EPI Issue 6

Page 26

How To Build Emergency Medicine & Acute Care Systems

STAGES OF EMERGENCY MEDICINE TERTIARY DEVELOPMENT STAGES STAGES OF

Emergency medicine and acute care systems development involves more than just medical training for health care professionals. It requires simultaneous and coordinated development in multiple disciplines and in multiple stages.

EMERGENCY Public Health Agendas MEDICINE TERTIARY National Health Policy DEVELOPMENT STAGES Health Agendas Legislative Structure Public National Health Policy

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Legislative Structure

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Interest in IEM has also led to the development of IEM fellowships, subspecialty training programs and other educational projects for EPs and allied healthcare professionals. Formal and informal international / global EM fellowships and training programs now exist in at least five countries. Further, the International Federation for Emergency Medicine (IFEM) has emerged as the peak emergency medicine organization in the world, representing over 70 EM Societies from over 50 countries.

“International EM fellowships and training programs are designed as adjuncts to EM residencies and specialty training initiatives, which promote the clinical and nonclinical expertise that is needed for EM practice, and include training on how to support the creation, development and maturation of EM/acute care systems in other countries.”

t mulligan , chobgood , pcameron . emergency medicine australasia

(2011) 23, 525–529

Em

IEM can be viewed as a natural extension of the systems-based nature of EM: it allows EPs and other health professionals who are involved in emergency medical care to learn from each other, and involves the educating and training of emergency care providers throughout the world in practice, education, research and systems development.

ute Ca re

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Economic & Finance Administratice & Management Systems

Em er Ca gen cy re Me Sy ste di ci m

SECONDARY STAGES

Local Variations

Local Variations

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Economic & Finance STAGES Administratice &PRIMARY Specialy Systems Academic Development Educational Systems Management Systems Patient-care Systems Training Programs for existing physicians and specialists Midwives, nursing, advanced health care workers Pre-hospital and First Responder Training for Medics, Fire, Police, Taxi

PRIMARY STAGES Ba s ic

Em er Ca gen cy re Me Sy ste di ci m

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Over the past 20 years, many EM societies, departments and training programs have responded to this need for international EM development. The result has been the creation and growth of the field of international emergency medicine (IEM), which is concerned with the development of EM and acute care systems in countries and regions where EM is lacking and is needed.

SECONDARY STAGES

Basic First Aid and Community Health Workers Basic Public Health Services

Specialy Systems Academic Development Educational Systems Patient-care Systems

Training Programs for existing physicians and specialists Midwives, nursing, advanced health care workers Pre-hospital and First Responder Training for Medics, Fire, Police, Taxi Basic First Aid and Community Health Workers Basic Public Health Services

This multi-level, multi-professional, multi-disciplinary and multi-institutional approach ensures successful medical development and health system strengthening, and ensures program longevity, sustainability, resilience and self-generation. -T. Mulligan & L. Wallis

Bringing together multiple partners to build emergency medicine International emergency medicine organizations understand the complex nature of emergency medicine and acute care systems. GEMI will construct the Global EM Network, which will provide expertise and assistance with all levels of EM and AC systems development. Many parties, organizations and individuals are currently working in international EM development all around the world: EM Societies and Federations, universities, NGOs, governments, corporations and private investors. GEMI was founded by members of these organizations, and brings together the multiple disciplines necessary to build EM systems: medicine, nursing, management, economists, legislators, health policy makers, public health experts, corporations and businesses and private investors. Bringing together the world’s experts at all levels of EM and AC education, research, service and systems development, GEMI will embody one unique organization that will build comprehensive EM systems on a national or regional scale.


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