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Design, implementation and long-term follow-up of a context specific trauma training course in Uganda: Lessons learned and future directions.
Am J Surg. 2019 Nov 06 [Online ahead of print]AJ

Abstract

BACKGROUND

The Kampala Advanced Trauma Course (KATC) was developed in 2007 due to a locally identified need for an advanced trauma training curriculum for the resource-constrained setting. We describe the design, implementation and evaluation of the course.

METHODS

The course has been delivered to over 1,000 interns rotating through surgery at Mulago National Referral Hospital. Participants from 2013 to 2016 were surveyed after completion of the course.

RESULTS

The KATC was developed with local faculty and includes didactic and simulation modules. Over 50% of survey respondents reported feeling confident performing and teaching 7 of 11 course skills and felt the most relevant skill was airway management(30.2%). Participants felt least confident managing head trauma(26.4%). Lack of equipment(52.8%) was identified as the most common barrier to providing trauma care.

CONCLUSIONS

Providers are confident with most skill sets after taking the KATC. Minimal dependence on instructors from high-income countries has kept the course sustainable and maximized local relevance.

Authors+Show Affiliations

Yale University School of Medicine, Department of Surgery, 330 Cedar Street, FMB 107, New Haven, CT, 06510, USA. Electronic address: sarah.ullrich@yale.edu.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.University of California San Francisco, School of Medicine, Department of Anesthesia, 1001 Potrero Ave, 3C31, San Francisco, CA, 94110, USA.Yale University School of Medicine, Department of Surgery, 330 Cedar Street, FMB 107, New Haven, CT, 06510, USA.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Yale University School of Medicine, Department of Surgery, 330 Cedar Street, FMB 107, New Haven, CT, 06510, USA.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.Yale University School of Medicine, Department of Surgery, 330 Cedar Street, FMB 107, New Haven, CT, 06510, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31732117

Citation

Ullrich, Sarah J., et al. "Design, Implementation and Long-term Follow-up of a Context Specific Trauma Training Course in Uganda: Lessons Learned and Future Directions." American Journal of Surgery, 2019.
Ullrich SJ, Kilyewala C, Lipnick MS, et al. Design, implementation and long-term follow-up of a context specific trauma training course in Uganda: Lessons learned and future directions. Am J Surg. 2019.
Ullrich, S. J., Kilyewala, C., Lipnick, M. S., Cheung, M., Namugga, M., Muwanguzi, P., DeWane, M. P., Muzira, A., Tumukunde, J., Kabagambe, M., Kebba, N., Galukande, M., Mabweijano, J., & Ozgediz, D. (2019). Design, implementation and long-term follow-up of a context specific trauma training course in Uganda: Lessons learned and future directions. American Journal of Surgery. https://doi.org/10.1016/j.amjsurg.2019.10.048
Ullrich SJ, et al. Design, Implementation and Long-term Follow-up of a Context Specific Trauma Training Course in Uganda: Lessons Learned and Future Directions. Am J Surg. 2019 Nov 6; PubMed PMID: 31732117.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Design, implementation and long-term follow-up of a context specific trauma training course in Uganda: Lessons learned and future directions. AU - Ullrich,Sarah J, AU - Kilyewala,Cathy, AU - Lipnick,Michael S, AU - Cheung,Maija, AU - Namugga,Martha, AU - Muwanguzi,Peter, AU - DeWane,Michael P, AU - Muzira,Arlene, AU - Tumukunde,Janat, AU - Kabagambe,Monica, AU - Kebba,Naomi, AU - Galukande,Moses, AU - Mabweijano,Jacqueline, AU - Ozgediz,Doruk, Y1 - 2019/11/06/ PY - 2019/05/11/received PY - 2019/10/08/revised PY - 2019/10/31/accepted PY - 2019/11/17/pubmed PY - 2019/11/17/medline PY - 2019/11/17/entrez KW - ATLS KW - Africa KW - Surgical education KW - Training KW - Trauma course KW - Uganda JF - American journal of surgery JO - Am. J. Surg. N2 - BACKGROUND: The Kampala Advanced Trauma Course (KATC) was developed in 2007 due to a locally identified need for an advanced trauma training curriculum for the resource-constrained setting. We describe the design, implementation and evaluation of the course. METHODS: The course has been delivered to over 1,000 interns rotating through surgery at Mulago National Referral Hospital. Participants from 2013 to 2016 were surveyed after completion of the course. RESULTS: The KATC was developed with local faculty and includes didactic and simulation modules. Over 50% of survey respondents reported feeling confident performing and teaching 7 of 11 course skills and felt the most relevant skill was airway management(30.2%). Participants felt least confident managing head trauma(26.4%). Lack of equipment(52.8%) was identified as the most common barrier to providing trauma care. CONCLUSIONS: Providers are confident with most skill sets after taking the KATC. Minimal dependence on instructors from high-income countries has kept the course sustainable and maximized local relevance. SN - 1879-1883 UR - https://www.unboundmedicine.com/medline/citation/31732117/Design,_implementation_and_long-term_follow-up_of_a_context_specific_trauma_training_course_in_Uganda:_Lessons_learned_and_future_directions L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9610(19)30446-5 DB - PRIME DP - Unbound Medicine ER -
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