) (a2), Satoshi Inoue (a3), Chisato Shimanoe (a4), Kaoru Shibayama (a1) (a5), Hitomi Matsunaga (a1), Sae Tanaka (a1), Akina Ishibashi (a1) and Koichi Shinchi (a1)...


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