Transfusion Camp: a prospective evaluation of a transfusion education program for multispecialty postgraduate trainees

被引:24
|
作者
Lin, Yulia [1 ,2 ,4 ,5 ]
Tilokee, Everad [4 ,11 ]
Charge, Sophie [4 ,11 ]
Alam, Asim [4 ,6 ]
Cserti-Gazdewich, Christine [2 ,4 ,5 ,7 ]
Lau, Wendy [2 ,4 ,5 ,8 ]
Lee, Christie [3 ,4 ]
Lieberman, Lani [1 ,2 ,4 ,5 ,7 ]
Nixon, Paula [2 ,4 ]
Owens, Wendy [4 ,21 ]
Pavenski, Katerina [2 ,4 ,5 ,9 ]
Pendergrast, Jacob [2 ,4 ,5 ,7 ]
Saidenberg, Elianna [4 ,12 ]
Shehata, Nadine [2 ,4 ,5 ,10 ]
Skeate, Robert [2 ,4 ,5 ,11 ]
Yi, Qi-Long [11 ]
Conrad, David [13 ,14 ]
Dudebout, Jill [15 ]
Hsia, Cyrus C. [16 ]
Murphy, Michael [22 ]
Prokopchuk-Gauk, Oksana [17 ]
Shah, Akshay [22 ]
Solh, Ziad [16 ]
Trudeau, Jacqueline [18 ]
Zeller, Michelle P. [19 ,20 ]
Callum, Jeannie [1 ,2 ,4 ,5 ]
机构
[1] Sunnybrook Hlth Sci Ctr, Dept Lab Med & Mol Diagnost, 2075 Bayview Ave,Room B2-04, Toronto, ON M4N 3M5, Canada
[2] Univ Toronto, Dept Lab Med & Pathobiol, Toronto, ON, Canada
[3] Univ Toronto, Interdept Div Crit Care Med, Dept Med, Toronto, ON, Canada
[4] Univ Toronto, Transfus Camp Planning Comm, Toronto, ON, Canada
[5] Univ Toronto, Qual Utilizat Educ & Safety Transfus QUEST Res Pr, Toronto, ON, Canada
[6] North York Gen Hosp, Dept Anesthesia, Toronto, ON, Canada
[7] Univ Hlth Network, Lab Med Program, Toronto, ON, Canada
[8] Hosp Sick Children, Dept Paediat Lab Med, Toronto, ON, Canada
[9] St Michaels Hosp, Toronto, ON, Canada
[10] Mt Sinai Hosp, Div Hematol, Dept Med, Toronto, ON, Canada
[11] Canadian Blood Serv, Med Affairs & Innovat, Ottawa, ON, Canada
[12] Ottawa Hosp, Hematol & Transfus Med, Ottawa, ON, Canada
[13] Dalhousie Univ, Div Hematopathol, Halifax, NS, Canada
[14] Nova Scotia Hlth Author Cent Zone, Halifax, NS, Canada
[15] Queens Univ, Kingston, ON, Canada
[16] Western Univ, Schulich Sch Med & Dent, Dept Pathol & Lab Med, London, ON, Canada
[17] Univ Saskatchewan, Dept Pathol & Lab Med, Saskatoon, SK, Canada
[18] Univ British Columbia, Dept Anesthesiol Pharmacol & Therapeut, Vancouver, BC, Canada
[19] McMaster Univ, McMaster Ctr Transfus Res, Hamilton, ON, Canada
[20] Canadian Blood Serv, Ancaster, ON, Canada
[21] Ontario Reg Blood Coordinating Network, Toronto, ON, Canada
[22] Oxford Univ Hosp, Oxford, England
关键词
MEDICINE EDUCATION; BLOOD-TRANSFUSION; JUNIOR DOCTORS; KNOWLEDGE; NEEDS;
D O I
10.1111/trf.15284
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND 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. METHODS 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. RESULTS 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. CONCLUSIONS 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.
引用
收藏
页码:2141 / 2149
页数:9
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