DISASTER MEDICINE AND DISASTER MANAGEMENT - A PROMISING PATH TO BE EXPLORED IN THE BRAZILIAN UNDERGRADUATE MEDICAL CURRICULUM: A CROSS-SECTIONAL STUDY

Authors

DOI:

https://doi.org/10.63845/etvk0m71

Keywords:

Curriculum, Disasters, Disaster Medicine, Medical Students

Abstract

Introduction: The discussion about disasters has gained greater relevance in recent years, mainly due to the COVID-19 pandemic. However, currently, the importance of training health professionals for such situations does not match the proper approach to this topic in undergraduate curricula, including Medicine. This study aimed to verify the perception of medical students from universities in the extreme south of Santa Catarina about the need to implement disciplines/courses on Disaster Medicine and Disaster Management in medical undergraduate curriculum. Methods: A cross-sectional study was performed, through a questionnaire divided into four stages, about Disaster Medicine and Disaster Management applied with students from three universities in the Extreme South of Santa Catarina. The data obtained were grouped in spreadsheets without the identification of the respondents, and organized by categorical and quantitative variables, and analyzed using descriptive statistics. Results: There were 105 participants, most of them women (64.8%), aged 20-24 years old (61%), and enrolled up to their fourth year of undergraduate medical school (92.4%). A lack of familiarity with the Disaster Medicine and Disaster Management field was observed, as well as the recognition of the need to implement courses/disciplines in the area, in which the students showed great interest — the majority of the participants agreed (88.5%) with the need of implementation of a course with this theme. Conclusion: The students' strangeness with Disaster Medicine and Disaster Management and their desire to learn more about the subject demonstrates the fertility of this topic that is still little explored.

References

Sobral A, Freitas CM de, Andrade EV, et al. Natural disasters - information systems and surveillance system: a review of literature. Epidemiol Serv Saúde. 2010;19(4):389–402. DOI: https://doi.org/10.5123/S1679-49742010000400009

Khan G, Sheek-Hussein M, al Suwaidi A, et al. Novel coronavirus pandemic: A global health threat. Turk J Emerg Med. 2020;20(2):55-62. DOI: https://doi.org/10.4103/2452-2473.285016

Witt R, Gebbie K. Tailoring curricula to fit health professionals needs in a disaster: a proposal for Brazilian nurses. Rev Gauch enferm. 2016;37(1):e56229. DOI: https://doi.org/10.1590/1983-1447.2016.01.56229

Bandeira AG, Marin SM, Witt RR. Vulnerability to natural disasters: implications for nursing. Cienc Cuid Saúde. 2014;13(4):776–81. DOI: https://doi.org/10.4025/cienccuidsaude.v13i4.22135

Lennquist S. Definition of the science of disaster medicine. In: Call for papers in the International Journal of Disaster Medicine. Int J Dis Med. 2004;3:67–70. DOI: https://doi.org/10.1080/15031430510034668

Lennquist S. Education and training in disaster medicine. Scand J Surg. 2005;94(4):300–10. DOI: https://doi.org/10.1177/145749690509400409

Murray B, Judge D, Morris T, et al. Interprofessional education: A disaster response simulation activity for military medics, nursing, & paramedic science students. Nurse Educ Pract. 2019;39:67–72. DOI: https://doi.org/10.1016/j.nepr.2019.08.004

de Boer J, Dubouloz M. Handbook of disaster medicine: emergency medicine in mass casualty situations. Amsterdam: CRC Press; 2000.

Kaiser HE, Barnett DJ, Hsu EB, et al. Perspectives of future physicians on disaster medicine and public health preparedness: challenges of building a capable and sustainable auxiliary medical workforce. Disaster med Public Health Prep. 2009;3(4):210–6. DOI: https://doi.org/10.1097/DMP.0b013e3181aa242a

Yasui K, Kimura Y, Kamiya K, et al. Academic Responses to Fukushima Disaster: Three New Radiation Disaster Curricula. Asia Pac J Public Health. 2017;29(2):99S-109S. DOI: https://doi.org/10.1177/1010539516685400

Huang B, Li J, Li Y, et al. Need for continual education about disaster medicine for health professionals in China-a pilot study. BMC Public Health. 2011;11(1):1–4. DOI: https://doi.org/10.1186/1471-2458-11-89

