Internal medicine resident knowledge of transfusion medicine: results from the <scp>BEST</scp>‐<scp>TEST</scp> international education needs assessment

Haspel, Richard L.; Lin, Yulia; Mallick, Ranjeeta; Tinmouth, Alan; Cid, Joan; Eichler, Hermann; Lozano, Miguel; Watering, Leo van de; Fisher, Patrick B.; Ali, Asma M.; Parks, Eric R.; Investigators, Best-Test

doi:10.1111/trf.12968

Cited by 62 publications

(93 citation statements)

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“…Indeed, precamp exam results resembled the mean score of 46% in international internal medicine residents. 2 The postcamp exam results were similar to scores in the validation pilot study of 62 and 82% in participants with intermediate and expert knowledge, respectively. Our results showed a consistent and overall improvement in knowledge of participants, irrespective of their residency training program, and highlighted specific TM topics meriting focus in curriculum planning.…”

supporting

confidence: 66%

“…Second, this report does not include a control group of residents who had not participated in Transfusion Camp, although prior studies suggest that TM knowledge does not increase with increasing postgraduate year of training alone. 2,3 Finally, this report does not suggest that a 5-day curriculum is superior to the previously offered 1-month blood bank rotation but offers an alternative to educate many more residents in a setting of limited teaching resources.…”

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confidence: 69%

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Evaluation of “Transfusion Camp,” a postgraduate transfusion medicine education program using the BEST‐TEST knowledge assessment tool

2015

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as illustrated by our case and other case reports, there is a need for increased communication between specialists in transfusion medicine, reproductive medicine specialists, obstetricians, and hospital staff for optimal management of women whose pregnancy was ART induced.Many couples may consider infertility and an ARTinduced pregnancy to be a private matter and hesitate to volunteer the pertinent information to the caregivers at the time of delivery. 8 For that reason, pregnant women should be informed of the potential complications if an ARTrelated parent-child blood group discrepancy or incompatibility is detected-or undetected-by routine care of their newborn at delivery. Before delivery, caretakers who have not been directly involved from the onset of the pregnancy should ask women if their pregnancy was ART-induced using a donor oocyte or sperm and, if it were, the blood bank should be informed. Should ABO matching be considered when selecting a donor oocytes or sperm? We do not recommend such matching, since ABO compatibility is not standard practice for conventional matings. However, Dwomen should be informed about the potential consequence of Rh alloimmunization if a D1 oocyte or sperm donor were selected. Women who are planning an ARTinduced pregnancy and are already alloimmunized, for example, as in the cases of anti-C, 4 anti-c, 6 or anti-K, 6 should be informed of the importance of selecting an oocyte or sperm donor whose antigen-negative phenotype could avert the risk of hemolytic disease of the fetus or newborn. Finally, given the increasing utilization of oocyte or sperm donors by fertility clinics, we recommend that transfusion services, textbooks of transfusion medicine, and immunohematology as well as the AABB Technical Manual add ART to the list of potential causes of parent-child ABO discrepancy.

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confidence: 69%

Evaluation of “Transfusion Camp,” a postgraduate transfusion medicine education program using the BEST‐TEST knowledge assessment tool

2015

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“…During its validation, the assessment tool was able to discriminate between individuals with expected knowledge at the beginner level scoring on average 42%, intermediate level scoring 62%, and expert level scoring 82%. In the first BEST‐TEST study, internal medicine residents from 23 programs and nine countries completed the examination with a mean score of 45.7% (site range, 32%‐56%) . The objective of this study, BEST‐TEST2, was to determine the level of knowledge in hematology trainees at multiple international sites and identify topic areas of deficiency in need of improvement for future transfusion medicine education initiatives.…”

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confidence: 99%

BEST‐TEST2: assessment of hematology trainee knowledge of transfusion medicine

et al. 2015

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“…The learning materials should be easily accessible, for example, via a Web site [53], Intranet, or a central virtual room for documents, guidelines, posters, education materials. As hemotherapy and transfusion medicine have been taught inadequately at many medical schools in the past [54,55], it would be beneficial for the relevant medical staff to pass online e-learning courses to receive a "PBM certificate" [56][57][58]. In most EU countries, physicians have to attend further education constantly to obtain credit points and to preserve professional competence.…”

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confidence: 99%

Patient Blood Management Bundles to Facilitate Implementation

Meybohm

Richards

Isbister

et al. 2017

Transfusion Medicine Reviews

189

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More than 30% of the world's population are anemic with serious economic consequences including reduced work capacity and other obstacles to national welfare and development. Red blood cell transfusion is the mainstay to correct anemia, but it is also 1 of the top 5 overused procedures. Patient blood management (PBM) is a proactive, patient-centered, and multidisciplinary approach to manage anemia, optimize hemostasis, minimize iatrogenic blood loss, and harness tolerance to anemia. Although the World Health Organization has endorsed PBM in 2010, many hospitals still seek guidance with the implementation of PBM in clinical routine. Given the use of proven change management principles, we propose simple, cost-effective measures enabling any hospital to reduce both anemia and red blood cell transfusions in surgical and medical patients. This article provides comprehensive bundles of PBM components encompassing 107 different PBM measures, divided into 6 bundle blocks acting as a working template to develop institutions' individual PBM practices for hospitals beginning a program or trying to improve an already existing program. A stepwise selection of the most feasible measures will facilitate the implementation of PBM. In this manner, PBM represents a new quality and safety standard.

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Internal medicine resident knowledge of transfusion medicine: results from the BEST‐TEST international education needs assessment

Cited by 62 publications

References 21 publications

Evaluation of “Transfusion Camp,” a postgraduate transfusion medicine education program using the BEST‐TEST knowledge assessment tool

Evaluation of “Transfusion Camp,” a postgraduate transfusion medicine education program using the BEST‐TEST knowledge assessment tool

BEST‐TEST2: assessment of hematology trainee knowledge of transfusion medicine

Patient Blood Management Bundles to Facilitate Implementation

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