International Emergency Medicine: Residency &

Beyond

International Emergency Medicine: Residency &

Beyond

Dr. Eric GoedeckeAssistant Professor of Emergency

MedicineUMass Medical School

Milford Regional Medical Center

Dr. Eric GoedeckeAssistant Professor of Emergency

MedicineUMass Medical School

Milford Regional Medical Center

OverviewOverview

Development of International EMSociety/ACEP Involvement

International SectionInstitutional/UMass Involvement

Partnerships: GEMINIPersonal Involvement & Experiences

How to get involved

Development of International EMSociety/ACEP Involvement

International SectionInstitutional/UMass Involvement

Partnerships: GEMINIPersonal Involvement & Experiences

How to get involved

History and DevelopmentHistory and Development

Relatively new subspecialtyDifferent activities

EM and EMS TrainingClinical servicesExchange programsRecognition as a specialty

Relatively new subspecialtyDifferent activities

EM and EMS TrainingClinical servicesExchange programsRecognition as a specialty

History and DevelopmentHistory and Development

Increasing interestOverall medical system improvementUrbanizationElderly populationGlobal media popularityTravel/terrorist/MCI

Increasing interestOverall medical system improvementUrbanizationElderly populationGlobal media popularityTravel/terrorist/MCI

EM MaturationEM MaturationUnited States

United Kingdom

Australia

Canada

Hong Kong

Singapore

RecognizedSpecialty

1973 1986 1981 1980 1983 1984

NationalOrganization

1968 1967 1981 1984 1985 1993

Academic Society

1970 1989 1988 1988 1994 1993

National certification

1979 1983 1986 1985 1997 1994

Emergency Medicine Clinics of North America, Vol 23,

No.1, 2005

EM MaturationEM Maturation

Underdeveloped, developing, or mature?

ED PhysiciansPrehospital CareTransfer SystemTrauma System

Underdeveloped, developing, or mature?

ED PhysiciansPrehospital CareTransfer SystemTrauma System

EM MaturationEM Maturation

Underdeveloped, developing, or mature?

ED PhysiciansPrehospital CareTransfer SystemTrauma System

Underdeveloped, developing, or mature?

ED PhysiciansPrehospital CareTransfer SystemTrauma System

EM MaturationEM Maturation

Underdeveloped, developing, or mature?

ED PhysiciansPrehospital CareTransfer SystemTrauma System

Underdeveloped, developing, or mature?

ED PhysiciansPrehospital CareTransfer SystemTrauma System

International OrganizationsInternational

OrganizationsIFEM: International Federation for

EM1989

ACEPBritish Association of Accident and EMAustralasian College of EMCanadian Association of EM

IFEM: International Federation for EM

1989ACEPBritish Association of Accident and EMAustralasian College of EMCanadian Association of EM

ACEP and IFEMACEP and IFEM

Consortium of EM OrganizationsConferences every other year

San Francisco 2008Singapore 2010

Section on International EM 1998AAEM/SAEM

Consortium of EM OrganizationsConferences every other year

San Francisco 2008Singapore 2010

Section on International EM 1998AAEM/SAEM

ACEP: International Section

ACEP: International Section

Sectional Membership Free!Over 1000 members

Ambassador Program

Sectional Membership Free!Over 1000 members

Ambassador Program

ACEP Ambassador Program

ACEP Ambassador Program

Function DutiesAppointmentTerm

Function DutiesAppointmentTerm

ACEP Ambassador Program

ACEP Ambassador Program

62 Countries/Regions56 AmbassadorsVolunteer positionResidents Welcome!

62 Countries/Regions56 AmbassadorsVolunteer positionResidents Welcome!

FellowshipsFellowships

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

PartnershipsPartnerships

Global Emergency Medicine INItiativeFounded in 1999 by Westborough Rotarians

Paul Gallagher, Dr. Jorge Yarzebski, and Dr. Richard Aghababian

Rotary International Univ of Massachusetts Medical School,

Department of EM

Global Emergency Medicine INItiativeFounded 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 AffiliationRichard Aghababian, MD, Jorge L. Yarzebski, MD

Paul Gallagher

Organization & Funding: Organization & Funding:

GEMINIGEMINI

FundingPrivate DonationsClub DonationsFundraising Events – Wine TastingRotary Grants

FundingPrivate DonationsClub DonationsFundraising Events – Wine TastingRotary Grants

Principle GoalPrinciple Goal

EducationEducation

MissionMissionPromote 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 TrainerTrain 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.”

“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

Past/Present/Future Projects

HondurasDominican RepublicArmeniaGuatemalaNicaraguaGuyana

HondurasDominican RepublicArmeniaGuatemalaNicaraguaGuyana

HondurasHonduras

Teaching in HondurasTeaching in Honduras

Various cardiology topics

EKG recognitionDiabetesTraumaPractical

Workshops

Various cardiology topics

EKG recognitionDiabetesTraumaPractical

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 WorkshopSuturing Workshop

Supplies and EquipmentSupplies and Equipment

Dominican RepublicDominican Republic

Training SitesSanto DomingoLa VegaLa Romana

ACLS TrainingBLS Training

Training SitesSanto DomingoLa VegaLa Romana

ACLS TrainingBLS Training