1. 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

2. 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

3. 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

4. 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

5. EM Maturation United States United Kingdom AustraliaCanadaHong Kong Singapore Recognized Specialty 197319861981198019831984 National Organization 196819671981198419851993 Academic Society 197019891988 19941993 National certification 197919831986198519971994 Emergency Medicine Clinics of North America, Vol 23, No.1, 2005

6. 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

8. 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

10. 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

12. 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

13. 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

14. ACEP: International Section  Sectional Membership Free!  Over 1000 members  Ambassador Program  Sectional Membership Free!  Over 1000 members  Ambassador Program

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

16. ACEP Ambassador Program  62 Countries/Regions  56 Ambassadors  Volunteer position  Residents Welcome!  62 Countries/Regions  56 Ambassadors  Volunteer position  Residents Welcome!

17. 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

18. 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

19. Medical School Affiliation Richard Aghababian, MD, Jorge L. Yarzebski, MD Paul Gallagher

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

21. GEMINI  Funding  Private Donations  Club Donations  Fundraising Events – Wine Tasting  Rotary Grants  Funding  Private Donations  Club Donations  Fundraising Events – Wine Tasting  Rotary Grants

22. Principle Goal  Education

23. 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

24. 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. ”

25. Past/Present/Future Projects  Honduras  Dominican Republic  Armenia  Guatemala  Nicaragua  Guyana  Honduras  Dominican Republic  Armenia  Guatemala  Nicaragua  Guyana

26. Honduras

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

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

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

32. Gayle Galletta

33. Downtown Tocoa

34. Friday, 2/28/03: Tocoa

35. Ventilator Workshop

36. Intubation Workshop

37. Defibrillation Workshop

38. Suturing Workshop

41. Supplies and Equipment

44. 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