Emergency medicine in the developing world: a Delphi study

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
Peter W Hodkinson, L A Wallis

Abstract

Emergency medicine (EM) as a specialty has developed rapidly in the western world, but remains largely immature in developing nations. There is an urgent need for emergency services, but no clear guidelines are available on the priorities for establishing EM in the developing world. This study seeks to establish consensus on key areas of EM development in developing world settings, with respect to scope of EM, staffing needs, training requirements, and research priorities. A three-round Delphi study was conducted via e-mail. A panel was convened of 50 EM specialists or equivalent, with experience in or interest in EM in the developing world. In the first round, panelists provided free-text statements on scope, staffing, training, and research priorities for EM in the developing world. A five-point Likert scale was used to rate agreement with the statements in Rounds 2 and 3. Consensus statements are presented as a series of synopsis statements for each of the four major themes. A total of 168 of 208 statements (81%) had reached consensus at the end of the study. Key areas in which consensus was reached included EM being a specialist-driven service, with substantial role for nonphysicians. International training courses should b...Continue Reading

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Citations

Jan 1, 2010·International Journal of Emergency Medicine·David MaritzLee Wallis
Jul 16, 2011·International Journal of Emergency Medicine·Anne P SteptoeCarlos A Camargo
Oct 9, 2012·The Journal of Emergency Medicine·Reneé A KingAdit A Ginde
Jul 27, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·William P BurdickKenneth V Iserson
Nov 29, 2013·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Rachel T MoreskyRegan H Marsh
Mar 19, 2014·Annals of Emergency Medicine·Heather HammerstedtIsaac Ezati
Jul 17, 2015·International Journal of Emergency Medicine·Leeda RashidSamra Rashid
May 16, 2018·The Western Journal of Emergency Medicine·Taylor W BurkholderRenee A King
Jun 19, 2019·Journal of Graduate Medical Education·Lauren A HeidemannSarah Hartley
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Dec 15, 2020·BMJ Open·Loren De FreitasSeetharaman Hariharan
Jun 17, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Adam R AluisioMichael J Mello

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