THE DESIGN AND IMPLEMENTATION OF TRAINING EXERCISES FOR EMERGENCY PREPARATION AND DISASTER RESPONSE (original) (raw)
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I would like to extend my deepest gratitude to my advisor, Debra Olson, whose dedication to teaching and mentoring has allowed me to learn and accomplish so much throughout this academic journey. Her endless advocacy, sincere advising, patience, and high standards have allowed me to grow as a humbled scholar. She is a thinker, teacher, and leader that I aspire to be someday. My committee members, Patricia McGovern, Craig Hedberg, and David Chapman provided me with guidance, support, patience, and feedback throughout this dissertation process that is much appreciated. This study would not have been possible without Tom Jackson, Robert Garcia, and staff members at the CDC DSNS for providing me the opportunity to lead this research project and invaluable support throughout the process. In addition, I thank Eileen Harwood, Megan Johanknecht, Lee Snyder, Cynthia Davy, and Andy Wey who helped with survey development, data collection, and data analysis. I am truly grateful to the BARDA ID for the exposure to federal service and for giving me the opportunity to realize that pursuing a doctorate degree is possible. They were also very supportive of me during my time in the PhD program. I am thankful for the invaluable opportunity to be a part of a hard working team that makes positive changes and creates real impact to ensure the public health of the people. This experience has significantly influenced both my personal and professional development. I thank my friends and colleagues, whose endless moral support, encouragement, and friendship were invaluable during my graduate studies and the completion of this ii project. I am grateful to my family for their full-hearted support during the pursuit of my doctorate. Thank you to the U-SEEE Fellows Program for the invaluable training opportunity that has developed my knowledge and skills in areas of research, teaching, and practice. The overall experience has significantly prepared and strengthened me my ability to be a public health professional. Furthermore, the University of Minnesota: Simulations, Exercises and Effective Education (U-SEEE) Preparedness and Emergency Response Research Center (PERRC), supported in part through a grant from the Centers for Disease Control and Prevention (CDC/COOPTER Grant Number 5P01TP000301-03 has provided the financial support that has made this research possible. The content of this dissertation represents the views of the author and does not necessarily represent the official views of CDC. To everyone, my deepest recognition and sincere appreciation. iii Dedication This dissertation is dedicated to my loving fiancé, Leon. His love, motivation, understanding, patience, and endless support provided me the energy and inspiration to complete this dissertation.
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Exercises, drills, or simulations are widely used, by governments, agencies and commercial organizations, to simulate serious incidents and train staff how to respond to them. International cooperation has led to increasingly large-scale exercises, often involving hundreds or even thousands of participants in many locations. The difference between ‘large’ and ‘small’ exercises is more than one of size: (a) Large exercises are more ‘experiential’ and more likely to undermine any model of reality that single organizations may create; (b) they create a ‘play space’ in which organizations and individuals act out their own needs and identifications, and a ritual with strong social implications; (c) group-analytic psychotherapy suggests that the emotions aroused in a large group may be stronger and more difficult to control. Feelings are an unacknowledged major factor in the success or failure of exercises; (d) successful large exercises help improve the nature of trust between individual...