EMS World

OCT 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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EMSWORLD.com | OCTOBER 2018 83 OCTOBER 29 - NOVEMBER 2, 2018 NASHVILLE, TENNESSEE variable was skill engagement reported as performed or observed. The independent demographic variables were gender (male vs. female), ethnicity (Caucasian vs. non-Caucasian), and age measured in years (less than 23 vs. 23–39, vs. more than 39). We examined main effects and interaction effects for each variable. Results—The analysis involved 4,967 students. The main effects of ethnicity and student age on skill engagement were not significant (p>0.50). Gender was the only independent vari- able to exert a main effect on skill engagement (p<0.05), with female students more likely to engage compared to male stu- dents. There were no significant interaction effects between independent variables. Discussion—Gender, but not ethnicity or student age, exerted a main effect on skill engagement such that female students were more likely to engage by either performing or observing the skill during their paramedic training compared to male students. How- ever, after deciding to engage in the skill, the student's gender did not influence whether the student actually performed the skill or merely observed. It is encouraging to note training appears identical for students in terms of skill engagement regardless of gender, ethnicity, or age. LETTERS TO THE EDITOR Medical Directors: Be Visible I just received my new copy of EMS World Magazine. I par- ticularly liked your article on the dynamics and relationship between EMS physicians and [operational] leadership [The Uneasy Chair: Keeping Peace Between Docs and Ops, August 2018 issue]. I had the good fortune to spend a year after emer- gency medicine residency doing an EMS fellowship under former NAEMSP president Ted Delbridge, MD, and six other highly motivated and qualified EMS physicians at East Caro- lina University. Truthfully I see newer emergency physicians are trying to fill the void of the "out-of-date" EMS medical directors. Fellowship training was next to none—I was given every tool available to learn the ropes of EMS and prehospital medicine. I suspect EMS fellowship-trained medical directors will be popping up more and need to be given that opportunity to function at very large EMS systems. I have been given a great opportunity to be a medical direc- tor in eastern Tennessee, and probably the No. 1 point is that a medical director has to be available and present. I see many medical directors that work in the dungeons and seats of their EDs and hospitals but have never ridden on a helicopter, been on an EMS disaster call, ridden on a truck, or actually resusci- tated a patient in the field. I hope the future of EMS lies with the individuals open to culture change. A good EMS medical director will evaluate the tenets I was taught: mission, tradition, position, timing, and humor. Thank you again for the article! —Eddie Reynolds, MD, MPH, medical director, Sullivan County EMS, Tenn. Cultural Competency in EMS Kudos to EMS World for publishing the timely LGBT ABCs article ["The ABCs of LGBT: Creating a Positive Space in the Ambulance," August 2018 issue]. Far too many smaller ambu- lance operations throughout the U.S. may not provide, nor man- date, the cultural competency training now required of staff at hospitals, nursing homes, larger fire-rescue operations, and even all American Red Cross paid staff and volunteers. Think you are immune from today's multicultural environ- ments? Respond to fast-food restaurants at interstate highway exits on weekends, and you will firsthand experience diversity right in your own junctions, hamlets, villages, boroughs, towns, and townships! —Donald E. White, FF-EMT, Alexandria Volunteer Fire Department, Va. A Need for Leadership Knowledge I just wanted to express my sincere thanks for the bimonth- ly "From the Officer's Desk" articles. These articles by Chief Orlando Dominguez are just what we need as leaders. They are timely and relevant, and I look for ward to seeing them continue. As a leader in EMS here in the Bahamas, a countr y where EMS is evolving, there's a need for sound EMS lead- ership knowledge. This benefits me tremendously in my operations. —Kevin Bell, FACPE, CHCM, EMT-P, The Bahamas Have an opinion on something you read in EMS World? E-mail editor@emsworld.com and be sure to include your name, title and location.

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