Pre-Hospital Care: The New Perspective in the International Rotational Program of Emergency Medicine Residents
Korakot Apiratwarakul1, Takaaki Suzuki2, Alongkone Phengsavanh3, Phanuwat Ngaemsurach4, Vajarabhongsa Bhudhisawasdi1
Affiliation : 1 Department of Emergency Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand, 2 Department of Emergency and Critical Care Medicine, University of Tsukuba Hospital, Tsukuba, Japan, 3 Faculty of Medicine, University of Health Sciences, Vientiane, Laos, 4 Emergency Medical Services Unit, Nurse Division, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
Background: Cooperation between Japan (Tsukuba University), Laos (The University of Health Sciences), and Thailand (Khon Kaen University) had been established in order that the teaching of doctors in the Emergency Medicine Training Program in Laos could be developed so that these doctors could have the opportunity to be the observers of EMS in Thailand. However, as of this time, no studies related to the pre-hospital care perspective in the International Rotational Program for residents of Emergency Medicine have been conducted.
Objective: To survey the perspectives of pre-hospital care for residents from Laos, who were participating in the International Rotational Program of Emergency Medicine.
Materials and Methods: This was a retrospective cross-sectional study conducted between January and March 2020 with thirdyear residents in Emergency Medicine from Laos, who had come to gain practice at the EMS of Srinagarind Hospital in Thailand. Before starting the session, data was collected from all participants, which consisted of responses to a multiple-choice test, demographic data, and satisfaction surveys.
Results: A total of eight emergency medicine residents were enrolled and were then divided into three groups. Under normal conditions, the EMS duration time was thirty-two hours for each group. During the first week of the course, knowledge was disseminated through lectures. During the second week, the participants were placed on duty. After that, they received calls from the 1669 center and were dispatched with the EMS operation team. Finally, over the duration of a two-week period, they were placed in the role of being observers on ambulance duty. When comparing the Pre-test and Post-test assessment of their EMS knowledge, a significant increase in their scores from 3.4 to 8.5 (p = 0.010) was found. In addition, the medical oversight had increased from 2.4 to 8.4 (p = 0.005), while the EMS systems had significantly increased from 4.2 to 8.6 (p = 0.014).
Conclusion: The International Rotational Program for Emergency Medicine residents, which had focused on the EMS aspects with EMS knowledge, Medical Oversight, and on the EMS systems, was found to be successful for the doctors from Laos.
doi.org/10.35755/jmedassocthai.2021.S01.12137
Keywords : Emergency medicine, Internship and Residency, Emergency Medical Services, Learning
