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In a action to advance the emergency affliction arrangement by alms postgraduate training to the caregivers, the aboriginal affiliation action was to authorize a appointment area educational initiatives could booty place. In July 1993, the Emergency Medical Casework Institute, housed aural the hospital, was accustomed by apostolic decree to accommodate post-graduate medical apprenticeship in emergency anesthetic and nursing. The Institute was accustomed as an official Armenian Civic Institute of Bloom affiliate. It is the home of all affiliation eduvation and trainin programs. By 1999, its emergency medical training annex had accomplished 128 40-hour courses to over 5000 trainees back 1993 and its nursing annex had accomplished 426 nurses back 1996. As of today training has been provided for every emergency artisan and the arrangement is well-implanted for alternate refresher courses.

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Emergency Anesthetic Curricula Developed beneath the Affiliation Program

Nursing Activities

International Bloom Constituent of the Boston University Medical Centermost Affiliation with Grigor Lusavorich Medical Center

International Medical Apprenticeship and Harmonization Programfor Nuclear Blow Preparedness

Telemedicine: Continuing Medical Education

Boston University Medical Center/Armenia Affiliation ProgramTelemedicine Conferences, 1995-2001

Presenting the Teleconference Alternation on Adversity Preparedness:

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Health Administration Trainer Project

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Fourth-year medical acceptance from accepted medical schools in the United States and Canada are demography allotment in the “International Bloom Elective” offered at the Emergency Scientific Medical Centermost in Yerevan, Republic of Armenia through Boston University School of Medicine’s program. (application form) Rotations in emergency affliction and trauma, anesthetic surgery, analytical affliction and pulmonary anesthetic are offered. Acceptance additionally circle through the Armenian Civic Institute of Bloom and its affiliated clinics. The program, which started in 1994, is the alone externship for acclaim accessible in the Anew Independent States. The constituent lasts four weeks and affords the befalling to beam medical affliction in a post-Soviet ambience as able-bodied as participate in ambulance runs throughout the capital. Student evaluations accept been actual absolute and accept been acclimated to accomplish changes to enhance the program. To date over 20 medical acceptance from the afterward universities accept alternate in the program: Boston, California-Irvine, California-Los Angeles, California-San Francisco, Hawaii, St. Louis, Tufts, Tulane and Wright State.

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Medical accommodation for radiation accidents is aerial on the calendar for emergency accommodation in the Anew Independent States. BUSM, the U.S. Department of Energy’s Radiation Emergency Assistance Center/Training Site, and the University of Massachusetts Medical School developed a training affairs that aims to:

The affairs consists of amount curriculum, manual, adroitness development, advance instruction, an online bounded blow administration arrangement and applied contest application ecology equipment. The affairs is targeted to emergency first-responders in Eastern Europe and the Anew Independent States. The All-embracing Atomic Energy Bureau provides allotment and advice with account to affiliation of the action into bounded emergency preparedness. American All-embracing Bloom Alliance-sponsored bounded training centers are acclimated as training sites. Three trainer cycles, 21 training courses and one Internet-based radiation blow exercise accept taken place, extensive 466 emergency professionals from 25 European affiliate states. The accomplished advisers accept delivered the advance 12 times in their own countries.

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In this program, accretion numbers of emergency first-responders are acceptable accustomed with bounded and civic policies, procedures, roles, and responsibilities with account to radiation accidents. Medical professionals are actuality accomplished beneath a unified access and aggregate a amount arrangement that holds affiance for their assimilation into civic acknowledgment affairs arch to affiliation into all-embracing emergency response. This training affairs demonstrates the aing of academic, local, and authoritative institutions with a United Nations bureau to abode an affair of aerial bounded concern.

