Disaster preparedness among medical students: A survey assessment
DOI:
https://doi.org/10.5055/ajdm.2010.0033Keywords:
disaster preparedness, willingness, medical studentsAbstract
Objective: To describe the level of preparedness in performing medical procedures of medical students at one allopathic medical school and to determine the level of willingness to perform these procedures in the event of a disaster.
Design: Cross-sectional survey.
Setting: US allopathic medical school associated with a county hospital.
Participants: All third- and fourth-year medical students (344) in the 2007-2008 academic year were invited to participate. One hundred ninety-five students participated in this study (response rate _ 57.6 percent).
Main outcome measures: Information on demographic characteristics, personal disaster experience, personal disaster preparedness, and overall preparedness level and willingness to perform various medical procedures was collected. Multiple regression analysis was used to identify the factors predicting procedural willingness during a disaster.
Results: Demographics and personal disaster preparedness were not statistically significant between third-year medical students (M3) and fourth-year medical students (M4). Although procedural preparedness was significantly higher in M4 than M3, willingness to perform these procedures in a disaster was not different. Fourth-year students, first receivers (students’ anticipated field is in emergency medicine or surgery), not having had a personal disaster experience, and increased procedural preparedness independently impact procedural willingness in a disaster. However, when controlled for the covariate effects in the regression model, only first receivers, no past personal disaster experience, and increased procedural preparedness predicted willingness to perform medical procedures during a disaster.
Conclusions: Third- and fourth-year students possess skills that may prove useful in a disaster response. Further investigations are necessary to determine how medical students may be utilized during these events.
References
Qureshi K, Gershon RR, Sherman MF, et al.: Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health. 2005; 82(3): 378-388.
Alexander GC,Wynia MK: Ready and willing? Physicians’ sense of preparedness for bioterrorism. Health Aff. (Millwood). 2003; 22(5): 189-197.
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.
Cone DC, Cummings BA: Hospital disaster staffing: If you call, will they come? Am J Disaster Med. 2006; 1(1): 28-36.
Damery S,Wilson S, Draper H, et al.:Will the NHS continue to function in an influenza pandemic? A survey of healthcare workers in the West Midlands, UK. BMC Public Health. 2009; 9: 142.
Irvin CB, Cindrich L, Patterson W, et al.: Survey of hospital healthcare personnel response during a potential avian influenza pandemic: Will they come to work? Prehosp Disaster Med. 2008; 23(4): 328-335.
Ives J, Greenfield S, Parry JM, et al.: Healthcare workers’ attitudes to working during pandemic influenza: A qualitative study. BMC Public Health. 2009; 9: 56.
Katz AR, Nekorchuk DM, Holck PS, et al.: Hawaii physician and nurse bioterrorism preparedness survey. Prehosp Disaster Med. 2006; 21(6): 404-413.
Shapira Y, Marganitt B, Roziner I, et al.:Willingness of staff to report to their hospital duties following an unconventional missile attack: A state-wide survey. Isr J Med Sci. 1991; 27(11-12): 704-711.
Alexander GC, Larkin GL,Wynia MK: Physicians’ preparedness for bioterrorism and other public health priorities. Acad Emerg Med. 2006; 13(11): 1238-1241.
Slepski LA: Emergency preparedness and professional competency among health care providers during hurricanes Katrina and Rita: Pilot study results. Disaster Manag Response. 2007; 5(4): 99-110.
Spranger CB, Villegas D, Kazda MJ, et al.: Assessment of physician preparedness and response capacity to bioterrorism or other public health emergency events in a major metropolitan area. Disaster Manag Response. 2007; 5(3): 82-86.
Mallonee S, Shariat S, Stennies G, et al.: Physical injuries and fatalities resulting from the Oklahoma City bombing. JAMA. 1996; 276(5): 382-387.
Stratton SJ, Tyler RD: Characteristics of medical surge capacity demand for sudden-impact disasters. Acad Emerg Med. 2006; 13(11): 1193-1197.
Sanford C, Jui J, Miller HC, et al.: Medical treatment at Louis Armstrong New Orleans International Airport after hurricane Katrina: The experience of disaster medical assistance teams WA-1 and OR-2. Travel Med Infect Dis. 2007; 5(4): 230-235.
Bartlett JG, Borio L: Healthcare epidemiology: The current status of planning for pandemic influenza and implications for health care planning in the United States. Clin Infect Dis. 2008; 46(6): 919-925.
Silenas R, Akins R, Parrish AR, et al.: Developing disaster preparedness competence: An experiential learning exercise for multiprofessional education. Teach Learn Med. 2008; 20(1): 62-68.
Steiner B, Sands R: Responding to a natural disaster with service learning. Fam Med. 2000; 32(9): 645-649.
Gluncic V, Pulanic D, Prka M, et al.: Curricular and extracurricular activities of medical students during war, Zagreb University School of Medicine, 1991-1995. Acad Med. 2001; 76(1): 82-87.
Kent G: Reactions of medical students affected by a major disaster. Acad Med. 1991; 66(6): 368-370.
Kshirsagar NA, Shinde RR, Mehta S: Floods in Mumbai: Impact of public health service by hospital staff and medical students. J Postgrad Med. 2006; 52(4): 312-314.
Sabri AA, Qayyum MA: Why medical students should be trained in disaster management: Our experience of the Kashmir earthquake. PLoS Med. 2006; 3(9): e382.
Kent GG, Kunkler AJ: Medical student involvement in a major disaster. Med Educ. 1992; 26(2): 87-91.
Cowan ML, Cloutier MG: Medical simulation for disaster casualty management training. J Trauma. 1988; 28(1 Suppl): S178-S182.
Parrish AR, Oliver S, Jenkins D, et al.: A short medical school course on responding to bioterrorism and other disasters. Acad Med. 2005; 80(9): 820-823.
Blessman J, Skupski J, Jamil M, et al.: Barriers to at-home-preparedness in public health employees: Implications for disaster preparedness training. J Occup Environ Med. 2007; 49(3): 318-326.
Borges NJ, Savickas ML: Personality and medical specialty choice: A literature review and integration. J Career Assess. 2002; 10: 362-380.
Cochran A, Melby S, Neumayer LA: An internet-based survey of factors influencing medical student selection of a general surgery career. Am J Surg. 2005; 189(6): 742-746.
Markert RJ, Rodenhauser P, El-Baghdadi MM, et al.: Personality as a prognostic factor for specialty choice: A prospective study of 4 medical school classes. Medscape J Med. 2008; 10(2): 49.
Newton DA, Grayson MS, Whitley TW: What predicts medical student career choice? J Gen Intern Med. 1998; 13(3): 200-203.
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