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Essential Training Needs of Emergency Medical Teams (EMT)

This study identifies the essential training needs of EMTs through a Delphi methodology. The research explores training methods and experiences related to EMT preparation for deployment and activities at disaster sites. The study highlights important features of a training program for EMTs and proposes a curriculum framework.

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Essential Training Needs of Emergency Medical Teams (EMT)

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  1. Essential Training Needs of Emergency Medical Teams (EMT): Delphi StudyEU TEAMS Project Task B – HCRIDr Adele Aubrey(with special acknowledgement to Dr Stephanie Rinaldi)

  2. Lycurgus consulting Pythia

  3. Delphi Methodology • The Delphi is a method for structuring a group communication process allowing a group of individuals, as a whole, to deal with a complex problem (Linstone & Turoff, 2002, p.3), and based on the idea that it is possible and valuable to reach a consensus (Stone Fish & Busby, 2005).

  4. Overview of Process

  5. Round One: Online questionnaire • Information on the perceived training delivery methods and experiences within EMT organisations relating to: • training needs for preparing the EMT for departure, • and their arrival at the disaster site, starting their medical activities, and exiting from the country.

  6. Example of question • In your view, what are the most important features of a training programme targeted at EMTs with regards to the preparations of the EMT for deployment?

  7. Round One: 17 Respondents • Specialist Experts • Head of Medical Support of Urban Search and Rescue operation • Deputy Director, Global Disaster Response • Emergency Clinicians/ Medical Specialists / Health Specialist • Emergency Management Advisor • Global Humanitarian Health Advisor • Professor • Director, Operations Manager Reserves Disaster Recovery Program • Chief Rapid Response • Manager and Officers of Disaster Relief

  8. Example module: Safety, Security, and Risk

  9. Round One: Results • Safety Security and Risk • Cultural Awareness • Coordination • Logistics • Austere Environments • Standards Dominant training categories (modules) identified from respondents in Round One of the Questionnaire were: • Standards • Equipment/resources • Reporting • Collaborative working • Situational awareness • Exit strategy

  10. Project Consortium Workshop • Participants in four groups of were asked to rate the importance of modules and subcategories from the Delphi Questionnaire and Desk Based Study and split them into ‘operational’ and ‘self-study’ (online) training programmes.

  11. Project Consortium WorkshopModules to be included in an operational training programme in order of importance

  12. Round Two Questionnaire • The key modules for an operational training programme identified in the Project Consortium Workshop were presented back to participants (online) who responded in Round One. • They were: • Invited to comment on the content of the module • Asked whether it is essential/desirable/not required • Invited to specify learning outcomes

  13. Round Two QuestionnaireModules selected as ‘essential’ to an operational training programme in order of agreement 100% participant agreement  17% participant agreement

  14. Conclusions • Results of Round One questionnaire largely consistent with existing literature, and the updated desk based review. • Safety Security and Risk and Collaborative working (inside and outside the team) themes the most important in all findings and consistently reinforced. • Largest discrepancy between attendees of the Project Consortium workshop and Round Two Questionnaire over the importance of Data Collection and Reporting module, and Media Management was not identified by any respondents in Round One. • Those in the bottom four of both tables above (Organisational Specific, Exit Strategy) are not included in the resulting curriculum framework. • Project Consortium Workshop concluded that modules covering Humanitarian Systems/International Frameworks, Technical Standards, and Co-ordination could be safely delivered via online self-study, rather than an operational training programme.

  15. Proposed Curriculum Framework • Assimilating the results from each stage of the methodology, and with the aim of developing a 3-day operational training package, the following curriculum framework was proposed…

  16. Any questions/ comments? Future enquiries: adele.aubrey@manchester.ac.uk or hcri@manchester.ac.uk

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