1. Humanitarian emergencies: “Deploying specialists to the field earlier in their career path > Anaesthetist residents on 3 month deployments with MSF”
Francesco Della Corte CRIMEDIM Stella Egidi MSF Italy
Vittoria Gherardi MSF Italy Pier luigi Ingrassia CRIMEDIM Ettore Mazzanti MSF Italy Luca Ragazzoni CRIMEDIM
Alba Ripoll Gallardo CRIMEDIM
Italy,

2. Aims of this exercise
Answer field needs: shortage-gaps of trained anesthesia providers
Train humanitarian workers on cross-professional and specific competencies before first deployment with MSF
Increase retention and possible career inside MSF
Increase new research initiatives in the field

3. Innovation Target population: 4th/5th year anesthetist residents
Round tables along MSF know how/CRIMEDIM + literature review
built a 4-month course with mixed methodology e-learning / live simulations
Course objectives: Prepare candidates for MSF field needs before their deployment > focus on shortage-gap of trained anesthetists
Target population: 4th/5th year anesthetist residents
Post-course, residents are deployed to the field as MSF expatriates for 3 months

4. Results
Appropriate answers to the field needs, evaluations from the 8 line managers in the different contexts where residents have been deployed.
Professional competence was never questioned, highlighted soft skills
- Augmented retention > all the 8 participants at the first 2 cohorts recommended and available for further MSF deployment, 3 second deployments already in 2015, 3 in the pipeline for 2016
Possible investment on future key persons inside MSF: Coordinators, Mobile Implement Officer, Referents, Others
9 participants in the 2016 edition

5. Cost
Trainees pay for the course to cover the CRIMEDIM expenses, 1200 euro, Faculty expenses are higher, the most “pro bono” at the moment
MSF Italy follows the usual recruitment/validation process for the potential candidates before enlisting them to the course >> no added cost
Usual expenses covered by the MSF field project, MSF Italy pays for the global insurance – no income to the person, already with medical training salary (as per Italy rule)

6. Challenges
Pool of “young generation” Medical Doctors falls outside MSF standard selection criteria> end of Residency and at least 2 years working …
Amplify the variety of medical specialty training, gynecologists, pediatricians, nurses, midwives ….
Funding would need to be sought to make this initiative sustainable

7. Future plan
Transdisciplinary >> Emergency Physicians, Pediatricians already in the 2016 Course. Gynecologists for the future? Paramedical too?
Model can be adopted/implemented by other MSF entities or open access to other MSF First deployments nationality
Open door to provide CRIMEDIM-MSF Italy guidance for other MSF-Academic partnerships inside and out MSF family

8. Thanks ! Be curious… Contacts alba.ripoll@med.uniupo.it
Thanks !
Francesco Della Corte CRIMEDIM Stella Egidi MSF Italy
Vittoria Gherardi MSF Italy Pier luigi Ingrassia CRIMEDIM Ettore Mazzanti MSF Italy Luca Ragazzoni CREMEDIM
Alba Ripoll Gallardo CRIMEDIM