impact of skills trainingogsm.org.my/icoe/docs/impact/impact-of-skills-training.pdfpph management...
TRANSCRIPT
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DR G MUNISWARAN
ICOE TRAINER
Impact of
skills
training
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Declaration
Principle trainer for ICOE
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Overview
Intensive Course in Obstetric Emergencies (ICOE)
Simulation based training
Lessons from training in Obstetric Emergencies
The future
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Obstetric Emergencies
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Simulation based training
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ICOE
Intensive Course in Obstetric Emergencies (ICOE)
2 day course initiated by the Obstetrics & Gynaecological Society of Malaysia in 2014
Emphasizing “core” and “advanced” skills
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DR G MUNISWARAN
ICOE TRAINER
Impact of skills training Experiences from Malaysia, Myanmar, Mongolia,
Bangladesh, Cambodia & India
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Lessons
Team management
was lacking
Communication was inefective
Resuscitative hysterotomy
CPR & Senior Obstetricians
Low fidelity models are effective for
PPH skills Feedback
Impact of simulation on
knowledge & skills
Technology in
obstetric
emergencies
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Ineffective Communication
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Visual estimation of blood loss
Increase in incidence of PPH
Increase in medications for PPH
Reduction in hysterectomy &
surgical interventions
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Simulation training on knowledge & skills
Improvement in knowledge is not significant between pre & post
test
Significant improvement in skills
Good knowledge does not mean skillful
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Impact of ICOE on CPR skills
Malaysia Myanmar Mongolia Bangladesh Cambodia
4.6
5.66
3.5
5.8
8.88
98.5
10
CPRPre-test Post-test
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6.6
5.85.3
6.9
9.2 9.48.8
9.3
ECLAMPSIA SHOULDER DYSTOCIA VAGINAL BREECH DELIVERY UTERINE INVERSION
Core skills
Pre-test Post-test
Impact of ICOE on core skills
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Cadre of participants & training
0
2
4
6
8
10
Consultant Specialist MO/Registrar
3.5
5.8 5.8
8.27.6 7.6
Pre-test Post-test
31% 31%134%
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Low fidelity models for compressions sutures and
Balloon tamponades
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PPH management
Malaysia & other countries
Malaysia
Better in PPH identification
Skilled in medical and non
surgical management of
PPH
Myanmar, Mongolia,
Bangladesh & Cambodia
Better skilled in hysterectomy
Less skilled in proper technique
of B Lynch
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How to conduct a drill
Simulation models
Setting
Co coordinator
Objectives
Assessment a) Knowledge
b) Skills
c) System
d) Team work
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Benefits of feedback
Reinforces objectives
Better impact in learning
Extremely beneficial
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Technology & Obstetric Training
Pretest & post test – mobile phones/ tablets – uptake 100%
Pre-test score discussed real time – google doc
Participants engaged better
Results obtained real time
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FEEDBACK
96
94 94
92
BENEFICIAL GOOD USE OF TIME ENJOYABLE PARTICIPATION ON
HANDS ON
Percentage
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Challenges faced
Hierarchical system
Resistance to new
evidence
No set objectives
Lack of reflective practice
Difference resources & languages
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How did we adapt
Interpreters / local
language
Allowing junior staffs to speak
Engage local
trainers
Settinggoals
Feedback
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Future
Retention of knowledge
Cost effectivemodel
Impact on morbidity &
mortality
Interactive
E manual
Hospital based multi-
professional training
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Take home message
Simulation based training is the way forward
for skills
Low fidelity models are
effective for PPH skills
Teammanagement
should be emphasized
CPR is often forgotten
A good course should be able
to adapt to local needs
Retraining and revalidation
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THANK
YOU