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Mohanty VR, Rao RG, Gupta AK, Reddy VK, Rijhwani K, Amin F. Integration of Dental Health Professionals in Disaster Management - Commitment to Action - New Delhi Declaration - 2020. Prehosp Disaster Med 2022; 37:1-2. [PMID: 35105405 DOI: 10.1017/s1049023x22000152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Vikrant R Mohanty
- Professor and Head, Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Delhi, India
| | - Rajesh G Rao
- Former Professor and Head, Department of Public Health Dentistry, Manipal College of Dental Sciences, Mangalore, India
| | - Anil K Gupta
- Professor, National Institute of Disaster Management, Government of India, India
| | - Vamsi K Reddy
- Principal, Professor and Head, Department of Public Health Dentistry, Anil Neerukonda Institute of Dental Sciences, Visakhapatnam, Andhra Pradesh, India
| | - Kavita Rijhwani
- Senior Resident, Department of Public Health Dentistry, Maulana Azad Institute of Dental Sciences, Delhi, India
| | - Fatima Amin
- Young Researcher, National Institute of Disaster Management, Government of India, India
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Abstract
The past 20 years have seen major public health emergencies and natural disasters, including the Severe Acute Respiratory Syndrome outbreak caused by the SARS-associated coronavirus (SARS-CoV) in 2003; the Wenchuan earthquake in 2008; and the novel coronavirus pandemic (COVID-19) of 2019, which caused mass casualties, infections, and panic. These also resulted in complex demands for medical resources and information, and a shortage of human resources for emergency responses. To address the shortage of human resources required for these emergency responses, Chinese dental professionals made useful contributions. From this work, deficiencies in emergency response training and opportunities for the expansion of rescue capabilities were identified, and relevant recommendations made.
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The Role of Oral Health in Complex Emergencies and Disaster Rehabilitation Medicine. Disaster Med Public Health Prep 2018; 12:772-777. [PMID: 29463334 DOI: 10.1017/dmp.2018.2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
This paper presents an overview of the importance of oral health in complex emergencies. It highlights the importance of maintaining general and oral health in the acute, intermediate and long-term phases of such events which are increasing in frequency. The importance of oral health as an early warning sign for systemic disease and deprivation is also explored along with the crucial role of oral health in maintaining quality of life through adequate nutrition and speech. The overview of oral health in these situations identifies the need for training dental personnel as members of rehabilitation teams that set out to manage these disasters. They can quickly help in improving quality of life for victims by extracting carious and painful teeth as necessary, and also form part of an oral health education program for aid agencies. They can also be the first to identify systemic diseases like HIV and may also play a role in identifying victims of abuse, as non-accidental injuries can frequently present in the oro-facial region. The oral health overview concludes by describing the contents of innovative oral health packs that are tailored to prevention of dental diseases and that can be readily incorporated as part of food packs distributed by aid agencies. (Disaster Med Public Health Prepardness. 2018;12:772-777).
