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Using a Logic Model to Enable and Evaluate Long-Term Outcomes of a Mass Casualty Training Program: A Single Center Case Study

Published online by Cambridge University Press:  28 May 2021

Nicholas B Dadario
Robert Wood Johnson School of Medicine, Rutgers University, New Brunswick, NJ, USA
Simon Bellido
White Plains Hospital Center, Emergency Medicine, White Plains, NY, USA
Andrew Restivo
Department of Emergency Medicine, Montefiore Medical Center, Weiler Division, Bronx, NY, USA Albert Einstein College of Medicine, Bronx, NY, USA
Miriam Kulkarni
Department of Emergency Medicine, St. John’s Riverside Hospital, Yonkers, NY, USA
Maninder Singh
Albert Einstein College of Medicine, Bronx, NY, USA Department of Emergency Medicine, Jacobi Medical Center, Bronx, NY, USA
Andrew Yoon
Albert Einstein College of Medicine, Bronx, NY, USA Department of Emergency Medicine, Montefiore Medical Center, Moses Division, Bronx, NY, USA
Jared Shapiro
Environmental Health and Safety, Montefiore Health System, Bronx, NY, USA
Frank Quintero
White Plains Hospital Center, Emergency Medicine, White Plains, NY, USA
Tianna Tagami
MGH Institute of Health Professions, Boston, MA, USA Pearson Education, Boston, MA, USA
Christina J Yang
Albert Einstein College of Medicine, Bronx, NY, USA Department of Otorhinolaryngology, Montefiore Medical Center, Bronx, NY, USA
Farrukh N Jafri*
White Plains Hospital Center, Emergency Medicine, White Plains, NY, USA Albert Einstein College of Medicine, Bronx, NY, USA
Corresponding author: Farrukh N Jafri, Email:



Global health disasters are on the rise and can occur at any time with little advance warning, necessitating preparation. The authors created a comprehensive evidence-based Emergency Preparedness Training Program focused on long-term retention and sustained learner engagement.


A prospective observational study was conducted of a simulation-based mass casualty event training program designed using an outcomes-based logic model. A total of 25 frontline healthcare workers from multiple hospital sites in the New York metropolitan area participated in an 8-hour immersive workshop. Data was collected from assessments, and surveys provided to participants 3 weeks prior to the workshop, immediately following the workshop, and 3 months after completion of the workshop.


The mean percentage of total knowledge scores improved across pre-workshop, post-workshop and retention (3 months post-workshop) assessments (53.2% vs. 64.8% vs. 67.6%, P < 0.05). Average comfort scores in the core MCI competencies increased across pre-workshop, post-workshop and retention self-assessments (P < 0.01). Of the participants assessed at 3 months retention (n = 14, 56%), 50.0% (n = 7) assisted in updating their hospital’s emergency operations plan and 50.0% (n = 7) pursued further self-directed learning in disaster preparedness medicine.


The use of the logic model provided a transparent framework for the design, implementation, and evaluation of a competency-based EPT program at a single academic center.

Original Research
© Society for Disaster Medicine and Public Health, Inc. 2021

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