Challenges in International Emergency Medicine Education

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Challenges in International Emergency Medicine
Education

• Tenagne Haile-Mariam MD
• Dept of Emergency Medicine
• GWUMC
• Ronald Reagan Institute of Emergency Medicine

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• 50,000 visits annually
• 15 critically ill
• Level I trauma center
• 5050 bluntpenetrating
• Training
• 30 Emergency Medicine residents
• Residents and fellows

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• White House Phone
• State Department Phone
• Maritime Phone
• DC fire phone
• something really bad has happened phone

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Emergency MedicineAcute episodic care

• Illness that threatens ones ability to function
  in a prior capacity
• Acute exacerbation of chronic illness
• Any acute illness or injury

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HIV/AIDS Emergency Medicine

• Acute manifestations of HIV/AIDS
• HIV-defining illness
• shingles
• thrush...
• meningitis
• pneumnonia
• gastrointestinal illness
• Prevention and Counseling
• STDs
• Alcohol and drug use

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Rising global demand for Emergency Medical
Services

• The double burden of disease - the old agenda of
  communicable diseases - and the new agenda of
  noncommunicable diseases Gro Brundtland, WHO
• Rapid urbanization
• Increasing outpatient visits
• Increased public expectations

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Emergency Medicine

• Not adequately addressed by public health care
  system
• Not a priority for most private non-governmental
  health care providers
• Represents a significant portion of personal
  health expenditure

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Challenges - Education and Training

• Training physicians
• Integrating Emergency Medicine into medical
  student education
• Establishing residency programs
• Retraining physicians
• Training nurses and pre-hospital care providers
• Educating public health officials and other
  policy makers

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Education and Training for developing countries

• Must be locally applicable
• Must stem the central and outward flow of trained
  health care workers

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Looking for the next killer app for emergency
medicine education and training
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Ideal application for emergency medicine
education and training

• Reliable
• Easily queried
• Comprehensive
• Can be loaded with the whole body of collective
  knowledge
• Fluid organization
• Packets of information can be moved around
• Fully portable

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Current solutions

• Establishing training centers
• Algorithm based instruction
• Czech Republic, Poland, Slovak Republic
• Faculty development fellowships
• Synchronous and asynchronous educational
  platforms
• Chile, Iran, Oman
• Using multiple interlocking technologies
• multinational grand rounds Severe malaria
• telephone, digital satellite radio, internet
• Nigeria, Kenya, South Africa