DISASTER MEDICINE AND DISASTER MANAGEMENT - A PROMISING PATH TO BE EXPLORED IN THE BRAZILIAN UNDERGRADUATE MEDICAL CURRICULUM: A CROSS-SECTIONAL STUDY
Keywords:
Curriculum, Disasters, Disaster Medicine, Medical StudentsAbstract
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.
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.
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.
Bandeira AG, Marin SM, Witt RR. Vulnerability to natural disasters: implications for nursing. Cienc Cuid Saúde. 2014;13(4):776–81.
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.
Lennquist S. Education and training in disaster medicine. Scand J Surg. 2005;94(4):300–10.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Gausche-Hill M. Pediatric disaster preparedness: are we really prepared? J Trauma. 2009;67(2Suppl):S73-S76.
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.
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.
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.
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.
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.
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.
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.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Arquivos Catarinenses de Medicina
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
