Education and Training Multinational Emergency Medical Staffs
1Emergency department, Sheikh Khailfa Specialty Hospital, United Arab Emirates
Sheikh Khalifa Specialty Hospital (SKSH) is the biggest hospital in Northern part of UAE since its opening on 2014. Now we are working with 28 doctors and 34 nurses in ER to manage more than 150 patients a day. SKSH has a unique feature that it is mainly focusing on 3 center of Excellency which is oncologic, cardiovascular, neurologic center. Other departments are generally one manned department. Since we do not have General internal medicine, there are clinical gaps between too-specialized department and Emergency department. There are high expectations from patients and guardians, high requirements from specialized department and high dependency from other departments. In Emergency department, we have 4 consultant physicians, 5 specialists and 19 general practitioners. Nationalities are various that we have 11 Sudanese, 4 Egyptians, 4 Koreans, 3 Jordanians, 2 Syrians and 1 each for India, Pakistan, Afghanistan and Somalia. Since we are working with the doctors with different backgrounds, sometimes it could have synergistic effect but also have a risk to provide inconsistent level of medical services.
This could lead us mutual disbelief and cultural gap. To resolve the problem, continuous and repetitive education seems the only option. We started to persuade the necessity of ED education program to ED doctors and another department also and obtained support from multiple departments.
Most of ED physicians had lack of experiences of modern medical practices or devices and were struggling with interpretation of imaging studies and laboratory tests, handling of medical devices like ultrasound or ventilator, basic procedures like dressing, applying splinter, suturing, catheterization or airway management and even performing physical examinations or neurological examinations.
While preparing education program, we found that gathering all the doctors in a place was very difficult. ED physicians work on shifts and location of hospital is very far from living area. To participate the lecture program was not mandatory and program itself was not so attractive since it does not provide CME points. So, we choose most quiet day among weekdays, took advantage of changing time for both night and day duty doctors to participate. We counted our presence in the program as working hours, made it mandatory to be a presenter in the education program and included our activities regarding education as one of important indicators for annual performance evaluation. We are also trying to get CME points with this program.
Now we are at the very beginning of the education program, it is too early to estimate or announce the result. But I believe this will bring the chances to develop our medical skills and knowledge, share and discuss the proper medical process and settle conflicts and cooperate with other departments.