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Development of a Prehospital Care Rotation for Emergency Medicine Residents in Haiti

Published online by Cambridge University Press:  22 April 2021

Sean M. Kivlehan Open the ORCID record for Sean M. Kivlehan [Opens in a new window] ,
Lourdes Rachelle Faikha Colinet ,
Cassandre Edmond ,
Hank Song ,
Chen Wei ,
Linda Rimpel ,
Shada A. Rouhani  and
Keegan A. Checkett
Sean M. Kivlehan*
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MassachusettsUSA Department of Emergency Medicine, Harvard Medical School, Boston, MassachusettsUSA
Lourdes Rachelle Faikha Colinet
Affiliation:
Department of Emergency Medicine, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
Cassandre Edmond
Affiliation:
Department of Emergency Medicine, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
Hank Song
Affiliation:
Harvard T. H. Chan School of Public Health, Boston, MassachusettsUSA Department of Emergency Medicine, University of Southern California, Los Angeles, CaliforniaUSA
Chen Wei
Affiliation:
Student; Harvard Medical School, Boston, MassachusettsUSA
Linda Rimpel
Affiliation:
Department of Emergency Medicine, Hopital Universitaire de Mirebalais, Mirebalais, Haiti
Shada A. Rouhani
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MassachusettsUSA Department of Emergency Medicine, Harvard Medical School, Boston, MassachusettsUSA Partners In Health, Boston, MassachusettsUSA
Keegan A. Checkett
Affiliation:
Partners In Health, Boston, MassachusettsUSA Department of Emergency Medicine, University of Chicago, Chicago, IllinoisUSA
*
Correspondence: Sean Kivlehan, MD, MPH, Brigham and Women’s Hospital, Department of Emergency Medicine, 75 Frances Street, Neville House, Boston, MassachusettsUSA, E-mail: [email protected]
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Abstract

Background:

Prehospital care is a key component of an emergency care system. Prehospital providers initiate patient care in the field and transition it to the emergency department. Emergency Medicine (EM) specialist training programs are growing rapidly in low- and middle-income countries (LMICs), and future emergency physicians will oversee emergency care systems. Despite this, no standardized prehospital care curriculum exists for physicians in these settings. This report describes the development of a prehospital rotation for an EM residency program in Central Haiti.

Methods:

Using a conceptual framework, existing prehospital curricula from high-income countries (HICs) were reviewed and adapted to the Haitian context. Didactics covering prehospital care from LMICs were also reviewed and adapted. Regional stakeholders were identified and engaged in the curriculum development.

Results:

A one-week long, 40-hour curriculum was developed which included didactic, clinical, evaluation, and assessment components. All senior residents completed the rotation in the first year. Feedback was positive from residents, field sites, and students.

Conclusions:

A standardized prehospital rotation for EM residents in Haiti was successfully implemented and well-received. This model of adaptation and local engagement can be applied to other residency programs in low-income countries to increase physician engagement in prehospital care.

Keywords

curriculum developmenteducationemergency carelow- and middle-income countryprehospital care
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 4 , August 2021 , pp. 470 - 474
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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