NCDMPH Nal io n al Cen ter for D isaster M edic in e & Pu bli c - - PowerPoint PPT Presentation

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NCDMPH Nal io n al Cen ter for D isaster M edic in e & Pu bli c - - PowerPoint PPT Presentation

Jan 25, 2023 524 likes •794 views

~- Division of the Civilian Volunteer Medical Reserve Corps Engaging volunteers to strengthen public health, emergency response, and community resiliency Continuing Professional Volunteers Education Outside of University Walls Skip A.

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~- Division of the Civilian Volunteer

Medical Reserve Corps

Engaging volunteers to strengthen public health, emergency response, and community resiliency

(.) NCDMPH

National Center for Disaster Medicine & Public Health

Continuing Professional Volunteers’ Education Outside of University Walls…

Skip A. Payne, MSPH, REHS/RS LCDR, USPHS

Program Officer, Training and Support Services Division of the Civilian Volunteer Medical Reserve Corps Office of the Surgeon General

National Center Disaster Medicine & Public Health January 21st, 2014. 1:00 PM, ET Tweet @NCDMPH #DisasterLearning

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; ~ reserve corps

NCDMPH

Nalional Center for D

isaster M edicine & Public Health

Engaging volunteers to strengthen public health, emergency response, and community resiliency

NCDMPH Disclosures

  • The views expressed in this presentation are

solely those of the presenter and do not reflect the views of the National Center for Disaster Medicine and Public Health, the Uniformed Services University of the Health Sciences, and the US Department of Defense

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Disclosures

  • LCDR Skip A. Payne
  • Has no financial interest or relationships to disclose
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Non-Standard Disclaimer

  • The contributions of others in this presentation are easy

to spot. If it is a well thought out and highly cogent point, which withstands the ramblings of the presenter, then it probably originated from someone else.

  • Attempts to provide due credit have been made when

possible.

  • All other points/comments are mine and not the opinion
  • f the aforementioned contributors.
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Attendees will be able to:

  • Summarize the MRC educational approach for

continuing professional volunteers’ education.

  • Explain the effects of network topology in determining

the modes/methods of training for the MRC.

  • Recognize the effects, and subsequently the

requirements, of the varying acquired knowledge of volunteers.

  • Explain the concept of “Advise and Link Resources”

used by DCVMRC.

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A Brief MRC Network Overview

  • Following the 9/11 attacks, thousands of unaffiliated

volunteers showed up to help. The need for volunteers was also noted later that year after the Anthrax attacks

  • Problems:
  • No way to ID or credential
  • Not covered under liability laws
  • No Incident Command System (ICS)

training

  • No management structure
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MRC Model - No “typical” MRC

  • All MRC units:
  • Provi

de an organization structure for utilizing members

  • Pre-id

entify members

  • Verify

professional licensure/certification

  • Train/prepare
  • Units var

y by:

  • Housing organizations – LHD, hospital, CHC, faith-bas

ed

  • rg.
  • Partner organizations
  • Types/number of volunteers
  • Local mission/activities - emergency response, public

health , veterinary

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Why One Model Would not Work

  • Communities differ by:
  • Population
  • Geography
  • Community government structure
  • Health needs
  • Laws and local government

structure One “size” does not fit all.

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medico~

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Medical Reserve Corps

  • Overview:
  • National Network
  • Mission to engage volunteers to strengthen public

health, emergency response and community resiliency

  • Operates/utilized LOCALLY
  • Affiliates and integrates with existing programs and

resources

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Division of the Civilian Volunteer Medical Reserve Corps Overview

  • The Division of the Civilian Volunteer Medical Reserve

Corps (DCVMRC) is:

  • led by CAPT Robert Tosatto
  • the program office within the Office of the Surgeon

General that works on behalf of the Medical Reserve Corps (MRC) Network. We are not the MRC, per se.

  • Split between “home” office staff, contractors, a

Cooperative Agreement Partner, and regional representatives.

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A Different Approach

  • Federally led, formalized training for distributed networks
  • cannot possibly take into account all of the discrete factors

found at the local level.

  • Overcome the limitations of time, staffing, and lack of local

“knowledge”

  • The approach is built upon:
  • Network Topology
  • Scalability
  • Adaptability
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(a) Random network (b) Scale-free network

Engaging volunteers to strengthen public health, emergency response, and community resiliency

What type of network are we dealing with?

HUBS

Defined as units who display innovation and

  • rganic

network leadership. No preferential attachment Preferential attachment

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Command and Control v Advise and Link Resources

Direct connection required to all units Direct connection required to a select few

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Scalability

  • Was always a premise for building the MRC
  • Sometimes comes into conflict with Federal mandates

and desires.

  • It was known
  • it would become more difficult for us (DCVMRC) to be able

to contact the units individually.

  • The volunteer nature of the network would require that we

allow local units decide individually concerning Federal Initiatives.

