Background:

Mass casualty and multi-victim incidents have increased in recent years due to a number of factors including natural disasters and terrorism. The Association of American Medical Colleges (AAMC) recommends that medical students be trained in disaster preparedness and response. However, a majority of United States medical students are not provided such education.

Objective:

The goal of this study was to evaluate the effectiveness of a 1 day, immersive, simulation-based Disaster Day curriculum.

Settings and Design:

Learners were first and second year medical students from a single institution.

Materials and Methods:

Our education provided learners with information on disaster management, allowed for application of this knowledge with hands-on skill stations, and culminated in near full-scale simulation where learners could evaluate the knowledge and skills they had acquired.

Statistical analysis used:

To study the effectiveness of our Disaster Day curriculum, we conducted a single-group pretest-posttest and paired analysis of self-reported confidence data.

Results:

A total of 40 first and second year medical students participated in Disaster Day as learners. Learners strongly agreed that this course provided new information or provided clarity on previous training, and they intended to use what they learned, 97.6% and 88.4%, respectively.

Conclusions:

Medical students’ self-reported confidence of key disaster management concepts including victim triage, tourniquet application, and incident command improved after a simulation-based disaster curriculum. This Disaster Day curriculum provides students the ability to apply concepts learned in the classroom and better understand the real-life difficulties experienced in a resource limited environment.

中文翻译：

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灾难日：针对新手学习者的基于模拟的灾难医学课程

背景：

近年来，由于自然灾害和恐怖主义等多种因素，大规模伤亡和多人受害者事件有所增加。美国医学院协会 (AAMC) 建议对医学生进行灾难准备和响应方面的培训。然而，大多数美国医学生没有接受过这种教育。

客观的：

本研究的目的是评估为期 1 天、身临其境、基于模拟的灾难日课程的有效性。

设置和设计：

学习者是来自单一机构的一年级和二年级医学生。

材料和方法：

我们的教育为学习者提供了有关灾害管理的信息，允许通过动手技能站应用这些知识，并最终以近乎全面的模拟而告终，学习者可以在其中评估他们所获得的知识和技能。

使用的统计分析：

为了研究我们的灾难日课程的有效性，我们对自我报告的信心数据进行了单组前后测和配对分析。

结果：

共有 40 名一年级和二年级医学生作为学习者参加了灾难日。学习者强烈同意本课程提供了新信息或清楚地说明了以前的培训，他们打算使用他们所学的知识，分别为 97.6% 和 88.4%。

结论：

医学生自述对关键灾难管理概念的信心，包括受害者分类、止血带应用和事件指挥，在基于模拟的灾难课程后得到提高。这个灾难日课程使学生能够应用在课堂上学到的概念，并更好地理解在资源有限的环境中经历的现实生活中的困难。