Developing sustainable trauma care education in Egypt: sequential trauma education program, steps to success.
Developing sustainable trauma care education in Egypt: sequential trauma education program, steps to success.
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DOI：
10.1016/j.jsurg.2014.12.001
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发表时间：
2015-07-01
影响因子：
2.9
通讯作者：
Hirshon, Jon Mark
中科院分区：
文献类型：
--
作者：
El-Shinawi, Mohamed;McCunn, Maureen;Hirshon, Jon Mark
简介：作为世界上死亡和残疾的主要原因之一，人类创伤和伤害对发展中国家的个人影响尤为严重。为了满足埃及改善创伤护理的需求，美国和埃及医生共同创建了连续创伤紧急/教育计划 (STEPS) 课程。课程开发的目标是创建高质量、模块化、适应性强和可持续的创伤护理课程，易于被低收入或中等收入国家采用。方法：我们描述了高收入西方国家和中低收入中东/北非国家之间创伤护理培训课程的开发、过渡和东道国可持续性，包括接受培训的医生数量以及项目开发和可持续性面临的挑战。结果：STEPS 是在马里兰大学开发的，部分基于世界卫生组织的紧急和创伤护理材料，并于 2006 年 5 月介绍给埃及卫生和人口部以及艾因夏姆斯大学。迄今为止，已有 639 名来自多个专业的医生通过卫生和人口部或公立/政府大学参加了为期 4 天的课程。 2008年，该课程完全过渡到埃及学术医师的领导下。埃及多所医学院和埃及急诊医学委员会现在要求对接受培训的医生进行 STEPS 或同等培训。结论：受培训的医生数量、埃及急诊医学委员会对 STEPS 的采用以及项目在过渡到国内领导层和培训师后的持续性，证明了该合作教育计划的成功。
INTRODUCTION: As one of the leading causes of death and disability in the world, human trauma and injury disproportionately affects individuals in developing countries. To meet the need for improved trauma care in Egypt, the Sequential Trauma Emergency/Education ProgramS (STEPS) course was created through the collaborative effort of U.S. and Egyptian physicians. The objective of course development was to create a high-quality, modular, adaptable, and sustainable trauma care course that could be readily adopted by a lower- or middle-income country.METHODS: We describe the development, transition, and host nation sustainability of a trauma care training course between a high-income Western nation and a lower-middle-income Middle Eastern/Northern African country, including the number of physicians trained and the challenges to program development and sustainability.RESULTS: STEPS was developed at the University of Maryland, based in part on World Health Organization's Emergency and Trauma Care materials, and introduced to the Egyptian Ministry of Health and Population and Ain Shams University in May 2006. To date, 639 physicians from multiple specialties have taken the 4-day course through the Ministry of Health and Population or public/governmental universities. In 2008, the course transitioned completely to the leadership of Egyptian academic physicians. Multiple Egyptian medical schools and the Egyptian Emergency Medicine Board now require STEPS or its equivalent for physicians in training.CONCLUSIONS: Success of this collaborative educational program is demonstrated by the numbers of physicians trained, the adoption of STEPS by the Egyptian Emergency Medicine Board, and program continuance after transitioning to in-country leadership and trainers.