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Adaptability

  • Essential due to:
  • Varying acquired knowledge (academic training) and

accumulated wisdom (experience) of volunteers is infused across the network – Even during our obesity epidemic it was found that only ~27% of medical schools meet the required hours set by the National Academy of Sciences in the field of nutrition.

(Adams, Kohlmeier, & Zeisel, 2010)

– Examples like these can be found in almost all scientific fields of inquiry.

  • Lack of standardization
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Varying Accumulated Knowledge

  • f Volunteers
  • Medical and public health professionals

– in training – active practice – inactive/retired

  • Students

– secondary and post secondary

  • Other interested individuals

– helping with leadership, communications, administration, logistics, etc…

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Engaging volunteers to strengthen public health, emergency response, and community resiliency 17

Unit Reported Professional Demographics of Volunteers

10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 90,000

1,632 10,578 7,929 81,392 3,376 56,239 22,927 3,792 1,744 13,361 975 2,149

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Another Look at Professional Demographics of Volunteers

20,000 40,000 60,000 80,000 100,000 120,000 140,000 Public Health/Medical Non-Public Health/Non- Medical

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Growth in the Number of MRC Volunteers

250,000 200,000 150,000 100,000 50,000

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Danger Ahead!

  • The Hazard of Over-tweaking
  • “Upgrading” a network is not always a good thing, and
  • ften people are surprised when it turns out to make things

worse.

  • This phenomenon necessitates the need to monitor

feedback loops to ensure our “helpful actions” do not cause more problems than they solve. – a.k.a. Braess’s Paradox- adding an intuitive, and thought to be helpful, link negatively impacts network users.

(Braess, Nagurney, & Wakolbinger, 2005)

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Distributed Learning Platform (MRC-TRAIN Concept) Explanation

Leveraging potential for total volunteer engagement.

  • DCVMRC offered training
  • Only offered on the most generic of topics, such as MRC

101

  • Psychological First Aid (with partner)
  • Partner offered Training
  • Affiliate-TRAIN example
  • Local Training Plan example
  • Generally offered Training
  • FEMA/Federal Training

System is free for users and course providers.

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Title Type Sponsor/Offerer Format Rating Required CORE Trainings ( Section no reviews Required) IS-22 Are You Ready? Federal Emergency Management Web-based Training -

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An In-Depth Guide to Agency (FEMA)IEmergency Self-study 90 reviews Citizen Preparedness Management Institute (EMI) Psychological First Aid: MRC Program Office in partnership The Role of MRC with the National Association of Webstream/Archived

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Volunteers in Disaster County and City Health Officials Webcast 6 reviews Response (NACCHO) IS-100.b- Introduction Federal Emergency Management Web-based Training -

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to Incident Command Agency (FEMA) Self-study 180 reviews System - 1024627 IS-700.a: Introduction to Federal Emergency Management the National Incident Web-based Training -

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Management System Agency (FEMA) / Emergency Self-study 204 reviews (NIMS) Management Institute (EMI)

Advanced Trainings

no reviews (One Course Required) Chem Rad Bio: Columbia University, National Web-based Training - Fundamentals for the 1 reviews Public HeaHh Workforce Center Self-study IS-200.b - ICS for Single Federal Emergency Management Web-based Training -

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Resources and Initial Agency (FEMA) Self-study 101 reviews Action Incidents - 1024638 IS--800.B National Federal Emergency Management Web-based Training -

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Response Framework, An Agency (FEMA)/Emergency Self-study 79 reviews Introduction - 1011882 Management Institute (EMI) 20 rows per page---=a Filler
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MRC-TRAIN Reporting

  • Reports can be run at the:
  • Unit Leader Level
  • The State Level
  • The Regional Level
  • The National Level
  • Reports provide the necessary feedback loop we need to
  • Leverage federal training opportunities
  • Maximize partner engagement
  • Provide needed standardization of training to the network

(were indicated).

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medico~

; ~ reserve corps Engaging volunteers to strengthen public health, emergency response, and community resiliency

Summary

  • The MRC educational approach for Continuing

professional volunteers’ education.

  • The effects of network topology in determining the

modes/methods of training for the MRC.

  • The effects, and subsequent requirements, of the

varying acquired knowledge of volunteers.

  • The concept of “Advise and Link Resources” used by

DCVMRC.

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References

  • Adams, K. M., Kohlmeier, M., & Zeisel, S. H. (2010).

Nutrition education in U.S. medical schools: latest update of a national survey. Academic Medicine: Journal

  • f the Association of American Medical Colleges, 85(9),

1537–1542. doi:10.1097/ACM.0b013e3181eab71b

  • Braess, D., Nagurney, A., & Wakolbinger, T., (2005) On

a Paradox of Traffic Planning Transportation Science,

  • Vol. 39, pp. 446-450
  • Castillo, C. (2004). Effective Web Crawling. Retrieved on

December 19, 2008 from http://www.chato.cl/papers/crawling_thesis/effective_web _crawling.pdf