Ghana Emergency Medicine Collaborative Training Program

描述(由申请人提供)：加纳目前的紧急护理情况不佳，确诊护理的时间明显延迟，发病率和死亡率也很高。加纳政府最近投资了主要教学医院的紧急护理有形基础设施，但提供护理的人力资源不足。为了满足这一需求，加纳EM Collaborative提出了一项创新的培训计划，重点是医学生、护士和住院医生，并组建了一支新的可持续培训教师队伍。该项目将对EM人员进行损伤和急性医疗疾病管理方面的培训，使受训人员了解EM的研究方法、管理和领导方面。该提案是由6个实体组成的联合体：KNUST、UG、UDS、加纳卫生部、GCPS和UM。该项目是目前正在进行的单一地点试点的延伸，将成为低收入和中等收入国家EM提供者能力建设的典范，旨在：1)开发和传播创新的EM课程，以及为加纳三个三级护理中心的医学生、护理毕业生和EM住院医生提供团队培训；2)为研究生医生提供研究培训和指导；3)启动跨学科教育交流计划；4)加强教师职业发展和增加县级提供者的留存率。三项主要创新将包括：1)为学员提供基于主题的模块化EM课程，利用电子学习、开放教育资源和电话会议等使能技术，2)围绕程序和复苏方法的低技术临床模拟培训，以及3)强调EM的协作性质的团队培训技术。最初的计划将过渡到更多的临床和教育网站。这项为期五年的项目将培养一批训练有素的新兴市场人员，他们精通研究方法、新兴市场运作，并具备领导技能，以支持加纳新兴市场提供商的培训。预计将有100名护士、100名住院医生、900名医学生和40名急救服务提供者在5年内接受培训。最终，国内计划将改善加纳EM提供者的留住，并减少可预防的急性伤害和与疾病相关的死亡。 公共热相关性：创新教育方法的引入增加了临床急救医学的教学，包括使能技术、临床模拟工具和团队教学，以向我们自己在美国的急救医学实践和教学提供信息，并很可能成为未来将急诊医学引入其他中低收入国家的典范。

DESCRIPTION (provided by applicant): Current emergency care in Ghana is sub-optimal with significant delays to definitive care and high morbidity and mortality. The Ghanaian government has recently invested in physical infrastructure for emergency care at major teaching hospitals, but the human resources to provide care are inadequate. To address this need, the Ghana EM Collaborative has proposed an innovative training program focused on medical students, nurses, and residents with the formation of a new faculty for sustainable training. This program will train EM personnel in injury and acute medical illness management, expose trainees to research methodology, administrative and leadership aspects of EM. This proposal is a consortium of 6 entities working collaboratively; KNUST, UG, UDS, Ghana MOH, GCPS and UM. The project which is an extension of a single site pilot currently underway and will serve as a model for capacity building of EM providers in low and middle income countries aims to: 1) Develop and disseminate an innovative EM curricula, and team training for medical students, nursing graduates and EM residents across three tertiary care centers across Ghana; 2) Provide research training and mentorship to post-graduate physicians; 3) Initiate a cross-disciplinary educational exchange program; 4) Enhance faculty career development and increase provider retention in county. Three key innovations will include; 1) A modular theme based EM curriculum for trainees utilizing enabling technologies such as e-learning, open educational resources and tele-conferencing, 2) Low tech clinical simulation training surrounding procedural and resuscitation methods and 3) Team training techniques to emphasize the collaborative nature of EM. The initial program will be transitioned to additional clinical and educational sites. The five year project will generate a cadre of well trained EM personnel, fluent in research methodology, EM operations, with the leadership skills to sustain training of EM providers in Ghana. It is anticipated that 100 nurses, 100 residents, 900 medical students and 40 EMS providers will undergo training over the 5 year period. Ultimately, the in-country program will improve retention of EM providers and decrease preventable acute injury and illness related deaths in Ghana. PUBLIC HEATLH RELEVANCE: The introduction of innovative educational methods augment the teaching of clinical emergency medicine, including enabling technologies, clinical simulation tools and team teaching to inform to our own practice and teaching of emergency medicine in the United States and will likely be able to serve as a model for the introduction of emergency medicine into other low-middle income countries in the future.