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Core Disaster Medicine Education (CDME) for Emergency Medicine Residents in the United States

Published online by Cambridge University Press:  28 August 2019

Ritu R. Sarin*
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, MassachusettsUSA
Paul Biddinger
Affiliation:
Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Harvard T.H. Chan School of Public Health, Boston, MassachusettsUSA
John Brown
Affiliation:
Department of Emergency Medicine, University of California, San Francisco School of Medicine, San Francisco, CaliforniaUSA
Jonathan L. Burstein
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, MassachusettsUSA
Frederick M. Burkle Jr.
Affiliation:
Harvard Humanitarian Initiative, T. H. Chan School of Public Health, Harvard University, Cambridge, MassachusettsUSA
Douglas Char
Affiliation:
Department of Emergency Medicine, Washington University, St. Louis, MissouriUSA
Gregory Ciottone
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconness Medical Center, Harvard Medical School, Boston, MassachusettsUSA
John L. Hick
Affiliation:
Department of Emergency Medicine, Hennepin County Hospital, University of Minnesota, Minneapolis, MinnesotaUSA
Kristi L. Koenig
Affiliation:
County of San Diego, Health & Human Services Agency, Emergency Medical Services, San Diego, California, USA Department of Emergency Medicine, University of California, Irvine, Department of Emergency Medicine, Orange, California, USA
Charles Little
Affiliation:
Department of Emergency Medicine, University of Colorado, Denver, ColoradoUSA
Carl Schultz
Affiliation:
Department of Emergency Medicine, University of California, Irvine, Department of Emergency Medicine, Orange, California, USA
Jeremy Maggin
Affiliation:
Kaiser Permanente Woodland Hills Medical Center, Los Angeles, CaliforniaUSA
Eric Goralnick
Affiliation:
Department of Emergency Medicine and Center for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical School, Boston, MassachusettsUSA
*
Correspondence: Ritu R. Sarin, MD Department of Emergency Medicine Beth Israel Deaconess Medical Center Harvard Medical School Boston, Massachusetts USA E-mail: rsarin@bidmc.harvard.edu; riturani@gmail.com

Abstract

Objectives:

Disaster Medicine (DM) education for Emergency Medicine (EM) residents is highly variable due to time constraints, competing priorities, and program expertise. The investigators’ aim was to define and prioritize DM core competencies for EM residency programs through consensus opinion of experts and EM professional organization representatives.

Methods:

Investigators utilized a modified Delphi methodology to generate a recommended, prioritized core curriculum of 40 DM educational topics for EM residencies.

Results:

The DM topics recommended and outlined for inclusion in EM residency training included: patient triage in disasters, surge capacity, introduction to disaster nomenclature, blast injuries, hospital disaster mitigation, preparedness, planning and response, hospital response to chemical mass-casualty incident (MCI), decontamination indications and issues, trauma MCI, disaster exercises and training, biological agents, personal protective equipment, and hospital response to radiation MCI.

Conclusions:

This expert-consensus-driven, prioritized ranking of DM topics may serve as the core curriculum for US EM residency programs.

Type
Original Research
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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