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卢旺达的输血医学教育实施:将输血营改编以适应资源有限的环境。

Transfusion medicine education delivery in Rwanda: Adapting Transfusion Camp to a resource-limited setting.

机构信息

Department of Anesthesiology, Pharmacology, and Therapeutics, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

Department of Anesthesia and Critical Care, Kigali University Teaching Hospital, Kigali, Rwanda.

出版信息

Transfusion. 2023 Nov;63(11):2159-2169. doi: 10.1111/trf.17531. Epub 2023 Sep 8.

DOI:10.1111/trf.17531
PMID:37688306
Abstract

BACKGROUND

Due to few teaching faculty, resource-limited settings may lack the education curricula providers need for safe practice. As safe surgery becomes an increasing priority worldwide, it is essential to improve access to critical education content including in transfusion medicine. Transfusion Camp is a longitudinal curriculum, shown to increase knowledge in postgraduate trainees. The objective was to develop a sustainable bilateral partnership between Rwanda and Canada, and to integrate Transfusion Camp into the existing curriculum of the School of Medicine and Pharmacy at University of Rwanda.

METHODS

A Transfusion Camp pilot course was initiated through collaboration of experts in Rwanda and Canada. Planning occurred over 6 months via online and in-person meetings. Canadian teaching faculty adapted course content via iterative discussion with Rwandan faculty. Final content was delivered through online pre-recorded lectures by Canadian Faculty, and in-person small-group seminars by Rwandan Faculty. Project feasibility was assessed through structured evaluation and informal debriefing.

RESULTS

Twenty-seven postgraduate trainees were present for the pilot course, of whom 21 (78%) submitted evaluation forms. While the structure and content of the adapted Transfusion Camp curriculum were well-received, the majority of respondents indicated a preference for in-person rather than pre-recorded lectures. Debriefing determined that future courses should focus on continuing education initiatives aimed at physicians entering or already in independent practice.

CONCLUSION

A partnership between universities and blood operators in high-resource and resource-limited countries results in a transfusion medicine curriculum that is locally applicable, multidisciplinary, and supportive of learning benefitting the learners and educators alike.

摘要

背景

由于师资有限,资源有限的环境可能缺乏安全实践所需的教育课程。随着安全手术成为全球日益优先关注的问题,必须改善对关键教育内容的获取,包括输血医学。输血营是一个纵向课程,已被证明可以增加研究生学员的知识。目的是在卢旺达和加拿大之间建立可持续的双边合作伙伴关系,并将输血营纳入卢旺达大学医学院和药学院的现有课程。

方法

通过在卢旺达和加拿大的专家合作,启动了输血营试点课程。计划在 6 个月内通过在线和现场会议进行。加拿大教学人员通过与卢旺达教师的反复讨论,改编了课程内容。最终内容通过加拿大教师的在线预录讲座和卢旺达教师的现场小组研讨会来提供。通过结构化评估和非正式汇报来评估项目的可行性。

结果

有 27 名研究生学员参加了试点课程,其中 21 名(78%)提交了评估表。虽然改编后的输血营课程的结构和内容受到了好评,但大多数受访者表示更喜欢现场讲座而不是预录讲座。汇报确定,未来的课程应侧重于针对即将进入或已经独立行医的医生的继续教育计划。

结论

高资源和资源有限国家的大学和血液运营商之间的合作伙伴关系,可以创建一个适用于本地、多学科且支持学习的输血医学课程,使学习者和教育者都受益。

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