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International Emergency Medicine: Residency & Beyond. Dr. Eric Goedecke Assistant Professor of Emergency Medicine UMass Medical School Milford Regional Medical Center. Overview. Development of International EM Society/ACEP Involvement International Section Institutional/UMass Involvement
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International Emergency Medicine: Residency & Beyond Dr. Eric Goedecke Assistant Professor of Emergency Medicine UMass Medical School Milford Regional Medical Center
Overview • Development of International EM • Society/ACEP Involvement • International Section • Institutional/UMass Involvement • Partnerships: GEMINI • Personal Involvement & Experiences • How to get involved
History and Development • Relatively new subspecialty • Different activities • EM and EMS Training • Clinical services • Exchange programs • Recognition as a specialty
History and Development • Increasing interest • Overall medical system improvement • Urbanization • Elderly population • Global media popularity • Travel/terrorist/MCI
EM Maturation Emergency Medicine Clinics of North America, Vol 23, No.1, 2005
EM Maturation • Underdeveloped, developing, or mature? • ED Physicians • Prehospital Care • Transfer System • Trauma System
EM Maturation • Underdeveloped, developing, or mature? • ED Physicians • Prehospital Care • Transfer System • Trauma System
EM Maturation • Underdeveloped, developing, or mature? • ED Physicians • Prehospital Care • Transfer System • Trauma System
International Organizations • IFEM: International Federation for EM • 1989 • ACEP • British Association of Accident and EM • Australasian College of EM • Canadian Association of EM
ACEP and IFEM • Consortium of EM Organizations • Conferences every other year • San Francisco 2008 • Singapore 2010 • Section on International EM 1998 • AAEM/SAEM
ACEP: International Section • Sectional Membership Free! • Over 1000 members • Ambassador Program
ACEP Ambassador Program • Function • Duties • Appointment • Term
ACEP Ambassador Program • 62 Countries/Regions • 56 Ambassadors • Volunteer position • Residents Welcome!
Fellowships • SAEM Website: Currently 23 programs • 2004 Bledsoe: “Current Status of International Emergency Medicine Fellowships in the United States” • SAEM Consensus Panel Guidelines • Curriculum
Partnerships • GlobalEmergencyMedicineINItiative • Founded in 1999 by Westborough Rotarians Paul Gallagher, Dr. Jorge Yarzebski, and Dr. Richard Aghababian • Rotary International • Univ of Massachusetts Medical School, Department of EM
Medical School Affiliation Richard Aghababian, MD, Jorge L. Yarzebski, MD Paul Gallagher
GEMINI • Funding • Private Donations • Club Donations • Fundraising Events – Wine Tasting • Rotary Grants
Principle Goal • Education
Mission • Promote peace and understanding through shared fellowship and service • Provision for ongoing training to healthcare personnel • Establish a self sustaining capacity to provide acceptable emergency medical care for all • Train the Trainer
Train the Trainer • “Give a man a fish and you feed him for a day. Teach a man to fish and you feed him for a lifetime.”
Past/Present/Future Projects • Honduras • Dominican Republic • Armenia • Guatemala • Nicaragua • Guyana
Teaching in Honduras • Various cardiology topics • EKG recognition • Diabetes • Trauma • Practical Workshops
Dominican Republic • Training Sites • Santo Domingo • La Vega • La Romana • ACLS Training • BLS Training