EDUCATION IN
EMERGENCY MEDICINE:
EUROPEAN CURRICULUM
BASED PILOT PROJECT
CROATIA-AUSTRALIA
Silvija Hunyadi-Anticevic, MD, Department of
Emergency and Intensive Care Medicine, Clinical
Hospital Center Zagreb, Croatia
Prof. Anne-Maree Kelly, MD, Prof. Joseph Epstein,
MD, Department of Emergency Medicine, Western
Hospital, Footscray, Victoria, Australia
Prof. Stjepan Oreskovic, PhD, “Andrija Stampar”
School of Public Health, Zagreb, Croatia
Background
•
EM doesn’t exist as a speciality in
Croatia
1. Long-term goal: establishment of EM
by educating medical professionals,
building EDs, improving EMS
• Stepwise approach in education:
• Short-term: ALS,PLS,ATLS,BLS-AED
• Interim: Education for MDs,RNs,EMTs
Pilot Project in Koprivnica
County, Croatia
• Task: How to educate a core group of medical
professionals from a particular hospital in the
shortest time possible to achieve enough
knowledge, skills and competencies to work in
the ED that is being built and to further implement
this process to the whole country
• 5 MDs and 5 RNs assigned from Koprivnica
• Problem oriented body of knowledge and skills
according to the European Curriculum in EM
identified
Why Australia ?
• EDs at Western and Sunshine Hospital,
Footscray, Victoria, Australia 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
• Clinical EM-Tutorial component in
Croatia (April 22-25, 2003)
• Clinical placement in EM in Australia
I group : April 28-August 14 &
II group: Sept 1-Dec 14, 2003
• EM Project (within 6 months upon
return to Croatia)
Clinical EM-Tutorial
component in Croatia
• 30-hour seminar based intensive course
in Koprivnica covering key clinical topics
(medicine, surgery, paediatrics, obstetrics
and gynaecology, intensive care etc) and
educational activities during attachment
period in Australia
• Assessment: written pre-test, coupled
with the skills test
Clinical placement in EM in
Australia
14 weeks placement in II groups of 5:
• Adult ED Western Health Hospital (8 wks)
• Paediatric and Ob & Gyn ED Sunshine
Hospital (4 weeks)
• ICU Western Health Hospital (2 wks)
• WADEM - 13th World Congress on
Disaster and EM, May 2003
• ACEM Winter Meeting, June 2003
Clinical placement in EM in
Australia-cont.
Clinical topics:
•
•
•
•
•
Direct teaching: 2-3 days/week
Three 9 hour supervised ED shifts/week
PLS and Trauma Management Course
Advanced airway skills practised in OR
Case reports with literature search
Clinical placement in EM in
Australia-cont.
ED processes:
• Triage
• Models of education
• Disaster response and
principles of retrieval
medicine
• Develop. of protocols
• Quality msr.&mng.
• Evidence based
medicine
• Management change
processes
Clinical placement in EM in
Australia-cont.
Competencies assessed:
• BLS, ALS, PLS
• Triage process
• Basic and advanced
EKG interpretation
• Pain management
(adult and paed.)
• IV cannulation
• Advanced airway
management and RSI
• Mech. ventilation
• Interpretation of ABG
• Arterial line insertion
Clinical placement in EM in
Australia-cont.
Assessment:
• 3 written case discussions
• Written scenario-based exam
• 6 station oral scenario-based exam
Emergency Medicine
Project
To be completed within 6 months at the parent
hospital:
1. Improving asthma management (MD)
2. Setting up an ongoing education program for
staff (MD)
3. Setting up a triage process (RN)
4. Improving resuscitation team process (RN)
5. Improving EKG interpretation skills (RN)
SUMMARY
• Pilot Project on interim education in EM (based
on the European Curriculum) for health care
professionals from the country without existing
EM as a distinct speciality (Croatia) in the
country with fully established EM (Australia)
• Educational approach: delivering short-term
improvements with the goal of long-term
sustainability
• Ongoing process - full evaluation upon
completion (June 2004)