Parsons Iain T, Rawden M P, Wheatley R J
5 Medical Regiment, Army, Catterick, UK.
J R Army Med Corps. 2014 Sep;160(3):241-4. doi: 10.1136/jramc-2013-000131. Epub 2013 Oct 28.
To develop and run a primary healthcare (PHC) refresher package to address the range of clinical presentations to Combat Medical Technicians (CMTs) on deployment and improve their confidence and capability in providing PHC for Op Herrick 18, with particular regard to the first month of deployment.
A regimental level, two-and-a-half day refresher package was developed following analysis of PHC conditions most likely to be seen on Op HERRICK 18. It consisted of lectures and skill stations with written and case-based assessment phases to demonstrate effective and safe use of CMT clinical protocols on simulated patients. Internal feedback assessed the CMT's subjective understanding of each individual section. A qualitative questionnaire was used to retrospectively evaluate the package after 1 month of deployment.
Immediate feedback showed that the refresher training was well received. Following the first month of deployment, CMTs who had attended the PHC refresher package felt more confident in managing PHC patients and felt they had received training for the majority of PHC conditions witnessed during their deployment in comparison with CMTs who had not.
By delivering a training package acceptable to the majority of medics, we have increased the confidence and capability of CMTs in delivering PHC within the context of their protocols and prepared them for their first month of deployment. It suggests that PHC delivery can be improved by such a package and consideration should be given to formalising this into a military training qualification.
开发并实施一个初级卫生保健（PHC）进修课程包，以应对部署期间战斗医疗技术员（CMT）遇到的一系列临床情况，并提高他们在为“赫里克行动18”提供初级卫生保健方面的信心和能力，尤其关注部署的第一个月。
在分析“赫里克行动18”中最可能出现的初级卫生保健情况后，制定了一个为期两天半的团级进修课程包。它包括讲座和技能站，设有书面和基于案例的评估阶段，以展示CMT临床方案在模拟患者身上的有效和安全使用。内部反馈评估了CMT对每个部分的主观理解。在部署1个月后，使用定性问卷对该课程包进行回顾性评估。
即时反馈表明进修培训受到好评。在部署的第一个月后，参加初级卫生保健进修课程包的CMT在管理初级卫生保健患者方面更有信心，并且与未参加的CMT相比，他们觉得自己已经接受了针对部署期间所见到的大多数初级卫生保健情况的培训。
通过提供一个大多数医务人员都能接受的培训课程包，我们提高了CMT在其方案范围内提供初级卫生保健的信心和能力，并使他们为部署的第一个月做好了准备。这表明这样的课程包可以改善初级卫生保健的提供，并且应该考虑将其正式纳入军事训练资格。
