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Design, implementation and long-term follow-up of a context specific trauma training course in Uganda: Lessons
Sarah J Ullrich1, Cathy Kilyewala2, Michael S Lipnick3
1Yale University School of Medicine, Department of Surgery, 330 Cedar Street, FMB 107, New Haven, CT, 06510, USA.
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.
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