Jameel Ali, Kamran Khalid Khawaja, Muhammad Zubair, Jasmine Al Khatib, Anne Sorvari.
The Rural Trauma Team Development Course in Pakistan – Potential for Improving Trauma Care.
J Surg Pak Jan ;19(1):6-11.

Objective: To determine the feasibility, acceptability and potential for improving trauma care in Pakistan through the Rural Trauma Team Development Course (RTTDC). Study design: Mixed method approach. Pre and post test, Questionnaire based survey. Place & Duration of study: The course was held at the College of Physicians & Surgeons Pakistan in Karachi over a 2-day period in year 2012. Methodology: Input from participants in one RTTDC instructor course and one provider course conducted in Pakistan was reviewed. On the first day a course for instructors who trained providers on the second day, was conducted. t-test was used to compare pre and post MCQ scores of both instructors and participants. A 5-point Likert scale was used to assess the educational value of the course based on a 16 item questionnaire. Relevance and applicability of the Performance Improvement and Patient Safety (PIPS), Communication and Scenario Modules were also assessed through questionnaires. General Comments on the applicability and potential for trauma care improvement in Pakistan through the program were solicited and analyzed. Results: Mean percent scores in the MCQs improved for both instructors and participants but both pre and post RTTDC scores were higher in the instructor group (p=.006). On 5-point Likert scale 75% faculty and 100% participants strongly agreed/agreed that the course educational content was relevant to their needs. PIPS was graded “very relevant” by 100% faculty and 35% participants with 65% student grading PIPS as “relevant”. Communication module was rated “very relevant” by 100% faculty and 68% participants. Scenarios were “very relevant” to 100% faculty and 50% participants. Both faculty and providers recommended widespread promulgation of RTTDC training in Pakistan to improve trauma outcome. Conclusion: Assessment showed improvement in knowledge and a very positive attitude towards the program.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com