A Consensus-based Educational Framework and Competency Set for the Discipline of Disaster Medicine and Public Health Preparedness

被引：148

作者：

Subbarao, Italo ^{[1
]}

Lyznicki, James M. ^{[2
]}

Hsu, Edbert B. ^{[3
]}

Gebbie, Kristine M. ^{[4
]}

Markenson, David ^{[5
]}

Barzansky, Barbara ^{[6
]}

Armstrong, John H. ^{[7
]}

Cassimatis, Emmanuel G. ^{[8
]}

Coule, Philip L. ^{[9
]}

Dallas, Cham E. ^{[10
]}

King, Richard V.

Rubinson, Lewis ^{[12
]}

Sattin, Richard

Swienton, Raymond E. ^{[11
]}

Lillibridge, Scott ^{[13
]}

Burkle, Frederick M.

Schwartz, Richard B. ^{[14
]}

James, James J. ^{[2
]}

机构：

[1] Amer Med Assoc, Publ Hlth Readiness Off, Chicago, IL 60610 USA

[2] Amer Med Assoc, Ctr Publ Hlth Preparedness & Disaster Response, Chicago, IL 60610 USA

[3] Johns Hopkins Off Crit Event Preparedness & Respo, Baltimore, MD USA

[4] Columbia Univ, Sch Nursing, Ctr Hlth Policy, New York, NY 10027 USA

[5] New York Med Coll, Ctr Disaster Med, Valhalla, NY 10595 USA

[6] Amer Med Assoc, Div Undergrad Med Educ, Chicago, IL 60610 USA

[7] Univ Florida, Hlth Sci Ctr, Div Acute Care Surg, Gainesville, FL 32611 USA

[8] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA

[9] Med Coll Georgia, Ctr Operat Med, Augusta, GA 30912 USA

[10] Univ Georgia, Inst Hlth Management Mass Destruct Def, Athens, GA 30602 USA

[11] Univ Texas SW Med Ctr, Disaster Med & Homeland Secur Sect, Emergency Med Serv, Dallas, TX 75390 USA

[12] Ctr Dis Control & Prevent, Div Healthcare Qual & Promot, Atlanta, GA 30333 USA

[13] Texas A&M Hlth Sci Ctr, Global Hlth & Secur Program, Ctr Biosecur & Publ Hlth Preparedness, College Stn, TX USA

[14] Med Coll Georgia, Dept Emergency Med, Augusta, GA 30912 USA

来源：

DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS | 2008年 / 2卷 / 01期

关键词：

D O I：

10.1097/DMP.0b013e31816564af

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Various organizations and universities have developed competencies for health professionals and other emergency responders. Little effort has been devoted to the integration of these competencies across health specialties and professions. The American Medical Association Center for Public Health Preparedness and Disaster Response convened an expert working group (EWG) to review extant competencies and achieve consensus on an educational framework and competency set from which educators could devise learning objectives and curricula tailored to fit the needs of all health professionals in a disaster. Methods: The EWG conducted a systematic review of peer-reviewed and non-peer reviewed published literature. In addition, after-action reports from Hurricane Katrina and relevant publications recommended by EWG members and other subject matter experts were reviewed for congruencies and gaps. Consensus was ensured through a 3-stage Delphi process. Results: The EWG process developed a new educational framework for disaster medicine and public health preparedness based on consensus identification of 7 core learning domains, 19 core competencies, and 73 specific competencies targeted at 3 broad health personnel categories. Conclusions: The competencies can be applied to a wide range of health professionals who are expected to perform at different levels (informed worker/student, practitioner, leader) according to experience, professional role, level of education, or job function. Although these competencies strongly reflect lessons learned following the health system response to Hurricane Katrina, it must be understood that preparedness is a process, and that these competencies must be reviewed continually and refined over time. (Disaster Med Public Health Preparedness. 2008;2:57-68)

引用

页码：57 / 68

页数：12

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