• Pediatric emergency care · Dec 2021

    Simulation and Active Learning Decreases Training Time of an Emergency Triage Assessment and Treatment Course in Pilot Study in Malawi: Implications for Increasing Efficiency and Workforce Capacity in Low-Resource Settings.

    • Elaine L Sigalet, Norman Lufesi, Adam Dubrowski, Faizal Haji, Rabia Khan, David Grant, Peter Weinstock, Ian Wishart, Elizabeth Molyneux, and Niranjan Kissoon.
    • From the University of Calgary, Calgary, Alberta, Canada.
    • Pediatr Emerg Care. 2021 Dec 1; 37 (12): e1259e1264e1259-e1264.

    ObjectivesThe aim of the Emergency Triage Assessment and Treatment (ETAT) plus trauma course is to improve the quality of care provided to infants and children younger than 5 years. The curriculum was revised and shortened from 5 to 2.5 days by enhancing simulation and active learning opportunities. The aim of this study was to examine the feasibility and value of the new short-form ETAT course by assessing postcourse knowledge and satisfaction.MethodsWe delivered the short-form ETAT course to a group of interdisciplinary health workers in Malawi. Precourse and postcourse knowledge was assessed using a standardized 20 questions short answer test used previously in the 5-day courses. A 13-statement survey with 2 open-ended questions was used to examine participant satisfaction.ResultsParticipants' postcourse knowledge improved significantly (P < 0.001) after the shorter ETAT course. Participants reported high levels of satisfaction with the short-form ETAT.ConclusionsSimulation and other active learning strategies reduced training time by 50% in the short-form ETAT course. Participants with and without previous ETAT training improved their knowledge after participating in the short-form ETAT course. Reduced training time is beneficial in settings already burdened by scarce human resources, may facilitate better access to in-service training, and build capacity while conserving resources in low-resource settings.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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