Ghana Emergency Medicine Collaborative Training Program

描述（由申请人提供）：加纳目前的急诊护理不够理想，严重延误了最终护理，发病率和死亡率都很高。加纳政府最近投资于主要教学医院急诊护理的有形基础设施，但提供护理的人力资源不足。为了满足这一需求，加纳新兴医学合作组织提出了一项创新培训计划，重点关注医科学生、护士和住院医生，并组建了一支新的可持续培训师资队伍。该项目将培训EM人员在伤害和急性医疗疾病管理方面，使受训者接触EM的研究方法，行政和领导方面。该提案由6个实体合作；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，将作为低收入和中等收入国家新兴医疗服务提供者能力建设的典范，其目标是：1)制定和传播创新的新兴医疗课程，并为加纳三个三级护理中心的医学生、护理毕业生和新兴医疗居民提供团队培训；2)对研究生医师进行研究培训和指导；3)开展跨学科的教育交流项目；4)加强教师的职业发展，提高县内服务提供者的保留率。三项关键创新将包括：1)为学员提供基于模块化主题的EM课程，利用电子学习、开放教育资源和远程会议等使能技术；2)围绕程序和复苏方法的低技术临床模拟培训；3)团队培训技术，强调EM的协作性质。最初的计划将过渡到其他临床和教育站点。这个为期五年的项目将培养一批训练有素的新兴市场人员，他们精通研究方法和新兴市场业务，并具备领导技能，可以为加纳的新兴市场供应商提供持续培训。预计在5年期间将有100名护士、100名住院医生、900名医科学生和40名紧急医疗服务提供者接受培训。最终，国内方案将提高急诊服务提供者的保留率，减少加纳可预防的急性伤害和疾病相关死亡。

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.