scholarly journals P027: A descriptive needs-based assessment of paramedic continuing education

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S66-S66
Author(s):  
M. Davis ◽  
L. Leggatt ◽  
K. Van Aarsen ◽  
S. Romano
Keyword(s):  
Continuing Education ◽  
Neonatal Resuscitation ◽  
Educational Opportunities ◽  
Rural Practice ◽  
Respiratory Disorder ◽  
Hospital System ◽  
Base Hospital ◽  
Number Percentage ◽  
Knowledge Deficits ◽  
Work Scheduling

Introduction: Objective: To identify self-perceived knowledge deficits of paramedics, barriers to training and desired methods of self-directed continuing education. Methods: A written 58 question survey was delivered to all 1262 paramedics under the jurisdiction of a single base-hospital in Ontario, Canada. Respondents were asked to select deficit, no deficit or not applicable from a 37-point, anatomic systems-based list. They were then asked to identify from a 15-point list which educational modalities they would choose to address any knowledge deficits. Finally, they were asked which factors they took into consideration when choosing their self-directed continuing education. Results: Seven hundred forty-six of 1262 paramedics (59.11%) completed the surveys. Of these respondents, 82 (10.99%) were advanced care paramedics, while 664 (89.01%) were primary care paramedics. Of the 645 who responded with their primary geographical setting: 136 (21.09%) listed a primary urban practice, 126 (19.53%) listed a primary rural practice and 287 (44.50%) reported a split urban and rural practice. The most common perceived deficits (respondent number, percentage); were electrolyte disturbance (418, 56.03%), neonatal resuscitation (386, 51.74%), pediatric respiratory disorder (381, 51.07%), arrhythmia (377, 50.53%), and pediatric cardiac arrest (317, 42.49%). The top 5 educational opportunities they were most likely to choose included online module (464, 62.20%), in-class lecture (423, 56.70%), web-based review (403, 54.02%), webinar (301, 40.35%) and peer consult (237, 31.77%). The top 3 barriers to choosing continuing education were work scheduling (479, 64.21%), location/ease of attending (382, 51.21%), and cost (305, 40.88%). Conclusion: Paramedics in this base hospital system identified pediatric critical care situations, electrolyte abnormalities and cardiac arrhythmia as self-perceived deficits. The most commonly selected educational opportunities included online learning, in-person training and peer consult. These preferred modalities are consistent with the identified barriers of work scheduling, ease of attending and cost. Targeted educational needs based assessments can help ensure that appropriate topics are delivered in a fashion that help overcome identified barriers to self-directed learning.

scholarly journals MP04: Analysis of a needs-based assessment of paramedic continuing education

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S41-S41
Author(s):  
M. Davis ◽  
L. Leggatt ◽  
K. Van Aarsen ◽  
S. Romano
Keyword(s):  
Continuing Education ◽  
Neonatal Resuscitation ◽  
Median Number ◽  
Respiratory Disorder ◽  
Self Directed Learning ◽  
Urban Rural ◽  
Primary Location ◽  
Primary Practice ◽  
Knowledge Deficits ◽  
Training Modalities

Introduction: To determine trends in identified self-perceived knowledge deficits of paramedics, training barriers and desired methods of self-directed education. Methods: A written survey was delivered to all paramedics in an Ontario base-hospital. Respondents were asked to identify deficits from a 37-point, anatomic systems-based list. Preferred educational modalities to address knowledge deficits and factors taken into consideration when choosing self-directed education were captured. Top 5 perceived deficit topics, number of perceived deficits, top 5 factors associated with training modality chosen and factors taken into consideration for choosing training modalities, were compared against paramedic age, training (Advanced Care Paramedic; ACP, or Primary Care Paramedic; PCP) and primary location of practice (urban, rural, mixed setting). Results: Of 1262 paramedics, 746 (59.11%) completed the survey. PCPs had a higher report of deficit in both neonatal resuscitation and arrhythmia than ACPs (48.3% vs 58.8%, p=0.015; 40.3% vs 58.5%, p<0.001). Paramedics who listed rural as their primary practice location were more likely to report a deficit in pediatric respiratory disorder than those with a mixed urban/rural and primary urban practice (65.9% vs 46.3%, p=0.000; 65.9% vs 45.9%, p=0.001;) as well as a higher median number of listed deficits (9.00 vs 6.00 vs 6.00, p<0.001). ACPs were more likely to consider scheduling, location/ease of attending and cost as barriers than PCPs (85.4% vs 63.8%, p=0.000; 69.5% vs 51.4%, p=0.002; 69.5% vs 39.5%, p=0.000) while reporting an increased desire for webinar material than PCPs (56.1% vs 40.4%, p=0.007). There were no significant differences found by age. Conclusion: Targeted educational needs-based assessments can help ensure appropriate topics are delivered in a fashion that overcomes identified barriers to self-directed learning. From our analysis, increased awareness of ease of attending sessions and preferred modalities, such as webinars may be beneficial; especially for ACPs who require more annual continuing educational hours. Paramedics in rural locations may require increased continuing education, especially for rarely encountered, high risk situations, such as pediatric critical care. These findings can help direct future education in our system and others.

