. 2018 Apr 6;11(1):22.

doi: 10.1186/s12245-018-0182-y.

Addressing the immediate need for emergency providers in resource-limited settings: the model of a six-month emergency medicine curriculum in Haiti

Shada A Rouhani^{1

2

3

4}, Kerling Israel^{5

6}, Fernet Leandre⁶, Sosthène Pierre⁷, Brennan Bollman⁸, Regan H Marsh^{9

10

11}

Affiliations

¹ Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. shada.rouhani@gmail.com.
² Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. shada.rouhani@gmail.com.
³ Hôpital Universitaire de Mirebalais, Route Départmentale 11, Mirebalais, Haiti. shada.rouhani@gmail.com.
⁴ Partners In Health, 800 Boylston Street, Suite 300, Boston, MA, 02199, USA. shada.rouhani@gmail.com.
⁵ Hôpital Universitaire de Mirebalais, Route Départmentale 11, Mirebalais, Haiti.
⁶ Zanmi Lasante, 18a Route De Santo, Croix Des Bouquets, Port Au Prince, Haiti.
⁷ Faculte de Medecine et de Pharmacie de l'Universite d'Etat d'Haiti, 89 Rue Oswald Durand, Port-au-Prince, Haiti.
⁸ Louisiana State University Health Sciences Center, 433 Bolivar St, New Orleans, LA, 70112, USA.
⁹ Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
¹⁰ Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
¹¹ Partners In Health, 800 Boylston Street, Suite 300, Boston, MA, 02199, USA.

PMID: 29626265
PMCID: PMC5889369
DOI: 10.1186/s12245-018-0182-y

Addressing the immediate need for emergency providers in resource-limited settings: the model of a six-month emergency medicine curriculum in Haiti

Shada A Rouhani et al. Int J Emerg Med. 2018.

. 2018 Apr 6;11(1):22.

doi: 10.1186/s12245-018-0182-y.

Authors

Shada A Rouhani^{1

2

3

4}, Kerling Israel^{5

6}, Fernet Leandre⁶, Sosthène Pierre⁷, Brennan Bollman⁸, Regan H Marsh^{9

10

11}

Affiliations

¹ Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. shada.rouhani@gmail.com.
² Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA. shada.rouhani@gmail.com.
³ Hôpital Universitaire de Mirebalais, Route Départmentale 11, Mirebalais, Haiti. shada.rouhani@gmail.com.
⁴ Partners In Health, 800 Boylston Street, Suite 300, Boston, MA, 02199, USA. shada.rouhani@gmail.com.
⁵ Hôpital Universitaire de Mirebalais, Route Départmentale 11, Mirebalais, Haiti.
⁶ Zanmi Lasante, 18a Route De Santo, Croix Des Bouquets, Port Au Prince, Haiti.
⁷ Faculte de Medecine et de Pharmacie de l'Universite d'Etat d'Haiti, 89 Rue Oswald Durand, Port-au-Prince, Haiti.
⁸ Louisiana State University Health Sciences Center, 433 Bolivar St, New Orleans, LA, 70112, USA.
⁹ Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
¹⁰ Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
¹¹ Partners In Health, 800 Boylston Street, Suite 300, Boston, MA, 02199, USA.

PMID: 29626265
PMCID: PMC5889369
DOI: 10.1186/s12245-018-0182-y

Abstract

Background: In many resource-limited settings, emergency medicine (EM) is underdeveloped and formal EM training limited. Residencies and fellowships are an ideal long-term solution but cannot meet immediate needs for emergency providers, while short-term programs are often too limited in content. We describe a third method successfully implemented in Haiti: a medium-duration certificate program to meet the immediate need for emergency specialists.

Methods: In conjunction with the Haitian Ministry of Health and National Medical School, we developed and implemented a novel, 6-month EM certificate program to build human resources for health and emergency care capacity. The program consisted of didactic and supervised clinical components, covering core content in EM. Didactics included lectures, simulations, hands-on skill-sessions, and journal clubs. Supervised clinical time reinforced concepts and taught an EM approach to patient care.

Results: Fourteen physicians from around Haiti successfully completed the program; all improved from their pre-test to post-test. At the end of the program and 9-month post-program evaluations, participants rated the program highly, and most felt they used their new knowledge daily. Participants found clinical supervision and simulation particularly useful. Key components to our program's success included collaboration with the Ministry of Health and National Medical School, supervised clinical time, and the continual presence of a course director. The program could be improved by a more flexible curriculum and by grouping participants by baseline knowledge levels.

Conclusion: Medium-duration certificate programs offer a viable option for addressing immediate human resource gaps in emergency care, and our program offers a model for implementation in resource-limited settings. Similar options should be considered for other emerging specialties in resource-limited settings.

Keywords: Education; Emergency care; Emergency medicine; Emergency providers; Haiti; Resource-limited; Training.

PubMed Disclaimer

Conflict of interest statement

Ethics approval and consent to participate

This paper describes the implementation of an educational program to improve the quality of emergency care and was for quality improvement purposes only. It was not a research study requiring ethical approval.

Consent for publication

Not application

Competing interests

The authors declare that they have no competing interests.

Figures

**Fig. 1**
Participant pre-test and post-test scores. Each line represents the pre- and post-test scores of an individual participant. All participants showed improvement between the pre- and post-test

See this image and copyright information in PMC

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Addressing the immediate need for emergency providers in resource-limited settings: the model of a six-month emergency medicine curriculum in Haiti

Affiliations

Addressing the immediate need for emergency providers in resource-limited settings: the model of a six-month emergency medicine curriculum in Haiti

Authors

Affiliations

Abstract

Conflict of interest statement

Ethics approval and consent to participate

Consent for publication

Competing interests

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