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Bruhn AM, Newcomb TL, Sheth-Chandra M. Assessment of Mass Fatality Preparedness and Response Content in Dental Hygiene Education. J Dent Educ 2016. [DOI: 10.1002/j.0022-0337.2016.80.5.tb06121.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Ann M. Bruhn
- School of Dental Hygiene; Old Dominion University
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Dutta SR, Singh P, Passi D, Varghese D, Sharma S. The Role of Dentistry in Disaster Management and Victim Identification: An Overview of Challenges in Indo-Nepal Scenario. J Maxillofac Oral Surg 2016; 15:442-448. [PMID: 27833335 DOI: 10.1007/s12663-016-0896-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2015] [Accepted: 03/21/2016] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Recently, natural disasters and terrorist activities have been leading to mass casualty situations unexpectedly around the globe. In addition to the traditional emergency medical services centering around medically trained and paramedic personnel, dental practitioners having vital skills and attributes may be important in responding to a mass casualty situation. OBJECTIVE This paper aims at discussing the role of dentists in disaster management and the role of forensic odontology in the disaster victim identification (DVI), its status in India and some suggestions to develop the plans for same. MATERIALS AND METHODS Articles were searched in various medical databases such as Google Scholar, Pubmed Central, Sciencedirect,Wiley online Library, Scopus, Copernicus to gather all relevant information on the subject. Various keywords were used as search tool such as 'Mass disaster', 'Forensic odontology', 'Victim identification'. RESULTS The search resulted in total of 170 articles which we reviewed. Due to limitation to the list of references we have constricted our review to only 39 articles for more informative literature and supported the topic of the present manuscript 'The Role of Dentistry in Disaster Management and Victim Identification: An Overview of Challenges in Indo-Nepal Scenario' more specifically. CONCLUSION Every disaster is unique and involves interplay of different factors and circumstances such as nature of disaster, number of victims and extent of body fragmentation that ultimately challenges the disaster response planning. Apart from the victim recovery and evacuation, the disaster response planning must include the established procedures for the identification of the victims of the disaster. The identification of victims essentially relies on forensic anthropology, radiology, DNA typing and fingerprints, as well as odontology.
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Affiliation(s)
- Shubha Ranjan Dutta
- Department of Oral and Maxillofacial Surgery, M B Kedia Dental College, Tribhuwan University, Chhapkaiya, Birgunj-2 Nepal
| | - Purnima Singh
- Department of Physiology, M B Kedia Dental College, Tribhuwan University, Chhapkaiya, Birgunj Nepal
| | - Deepak Passi
- Department of Oral and Maxillofacial Surgery, E. S. I. C. Dental College and Hospital, Rohini, Delhi India
| | - Don Varghese
- Department of Oral and Maxillofacial Surgery, Jodhpur Dental College and Hospital, Jodhpur, Rajasthan India
| | - Sarang Sharma
- Department of Conservative Dentistry and Endodontics, E. S. I. C. Dental College and Hospital, Rohini, Delhi India
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Witt RR, Gebbie KM. Tailoring curricula to fit health professionals needs in a disaster: a proposal for Brazilian nurses. ACTA ACUST UNITED AC 2016; 37:e56229. [PMID: 27074310 DOI: 10.1590/1983-1447.2016.01.56229] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 12/03/2015] [Indexed: 11/21/2022]
Abstract
Introduction Education and training are the cornerstones of disaster preparedness and best curricula and training programs are competency-based. Objective This paper presents a proposal to be applied in nursing curricula in Brazil, based on the National Curriculum Guidelines and the recommendations for integrating skills and competencies into undergraduate curricula proposed by the World Health Organization. Results Comparison of competencies sets was conducted to indicate the specific competencies to be included as essential for Brazilian nurses. Levels of proficiency were indicated for the establishment of learning objectives and learning experiences and evaluation tools recommended from the literature. Conclusions The competencies provided are the beginning of the discussion that will have to take place in every nursing school, if all Brazilian nurses are to graduate ready to participate should a disaster occur.
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Affiliation(s)
- Regina Rigatto Witt
- Escola de Enfermagem, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brasil
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Disaster Management and General Dental Practitioners in India: An Overlooked Resource. Prehosp Disaster Med 2015; 30:569-73. [PMID: 26486971 DOI: 10.1017/s1049023x15005208] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To assess General Dental Practitioners' (GDPs) in India willingness to participate in disaster management and their previous training pertaining to disaster management, and to assess GDP objective knowledge, attitude, and behavior regarding disaster management. MATERIALS AND METHODS This study was a cross-sectional survey conducted on all GDPs of Jodhpur, Rajasthan, India. Willingness to participate, perceived knowledge, perceived effectiveness, objective knowledge, attitude, and behavior regarding disaster management were assessed through questionnaire method. Information also was collected regarding age, gender, religion, and residence. RESULTS A total of 142 out of 180 GDPs participated in the study, representing a response rate of 79%. A majority (85%) of respondents were willing to participate in disaster management. Mean score for knowledge was 12.21%, for attitude was 33.56%, for behavior was 14.50%, and for perceived effectiveness was 9.08%. Significant correlations were observed between qualification and perceived effectiveness (P=.003), and between attitude and years of practice (P=.04). Willingness to participate in disaster management and age showed significant association (P=.000). CONCLUSIONS High willingness and attitude to participate in disaster management was observed among respondents. Low knowledge and behavior scores were observed among GDPs.
