Louisville Medicine Volume 64, Issue 5 | Page 19

PLEASE JOIN THE MEDICAL RESERVE CORPS Joann Schulte, DO, MPH, and Sarah Moyer, MD, MPH M ass shootings and other events involving multiple casualties have become commonplace in America. The recent shootings in Orlando, Dallas and San Bernardino, as well as the 2013 Boston Marathon bombing, raise the question, “If this happened in Louisville, would the local medical community be prepared to respond? “ The Medical Reserve Corps provides an answer! Fifteen years ago, in the wake of the events of September 11, 2001, physicians and other health professionals rushed to the scenes of the attacks at considerable personal risk, wanting to save lives and help alleviate the strain on the medical system. Despite their best intentions however, the presence of the self-deployed, unaffiliated volunteers was often problematic to emergency managers due to issues of credentialing, liability and management. Ultimately, many of the medical volunteers were turned away. Credentialing was an issue. It was often difficult or impossible to verify volunteers’ licenses and professional qualifications when the emergency management system was overloaded or, in many cases, shut down. Liability questions were rampant. Who would provide legal protection for volunteers, many of whom had come from other areas of the country? What should occur if the volunteers were injured? How would they be treated or compensated? Volunteers were often turned away because of management issues. Emergency and medical managers needed to focus on emergency response and accounting for their own personnel. They were not equipped to manage large numbers of spontaneous volunteers. To answer these concerns and to take advantage of the valuable reservoir of physician talent willing to help, the Medical Reserve Corps (MRC) was created. The MRC is a network of locally-established community-based units whose purpose is to meet the public health needs in their communities, particularly in emergencies. It is sponsored by the federal Office of the Assistant Secretary for Preparedness and Response (ASPR). The MRC consists of medical and non-medical volunteers who contribute to local health initiatives and supplement existing response capabilities in time of emergency. The MRC provides the structure necessary to pre-identify, credential, train and activate OCTOBER 2016 17