International Emergency Medicine: Residency & Beyond Dr. Eric Goedecke Assistant Professor of Emergency Medicine UMass Medical School Milford Regional Medical Center 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  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  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  Increasing interest  Overall medical system improvement  Urbanization  Elderly population  Global media popularity  Travel/terrorist/MCI

EM Maturation United States United Kingdom AustraliaCanadaHong Kong Singapore Recognized Specialty National Organization Academic Society National certification 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  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  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  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  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  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  Sectional Membership Free!  Over 1000 members  Ambassador Program

ACEP Ambassador Program  Function  Duties  Appointment  Term  Function  Duties  Appointment  Term

ACEP Ambassador Program  62 Countries/Regions  56 Ambassadors  Volunteer position  Residents Welcome!  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  SAEM Website: Currently 23 programs  2004 Bledsoe: “Current Status of International Emergency Medicine Fellowships in the United States”  SAEM Consensus Panel Guidelines  Curriculum

Partnerships  G lobal E mergency M edicine INI tiative  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  G lobal E mergency M edicine INI tiative  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

Organization & Funding: Rotary International Westborough, MA District 7910 Board of Directors Steering Cmte G.E.M.I.N.I. Honduras Dominican Republic GuatemalaGuyanaArmeniaNicaragua

GEMINI  Funding  Private Donations  Club Donations  Fundraising Events – Wine Tasting  Rotary Grants  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  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  Honduras  Dominican Republic  Armenia  Guatemala  Nicaragua  Guyana

Honduras

Teaching in Honduras  Various cardiology topics  EKG recognition  Diabetes  Trauma  Practical Workshops  Various cardiology topics  EKG recognition  Diabetes  Trauma  Practical Workshops

Tuesday 2/25/03: By air, land & sea!

Tuesday, 2/25/03: Santa Rosa de Aguan Hurricane Mitch

Gayle Galletta

Downtown Tocoa

Friday, 2/28/03: Tocoa

Ventilator Workshop

Intubation Workshop

Defibrillation Workshop

Suturing Workshop

Supplies and Equipment

Dominican Republic  Training Sites  Santo Domingo  La Vega  La Romana  ACLS Training  BLS Training  Training Sites  Santo Domingo  La Vega  La Romana  ACLS Training  BLS Training