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Related Experiment Video

Updated: Sep 20, 2025

Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
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The impact of the Fundamental Critical Course on knowledge acquisition in Rwanda.

D Hopkinson1, K Akuamoah-Boateng2, P Banguti3

  • 1Department of Internal Medicine, Virginia Commonwealth University, Virginia, USA.

The Southern African Journal of Critical Care : the Official Journal of the Critical Care Society
|June 10, 2022
PubMed
Summary

The Fundamental Critical Care Support (FCCS) course significantly improved critical care knowledge and confidence among Rwandan healthcare providers. This training is a vital step in enhancing critical care systems in low-resource settings.

Keywords:
AfricaRwandacritical caremedical education

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Area of Science:

  • Medical Education
  • Critical Care Medicine
  • Global Health

Background:

  • Critical care systems are underdeveloped in low- and middle-income countries, particularly in sub-Saharan Africa.
  • A significant gap exists in trained critical care professionals, with only 4% of the healthcare workforce possessing this expertise.
  • High mortality rates in sub-Saharan Africa are linked to the lack of advanced critical care services.

Purpose of the Study:

  • To retrospectively evaluate knowledge acquisition and confidence enhancement among healthcare practitioners attending the Fundamental Critical Care Support (FCCS) course in Rwanda.
  • To assess the impact of a focused critical care management course on improving participants' understanding of key critical care areas.
  • To determine the effectiveness of established critical care training programs in resource-limited environments.

Main Methods:

  • A retrospective study design was employed, analyzing pre- and post-course survey data and multiple-choice question (MCQ) scores.
  • Participant perception and knowledge acquisition were evaluated using data collected before and after the course delivery.
  • Interprofessional clinicians' performance on MCQs and self-reported confidence levels were assessed.

Main Results:

  • Overall MCQ scores improved significantly post-course (56.5% to 65.8%, p<0.001), with gains across most content areas.
  • Both physicians and nurses demonstrated significant improvements in MCQ scores (p=0.031 and p<0.001, respectively).
  • Self-reported confidence in critical care knowledge increased across all assessed areas, with participants advocating for annual course offerings and wider dissemination.

Conclusions:

  • The Fundamental Critical Care Support (FCCS) course effectively enhanced the knowledge and confidence of Rwandan healthcare providers in critical care.
  • The FCCS course serves as a valuable initial intervention for addressing deficiencies in critical care systems in Rwanda.
  • Short, focused critical care training courses show promise for improving management knowledge in resource-limited settings.