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Core Competencies in Disaster Management and Humanitarian Assistance: A Systematic Review. Disaster Med Public Health Prep 2015; 9:430-9. [DOI: 10.1017/dmp.2015.24] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractDisaster response demands a large workforce covering diverse professional sectors. Throughout this article, we illustrate the results of a systematic review of peer-reviewed studies to identify existing competency sets for disaster management and humanitarian assistance that would serve as guidance for the development of a common disaster curriculum. A systematic review of English-language articles was performed on PubMed, Google Scholar, Scopus, ERIC, and Cochrane Library. Studies were included if reporting competency domains, abilities, knowledge, skills, or attitudes for professionals involved disaster relief or humanitarian assistance. Exclusion criteria included abstracts, citations, case studies, and studies not dealing with disasters or humanitarian assistance. Thirty-eight papers were analyzed. Target audience was defined in all articles. Five references (13%) reported cross-sectorial competencies. Most of the articles (81.6%) were specific to health care. Eighteen (47%) papers included competencies for at least 2 different disciplines and 18 (47%) for different professional groups. Nursing was the most widely represented cadre. Eighteen papers (47%) defined competency domains and 36 (94%) reported list of competencies. Nineteen articles (50%) adopted consensus-building to define competencies, and 12 (31%) included competencies adapted to different professional responsibility levels. This systematic review revealed that the largest number of papers were mainly focused on the health care sector and presented a lack of agreement on the terminology used for competency-based definition. (Disaster Med Public Health Preparedness. 2015;9:430–439)
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Sato Y, Aida J, Takeuchi K, Ito K, Koyama S, Kakizaki M, Sato M, Osaka K, Tsuji I. Impact of Loss of Removable Dentures on Oral Health after the Great East Japan Earthquake: A Retrospective Cohort Study. J Prosthodont 2014; 24:32-6. [DOI: 10.1111/jopr.12210] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2014] [Indexed: 11/30/2022] Open
Affiliation(s)
- Yukihiro Sato
- Department of International and Community Oral Health; Tohoku University Graduate School of Dentistry; Sendai Japan
| | - Jun Aida
- Department of International and Community Oral Health; Tohoku University Graduate School of Dentistry; Sendai Japan
| | - Kenji Takeuchi
- Department of International and Community Oral Health; Tohoku University Graduate School of Dentistry; Sendai Japan
- Section of Preventive and Public Health Dentistry; Division of Oral Health, Growth and Development; Faculty of Dental Science; Kyushu University; Fukuoka Japan
| | - Kanade Ito
- Department of International and Community Oral Health; Tohoku University Graduate School of Dentistry; Sendai Japan
| | - Shihoko Koyama
- Department of International and Community Oral Health; Tohoku University Graduate School of Dentistry; Sendai Japan
| | - Masako Kakizaki
- Division of Epidemiology; Department of Public Health and Forensic Medicine; Tohoku University Graduate School of Medicine; Sendai Japan
| | - Mari Sato
- Center for Community Health; Tohoku University Graduate School of Medicine; Sendai Japan
- Department of Women's Health Nursing; Tohoku University Graduate School of Medicine; Sendai Japan
| | - Ken Osaka
- Department of International and Community Oral Health; Tohoku University Graduate School of Dentistry; Sendai Japan
- Tohoku University International Research Institute of Disaster Science; Sendai Japan
| | - Ichiro Tsuji
- Division of Epidemiology; Department of Public Health and Forensic Medicine; Tohoku University Graduate School of Medicine; Sendai Japan
- Center for Community Health; Tohoku University Graduate School of Medicine; Sendai Japan
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Enhancing the Translation of Disaster Health Competencies Into Practice. Disaster Med Public Health Prep 2014; 8:70-8. [DOI: 10.1017/dmp.2014.7] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractObjectivesDisaster health workers currently have no common standard based on a shared set of competencies, learning objectives, and performance metrics with which to develop courses or training materials relevant to their learning audience. We examined how existing competency sets correlate within the 2012 pyramidal learning framework of competency sets in disaster medicine and public health criteria and describe how this exercise can guide curriculum