Open Access Open Access  Restricted Access Subscription Access

Evaluation of the association between disaster training and confidence in disaster response among graduate medical trainees: A cross-sectional study

Andrew Grock, MD, Adam R. Aluisio, MD, MSc, Elizabeth Abram, MD, Patricia Roblin, MS, Bonnie Arquilla, DO

Abstract


Objective: Disasters by definition overwhelm the resources of a hospital and may require a response from a range of practitioners. Disaster training is part of emergency medicine (EM) resident curricula, but less emphasized in other training programs. This study aimed to compare disaster educational training and confidence levels among resident trainees from multiple specialties.

Design: A structured questionnaire assessed graduate medical training in disaster education and self-perceived confidence in disaster situations. Cross-sectional sampling of resident trainees from the departments of surgery, pediatrics, internal medicine, and EM was performed.

Setting: The study took place at a large urban academic medical center during March 2013.

Participants: Among 331 available residents, a convenience sample of 157 (47.4 percent) was obtained.

Main Outcome Measures: Outcomes investigated include resident confidence in various disaster scenarios, volume of disaster training currently received, and preferred education modality.

Results: EM trainees reported 7.3 hours of disaster instruction compared to 1.3 hours in non-EM trainees (p < 0.001). EM residents reported significantly more confidence in disaster scenarios compared to non- EM residents except for overall low confidence levels for mega mass casualty incidents. The preferred education modality for both EM and non-EM residents was simulation exercises followed by lecture.

Conclusions: This study demonstrated relatively lower confidence among non-EM residents in disaster response as well as lower number of disaster education time. These data report a learner preference for simulation training.


Keywords


disaster education

Full Text:

PDF

References


World Health Organization: Definition of Humanitarian Terms. August 2008. Available at http://www.who.int/hac/about/definitions/en/. Accessed April 8, 2017.

Hendrickson RG, Horowitz B: Chapter 6. Disaster Preparedness and Response. In Tintinalli JE, Stapczynski J, Ma O, et al. (eds.): Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e. New York: McGraw-Hill, 2011. Available at http://accessmedicine.mhmedical.com.newproxy.downstate.edu/content.aspx?bookid=348&Sectionid=40381465. Accessed October 28, 2015.

Sasson C, Swadron S: Aurora shooting. Emerg Med Rev Perspect. 2013; 13(4): 7-8.

Jasper E, Berg K, Reid M, et al.: Disaster preparedness: What training do our interns receive during medical school? Am J Med Qual. 2013; 28(5): 407-413.

Chokshi NK, Behar S, Nager AL, et al.: Disaster management among pediatric surgeons: Preparedness, training and involvement. Am J Disaster Med. 2008; 3(1) :5-14.

Dennis AJ, Brandt MM, Steinberg J, et al.: Are general surgeons behind the curve when it comes to disaster preparedness training? A survey of general surgery and emergency medicine trainees in the United States by the Eastern Association for the Surgery for Trauma Committee on Disaster Preparedness. J Trauma Acute Care Surg. 2012; 73(3): 612-617.

American Board of Internal Medicine: Internal medicine certification exam blueprint. January, 2015. Available at http://www.abim.org/pdf/blueprint/im_cert.pdf. Accessed October 28, 2015.

American Board of Surgery: General surgery content outline for the ABS in-training examination. 2013. Available at http://www.absurgery.org/xfer/GS-ITE.pdf. Accessed October 28, 2015.

Counselman FL, Borenstein MA, Chisholm CD, et al.: The 2013 model of the clinical practice of emergency medicine. Acad Emerg Med. 2014; 21(5): 574-598.

De Winter J, Dodon D: Five-point likert items: T test versus Mann-Whitney-Wicoxen. Pract Assess Res Eval. 2010; 15(11): 1-16.

Franc JM, Nichols D, Dong SL: Increasing emergency medicine residents' confidence in disaster management: Use of an emergency department simulator and an expedited curriculum. Prehosp Disaster Med. 2012; 27(1): 31-5.

Cicero MX, Auerbach MA, Zigmont J, et al.: Simulation training with structured debriefing improves residents' pediatric disaster triage performance. Prehosp Disaster Med. 2012; 27(3): 239-244.

Cicero MX, Blake E, Gallant N, et al.: Impact of an educational intervention on residents' knowledge of pediatric disaster medicine. Pediatr Emerg Care. 2009; 25(7): 447-451.

Grock A, Aluisio A, Khadpe J: Resident individual interactive instruction preferences and activities. J Contemp Med Edu. 2015; 3(4): 177-180.

Franc JM, Nichols D, Dong SL: Increasing emergency medicine residents' confidence in disaster management: Use of an emergency department simulator and an expedited curriculum. Prehosp Disaster Med. 2012; 27(1): 31-35.




DOI: http://dx.doi.org/10.5055/ajdm.2017.0253

Refbacks

  • There are currently no refbacks.