Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review.
Journal
Annals of global health
ISSN: 2214-9996
Titre abrégé: Ann Glob Health
Pays: United States
ID NLM: 101620864
Informations de publication
Date de publication:
16 06 2020
16 06 2020
Historique:
entrez:
27
6
2020
pubmed:
27
6
2020
medline:
6
7
2021
Statut:
epublish
Résumé
Despite the growing interest in the development of emergency care systems and emergency medicine (EM) as a specialty globally, there still exists a significant gap between the need for and the provision of emergency care by specialty trained providers. Many efforts to date to expand the practice of EM have focused on programs developed through partnerships between higher- and lower-resource settings. To systematically review the literature to evaluate the composition of EM training programs in low- and middle-income countries (LMICs) developed through partnerships. An electronic search was conducted using four databases for manuscripts on EM training programs - defined as structured education and/or training in the methods, procedures, and techniques of acute or emergency care - developed through partnerships. The search produced 7702 results. Using Fifteen highlight programs with a focus on specific EM content (i.e. ultrasound) and 11 cover EM programs with broader scopes. All outline programs with diverse curricula and varied educational and evaluative methods spanning from short courses to full residency programs, and they target learners from medical students and nurses to mid-level providers and physicians. Challenges of EM program development through partnerships include local adaptation of international materials; addressing the local culture(s) of learning, assessment, and practice; evaluation of impact; sustainability; and funding. Overall, this review describes a diverse group of programs that have been or are currently being implemented through partnerships. Additionally, it highlights several areas for program development, including addressing other topic areas within EM beyond trauma and ultrasound and evaluating outcomes beyond the level of the learner. These steps to develop effective programs will further the advancement of EM as a specialty and enhance the development of effective emergency care systems globally.
Sections du résumé
Background
Despite the growing interest in the development of emergency care systems and emergency medicine (EM) as a specialty globally, there still exists a significant gap between the need for and the provision of emergency care by specialty trained providers. Many efforts to date to expand the practice of EM have focused on programs developed through partnerships between higher- and lower-resource settings.
Objective
To systematically review the literature to evaluate the composition of EM training programs in low- and middle-income countries (LMICs) developed through partnerships.
Methods
An electronic search was conducted using four databases for manuscripts on EM training programs - defined as structured education and/or training in the methods, procedures, and techniques of acute or emergency care - developed through partnerships. The search produced 7702 results. Using
Findings
Fifteen highlight programs with a focus on specific EM content (i.e. ultrasound) and 11 cover EM programs with broader scopes. All outline programs with diverse curricula and varied educational and evaluative methods spanning from short courses to full residency programs, and they target learners from medical students and nurses to mid-level providers and physicians. Challenges of EM program development through partnerships include local adaptation of international materials; addressing the local culture(s) of learning, assessment, and practice; evaluation of impact; sustainability; and funding.
Conclusions
Overall, this review describes a diverse group of programs that have been or are currently being implemented through partnerships. Additionally, it highlights several areas for program development, including addressing other topic areas within EM beyond trauma and ultrasound and evaluating outcomes beyond the level of the learner. These steps to develop effective programs will further the advancement of EM as a specialty and enhance the development of effective emergency care systems globally.
Identifiants
pubmed: 32587810
doi: 10.5334/aogh.2681
pmc: PMC7304456
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
60Informations de copyright
Copyright: © 2020 The Author(s).
Déclaration de conflit d'intérêts
Several of the reviewers were authors of manuscripts involved/included in the study. Reviewers did not screen or score their own manuscripts. The authors endorse no other competing interests regarding this review.