developers.MethodsWe independently categorized 35 disaster health-related competency sets according to the 4 levels and criteria of the pyramidal learning framework of competency sets in disaster medicine and public health.ResultsUsing the hierarchical learning framework of competency sets in disaster medicine and public health criteria as guidance, we classified with consistency only 10 of the 35 competency sets.ConclusionsThe proposed series of minor modifications to the framework should allow for consistent classification of competency sets. Improved education and training of all health professionals is a necessary step to ensuring that health system responders are appropriately and adequately primed for their role in disasters. Revising the organizing framework should assist disaster health educators in selecting competencies appropriate to their learning audience and identify gaps in current education and training. (Disaster Med Public Health Preparedness.2014;8:70-78)
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Disaster management among dental graduates in a private dental institution in India: a pilot study. Disaster Med Public Health Prep 2014; 8:37-43. [PMID: 24588926 DOI: 10.1017/dmp.2014.4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To obtain insights into disaster management among dental graduates in a dental institute in India. METHODS A total of 103 of 104 house surgeons in Shri Dharmasthala Manjunatheswar College of Dental Sciences and Hospital, Dharwad, participated in the main study (response rate = 99.04%). Their knowledge, attitude, and behavior regarding disaster management were assessed by use of a survey questionnaire. Information was also collected regarding age, gender, religion, and residence. RESULTS Mean knowledge, attitude, and behavior scores toward disaster management were 45.46%, 79.53%, and 37.70%, respectively. A significant relationship was observed between knowledge and attitude scores (r = 0.248, P = .012). No significant differences were found in knowledge, attitude, and behavior by gender, religion, and residence. Religion was a significant predictor of knowledge scores (χ2 = 10.108, P = .006). CONCLUSIONS Respondents had favorable attitudes toward disaster management, but their knowledge and behavior required considerable improvement. Knowledge of the respondents was significantly associated with their attitude. This pilot study highlights the need for curriculum changes in dental education in India and further nationwide study.
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Willingness to participate in disaster management among Indian dental graduates. Prehosp Disaster Med 2012; 27:439-44. [PMID: 22877733 DOI: 10.1017/s1049023x12001069] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION India has been the focal point of various disasters, and has suffered considerable losses due to the same. Manpower shortage can impede disaster management; hence, including dental professionals in disaster management in India can be crucial. HYPOTHESIS/PROBLEM To assess willingness to participate in disaster management among Indian dental graduates; to assess the objective knowledge, attitude, behavior and perceived knowledge regarding disaster management among Indian dental graduates. METHODS All the interns in Manipal College of Dental Sciences, Mangalore, Karnataka were included in the present study. Their willingness to participate in disaster management and their objective knowledge, attitude, behavior and perceived knowledge related to disaster management were assessed using a questionnaire. RESULTS A total of 86 study subjects participated. A majority (98.8%) of respondents were willing to participate in disaster management. Mean objective knowledge, attitude, behavior and perceived knowledge scores were 48.65%, 80.26%, 29.85% and 60.80% respectively. Males reported higher perceived knowledge than females (P = .008), and respondents residing in hostels reported higher perceived knowledge than those not residing in hostels (P = .02). Gender showed significant correlations with attitude (r = 4.076, P = .044) and behavior (r = 3.722, P = .054), and residence with behavior of respondents (r = 5.690, P = .017). CONCLUSIONS A high degree of willingness to provide assistance during disasters was observed among undergraduate dental students. High attitude coupled with low knowledge and behavior scores regarding disaster management was also observed. Gender was associated with attitude and behavior, and residence with behavior of respondents regarding disaster management. Including disaster management in dental curricula and involvement of dental professionals in disaster management might be crucial for disaster management in India.