Ingrassia PL, Ragazzoni L, Tengattini M, et al. Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools. Prehosp Disaster Med. 2014;29(5):508–15. DOI: https://doi.org/10.1017/S1049023X14000831

Centro Universitário de Estudos e Pesquisas sobre Desastres. Atlas brasileiro de desastres naturais: 1991 a 2012. Florianópolis: CEPED-UFSC; 2013. Available in: https://sosgisbr.files.wordpress.com/2018/02/brasil.pdf

Lucian R, Dornelas JS. Measurement of Attitude: proposition of a scales development protocol. Rev Adm Contemp. 2015;19(2):157–77. DOI: https://doi.org/10.1590/1982-7849rac20151559

Barrimah I, Adam I, Al-Mohaimeed A. Disaster medicine education for medical students: Is it a real need? Med Teach. 2016;38(1):S60–5. DOI: https://doi.org/10.3109/0142159X.2016.1142515

Ragazzoni L, Ingrassia PL, Gugliotta G, et al. Italian medical students and disaster medicine: awareness and formative needs. Am J Disaster Med. 2013;8(2):127–36. DOI: https://doi.org/10.5055/ajdm.2013.0119

Cicero MX, Blake E, Gallant N, et al. Impact of an educational intervention on residents’ knowledge of pediatric disaster medicine. Pediatr Emerg Care. 2009;25(7):447–51. DOI: https://doi.org/10.1097/PEC.0b013e3181ab78af

Gausche-Hill M. Pediatric disaster preparedness: are we really prepared? J Trauma. 2009;67(2Suppl):S73-S76. DOI: https://doi.org/10.1097/TA.0b013e3181af2fff

Franc-Law JM, Ingrassia PL, Ragazzoni L, et al. The effectiveness of training with an emergency department simulator on medical student performance in a simulated disaster. CJEM. 2010;12(1):27–32. DOI: https://doi.org/10.1017/S1481803500011982

Alim S, Kawabata M, Nakazawa M. Evaluation of disaster preparedness training and disaster drill for nursing students. Nurse Edu Today. 2015;35(1):25–31. DOI: https://doi.org/10.1016/j.nedt.2014.04.016

Conselho Federal de Medicina (CFM - Brasil). Código de Ética Médica; Resolution No. 2.217, from September 27, 2018, modified by CFM Resolutions No. 2.222/2018 and 2.226/2019. Brasília: Conselho Federal de Medicina; 2019.

Alderman K, Turner LR, Tong S. Floods and human health: a systematic review. Environ Int. 2012;47:37–47. DOI: https://doi.org/10.1016/j.envint.2012.06.003

Fernandes GCM, Boehs AE, Denham SA, et al. Rural families' interpretations of experiencing unexpected transition in the wake of a natural disaster. Cad Saúde Pública. 2017;33(1):e00161515. DOI: https://doi.org/10.1590/0102-311x00161515

Ashcroft J, Byrne MHV, Brennan PA, et al. Preparing medical students for a pandemic: a systematic review of student disaster training programmes. Postgrad Med J. 2021;97(1148):368-79. DOI: https://doi.org/10.1136/postgradmedj-2020-137906

Peterson T, Wallace D, Evans J, et al. Disaster medicine and pandemic response: A novel curriculum to improve understanding of complex care delivery during the COVID-19 pandemic. AEM Educ Train. 2021;5(4):e10647. DOI: https://doi.org/10.1002/aet2.10647

Hermann S, Gerstner J, Weiss F, et al. Presentation and evaluation of a modern course in disaster medicine and humanitarian assistance for medical students. BMC Med Educ. 2021;21(1):610. DOI: https://doi.org/10.1186/s12909-021-03043-6

Published

2024-10-22

Issue

Section

Artigo original

How to Cite

DISASTER MEDICINE AND DISASTER MANAGEMENT - A PROMISING PATH TO BE EXPLORED IN THE BRAZILIAN UNDERGRADUATE MEDICAL CURRICULUM: A CROSS-SECTIONAL STUDY. (2024). Arquivos Catarinenses De Medicina, 52(4), 45-58. https://doi.org/10.63845/etvk0m71