Residents working with Médecins Sans Frontières: training and pilot evaluation
Abstract Background Well-prepared humanitarian workers are now more necessary than ever. Essential to the preparation process are: clearly defined learning objectives, curricula tailored to the nuances of humanitarian settings, simulation-based training, and evaluation. This manuscript describes a t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13049-020-00778-x |
| _version_ | 1828314140247064576 |
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| author | Alba Ripoll-Gallardo Luca Ragazzoni Ettore Mazzanti Grazia Meneghetti Jeffrey Michael Franc Alessandro Costa Francesco della Corte |
| author_facet | Alba Ripoll-Gallardo Luca Ragazzoni Ettore Mazzanti Grazia Meneghetti Jeffrey Michael Franc Alessandro Costa Francesco della Corte |
| author_sort | Alba Ripoll-Gallardo |
| collection | DOAJ |
| description | Abstract Background Well-prepared humanitarian workers are now more necessary than ever. Essential to the preparation process are: clearly defined learning objectives, curricula tailored to the nuances of humanitarian settings, simulation-based training, and evaluation. This manuscript describes a training program designed to prepare medical residents for their first field deployment with Médecins Sans Frontières and presents the results of a pilot assessment of its effectiveness. Methods The training was jointly developed by the Research Center in Emergency and Disaster Medicine- CRIMEDIM of the Università del Piemonte Orientale, Novara, Italy, and the humanitarian aid organization Médecins Sans Frontières- Italy (MSF-Italy); the following topics were covered: disaster medicine, public health, safety and security, infectious diseases, psychological support, communication, humanitarian law, leadership, and job-specific skills. It used a blended-learning approach consisting of a 3-month distance learning module; 1-week instructor-led coaching; and a field placement with MSF. We assessed its effectiveness using the first three levels of Kirkpatrick’s training evaluation model. Results Eight residents took part in the evaluation. Four were residents in emergency medicine, 3 in anesthesia, and 1 in pediatrics; 3 of them were female and the median age was 31 years. Two residents were deployed in Pakistan, 1 in Afghanistan, 1 in the Democratic Republic of Congo, 1 in Iraq, 2 in Haiti and 1 on board of the MSF Mediterranean search & rescue ship. Mean deployment time was 3 months. The average median score for the overall course was 5 (excellent). There was a significant improvement in post-test multiple choice scores (p = 0.001) and in residents’ overall performance scores (P = 0.000001). Conclusion Residents were highly satisfied with the training program and their knowledge and skills improved as a result of participation. Trial registration This study was approved by the Institutional Ethics Committee (date 24-02-2016, study code UPO.2015.4.10). |
| first_indexed | 2024-04-13T16:40:42Z |
| format | Article |
| id | doaj.art-2990a366d7ea4755a82c3962de33d4ce |
| institution | Directory Open Access Journal |
| issn | 1757-7241 |
| language | English |
| last_indexed | 2024-04-13T16:40:42Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |
| spelling | doaj.art-2990a366d7ea4755a82c3962de33d4ce2022-12-22T02:39:14ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412020-08-0128111110.1186/s13049-020-00778-xResidents working with Médecins Sans Frontières: training and pilot evaluationAlba Ripoll-Gallardo0Luca Ragazzoni1Ettore Mazzanti2Grazia Meneghetti3Jeffrey Michael Franc4Alessandro Costa5Francesco della Corte6CRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte OrientaleCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte OrientaleMédecins Sans Frontières-ItalyCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte OrientaleCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte OrientaleCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte OrientaleCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte OrientaleAbstract Background Well-prepared humanitarian workers are now more necessary than ever. Essential to the preparation process are: clearly defined learning objectives, curricula tailored to the nuances of humanitarian settings, simulation-based training, and evaluation. This manuscript describes a training program designed to prepare medical residents for their first field deployment with Médecins Sans Frontières and presents the results of a pilot assessment of its effectiveness. Methods The training was jointly developed by the Research Center in Emergency and Disaster Medicine- CRIMEDIM of the Università del Piemonte Orientale, Novara, Italy, and the humanitarian aid organization Médecins Sans Frontières- Italy (MSF-Italy); the following topics were covered: disaster medicine, public health, safety and security, infectious diseases, psychological support, communication, humanitarian law, leadership, and job-specific skills. It used a blended-learning approach consisting of a 3-month distance learning module; 1-week instructor-led coaching; and a field placement with MSF. We assessed its effectiveness using the first three levels of Kirkpatrick’s training evaluation model. Results Eight residents took part in the evaluation. Four were residents in emergency medicine, 3 in anesthesia, and 1 in pediatrics; 3 of them were female and the median age was 31 years. Two residents were deployed in Pakistan, 1 in Afghanistan, 1 in the Democratic Republic of Congo, 1 in Iraq, 2 in Haiti and 1 on board of the MSF Mediterranean search & rescue ship. Mean deployment time was 3 months. The average median score for the overall course was 5 (excellent). There was a significant improvement in post-test multiple choice scores (p = 0.001) and in residents’ overall performance scores (P = 0.000001). Conclusion Residents were highly satisfied with the training program and their knowledge and skills improved as a result of participation. Trial registration This study was approved by the Institutional Ethics Committee (date 24-02-2016, study code UPO.2015.4.10).http://link.springer.com/article/10.1186/s13049-020-00778-xHumanitarian aidEducationResidentsEvaluationLow-resource environmentsSimulation |
| spellingShingle | Alba Ripoll-Gallardo Luca Ragazzoni Ettore Mazzanti Grazia Meneghetti Jeffrey Michael Franc Alessandro Costa Francesco della Corte Residents working with Médecins Sans Frontières: training and pilot evaluation Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Humanitarian aid Education Residents Evaluation Low-resource environments Simulation |
| title | Residents working with Médecins Sans Frontières: training and pilot evaluation |
| title_full | Residents working with Médecins Sans Frontières: training and pilot evaluation |
| title_fullStr | Residents working with Médecins Sans Frontières: training and pilot evaluation |
| title_full_unstemmed | Residents working with Médecins Sans Frontières: training and pilot evaluation |
| title_short | Residents working with Médecins Sans Frontières: training and pilot evaluation |
| title_sort | residents working with medecins sans frontieres training and pilot evaluation |
| topic | Humanitarian aid Education Residents Evaluation Low-resource environments Simulation |
| url | http://link.springer.com/article/10.1186/s13049-020-00778-x |
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