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A Review of Competencies Developed for Disaster Healthcare Providers: Limitations of Current Processes and Applicability. Prehosp Disaster Med 2012; 25:387-95. [DOI: 10.1017/s1049023x00008438] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
AbstractIntroduction:In order to prepare the healthcare system and healthcare personnel to meet the health needs of populations affected by disasters, educational programs have been developed by numerous academic institutions, hospitals, professional organizations, governments, and non-government organizations. Lacking standards for best practices as a foundation, many organizations and institutions have developed “core competencies” that they consider essential knowledge and skills for disaster healthcare personnel.Problem:The Nursing Section of the World Association for Disaster and Emergency Medicine (WADEM) considered the possibility of endorsing an existing set of competencies that could be used to prepare nurses universally to participate in disaster health activities. This study was undertaken for the purpose of reviewing published disaster health competencies to determine commonalities and universal applicability for disaster preparedness.Methods:In 2007, a review of the electronic literature databases was conducted using the major keywords: disaster response competencies; disaster preparedness competencies; emergency response competencies; disaster planning competencies; emergency planning competencies; public health emergency preparedness competencies; disaster nursing competencies; and disaster nursing education competencies. A manual search of references and selected literature from public and private sources also was conducted. Inclusion criteria included: English language; competencies listed or specifically referred to; competencies relevant to disaster, mass-casualty incident (MCI), or public health emergency; and competencies relevant to healthcare.Results:Eighty-six articles were identified; 20 articles failed to meet the initial inclusion criteria; 27 articles did not meet the additional criteria, leaving 39 articles for analysis. Twenty-eight articles described competencies targeted to a specific profession/discipline, while 10 articles described competencies targeted to a defined role or function during a disaster. Four of the articles described specific competencies according to skill level, rather than to a specific role or function. One article defined competencies according to specific roles as well as proficiency levels. Two articles categorized disaster nursing competencies according to the phases of the disaster management continuum. Fourteen articles described specified competencies as “core” competencies for various target groups, while one article described “cross-cutting” competencies applicable to all healthcare workers.Conclusions:Hundreds of competencies for disaster healthcare personnel have been developed and endorsed by governmental and professional organizations and societies. Imprecise and inconsistent terminology and structure are evident throughout the reviewed competency sets. Universal acceptance and application of these competencies are lacking and none have been validated. Further efforts must be directed to developing a framework and standardized terminology for the articulation of competency sets for disaster health professionals that can by accepted and adapted universally.
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Psoter WJ, Glotzer DL, Weiserbs KF, Baek LS, Karloopia R. A survey of optometry leadership: Participation in disaster response. OPTOMETRY - JOURNAL OF THE AMERICAN OPTOMETRIC ASSOCIATION 2012; 83:27-32. [PMID: 22033045 PMCID: PMC7106212 DOI: 10.1016/j.optm.2011.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/10/2011] [Accepted: 06/14/2011] [Indexed: 11/30/2022]
Abstract
Background A study was completed to assess the academic and state-level professional optometry leadership views regarding optometry professionals as surge responders in the event of a catastrophic event. Methods A cross-sectional survey was conducted using a 21-question, self-administered, structured questionnaire. All U.S. optometry school deans and state optometric association presidents were mailed a questionnaire and instructions to return it by mail on completion; 2 repeated mailings were made. Descriptive statistics were produced and differences between deans and association presidents were tested by Fisher exact test. Results The questionnaire response rate was 50% (25 returned/50 sent) for the state association presidents and 65% (11/17) for the deans. There were no statistically significant differences between the leadership groups for any survey questions. All agreed that optometrists have the skills, are ethically obligated to help, and that optometrists should receive additional training for participation in disaster response. There was general agreement that optometrists should provide first-aid, obtain medical histories, triage, maintain infection control, manage a point of distribution, prescribe medications, and counsel the “worried well.” Starting intravenous lines, interpreting radiographs, and suturing were less favorably supported. There was some response variability between the 2 leadership groups regarding potential sources for training. Conclusions The overall opinion of optometry professional leadership is that with additional training, optometrists can and should provide an important reserve pool of catastrophic event responders.
