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What Core Competency Training Skills Improve Mass Gathering Medical Staff Preparedness? An International Delphi Study
Dana Mathew1, Attila J Hertelendy1,2, Fadi Issa1
1BIDMC Disaster Medicine Fellowship, Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical Schoolhttps://ror.org/03vek6s52, Boston, MA, USA.
Disaster Medicine and Public Health Preparedness
|June 9, 2025
Summary
Expert consensus identified essential training for mass gathering medical staff, focusing on venue operations, mass casualty response, and triage. This framework addresses the need for standardized preparation in mass gathering medicine.
Area of Science:
- Emergency Medicine
- Public Health
- Disaster Preparedness
Background:
- Mass Gathering Medicine aims to reduce risks at large events.
- Current medical staff training lacks standardized guidance.
- Variability in medical skills among staff necessitates defined training protocols.
Purpose of the Study:
- To establish expert consensus on minimum training requirements for medical staff at mass gatherings.
- To formalize preparation strategies for mass gathering medical response.
Main Methods:
- A 3-round Delphi study involving medical experts from mass gathering conferences.
- Anonymous data collection with verbal and software consent.
- Consensus achieved when standard deviation (SD) was ≤1.0 using a 7-point scale.
Main Results:
- Round 1 yielded 137 statements; 73 advanced to Round 2, with 28.7% reaching consensus.
- Round 3 saw 40.3% consensus on remaining statements.
- Key themes: venue-specific information, staff orientation, community coordination, mass casualty preparation, and triage.
Conclusions:
- An expert consensus framework highlights critical training areas: venue operations, mass casualty response, triage, and life-saving skills.
- Standardizing training for diverse mass gatherings presents challenges.
- Recurrent expert priorities underscore the importance of these core training elements.
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