A 'Fundamentals' Train-the-Trainer Approach to Building Pediatric Critical Care Expertise in the Developing World
Autor: | Nino Zavrashvili, Matthew J. Ritter, Nino Gakhokidze, Beth A. Ballinger, Grace M. Arteaga, Sheri Crow, Mariela Rivera, David Tsibadze |
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Rok vydání: | 2018 |
Předmět: |
pediatric critical care
train-the-trainer Developing country 030204 cardiovascular system & hematology Pediatrics Train the trainer 03 medical and health sciences 0302 clinical medicine Medicine Relevance (information retrieval) 030212 general & internal medicine Original Research education Medical education training business.industry Debriefing lcsh:RJ1-570 lcsh:Pediatrics pediatric fundamental critical care support language.human_language Georgian Scale (social sciences) Pediatrics Perinatology and Child Health language Pediatric critical care business Instructional simulation |
Zdroj: | Frontiers in Pediatrics Frontiers in Pediatrics, Vol 6 (2018) |
ISSN: | 2296-2360 |
DOI: | 10.3389/fped.2018.00095 |
Popis: | Pediatric Fundamental Critical Care Support (PFCCS) is an educational tool for training non-intensivists, nurses, and critical care practitioners in diverse health-care settings to deal with the acute deterioration of pediatric patients. Our objective was to evaluate the PFCCS course as a tool for developing a uniform, reproducible, and sustainable model for educating local health-care workers in the optimal management of critically ill children in the Republic of Georgia. Over a period of 18 months and four visits to the country, we worked with Georgian pediatric critical care leadership to complete the following tasks: (1) survey health-care needs within the Republic of Georgia, (2) present representative PFCCS lectures and simulation scenarios to evaluate interest and obtain “buy-in” from key stakeholders throughout the Georgian educational infrastructure, and (3) identify PFCCS instructor candidates. Georgian PFCCS instructor training included the following steps: (1) US PFCCS consultant and content experts presented PFCCS course to Georgian instructor candidates. (2) Simulation learning principles were taught and basic equipment was acquired. (3) Instructor candidates presented PFCCS to Georgian learners, mentored by PFCCS course consultants. Objective evaluation and debriefing with instructor candidates concluded each visit. Between training visits Georgian instructors translated PFCCS slides to the Georgian language. Six candidates were identified and completed PFCCS instructor training. These Georgian instructors independently presented the PFCCS course to 15 Georgian medical students. Student test scores improved significantly from pretest results (n = 14) (pretest: 38.7 ± 7 vs. posttest 62.7 ± 6, p |
Databáze: | OpenAIRE |
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