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Affiliation(s)
- Walter J Psoter
- New York University College of Dentistry, Department of Epidemiology & Health Promotion, New York, New York 10003, USA.
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Dunning D, Martin MP, Tickel JL, Gentry WB, Cowen P, Slenning BD. Preparedness and disaster response training for veterinary students: literature review and description of the North Carolina State University Credentialed Veterinary Responder Program. JOURNAL OF VETERINARY MEDICAL EDUCATION 2009; 36:317-330. [PMID: 19861720 DOI: 10.3138/jvme/013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
The nation's veterinary colleges lack the curricula necessary to meet veterinary demands for animal/public health and emergency preparedness. To this end, the authors report a literature review summarizing training programs within human/veterinary medicine. In addition, the authors describe new competency-based Veterinary Credential Responder training at North Carolina State University College of Veterinary Medicine (NCSU CVM). From an evaluation of 257 PubMed-derived articles relating to veterinary/medical disaster training, 14 fulfilled all inclusion requirements (nine were veterinary oriented; five came from human medical programs). Few offered ideas on the core competencies required to produce disaster-planning and response professionals. The lack of published literature in this area points to a need for more formal discussion and research on core competencies. Non-veterinary articles emphasized learning objectives, commonly listing an incident command system, the National Incident Management System, teamwork, communications, and critical event management/problem solving. These learning objectives were accomplished either through short-course formats or via their integration into a larger curriculum. Formal disaster training in veterinary medicine mostly occurs within existing public health courses. Much of the literature focuses on changing academia to meet current and future needs in public/animal health disaster-preparedness and careers. The NCSU CVM program, in collaboration with North Carolina Department of Agriculture and Consumer Service, Emergency Programs and University of North Carolina at Chapel Hill School of Public Health, operates as a stand-alone third-year two-week core-curriculum training program that combines lecture, online, experiential, and group exercises to meet entry-level federal credentialing requirements. The authors report here its content, outcomes, and future development plans.
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Affiliation(s)
- Dianne Dunning
- Animal Welfare, Ethics & Public Policy Program, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606-1499, USA.
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Abstract
BACKGROUND Members of the established public health systems and medical community must understand that, in medical surge events, members of the dental profession and other non-traditional disaster health care personnel are an additional source of assistance in response activities. METHODS The authors relied on hands-on experience, expert consultations, literature reviews and Web searches to identify disaster response training programs appropriate for members of the dental profession and other health care personnel. RESULTS The authors identified multiple governmental and professional disaster training programs. CONCLUSIONS Five key national-level programs address the training and organization of health care professionals to support a large-scale disaster program. Because of their training and skills, dental professionals would be valuable additions to these programs and could make significant contributions if natural disasters and/or terrorist events were to occur.
