Evidence map›Paper›PMID 32843062›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2020

Residents working with Médecins Sans Frontières: training and pilot evaluation.

Alba Ripoll-Gallardo, Luca Ragazzoni, Ettore Mazzanti, Grazia Meneghetti, Jeffrey Michael Franc, Alessandro Costa, Francesco Della Corte

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

Alba Ripoll-GallardoCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, PC 28100, Novara, Italy. alba.ripoll@med.uniupo.it.ORCID http://orcid.org/0000-0003-4719-7333
Luca RagazzoniCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, PC 28100, Novara, Italy.
Ettore MazzantiMédecins Sans Frontières-Italy, Rome, Italy.
Grazia MeneghettiCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, PC 28100, Novara, Italy.
Jeffrey Michael FrancCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, PC 28100, Novara, Italy.
Alessandro CostaCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, PC 28100, Novara, Italy.
Francesco Della CorteCRIMEDIM, Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Via Lanino 1, PC 28100, Novara, Italy.
Università degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWell-prepared humanitarian workers are now more necessary than ever. Essential to the preparation process are: clearly defined learning objectives, curricula tailored to the nuances of humanitarian settings, simulation-based training, and evaluation. This manuscript describes a training program designed to prepare medical residents for their first field deployment with Médecins Sans Frontières and presents the results of a pilot assessment of its effectiveness.

methodsThe training was jointly developed by the Research Center in Emergency and Disaster Medicine- CRIMEDIM of the Università del Piemonte Orientale, Novara, Italy, and the humanitarian aid organization Médecins Sans Frontières- Italy (MSF-Italy); the following topics were covered: disaster medicine, public health, safety and security, infectious diseases, psychological support, communication, humanitarian law, leadership, and job-specific skills. It used a blended-learning approach consisting of a 3-month distance learning module; 1-week instructor-led coaching; and a field placement with MSF. We assessed its effectiveness using the first three levels of Kirkpatrick's training evaluation model.

resultsEight residents took part in the evaluation. Four were residents in emergency medicine, 3 in anesthesia, and 1 in pediatrics; 3 of them were female and the median age was 31 years. Two residents were deployed in Pakistan, 1 in Afghanistan, 1 in the Democratic Republic of Congo, 1 in Iraq, 2 in Haiti and 1 on board of the MSF Mediterranean search & rescue ship. Mean deployment time was 3 months. The average median score for the overall course was 5 (excellent). There was a significant improvement in post-test multiple choice scores (p = 0.001) and in residents' overall performance scores (P = 0.000001).

conclusionResidents were highly satisfied with the training program and their knowledge and skills improved as a result of participation.

trial registrationThis study was approved by the Institutional Ethics Committee (date 24-02-2016, study code UPO.2015.4.10).

Indexed as

Internship and ResidencyMedical MissionsAdultAltruismClinical CompetenceCurriculumFemaleHealth ResourcesHumansItalyLearningMalePilot ProjectsProgram EvaluationEducationE-learningEvaluationHumanitarian aidLow-resource environmentsResidentsSimulationTraining

Identifiers

PMID32843062
PMCPMC7445931
OpenAlexW3081142522

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.