One of the apparatus of the training is web-based simulations. In Yerevan, August 15-18, 1999, a radiation blow exercise involving bounded training centers in Armenia, Estonia, Moldova, Russia and Ukraine was conducted. In the exercise, an adventitious acknowledgment to radiation was apish and inter-regional cooperation amid eight nations was tested. The exercise provided a new use of telecommunications technology for emergency accommodation training in this specialized acreage in which accommodation is capital but applied contest are lacking. The exercise objectives were that participants:

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As a basic of the Armenia Medical Affiliation Program, teleconferencing has been developed. The teleconferences accommodate a regular, absolute articulation amid Yerevan and Boston and enhance acquirements above the bound opportunities of travel. A simple, interactive, audiographic system, the Optel Teleconferencing System, in use at Boston University Medical Centermost back 1987, is acclimated for the project. It requires a computer, Optel software and two accepted blast lines, one for articulation and the additional for still angel transmission. The arrangement is acceptable for ecology altitude in Armenia which are apparent by common ability outages, blunder of bounded buzz connectors and the complication of the communications infrastructure.

In March, 1995, a BUMC aggregation catholic to Yerevan to install the accessories and alternation cadre on its use. In addition, a agreement for presentations was accustomed that included breadth of time, cardinal of screens per session, beheld format, affinity with analytic services, accordance with action mission and ability to the Armenian bloom affliction system. Anniversary time there is a teleconference the assigned architecture is used, appropriately ensuring that clinicians accept anniversary added and accept the able information.

To date there accept been 42 programs bond over 100 physicians, nurses and hospital administrators, including a alternation on adversity preparedness. The teleconferences accept provided 100 acquaintance hours of teaching and accommodating consultation. With the contempo accession of web-based teleconferencing amid bounded EMS training centers, the Yerevan centermost now has a appointment for bounded exchange. Our teleconferencing action was accustomed as the 1999 almsman of the All-embracing Teleconferencing Association’s Accolade of Excellence for Best Appliance in Audiographics/Multi-Media. The accolade accustomed the conception of an cyberbanking arrangement bond the bounded training centers, BUSM, and the All-embracing Atomic Energy Bureau and the abeyant for associate accord and communication.

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Planning and Implementation

Physical Appraisal of the Cardiac Patient

Team Building

Discussion

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Oct. 17, 1995Boston University School of Anesthetic and American All-embracing Bloom Alliance from St. Petersburg, Russia.

Event #2, Experts’ Panel Discussion of an Airport DisasterMay 31, 1996Boston University School of Anesthetic and Emergency Hospital, Yerevan, Armenia. Added contest in the adversity accommodation alternation include:

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Event #3, Administration of Infection in the Immune-Compromised PatientNov. 19, 1997Boston University School of Anesthetic and Emergency Hospital, Yerevan, Armenia.

Jan. 14, 1998Boston University School of Anesthetic and Moscow Bounded EMS Training Centermost of the Federal Department of Medical, Biological and Extreme Problems, Moscow, Russian Federation.

June 8, 1998Boston University School of Anesthetic and Chisinau Bounded EMS Training Center, Chisinau, Moldova.

August 26, 1998Discovery, Administration and Victim Treatment, Boston University School of Anesthetic and Estonian Adversity Anesthetic Center, Tallinn, Estonia

Event #7, Community Preparedness: The Seabrook NH Nuclear Ability Plant

October 14, 1998Boston University School of Anesthetic and Ukrainian Emergency and Adversity Anesthetic Center, Kiev, Ukraine

Event #9, “Harmony I,” Bounded Medical Acknowledgment ExerciseBoston University School of Medicine, bounded training centers, All-embracing Atomic Energy Agency, American All-embracing Bloom Alliance.

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The Department of All-embracing Bloom of Boston University School of Accessible Bloom has a continued attitude of accouterment administration training programs in all-embracing health. Recently, it inaugurated an accelerated affidavit advance accouterment one-third of the credits appear a Master’s amount in Accessible Bloom on the administration of disasters and circuitous animal emergencies. The affidavit advance grew out of this partnership’s assignment in emergency medical training.

In 1999 BUSPH, BUSM, and ANIH acquired allotment from the Tavitian Foundation for a one-year bloom administration trainer project. Four trainees from ANIH enrolled in a customized administration training affairs from September 1999 to May 2000 to enhance ANIH administration and affairs accommodation and accouter its trainees with abilities in accounts and class architecture as able-bodied as admittance them to accompany specialized interests in licensing, regulation, and affection assurance; accessible administration; and accommodating and animal rights.

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