Références
PLoS One. 2013 Aug 19;8(8):e71787
pubmed: 23990989
Emerg Med J. 2010 Oct;27(10):766-9
pubmed: 20616107
Emerg Med J. 2016 Nov;33(11):794-800
pubmed: 27334758
CJEM. 2015 Mar;17(2):161-70
pubmed: 26052968
Emerg Med Clin North Am. 2005 Feb;23(1):177-97
pubmed: 15663980
Acad Emerg Med. 2000 Aug;7(8):911-7
pubmed: 10958132
BMJ Glob Health. 2018 Feb 15;3(1):e000479
pubmed: 29527337
Ann Glob Health. 2015 Mar-Apr;81(2):276-82
pubmed: 26088096
Trop Med Int Health. 2017 Dec;22(12):1599-1608
pubmed: 29072885
Int Health. 2018 Mar 1;10(2):116-124
pubmed: 29506188
Acad Emerg Med. 1997 Oct;4(10):996-1001
pubmed: 9332634
Acad Emerg Med. 2007 May;14(5):451-6
pubmed: 17384409
Emerg Med Clin North Am. 2005 Feb;23(1):133-47
pubmed: 15663978
J Emerg Med. 2008 Jul;35(1):95-9
pubmed: 18328662
Acad Emerg Med. 2010 Jul;17(7):765-74
pubmed: 20653593
Acad Emerg Med. 2013 Dec;20(12):1278-88
pubmed: 24341583
PLoS Med. 2011 Oct;8(10):e1001108
pubmed: 22028631
Ann Emerg Med. 1999 Dec;34(6):790-5
pubmed: 10577412
Ann Emerg Med. 2014 Nov;64(5):461-8
pubmed: 24635990
J Emerg Med. 2017 May;52(5):723-730
pubmed: 28284769
Bull World Health Organ. 2006 Oct;84(10):835-9
pubmed: 17128364
Emerg Med Clin North Am. 2005 Feb;23(1):217-29
pubmed: 15663982
Emerg Med Australas. 2011 Oct;23(5):541-53
pubmed: 21995468
Acad Emerg Med. 2018 Nov;25(11):1287-1298
pubmed: 29791967
BMC Med Educ. 2018 Apr 6;18(1):71
pubmed: 29625563
World J Emerg Med. 2018;9(1):33-40
pubmed: 29290893
Arch Dis Child. 2016 Dec;101(12):1149-1152
pubmed: 27658948
Afr J Emerg Med. 2016 Sep;6(3):125-131
pubmed: 30456078
Acad Emerg Med. 2013 Dec;20(12):1310-8
pubmed: 24341587
World J Surg. 2015 Jun;39(6):1433-7
pubmed: 25663007
Pediatr Emerg Care. 2016 Aug;32(8):525-8
pubmed: 25426683
Confl Health. 2015 Apr 13;9:11
pubmed: 25873993
Bull World Health Organ. 2002;80(11):900-5
pubmed: 12481213
Bull World Health Organ. 2005 Aug;83(8):626-31
pubmed: 16184282
Ann Emerg Med. 2012 Jul;60(1):35-44.e3
pubmed: 22326860
Emerg Med Australas. 2009 Oct;21(5):339-41
pubmed: 19840083
BMC Med Educ. 2017 Jan 6;17(1):7
pubmed: 28061777
Afr J Emerg Med. 2016 Sep;6(3):116-124
pubmed: 30456077
Int J Emerg Med. 2013 Jul 17;6(1):26
pubmed: 23866095
Int J Emerg Med. 2018 Apr 6;11(1):22
pubmed: 29626265
Ann Emerg Med. 1997 Dec;30(6):811-5
pubmed: 9398780
Trop Med Int Health. 2015 Aug;20(8):1067-72
pubmed: 25808431
Afr J Emerg Med. 2017 Dec;7(4):167-171
pubmed: 30456133
J Public Health Policy. 2012;33 Suppl 1:S126-37
pubmed: 23254838
Ann Emerg Med. 1999 Jan;33(1):97-103
pubmed: 9867895
Emerg Med J. 2016 Sep;33(9):611-7
pubmed: 27207345
Resuscitation. 2012 Dec;83(12):1484-90
pubmed: 22561463
Trop Med Int Health. 2016 Dec;21(12):1531-1538
pubmed: 27758005
J Emerg Trauma Shock. 2014 Jul;7(3):196-208
pubmed: 25114431
Int J Emerg Med. 2015 Dec;8(1):39
pubmed: 26520848
Injury. 2014 Sep;45(9):1350-4
pubmed: 24861416
CJEM. 2011 Mar;13(2):109-21
pubmed: 21435317
J Contin Educ Health Prof. 2009 Winter;29(1):1-15
pubmed: 19288562
AEM Educ Train. 2017 Dec 14;2(1):5-9
pubmed: 30051058