Abstract
Introducing e-FAST training to Trinidad and Tobago (TT)
Canadian journal of surgery, Vol.59(3 Suppl 1), pp.S10-S10
06/2016
Abstract
Background:
Tertiary care facilities receive most acutely ill patients in TT. District health centres also receive patients requiring triage and disposition decisions. Expanded focused assessment sonogram for trauma (e-FAST) training could potentially facilitate this patient disposition process. We tested the feasibility, acceptability and potential application of this training in TT.
Methods
e-FAST instructor training in TT for 9 physicians (1 radiologist, 2 surgeons, 1 anesthetist, 5 primary care physicians) and provider training for 15 physicians were conducted by faculty from the Indiana University School of Medicine Surgery Department. After a precourse multiple choice questionnaire examination (MCQE) the courses consisted of didactic ultrasound (US) physics sessions, hands-on training, clinical scenarios and evaluation using videos and live models for assessing neck, thyroid-vascular access, thorax and standardized FAST. The instructor candidates were proctored during the provider course. The participants completed a postcourse MCQE, were tested on their ability to complete US tasks using live models, and evaluated the program using a 5-point Likert scale on the teaching effectiveness of the components, relevance and applicability.
Results
Mean MCQE postcourse scores improved (76%–96%, p < 0.001); 91% successfully completed all tasks in the test stations and 100% were successful overall. Twenty-one of 24 participants (87.5%) completed the evaluation questionnaire; 100% strongly agreed that the objectives were met with effective teachers; 91% rated didactic sessions and skill stations very good to excellent; 100% agreed or strongly agreed the course was relevant, improved skills, was applicable in TT, and should be continued and further developed as a free-standing program.
Conclusion
Based on participant performance and evaluation of the course, this e-FAST program was very successful, highly evaluated and recommended for continued propagation in TT, with potential application to other developing countries using appropriately trained faculty.
Details
- Title: Subtitle
- Introducing e-FAST training to Trinidad and Tobago (TT)
- Creators
- Brian Brewer - Indiana University – Purdue University IndianapolisAnnika Storey - Indiana University – Purdue University IndianapolisAlex SinananGrace Rozycki - Indiana University – Purdue University IndianapolisJameel Ali - University of Toronto
- Resource Type
- Abstract
- Publication Details
- Canadian journal of surgery, Vol.59(3 Suppl 1), pp.S10-S10
- ISSN
- 0008-428X
- eISSN
- 1488-2310
- Comment
- DOI: 10.1503/cjs.006816. Trauma 2016 Trauma Association of Canada, Annual Scientific Meeting, World Trade & Convention Centre, Halifax, Nova Scotia, May 6–7, 2016. Vol. 59, Issue 3 Suppl 1 S1-S37 Jun 2016 .
- Language
- English
- Date published
- 06/2016
- Academic Unit
- Surgery
- Record Identifier
- 9984701746802771
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