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Glotzer DL, Rekow ED, More FG, Godder B, Psoter W. All hazards training: incorporating a catastrophe preparedness mindset into the dental school curriculum and professional practice. Dent Clin North Am 2007; 51:805-18, vi. [PMID: 17888758 DOI: 10.1016/j.cden.2007.06.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
Catastrophic preparedness should be incorporated into the dental school curriculum. The experience at New York University College of Dentistry is that a combination of catastrophic preparedness elements integrated within existing courses with a short, meaningful capstone course dedicated to all hazards preparedness can be accomplished successfully and meet proposed competencies for training in the dental curriculum. The roles and responsibilities in catastrophic response preparedness and response of dentists are actively being discussed by the dental profession. An element of that discussion has to include the "what" and "how" of education and training for dentists at the predoctoral level and after dental school graduation. The concepts presented in this article should be debated at all levels of the profession.
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Affiliation(s)
- David L Glotzer
- Department of Cariology and Comprehensive Care, New York University College of Dentistry, 423 E. 23rd Street, VA, 16N, New York, NY 10010, USA.
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Mosca NG. Engaging the dental workforce in disaster mitigation to improve recovery and response. Dent Clin North Am 2007; 51:871-8, vii-viii. [PMID: 17888763 DOI: 10.1016/j.cden.2007.06.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
Natural disasters may strike quickly and without warning and cause long-term health consequences beyond the immediate loss of lives and property. Dental professionals have a social responsibility to participate in community emergency preparedness planning and response to mitigate prolonged recovery of the dental care infrastructure in the affected areas. Public health and emergency management agencies should plan for access to emergent dental care as part of a multidisciplinary local emergency response to mitigate the impact of devastation on the primary oral health needs of persons in the affected geographic areas. State dental associations should work with government agencies and emergency management groups to increase awareness of the importance for collaborative emergency response health services in the aftermath of natural disasters.
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Affiliation(s)
- Nicholas G Mosca
- Division of Health Services, Mississippi State Department of Health, 570 East Woodrow Wilson Street, Jackson, MS 39215-1700, USA.
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Colvard MD, Naiman MI, Mata D, Cordell GA, Lampiris L. Disaster medicine training survey results for dental health care providers in Illinois. J Am Dent Assoc 2007; 138:519-24; quiz 536-7. [PMID: 17403744 DOI: 10.14219/jada.archive.2007.0206] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Ongoing vigilance by governments, public health agencies and health care professionals monitoring potential epidemic and pandemic outbreaks, terrorist threats and ever-present natural disasters requires the continuous evolution of comprehensive disaster response plans and teams, which include the integration of oral health care professionals. METHODS The authors conducted a study in which oral health care professionals assessed their training in the American Medical Association's (AMA's) National Disaster Life Support (NDLS) courses. At the conclusion of each instructional session, the authors asked participants to complete an anonymous course evaluation form to report their impressions of the training activity. The authors included in the analysis those evaluations associated with sessions attended almost exclusively by dentists and hygienists. RESULTS The authors derived descriptive statistics from the selected course evaluations. Overall, oral health care professionals believed that the Core Disaster Life Support (CDLS) and Basic Disaster Life Support (BDLS) courses were of great educational value, rating course impact at 9.50 and 9.29, respectively, on a scale from 1 to 10. CONCLUSIONS Statistical evaluation instruments reveal satisfaction with the all-hazards awareness training received through the AMA's NDLS disaster medicine training curriculum. Licensed oral health care professionals in Illinois accepted the utility and merits of, and benefited from, the four-hour CDLS and eight-hour BDLS certification programs. Practice Implications. Dental professionals in Illinois require minimal additional training for dental emergency responder duties. The AMA's NDLS curriculum provides effective preparation for dental professionals.
