Identifying Deficiencies in National and Foreign Medical Team Responses Through Expert Opinion Surveys: Implications for Education and Training—ERRATUM

Djalali, Ahmadreza; Ingrassia, Pier Luigi; Corte, Francesco Della; Foletti, Marco; Gallardo, Alba Ripoll; Ragazzoni, Luca; Kaptan, Kubilay; Lupescu, Olivera; Arculeo, Chris; Arnim, Götz von; Friedl, Tom; Ashkenazi, Michael; Heselmann, Deike; Hrečkovski, Boris; Khorram‐Manesh, Amir; Komadina, Radko; Lechner, Konstanze; Patru, Cristina; Burkle, Frederick M.; Fisher, Philipp

doi:10.1017/s1049023x15004616

Cited by 6 publications

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“…For this reason, the international humanitarian community has been drawing attention to the compelling need for competency-based training curricula based on a standard set of cross-cutting and profession-specific competencies [4,19]. Since young doctors, born in a new era of highly-specialized medicine, have been increasing their presence in international aid projects, good preparation and performance oversight are paramount to guarantee best practice also in resource-strained settings [9]. To our knowledge, this is the first study that describes the implementation and evaluation of a course based on published cross-sectorial and profession-specific competencies, jointly developed by an academic center and a robust humanitarian organization.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Educational needs were established on the basis of an expert opinion survey [ 9 ], round tables with CRIMEDIM and MSF field experts, and a literature review of published competency sets for humanitarian workers [ 10 ]. Since our training program targeted health workers but was meant to be extendable in the future to other sectors operating under the umbrella of humanitarian aid, four manuscripts were selected on the basis of their cross-sectorial approach [ 6 ] and definition of discipline-specific competencies relevant to our audience [ 11 – 13 ].…”

Section: Methodsmentioning

confidence: 99%

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Residents working with Médecins Sans Frontières: training and pilot evaluation

Ripoll-Gallardo

Ragazzoni

Mazzanti³

et al. 2020

Scand J Trauma Resusc Emerg Med

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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-CRIMED IM 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).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Residents working with Médecins Sans Frontières: training and pilot evaluation

Ripoll-Gallardo

Ragazzoni

Mazzanti³

et al. 2020

Scand J Trauma Resusc Emerg Med

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“…Educational needs were established on the basis of an expert opinion survey (9),round tables with CRIMEDIM and MSF eld experts, and a literature review of published competency sets for humanitarian workers (10).Since our training program targeted health workers but was meant to be extendable in the future to other sectors operating under the umbrella of humanitarian aid, four papers were selected on the basis of their cross-sectorial approach(6) and de nition of discipline-speci c competencies relevant to our audience (11)(12)(13).These competency sets served as a foundational basis for the course curriculum and were translated into 10 cross-sectorial and 1 profession-speci c competency domain for each specialty [ Table 1]. Learning objectives were phrased according to Bloom's Taxonomy.…”

Section: Curriculummentioning

confidence: 99%

Residents Working With Médecins Sans Frontières: Training and Pilot Evaluation

Ripoll-Gallardo¹,

Ragazzoni²,

Mazzanti³

et al. 2020

Preprint

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BackgroundWell-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 paper 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.MethodsThe 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.ResultsEight 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). ConclusionResidents 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)

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“…When external governments, international organizations, and non-governmental organizations (NGOs) intercede in disaster and crisis situations, they are often able to provide an acute response that would otherwise be impossible. The coordination of multiple teams of unknown numbers arriving to a devastated setting can cause logistical issues that occasionally cause redundancy and even harm [ 21 ]. The establishment of effective policies and protocols that dictate how a coordinated emergency response should unfold has improved this redundancy.…”

Section: Types Of Humanitarian Outreachmentioning

confidence: 99%

Surgical Outreach for Children by International Humanitarian Organizations: A Review

2017

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Low- and middle-income countries carry a disproportionate share of the global burden of pediatric surgical disease and have limited local healthcare infrastructure and human resources to address this burden. Humanitarian efforts that have improved or provided access to necessary basic or emergency surgery for children in these settings have included humanitarian assistance and disaster relief, short-term surgical missions, and long-term projects such as building pediatric specialty hospitals and provider networks. Each of these efforts may also include educational initiatives designed to increase local capacity. This article will provide an overview of pediatric humanitarian surgical outreach including reference to available evidence-based analyses of these platforms and make recommendations for surgical outreach initiatives for children.

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Identifying Deficiencies in National and Foreign Medical Team Responses Through Expert Opinion Surveys: Implications for Education and Training—ERRATUM

Abstract: In the original article, the following name was misspelled: Amir Khorram-Manesh. The publisher regret this oversight.

Cited by 6 publications

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Residents working with Médecins Sans Frontières: training and pilot evaluation

Residents working with Médecins Sans Frontières: training and pilot evaluation

Residents Working With Médecins Sans Frontières: Training and Pilot Evaluation

Surgical Outreach for Children by International Humanitarian Organizations: A Review

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