MGMIMass Gathering Medicine

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What Core Competency Training Skills Improve Mass Gathering Medical Staff Preparedness? An International Delphi Study for Expert Consensus[1]

Mathew D, et al (BIDMC/Ciottone group) · 2025 · Disaster Med Public Health Prep

Summary

Three-round modified Delphi consensus (BIDMC/Ciottone disaster-medicine group) defining core competencies for clinicians working mass-gathering events. Top consensus priorities: command of venue-specific information (layout, hazards, resources), structured staff orientation before the event, coordination with community/municipal health systems, and MCI/triage readiness. Produces a competency framework intended for curricula and credentialing of event-medicine clinicians.

So what

The credentialing anchor the field has lacked: DeLorenzo flagged the residency training gap in 1993, and this is the first formal consensus statement of what an event-medicine clinician must actually know. The top items are organizational, not procedural — venue knowledge, orientation, community coordination, MCI posture — which validates MGMI's architecture (site/venue pages, planning doctrine) as the curriculum substrate. Direct citation for any future MGMI Learn tier-mapping and for the manuscript's training section. Pairs with Steenkamp/Turris consensus lineage.

Key findings

  • 3-round modified Delphi; BIDMC/Ciottone group
  • Top competencies: venue-specific knowledge, staff orientation, community coordination, MCI/triage readiness
  • Organizational competencies outrank procedural ones
  • First formal competency framework for event-medicine clinicians
  • Closes the loop DeLorenzo opened in 1993 on training gaps

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