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Context: The potential for disasters and public health emergencies is increasing globally, requiring expertise and capacity to mitigate and manage such events. Individuals with prior international disaster response represent an essential source of expertise to support disaster response in their home countries. Objective: The objective of this study was to explore the experiences of healthcare personnel involved in international emergency response regarding their perceptions of the individual attributes and collective team capacities during disaster response and how this may benefit disaster management in Canada. Study Design and analysis: This descriptive qualitative research study consisted of semi-structured interviews with key informants. Interviews were audio-recorded and transcribed. Conventional content analysis was performed on the transcripts, and themes were developed. Setting: Interviews were either conducted over the phone or in person. Population studied: Participants were delegates involved with the Canadian Red Cross medical response team, and who acted in a clinical or technical (physicians, surgeons, nurses) or administrative role (team leaders, administrators) within the last 5 years. Instrument: Semi structured interview guide was designed and piloted. It included open ended questions that explored participants' experience on medical emergency response team and related lessons learned in terms of skills and capacities acquired. Outcome measures: Participant narratives of individual skills and team capacities acquired during disaster response and how these skills and capacities can be applied domestically in Canada. Results: Eighteen key informants provided perspectives on individual attributes acquired during international deployments, (ex; agility, stress management), and team capacities developed, including collaboration and conflict management. Key informants included nurses, physicians, technicians, and administrators and described these experiences as highly relevant to the domestic context. Conclusions: Canadian physicians and healthcare workers involved with international disaster response have already acquired essential capacities, and this experience can be vital to building efficient disaster response teams. These findings complement the CanMEDS roles and can inform course design, competency and curriculum development for family medicine and primary care professional training programs related to disaster response., Presenters Neha Arora, MSc, Lynda Redwood-Campbell, Meredith Vanstone, PhD, Lisa Schwartz, Salim Sohani, MBBS, MPH, Simran Sharma, Alexandra [...]

The nature of humanitarian response has evolved in response to increasing humanitarian needs, number and scale of emergencies, and the expansion of certified Emergency Medical Teams. This research examines the International Federation of Red Cross and Red Crescent Societies' clinical and public health Emergency Response Units in emergencies from 2015 through 2019 using a mixed methods approach, consisting of a desk review and primary qualitative data, to inform prioritization of response activities and optimization of health surge support in emergencies. Identified opportunities for improvement include needs assessment, increased modularity, context-appropriate support/integration, human resources and capacity building, monitoring and evaluation, and the overall nature of health surge response to various emergency types. Greater focus on public health response; standardizing deployment criteria, standard operating procedures, and monitoring for clinical surge support; and regional and local capacity building could all improve health service quality and sustainability and facilitate more cost-effective emergency response.