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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.

Rationale

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.

Program Aims

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

Program Components

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. 

Keystone

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.

Didactic Core

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 scientific@afem.info


Thank you to all who contributed:

Curriculum

Co-Editors-in-Chief

Heike Geduld and Teri Reynolds

Curriculum Editorial Board 

Keegan Checkett (Managing Editor, Presentation Bank)
Hendry Sawe

Presentation Bank 

PB Editors:

Andrea Tenner 
Hendry R. Sawe
Joseph Kalanzi
Timothy Hardcastle
Mark Bisanzo
Joseph Becker
Teri A. Reynolds
Gabrielle A. Jacquet
Brittany Murray
Elizabeth DeVos
Aaron Harries
Emilie J.B. Calvello
Melanie Stander
Hani Mowafi
Keegan Checkett
Andrew Kestler
Regan H. Marsh
Heike Geduld

 PB Wranglers: 

Megan Banner
Daniel Bickley
Bridget Griffith
David Silvestri

PB Contributors: 

Annie Arens
Kamna Balhara
Cristiana Baloescu
Torben K. Becker
Daniel Bickley
Corey Bills
Nathan Brouwer
Lucas Carlson
Amit Chandra



 

Sharon Chekijian
Rosalyn Chi
Cassidy Dahn
Scott Dale
Doreen Ntiriwa Djan
Nicole Dooling
Paa Kobina Forson
Upendo George
Sally Graglia
Dan Hart
Alison Hayward
Sherin Kassamali
Brandon Libby
Margaret J. Lin
Rachel Liu
Michael Miller
Katharine Modisett
Harry Moscovitz
Chris Kwaku Oppong
Maxwell Osei-Ampofo
Warren Perry
Simon Pulfrey
Brian Rice
David Richards
Faith Ringo
Nicholas Risko
Maxim Ritzenberg
John Ross
Andrew Saunders
Jesse Schafer
David Scordino
David Silvestri
Alex P. Skog
Anthony J. Tomassoni
Matt Tyler
W. Blair Walden
Jessica Walrath
Eric Wei
Svetlana Zakharchenko
Tanja Zanin


South Africa

South AfricaSouth Africa

EMSSA represents a group of enthusiastic healthcare professionals dedicated to the development of quality emergency care throughout South Africa. Emergency Medicine has only recently been recognized as an independent speciality, although this country has always had a large burden of patients presenting to our pre-hospital and hospital emergency services with experienced and passionate personnel rendering much needed care.

www.emssa.org.za

Tanzania

TanzaniaTanzania

The Emergency Medicine Association of Tanzania (EMAT) was formed in May 2010  by doctors and nurses with active involvement in emergency care in Tanzania. The President is Dr Hendry Robert Sawe, of Muhimbili University of Health and Allied Sciences(MUHAS)-Dar es salaam. The objective of EMAT is to Pioneer, promote and advocate for dissemination of emergency care in Tanzania, through Teaching, research and education of emergency care.

www.ematz.org

Botswana

BotswanaBotswana

The Botswana Society for Emergency Care (BSEC) held it's foundational meeting in November 2010, and was officially registered as a society in Botswana in September 2011. BSEC's mission is to promote advocate for emergency care in Botswana through teaching, research, and education. BSEC liases with partners from EMSSA and AFEM, and supports the emergency medicine post-graduate training program at the University of Botswana School of Medicine. Since it's inception, BSEC has hosted seminars on emergency triage, pre-hospital care, and acute care needs in Botswana.

Ethiopia

EthiopiaEthiopia

The Ethiopian Society of Emergency Medical Professionals was formed in 2012. The President is Dr Sisay Teklu, of Addis Ababa University. The objective of ESEP is to assist in development of hospital and Pre-Hospital emergency care.

www.esemp.org

Libya

LibyaLibya

LEMA will encourage and promote professional excellence, advance the science and practice of emergency medicine, and serve as an advocate for patients, their families, the public, the profession and the ER physicians. It will offer to the interdisciplinary team the necessary tools for the interaction with the critically ill patient and their families from a holistic perspective.

Nigeria

NigeriaNigeria

SEMPON held their inaugural scientific conference in September 2014, themed: "The State of Emergency Care in Nigeria: the Way Forward". The objective of the organisation is to evaluate the state of emergency care in Nigeria, and engineer cooperation and partnership among key stakeholders. 

http://www.semponconference2014.org

Egypt

EgyptEgypt

The president of the Egyptian Society for Emergency Medicine is Dr. Hussein Sabri. It was formed in 2012, and is dedicated to improving patient care by advancing the science and practice of emergency medicine. It is an interdisciplinary organisation whose members are involved in the provision of emergency care. 

http://www.egsem.com/en/