ABPS Disaster Medicine study materials
ABPS Disaster Medicine study resources

ABPS Disaster Medicine: Recovery, After-Action Review, Disaster Law, Ethics, and Policy

ABPS Disaster Medicine · Work through your exam, one topic at a time.

All guide sections

Recovery, After-Action Review, Disaster Law, Ethics, and Policy

Recovery

Recovery is the longest phase, restoring infrastructure, services, economy, and psychosocial well-being. Know the roles of FEMA's Public Assistance and Individual Assistance programs, hazard mitigation grants, and the concept of build back better. A frequent trap: recovery is not simply "return to normal"-it includes mitigation to reduce future risk.

After-action review

Understand the After-Action Report/Improvement Plan (AAR/IP) cycle: hotwash, data collection, analysis, report, and corrective actions with assigned owners and deadlines. AARs must be honest and blameless to be useful; findings feed back into the preparedness cycle.

Law and ethics

Know key legal concepts: Emergency declarations (executive authority), Emergency Support Functions (ESFs), stafford Act funding, HIPAA privacy waivers during emergencies, volunteer protection (Good Samaritan laws), and crisis standards of care legal grounding. Ethical frameworks include utilitarian vs. deontological reasoning, duty to care, and equitable allocation. A frequent trap: HIPAA is not suspended wholesale during emergencies-it permits limited disclosures for treatment and public health.

Rule of thumb: An AAR without assigned corrective actions and owners is just a report; the improvement plan is what closes the loop.

Worked example: After an exercise, the AAR identifies slow patient tracking. The improvement plan assigns the Logistics chief to procure a tracking system by a set date, with a follow-up exercise to verify the fix.