engleski

Education in Emergency Medicine:European curriculum based pilot project Croatia-Australia

Emergency Medicine (EM) doesn’t exist as a speciality in Croatia. Our goal is to establish it primarily by educating medical professionals, together with building modern Emergency Departments (ED) and improving Emergency Medical Services (EMS). This is a lengthy process for the national health system, therefore, a stepwise approach has been outlined: 1) Short-term: ALS, PLS, ATLS, BLS- AED courses for all healthcare professionals involved with emergencies - started in 2002. 2) Interim: education for doctors, nurses and EMTs in EDs and EMS, until development of EM as a full speciality. This task has been set within our Pilot Project in the Koprivnica county in Croatia: how to educate a core group of people from a particular hospital(s) in the shortest time possible to achieve enough knowledge, skills and competence to work in the ED that is being built. For that purpose, a group of 5 doctors and 5 nurses were assigned and problem oriented body of knowledge and skills according to the European curriculum in EM was identified. Departments of Emergency Medicine at Western and Sunshine Hospital in Footscray, Australia were chosen due to the possibility that Croatian medical professionals can get hands-on-patient training in the accredited tertiary ED, provided with the conditional registration by the medical board in the relevant region of Australia. EM educational course has been designed including knowledge, clinical and other skills: 1. Clinical EM - Tutorial component - 30-hour seminar-based intensive course in Croatia.covering key topics and educational activities during clinical attachment period in Australia. Assessment included a written pre-test, coupled with a skills test. 2. Clinical placement in EM: 14- week placement in 2 groups of 5 in an approved adult and paediatric ED, ICU and EMS. Assessment: 1. Clinical competence hurdles 2. Critical case review 3. Supervisor assessment. 3. Emergency Medicine Project - to be completed within 6 months of the return to the home institution that will address an organisational, administrative, educational or process issue, demonstrate the application of the principles of EM and facilitate information sharing between EDs in the home region. The first group of candidates left for Australia in April 2003 and is scheduled to return mid August ; the second group is leaving in September.

Education, emergency medicine, European curriculum, pilot project

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