Ghana Emergency Medicine Collaborative Training Program

描述（由申请人提供）：加纳目前的紧急护理是次优的，最终护理的严重延迟以及高发病率和死亡率。加纳政府最近投资于主要教学医院的紧急护理物质基础设施，但提供护理的人力资源不足。为了满足这一需求，加纳EM协作提出了一个创新的培训计划，重点是医学生，护士和居民，并组建了一个新的教师队伍进行可持续培训。该计划将培训EM人员在伤害和急性医疗疾病管理，暴露学员的研究方法，行政和领导方面的EM。该提案是由6个实体组成的联合体，它们协同工作：KNUST、UG、UDS、加纳卫生部、GCPS和UM。该项目是目前正在进行的一个试点项目的延伸，将作为低收入和中等收入国家EM提供者能力建设的模式，旨在：1）开发和传播创新的EM课程，并在加纳三个三级护理中心为医科学生，护理毕业生和EM居民提供团队培训; 2）为研究生医生提供研究培训和指导; 3）启动跨学科的教育交流计划; 4）加强教师职业发展和增加提供者在县保留。三个关键的创新将包括：1）一个模块化的主题为基础的EM课程，学员利用使能技术，如电子学习，开放式教育资源和远程会议，2）低技术临床模拟培训周围的程序和复苏方法和3）团队培训技术，以强调EM的协作性质。最初的计划将过渡到其他临床和教育地点。这个为期五年的项目将培养一支训练有素的EM人员队伍，精通研究方法，EM操作，具有领导技能，以维持加纳EM提供者的培训。预计将有100名护士、100名住院医生、900名医科学生和40名EMS提供者在5年内接受培训。最终，国内计划将提高EM提供者的保留率，并减少加纳可预防的急性损伤和疾病相关死亡。 公共卫生相关性：创新教育方法的引入增强了临床急诊医学的教学，包括使能技术，临床模拟工具和团队教学，以告知我们自己的实践和美国急诊医学的教学，并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.