Transfusion Camp: a prospective evaluation of a transfusion education program for multispecialty postgraduate trainees.

Autor: Lin Y; Department of Laboratory Medicine and Molecular Diagnostics, Sunnybrook Health Sciences Centre, Toronto, Canada.; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada., Tilokee E; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada., Chargé S; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada., Alam A; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; Department of Anesthesia, North York General Hospital, Toronto, Canada., Cserti-Gazdewich C; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.; Laboratory Medicine Program, University Health Network, Toronto, Canada., Lau W; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.; Department of Paediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, Canada., Lee C; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, Canada., Lieberman L; Department of Laboratory Medicine and Molecular Diagnostics, Sunnybrook Health Sciences Centre, Toronto, Canada.; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.; Laboratory Medicine Program, University Health Network, Toronto, Canada., Nixon P; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada., Owens W; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; Ontario Regional Blood Coordinating Network, Ontario, Canada., Pavenski K; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.; St. Michael's Hospital, Toronto, Canada., Pendergrast J; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.; Laboratory Medicine Program, University Health Network, Toronto, Canada., Saidenberg E; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; Hematology and Transfusion Medicine, The Ottawa Hospital, Ottawa, Canada., Shehata N; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.; Department of Medicine, Division of Hematology, Mount Sinai Hospital, Toronto, Canada., Skeate R; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.; Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada., Yi QL; Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada., Conrad D; Division of Hematopathology, Dalhousie University & Nova Scotia Health Authority Central Zone, Halifax, Canada., Dudebout J; Queen's University, Kingston, Canada., Hsia CC; Department of Pathology & Laboratory Medicine, Schulich School of Medicine & Dentistry, Western University, London, Canada., Murphy M; Oxford University Hospitals, Oxford, United Kingdom., Prokopchuk-Gauk O; Department of Pathology and Laboratory Medicine, University of Saskatchewan, Saskatoon, Canada., Shah A; Oxford University Hospitals, Oxford, United Kingdom., Solh Z; Department of Pathology & Laboratory Medicine, Schulich School of Medicine & Dentistry, Western University, London, Canada., Trudeau J; Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, Canada., Zeller MP; McMaster Centre for Transfusion Research, McMaster University, Hamilton, Canada.; Canadian Blood Services, Ancaster, Canada., Callum J; Department of Laboratory Medicine and Molecular Diagnostics, Sunnybrook Health Sciences Centre, Toronto, Canada.; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.; University of Toronto Transfusion Camp Planning Committee, Toronto, Canada.; University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada.
Jazyk: angličtina
Zdroj: Transfusion [Transfusion] 2019 Jun; Vol. 59 (6), pp. 2141-2149. Date of Electronic Publication: 2019 Apr 04.
DOI: 10.1111/trf.15284
Abstrakt: Background: The optimal method of providing transfusion medicine (TM) education has not been determined. Transfusion Camp was established in 2012 at the University of Toronto as a centrally delivered TM education program for postgraduate trainees. The impact of Transfusion Camp on knowledge, attitudes, and self-reported behavior was evaluated.
Methods: Didactic lectures (delivered locally, by webinar, or recorded) and locally facilitated team-based learning seminars were delivered over 5 days during the academic year to 8 sites: 7 in Canada and 1 in the United Kingdom. Knowledge assessment using a validated 20-question multiple-choice exam was conducted before and after Transfusion Camp. Attitudes and self-reported behavior were collected through a survey.
Results: Over 2 academic years (July 2016 to June 2018), 390 trainees from 16 different specialties (predominantly anesthesia, 41%; hematology, 14%; and critical care, 7%) attended at least 1 day of Transfusion Camp. The mean pretest score was 10.3 of 20 (±2.9; n = 286) compared with posttest score of 13.0 (±2.8; n = 194; p < 0.0001). Lower pretest score and greater attendance (4-5 days compared with 1-3 days) were associated with larger improvement in posttest score; delivery format, specialty, and postgraduate year were not. Trainees reported an improvement in self-rated abilities to manage TM scenarios; 95% rated TM knowledge as very or extremely important in providing patient care; and 81% indicated that they had applied learning from Transfusion Camp into clinical practice.
Conclusions: Transfusion Camp increased TM knowledge, fostered a positive attitude toward TM, and enabled a self-reported positive impact on transfusion practice in postgraduate trainees. It is a novel and scalable approach to delivering TM education.
(© 2019 AABB.)
Databáze: MEDLINE