The AFEM Emergency Care Curriculum includes an introductory module (Keystone), a didactic module (Didactic Core), and linked modules meant to be taught in interactive small groups (Core and Expanded Interactive Modules). These modules can be combined in various ways to form curricula for a range of providers including medical students, nurses, mid-level providers, and non-specialist and specialist doctors. The current package includes a Presentation Bank that covers the Didactic Core, and the bundle will soon be expanded to include presentations for the Keystone module, as well as small group materials for the Core and Expanded Interactive components.
This page explains the use of the Curriculum. If you'd like to directly access the Presentation Bank for the Didactic Core, please click here.
Use of AFEM Curricula
Based on priorities identified in our consensus conference series, AFEM has created an open-access core curricular package designed to facilitate the country-based development of one-year and residency training programmes and credentialing pathways for dedicated emergency care providers. We hope that dissemination of this integrated open-access training package will allow for more rapid scale-up of emergency care in Africa by decreasing duplicate efforts and amplifying the lessons learned in existing programs.
Adopting an integrated approach to early resuscitation, stabilization and transfer of acutely ill patients substantially reduces the morbidity and mortality associated with a wide range of medical, surgical, and obstetric conditions. Few providers in Africa have received dedicated training in Emergency Care despite the fact that they manage emergencies on a regular basis. The programme structure was informed by a range of experiences with emergency medicine specialist training programs in Tanzania and South Africa, as well as consultation with the leadership of emergency care training programs elsewhere in Africa and Southeast Asia. The curricular content has been reviewed by faculty with extensive regional experience and has been weighted to the regional burden of disease. It is correlated to the AFEM Handbook of Acute and Emergency Care from Oxford University Press.
The AFEM emergency care training program aims to increase the number of practitioners who are able to provide high-quality emergency care. The program increases individual competence in:
- The knowledge and application of basic science relevant for emergency care in Africa
- Problem solving skills in the practice of emergency care
- Resuscitation and stabilization of acutely ill patients
- The performance of critical emergency procedures
- Interpretation of special investigations relevant to the practice of emergency care
- Recognition of emergency conditions requiring immediate intervention, transfer, or specialist attention
The AFEM modular emergency care curriculum includes an introductory block (Keystone), a didactic module (Didactic Core), and linked modules meant to be taught in interactive small groups (Core Interactive Module and Expanded Interactive Module). These modules can be combined in various ways to form curricula for a range of providers including medical students, mid-level providers, and non-specialist and specialist degree courses. For example, joining Keystone, Didactic Core, and the Core Interactive Module forms a one year curriculum for mid-level or non-specialist providers. Combining Keystone and Didactic Core with the Expanded Interactive Module comprises the material needed for an emergency specialist training programme.
The Keystone course is an 80-hour introduction that covers the fundamentals of emergency care via a syndrome-based approach. Keystone can serve as a freestanding course for a range of healthcare providers, or as the introductory block of a one-year or residency curriculum.
The Didactic Core covers 150 essential emergency care topics, and when combined with one of the interactive modules, serves as the backbone of an emergency care training programme.
Core Interactive Module
The Core Interactive Module covers essential emergency care topics best suited to interactive sessions, including case-based discussions, journal clubs, interpretation workshops, and skill stations.
Expanded Interactive Module
The Expanded Interactive Module includes everything in the Core Interactive Module and adds more advanced topics oriented to specialist training.
For queries on the AFEM Curriculum, contact firstname.lastname@example.org
Thank you to all who contributed:
Heike Geduld and Teri Reynolds
Curriculum Editorial Board
Keegan Checkett (Managing Editor, Presentation Bank)
Hendry R. Sawe
Teri A. Reynolds
Gabrielle A. Jacquet
Emilie J.B. Calvello
Regan H. Marsh
Torben K. Becker
Doreen Ntiriwa Djan
Paa Kobina Forson
Margaret J. Lin
Chris Kwaku Oppong
Alex P. Skog
Anthony J. Tomassoni
W. Blair Walden