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Affiliation(s)
- Michael D Colvard
- Disaster Emergency Medicine Readiness Training Center, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, University of Illinois at Chicago, Chicago, IL 60612, USA
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Tiwana KK, Hammersmith KJ, Murrah VA. Urgent Care in the Dental School Setting: Analysis of Current Environment and Future Challenges in Emergency Dental Education. J Dent Educ 2007. [DOI: 10.1002/j.0022-0337.2007.71.3.tb04282.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Karen K. Tiwana
- Department of Diagnostic Sciences and General Dentistry; University of North Carolina at Chapel Hill School of Dentistry
| | | | - Valerie A. Murrah
- Department of Diagnostic Sciences and General Dentistry; University of North Carolina at Chapel Hill School of Dentistry
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Psoter WJ, Herman NG, More FG, Park P, Robbins M, Rekow ED, Ryan JM, Triola MM, Glotzer D. Proposed Educational Objectives for Hospital-Based Dentists During Catastrophic Events and Disaster Response. J Dent Educ 2006. [DOI: 10.1002/j.0022-0337.2006.70.8.tb04149.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Walter J. Psoter
- Department of Epidemiology and Health Promotion; New York University College of Dentistry
- School of Dentistry; University of Puerto Rico
| | | | - Frederick G. More
- Department of Epidemiology and Health Promotion, Department of Pediatric Dentistry; New York University College of Dentistry
| | | | - Miriam Robbins
- Department of Oral Medicine; New York University College of Dentistry
| | - E. Dianne Rekow
- Department of Basic Science and Craniofacial Biology, Department of Orthodontics; New York University College of Dentistry
| | | | - Marc M. Triola
- Division of General Internal Medicine, Department of Medicine; New York University School of Medicine
| | - David Glotzer
- Department of Cardiology and Operative Dentistry; New York University College of Dentistry
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In reply. Ann Emerg Med 2006. [DOI: 10.1016/j.annemergmed.2006.02.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Colvard MD, Lampiris LN, Cordell GA, James J, Guay A, Lee M, Stokes CM, Scott G. The dental emergency responder: Expanding the scope of dental practice. J Am Dent Assoc 2006; 137:468-73. [PMID: 16637475 DOI: 10.14219/jada.archive.2006.0218] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Natural disasters, the potential for terrorism and weapons-of-mass-destruction events occurring within the continental United States necessitate that all licensed health care providers understand the National Incident Management System and be able to contribute to inoculation, mass casualty assistance and triage care of the populace. CONCLUSIONS Health care and political leaders constantly revise "all hazard" response plans, using the available health care assets that local, state and federal agencies bring to emergency events. Illinois Public Act 49-409 modifies the scope of dental practice within Illinois to allow for a dental emergency responder (DER). PRACTICE IMPLICATIONS The DER is a dentist or dental hygienist "acting within the bounds of his or her license when providing care during a declared local, state or national emergency."
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Affiliation(s)
- Michael D Colvard
- Disaster Emergency Medicine Readiness Training Center, Department of Oral Medicine and Diagnostic Sciences, College of Dentistry, University of Illinois at Chicago, IL 60612, USA.
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Glotzer DL, More FG, Phelan J, Boylan R, Psoter W, Robbins M, Rekow ED, Godder B, Alfano MC. Introducing a senior course on catastrophe preparedness into the dental school curriculum. J Dent Educ 2006. [PMID: 16522751 PMCID: PMC7167116 DOI: 10.1002/j.0022-0337.2006.70.3.tb04078.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This article describes an integrated fourth‐year course in catastrophe preparedness for students at the New York University College of Dentistry (NYUCD). The curriculum is built around the competencies proposed in “Predoctoral Dental School Curriculum for Catastrophe Preparedness,” published in the August 2004 Journal of Dental Education. We highlight our experience developing the program and offer suggestions to other dental schools considering adding bioterrorism studies to their curriculum.
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Affiliation(s)
- David L Glotzer
- Department of Cariology and Operative Dentistry, New York University College of Dentistry, New York, NY, USA.
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Military-Civil Cooperation Issues in Disaster Medicine in Acts of Terrorism. Prehosp Disaster Med 2005. [DOI: 10.1017/s1049023x00013960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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26
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Impaired Driving In Southern Nigeria Due To Alcohol. Prehosp Disaster Med 2005. [DOI: 10.1017/s1049023x0001373x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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