The Global Educational Toxicology Toolkit (GETKIT): A 1-Day Course for Teaching Poisoning Essentials in Low- and Middle-Income Countries (LMIC): Course Development and Pilot Data Analysis
| Autor: | Kathryn T. Kopec, Anselm Wong, Ziad Kazzi, Cynthia Santos, Rais Vohra |
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| Rok vydání: | 2019 |
| Předmět: |
Health Knowledge
Attitudes Practice Health Toxicology and Mutagenesis Health Personnel Poison control Pilot Projects Global Health Toxicology Occupational safety and health 03 medical and health sciences 0302 clinical medicine Medical toxicology Injury prevention Health care Content validity Medicine Humans 030212 general & internal medicine Prospective Studies Program Development Curriculum Developing Countries business.industry Poisoning 030208 emergency & critical care medicine Income Feasibility Studies Original Article Educational Measurement business Program Evaluation |
| Zdroj: | J Med Toxicol |
| ISSN: | 1937-6995 |
| Popis: | INTRODUCTION: Worldwide an estimated one million deaths occur annually as a result of poisoning. Internationally there is a lack of toxicology training programs, especially in resource poor settings. We developed a one-day, interactive toxicology curriculum for healthcare practitioners in countries lacking clinical toxicology training and evaluated its feasibility and effectiveness for knowledge dissemination. METHODS: GETKIT was developed with 3 sections: didactics, hands on toxicology case lab, and technology clinic. The investigators, who are medical toxicologists,created 23 didactic lectures and 42 workshop cases. All materials were peer reviewed by 5 senior medical toxicologists for content validity. Participants atpilot sites were given pre-course, post-course, and 3-month follow-up tests and surveys. RESULTS: GETKIT was delivered internationally at 7 sites between November 2017 and April 2018. There were 186 total participants. One hundred and ten participants (59%) reported their hospital lacked a clinical toxicology service. The median post course score 12 (60%), IQR (6,14) was significantly higher compared to the pre-course score 9 (45%), IQR (6,11) (p < 0.0001). There was a significantly higher median 3-month post course score 13 (65%), IQR (8,14) vs. a median pre course score of 9 (45%), IQR (6,11) (p 0.0005). At 3-month follow up 86% of participants reported GETKIT had changed their clinical practice. CONCLUSIONS: An improvement in and retention of medical toxicology knowledge was demonstrated with the GETKIT course. It also conferred improvement in selfreportedpoisoning management practices in participants from low resource settings. |
| Databáze: | OpenAIRE |
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