Department of Laboratory Medicine and Molecular Diagnostics, Sunnybrook Health Sciences Centre, Toronto, Canada.
Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada.
Transfusion. 2019 Jun;59(6):2141-2149. doi: 10.1111/trf.15284. Epub 2019 Apr 4.
The optimal method of providing transfusion medicine (TM) education has not been determined. Transfusion Camp was established in 2012 at the University of Toronto as a centrally delivered TM education program for postgraduate trainees. The impact of Transfusion Camp on knowledge, attitudes, and self-reported behavior was evaluated.
Didactic lectures (delivered locally, by webinar, or recorded) and locally facilitated team-based learning seminars were delivered over 5 days during the academic year to 8 sites: 7 in Canada and 1 in the United Kingdom. Knowledge assessment using a validated 20-question multiple-choice exam was conducted before and after Transfusion Camp. Attitudes and self-reported behavior were collected through a survey.
Over 2 academic years (July 2016 to June 2018), 390 trainees from 16 different specialties (predominantly anesthesia, 41%; hematology, 14%; and critical care, 7%) attended at least 1 day of Transfusion Camp. The mean pretest score was 10.3 of 20 (±2.9; n = 286) compared with posttest score of 13.0 (±2.8; n = 194; p < 0.0001). Lower pretest score and greater attendance (4-5 days compared with 1-3 days) were associated with larger improvement in posttest score; delivery format, specialty, and postgraduate year were not. Trainees reported an improvement in self-rated abilities to manage TM scenarios; 95% rated TM knowledge as very or extremely important in providing patient care; and 81% indicated that they had applied learning from Transfusion Camp into clinical practice.
Transfusion Camp increased TM knowledge, fostered a positive attitude toward TM, and enabled a self-reported positive impact on transfusion practice in postgraduate trainees. It is a novel and scalable approach to delivering TM education.
目前，尚未确定提供输血医学（TM）教育的最佳方法。多伦多大学于 2012 年成立了输血营，作为一个集中提供的研究生培训人员 TM 教育计划。评估了输血营对知识、态度和自我报告行为的影响。
在学术年期间，通过本地、网络研讨会或录制的方式，向 8 个地点（加拿大 7 个，英国 1 个）的学员提供 5 天的授课讲座（现场授课）和本地协助的团队学习研讨会。在输血营前后使用经过验证的 20 题多项选择考试进行知识评估。通过问卷调查收集态度和自我报告的行为。
在两个学年（2016 年 7 月至 2018 年 6 月）中，来自 16 个不同专业的 390 名学员（主要是麻醉学 41%；血液学 14%；和重症监护 7%）参加了至少 1 天的输血营。平均预测试得分为 20 分中的 10.3（±2.9；n=286），而 194 名（n=194；p<0.0001）的后测试得分为 13.0（±2.8）。较低的预测试分数和更多的出勤（4-5 天比 1-3 天）与后测试分数的更大提高相关；交付格式、专业和研究生年级没有。学员报告自我评估管理 TM 情况的能力有所提高；95%的人认为 TM 知识在提供患者护理方面非常重要或极其重要；81%的人表示他们已经将输血营的学习应用于临床实践。
输血营提高了 TM 知识，培养了对 TM 的积极态度，并使研究生培训人员能够对输血实践产生自我报告的积极影响。这是一种提供 TM 教育的新颖且可扩展的方法。
