International partnerships to foster growth in emergency medicine in Romania

Valerie F. Krym, Rodica Retezar, Steve Scott

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Emergency medicine (EM) is a growing specialty internationally, but has yet to be cultivated in countries with otherwise advanced health care systems. To promote the growth of EM, emergency physicians from countries where EM is a mature specialty can assist with knowledge transfer and development of emergency medical systems to make a lasting impact on the community served. We present our experience in assisting the development of emergency medicine in a university-affiliated regional hospital in Romania. The International Emergency Medicine Fellowship program at the University of Toronto established links in Cluj-Napoca, Romania, in order to provide expertise and assist local leadership to stimulate growth in EM. In October 2005, a 3-member team travelled to Cluj-Napoca to provide input on how to best use a new physical plant, to deliver continuing education to physicians and nurses, and to help establish long-term development goals. The team identified the following priorities through a comprehensive needs assessment: physical plant organization and patient flow, staffing, staff education, equipment, medication and supplies, and infection control practices. In conjunction with local counterparts, a plan was developed addressing each priority. Staff, hospital administration and university officials report positive growth in EM as a result of the collaboration. Further work is underway to implement the plan, including international exchange trips to promote mutual growth between partners.

Original languageEnglish (US)
Pages (from-to)560-565
Number of pages6
JournalCanadian Journal of Emergency Medicine
Issue number6
StatePublished - Nov 2009
Externally publishedYes


  • International collaboration
  • International emergency medicine
  • Knowledge transfer
  • Needs assessment
  • Romania

ASJC Scopus subject areas

  • Emergency Medicine


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