PACE 1- 100 hour Diplomado in emergency nursing, given to Health Ministry Nurses in the city of San Miguel de Allende. The program has successfully cultivated a core of emergency nurse leaders and the health ministry is now, for the first time, placing them on a full time basis in the emergency department. The presence of these nurses  I the ER is creating pressure for other providers to improve their care. (Presently being taught)

PACE 2- The Diplomado course in Emergency Medicine for general physicians.  85% of all the physicians in Mexico do not receive residency training.  The percentage of physicians who work in emergency departments is even higher than that.  The program provides 100 hours of training in advanced cardiac care, trauma, pediatrics and medical emergencies. We offer AHA ACLS training and ATLS training to physicians enrolled in this program.  (Presently being taught)

PACE 3- This recently completed Diplomado course was done for the Red Cross in Guanajuato and Leon.  It provided 100 hours of training in advanced emergency medicine to Red Cross EMT Basics (TUM I) .  Mexico has over 28,000 EMT Basics and less than 1,500 EMT Intermediates and truly only a few hundred true Paramedics. The program provides “fast track” training to EMT Basics, extends their competence and the courses are directed by Mexican Residency Trained Emergency Physicians, increasing the sense of professionalism that these mostly volunteer EMTs have.

PACE 4 – This a basic course for First Responders and lay personnel which is part of our community based effort to improve the chain of survival in emergencies.  It will be given to police, firefighters as well as lay personnel in the service industries as well as lay people.  The American Heart Association Basic Life Support Course will be included in the training.

PACE 5- This is an “Advanced Practice” Emergency Medicine course for practicing EM physicians (PACE II part 2).  It will be a 100 hour Diplomado course and can be applied to fulfill Mexican CME requirements.  It includes the PACE – FAST (Emergency Ultrasound) module, which has been given multiple times under the direction of Darryl Macias and Raul Nunez, an Advanced Airway and Ventilation  Module , an Advanced Life Support for Obstetrics (ALSO) module, and Special Procedures module.

(We have begun with the FAST course.  Other modules are under development)

PACE 6- Will focus on Disaster Medicine, Toxicology , Hazardous Materials management and Operational Medicine.  This program sill start as a US – Mexico Border Disaster Infrastructure program in August of 2006. The components will be as follows:

·        International Disaster and Life Support Course – LA (FENIX) **

·        An Applied Clinical Toxicology Course (Under development)

·        A Hazmat Course (under development)

·        A Burn Management Course

**The FENIX course is run under the direction of Dr. Guillermo Pierlusi, MD, Accreditted through the Medical College of Georgia , and is managed for a PACE program by CAPT. Angel Brana, MD MPH. It is taught out of other training centers elsewhere in Mexico and in Colombia. (We will begin this section in August 2006 in Reynosa Mexico / McAllen Texas)

PACE  8 -  This section will focus on Emergency Pediatrics. The courses we would like to develop under this section is as follows:

• Advanced Pediatric Life Support (APLS) The Emergency Medicine Pediatrics course for physicians taught under the authority of the American College of Emergency Physicians and the American Academy of Pediatrics.
• Pediatric Advanced Life Support Course (PALS) The American Heart Association course, open to nurses and EMTs as well, which focuses of resuscitation
• Neonatal Advanced Life Support (NALS)
• ALSO (described above)

(We hope to begin a roll out of this section within the next year)

PACE 9 – Will be an Emergency Management course which will provides ED, EMS and disaster management tools and concepts, including Medical Informatics and Community Oriented Emergency Medicine tools (public health/epidemiology) as well as Six sigma lean for application in developing systems. (We hope to roll out this program within the next two years)

PACE 10 – is the MedSpanish Program (www.MedSpanish.com), our “in house” training center for US health Care personnel. It is run  by the PACEMD program in Mexico and provides Medical Spanish Training , Cultural Literacy Training and significant international health experiences to medical and nursing students, residents and practicing health care workers from throughout the United States. The program charges tuition for its programs. The Medspanish program then provides a platform for all of the other PACE activities including the physical plant, training equipment and staff.  It also brings emergency physicians (and others) to Mexico and provides opportunities for professional exchange and international education center development.  We provide CME through the University of New Mexico for Spanish Training and Cultural Literacy training. We want to be your international base for your international work!

Acknowledgements:  The PACEMD Program owes its success to all of the Staff of MedSpanish and PACEMD, the  Emergency Medicine Department of the University of New Mexico, The University of Guanajuato Medical School, El Sercretario de Salud del Estado de Guanajuato, La Cruz Roja Mexicana, the Colegio de Urgencias Medicas del Estado de Guanajuato, all of the MedSpanish / PACEMD Students and participants, the people opf the great State of Guanajuato and Mexico and especially the Ashoka organization which provides an important framework for innovation.