Yu Daniel Ta Yo, Gillon Jason T, Dickson Raymond, Schneider Karen A, Stevens Martha W
Department of Pediatrics, Johns Hopkins Hospital, Baltimore, MD, USA.
National Referral Hospital, Honiara, Solomon Islands.
Front Public Health. 2017 Apr 24;5:86. doi: 10.3389/fpubh.2017.00086. eCollection 2017.
The Johns Hopkins Hospital Pediatric Emergency Department (PED) was invited to collaborate with the National Referral Hospital (NRH), Solomon Islands, to establish an acute care pediatric education program for the country's inaugural class of national medical graduate trainees.
To develop and evaluate a sustainable, need-based post-graduate training curriculum in pediatric acute care, resuscitation, and point-of-care ultrasound.
A need-based training curriculum was developed utilizing the ADDIE model and was implemented and revised over the course of 2 years and two site visits. Implementation followed a train-the-trainer model. The curriculum consisted of high-yield didactics including workshops, simulations, hands-on ultrasound sessions, and lectures at the NRH. A mixed-methods design was used to evaluate the curriculum, including pre/posttesting, qualitative group discussions, and individual surveys. The curriculum was revised in response to ongoing learner evaluations and needs assessments. Continuing educational sessions after the site visit demonstrated sustainability.
The curriculum included 19 core topics with 42 teaching sessions during the two site visits. A total of 135 pre/posttests and 366 individual surveys were collected from 46 trainees. Completion rates were 78.2% for surveys and 71.3% for pre/posttests. Pre/posttest scores increased from 44 to 63% during the first site visit and 69.6 to 77.6% during the second. Learners reported a mean 4.81/5 on a standard Likert scale for curriculum satisfaction. Group discussions and surveys highlighted key areas of knowledge growth, important clinical care advances, and identified further needs. Initial sustainability was demonstrated by continued ultrasound sessions led by local graduate trainees.
A collaborative team including Johns Hopkins PED staff, Solomon Islands' graduate trainees, and NRH administration initiated a professional education curriculum for the first class of Solomon Islands' medical graduates. Knowledge growth and positive impacts of the program were reflected in learner survey and test scores. Graduate trainees were identified as local champions to continue as course instructors. This innovative curriculum was developed, revised, and initially sustained on site. It has been successful in introducing life-saving pediatric acute care and graduate training in Solomon Islands.
约翰霍普金斯医院儿科急诊科受邀与所罗门群岛国家转诊医院合作，为该国首届国家医学研究生学员建立一个儿科急症护理教育项目。
制定并评估一个基于需求的、可持续的儿科急症护理、复苏及床旁超声研究生培训课程。
利用ADDIE模型制定了一个基于需求的培训课程，并在两年内及两次实地考察期间实施和修订。实施采用培训培训师模式。该课程包括高产出的教学内容，如研讨会、模拟、超声实操课程以及在国家转诊医院举办的讲座。采用混合方法设计对课程进行评估，包括课前/课后测试、定性小组讨论和个人调查。根据学员的持续评估和需求评估对课程进行修订。实地考察后的继续教育课程显示了该课程的可持续性。
该课程包括19个核心主题，在两次实地考察期间共进行了42次教学课程。共收集了46名学员的135份课前/课后测试和366份个人调查。调查完成率为78.2%，课前/课后测试完成率为71.3%。第一次实地考察期间，课前/课后测试成绩从44%提高到63%，第二次实地考察期间从69.6%提高到77.6%。学员对课程满意度的平均评分为4.81/5（满分5分）。小组讨论和调查突出了知识增长的关键领域、重要的临床护理进展，并确定了进一步的需求。当地研究生学员主导的持续超声课程证明了该课程初步的可持续性。
一个由约翰霍普金斯医院儿科急诊科工作人员、所罗门群岛研究生学员和国家转诊医院管理层组成的合作团队为所罗门群岛首届医学毕业生启动了一个专业教育课程。该项目的知识增长和积极影响反映在学员的调查和测试成绩中。研究生学员被确定为当地的倡导者，继续担任课程讲师。这个创新课程在当地开发、修订并初步维持下来。它成功地在所罗门群岛引入了挽救生命的儿科急症护理和研究生培训。
