Emergency obstetrics knowledge and practical skills retention among medical students in Rwanda following a short training course

被引:17
|
作者
Homaifar, Nazaneen [1 ,2 ]
Mwesigye, David [3 ]
Tchwenko, Samuel [4 ]
Worjoloh, Ayaba [5 ]
Joharifard, Shahrzad [1 ]
Kyamanywa, Patrick [6 ]
Wilkinson, Jeff [7 ]
Rulisa, Stephen [8 ,9 ]
Thielman, Nathan M. [10 ]
机构
[1] Duke Univ, Sch Med, Durham, NC 27706 USA
[2] Harvard Univ, Sch Business, Boston, MA 02163 USA
[3] Univ Teaching Hosp Kigali, Kigali, Rwanda
[4] Duke Univ, Ctr Hlth Policy, Durham, NC 27706 USA
[5] Duke Univ, Med Ctr, Duke Global Hlth Inst, Hubert Yeargan Ctr Global Hlth,Dept Obstet & Gyne, Durham, NC 27706 USA
[6] Natl Univ Rwanda, Fac Med, Butare, Rwanda
[7] Univ N Carolina, Dept Obstet & Gynecol, Chapel Hill, NC USA
[8] Natl Univ Rwanda, Univ Teaching Hosp Kigali, Fac Med, Dept Obstet & Gynecol, Kigali, Rwanda
[9] Univ Teaching Hosp Kigali, Dept Clin Res, Kigali, Rwanda
[10] Duke Univ, Med Ctr, Dept Infect Dis, Durham, NC 27706 USA
关键词
Emergency obstetric care; Knowledge and practical skills retention; Maternal mortality; Medical education; Sub-Saharan Africa;
D O I
10.1016/j.ijgo.2012.07.031
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To describe rates of improved knowledge following a structured 2-day emergency obstetrics training course. Methods: Quantitative assessments to evaluate emergency obstetrics knowledge and practical skills were administered before, immediately after, and 3-9 months following the training course for 65 final-year medical students at the National University of Rwanda. A survey was administered during the final assessment. Results: In total, 52 (80.0%) students demonstrated knowledge improvement after training. Fifty-seven (87.7%) students improved or maintained their scores from the post-training written test to the final assessment, and 32 (49.2%) retained practical skills. Twenty-one (32.3%) of the class demonstrated competency in both written and practical skills. According to multivariable logistic regression analysis, female gender was associated with overall competency (P=0.01), and use of the internet for academic purposes more than 3-5 times per week tended toward competency (P=0.11). Conclusion: A 2-day emergency obstetrics training course increased knowledge among medical students. Because educational policies are tailored to address high rates of maternal mortality in resource-poor settings, workshops dedicated to emergency obstetrics should be promoted. (c) 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:195 / 199
页数:5
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