Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review

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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Megan M. Rybarczyk, Nicholas Ludmer, Morgan C. Broccoli, Sean M. Kivlehan, Michelle Niescierenko, Mark Bisanzo, Keegan A. Checkett, Shada A. Rouhani, Andrea G. Tenner, Heike Geduld, Teri Reynolds
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4a10ab5ab09c42b6b6a27e7949b744f3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4a10ab5ab09c42b6b6a27e7949b744f3
record_format	dspace
spelling	oai:doaj.org-article:4a10ab5ab09c42b6b6a27e7949b744f32021-12-02T11:27:53ZEmergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review2214-999610.5334/aogh.2681https://doaj.org/article/4a10ab5ab09c42b6b6a27e7949b744f32020-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2681https://doaj.org/toc/2214-9996Background: 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 a priori inclusion and exclusion criteria, 94 manuscripts were included. After scoring these manuscripts, a more in-depth examination of 26 of the high-scoring manuscripts was conducted. 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.Megan M. RybarczykNicholas LudmerMorgan C. BroccoliSean M. KivlehanMichelle NiescierenkoMark BisanzoKeegan A. CheckettShada A. RouhaniAndrea G. TennerHeike GeduldTeri ReynoldsUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Megan M. Rybarczyk Nicholas Ludmer Morgan C. Broccoli Sean M. Kivlehan Michelle Niescierenko Mark Bisanzo Keegan A. Checkett Shada A. Rouhani Andrea G. Tenner Heike Geduld Teri Reynolds Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review
description	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 a priori inclusion and exclusion criteria, 94 manuscripts were included. After scoring these manuscripts, a more in-depth examination of 26 of the high-scoring manuscripts was conducted. 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.
format	article
author	Megan M. Rybarczyk Nicholas Ludmer Morgan C. Broccoli Sean M. Kivlehan Michelle Niescierenko Mark Bisanzo Keegan A. Checkett Shada A. Rouhani Andrea G. Tenner Heike Geduld Teri Reynolds
author_facet	Megan M. Rybarczyk Nicholas Ludmer Morgan C. Broccoli Sean M. Kivlehan Michelle Niescierenko Mark Bisanzo Keegan A. Checkett Shada A. Rouhani Andrea G. Tenner Heike Geduld Teri Reynolds
author_sort	Megan M. Rybarczyk
title	Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review
title_short	Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review
title_full	Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review
title_fullStr	Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review
title_full_unstemmed	Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review
title_sort	emergency medicine training programs in low- and middle-income countries: a systematic review
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/4a10ab5ab09c42b6b6a27e7949b744f3
work_keys_str_mv	AT meganmrybarczyk emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT nicholasludmer emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT morgancbroccoli emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT seanmkivlehan emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT michelleniescierenko emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT markbisanzo emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT keeganacheckett emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT shadaarouhani emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT andreagtenner emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT heikegeduld emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview AT terireynolds emergencymedicinetrainingprogramsinlowandmiddleincomecountriesasystematicreview
_version_	1718395875743498240

Emergency Medicine Training Programs in Low- and Middle-Income Countries: A Systematic Review

Ejemplares similares