Pediatric disaster preparedness curriculum across emergency medicine residencies.

Q3 Medicine

American journal of disaster medicine Pub Date : 2024-12-01 DOI:10.5055/ajdm.0463

Lea Ohana-Sarna Cahan, Alexander Hart, Attila J Hertelendy, Amalia Voskanyan, Debra L Weiner, Gregory R Ciottone

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引用次数: 0

Abstract

Objective: To assess pediatric disaster medicine (PDM) instruction in emergency medicine (EM) residency programs and to identify barriers to integrating these skills into EM training.

Methods: National survey study of United States EM Residency Program Directors (PDs) and Assistant PDs during the 2021-2022 academic year.

Results: Of the 186 EM residency programs identified, a total of 24 responses were recorded with a response rate of 12.9 percent. Importance of training was rated 5.79 (standard deviation 2.51) using the Likert scale ranging from 1 to 10. Out of 24 programs, 17 (70.8 percent) do not have any PDM training as part of residency training. Live drill, simulation, and tabletop were identified as most effective methods to deliver PDM training with the Likert scale score of 4.78, 4.6, and 4.47, respectively. Senior trainees' level of -knowledge/skills with family reunification (Likert 2.09/5; chemical-biological-radiological-nuclear explosive 2.95/5) and mass casualty preparation of the emergency department (3.3/5) as assessed by the respondents. The main barrier to education included logistics, eg, space and costs (Likert 3.7/5), lack of didactic time (3.7/5), and limited faculty knowledge, skill, or experience (3.3/5).

Conclusion: PDM training is lacking and requires standardization. This study highlights the opportunity for the creation of a model for EM resident education in PDM.

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急诊医学住院医生的儿科灾难准备课程。

目的评估急诊医学（EM）住院医师培训项目中的儿科灾难医学（PDM）教学，并找出将这些技能纳入急诊医学培训的障碍：方法：在2021-2022学年对美国急诊科住院医师培训项目主任（PD）和助理主任进行全国性调查研究：在已确定的 186 个急诊科住院医师培训项目中，共收到 24 份回复，回复率为 12.9%。采用1至10分的李克特量表对培训的重要性评分为5.79分（标准偏差为2.51分）。在 24 个项目中，有 17 个项目（70.8%）没有将 PDM 培训作为住院医师培训的一部分。现场演练、模拟训练和桌面训练被认为是提供 PDM 培训最有效的方法，其李克特量表得分分别为 4.78、4.6 和 4.47。根据受访者的评估，高级学员对家庭团聚（Likert 2.09/5；化学-生物-放射-核爆炸 2.95/5）和急诊科大规模伤亡准备（3.3/5）的知识/技能水平。教育的主要障碍包括后勤，如空间和成本（Likert 3.7/5）、缺乏授课时间（3.7/5）以及教师知识、技能或经验有限（3.3/5）：结论：PDM 培训不足，需要标准化。本研究强调了建立 EM 住院医师 PDM 教育模式的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of disaster medicine Medicine-Medicine (all)

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： With the publication of the American Journal of Disaster Medicine, for the first time, comes real guidance in this new medical specialty from the country"s foremost experts in areas most physicians and medical professionals have never seen…a deadly cocktail of catastrophic events like blast wounds and post explosion injuries, biological weapons contamination and mass physical and psychological trauma that comes in the wake of natural disasters and disease outbreak. The journal has one goal: to provide physicians and medical professionals the essential informational tools they need as they seek to combine emergency medical and trauma skills with crisis management and new forms of triage.