PCEP Maternal and Fetal Evaluation and Immediate Newborn Care (Book I)

2012 ◽  
Keyword(s):  
Continuing Education ◽  
Education Program ◽  
Low Cost ◽  
Neonatal Resuscitation ◽  
Newborn Care ◽  
Leading Edge ◽  
Skills Training ◽  
Time Saving ◽  
Immediate Newborn Care

New 2nd edition features step-by-step skill instruction, and practice-focused exercises. Developed by a distinguished editorial board, the Perinatal Continuing Education Program (PCEP) is a comprehensive, self-paced education program in four volumes. The PCEP workbooks have been significantly revised and brought up-to-date with leading-edge procedures and techniques. The revised volumes are filled with clear explanations, step-by-step skill instruction, and practice-focused exercises. They offer time- saving, low-cost solutions for self-paced learning or as adjuncts to instructor-led skills training. New 2nd edition features 8 units covering information and skills for obstetrical evaluation, neonatal resuscitation (consistent with new AAP guidelines), as well as units to provide the necessary information for initial stabilization of a newly born infant. New 2nd edition features step-by-step skill instruction, and practice-focused exercises. Developed by a distinguished editorial board, the Perinatal Continuing Education Program (PCEP) is a comprehensive, self-paced education program in four volumes. The PCEP workbooks have been significantly revised and brought up-to-date with leading-edge procedures and techniques. The revised volumes are filled with clear explanations, step-by-step skill instruction, and practice-focused exercises. They offer time- saving, low-cost solutions for self-paced learning or as adjuncts to instructor-led skills training. The PCEP workbooks have been significantly revised and brought up-to-date with leading-edge procedures and techniques. The revised volumes are filled with clear explanations, step-by-step skill instruction, and practice-focused exercises. They offer time- saving, low-cost solutions for self-paced learning or as adjuncts to instructor-led skills training. Developed by a distinguished editorial board, the Perinatal Continuing Education Program (PCEP) is a comprehensive, self-paced education program in four volumes. The PCEP workbooks have been significantly revised and brought up-to-date with leading-edge procedures and techniques. The revised volumes are filled with clear explanations, step-by-step skill instruction, and practice-focused exercises. They offer time- saving, low-cost solutions for self-paced learning or as adjuncts to instructor-led skills training.

Online Learning and Instruction in Health

2010 ◽  
pp. 942-957 ◽  
Author(s):  
Michelle Lee D’Abundo ◽  
Cara Lynn Sidman
Keyword(s):  
Online Learning ◽  
Continuing Education ◽  
Health Professionals ◽  
Educational Opportunities ◽  
Traditional Classrooms ◽  
Web Based ◽  
Face To Face ◽  
Computer Based ◽  
Web Based Education ◽  
Learning And Instruction

Online learning and instruction are important components of adult education in the field of health. This chapter describes how computer-based technologies are being applied in the training and continuing education of health professionals and in health promotion. Curriculums previously thought to be inappropriate for web-based delivery are now being offered online. Innovations in online learning and instruction have improved delivery of web-based education and have provided educational opportunities for many that were “unreachable” by traditional classrooms. An example of how a solely face-to-face course was revised and delivered in three formats including face-to-face, blended and completely online is provided, as well as examples of best practices and future trends for online learning and instruction.

Continuing education for general practitioners working in rural practice: a review of the literature

2018 ◽  
Vol 29 (3) ◽  
pp. 151-165 ◽  
Author(s):  
Stephanie Dowling ◽  
Jason Last ◽  
Henry Finnigan ◽  
Walter Cullen
Keyword(s):  
Continuing Education ◽  
General Practitioners ◽  
Rural Practice ◽  
Review Of The Literature

Length of Resuscitation for Severely Depressed Newborns

2019 ◽  
Vol 37 (09) ◽  
pp. 933-938 ◽  
Author(s):  
Stephanie Q. Zhang ◽  
Hayley Friedman ◽  
Marya L. Strand
Keyword(s):  
Chart Review ◽  
Newborn Infants ◽  
Neonatal Resuscitation ◽  
Spontaneous Circulation ◽  
Regional Hospital ◽  
Hospital System ◽  
Comfort Care ◽  
Neurologic Disability ◽  
Current Guidelines ◽  
Minute Apgar Score

Objective Current guidelines for neonatal resuscitation suggest it may be reasonable to stop resuscitation after 10 minutes in infants born with no detectable heartbeat. This study describes the length of resuscitation provided in a cohort of profoundly compromised newborn infants. Study Design Chart review of a regional hospital system database of newborn infants from 2010 to 2017 with a documented 10-minute Apgar score of 0 or 1. Results From a total birth population of 49,876 infants, 172 newborns were identified. Of these, 133 infants did not receive resuscitation and died while receiving comfort care. In the 39 resuscitated infants, 15 (38%) achieved return of spontaneous circulation (ROSC) at an average of 20 minutes; 32 of these 39 newborns (82%) died within 24 hours. Average time to ROSC for survivors was 17.8 minutes. Death or severe neurologic disability at 15 to 24 months of age was present in 92% (36/39) of resuscitated infants. Conclusion Prolonged resuscitation of newborns is rare. In this cohort, 92% died or had severe neurodevelopmental disability. Infants with ROSC received 20 minutes of resuscitation. Infants with ROSC typically did not survive beyond 24 hours unless they survived to discharge. To increase the number of infants with ROSC, continuing resuscitation beyond 10 minutes may be reasonable.

scholarly journals Improving Continuing Education in a Hospital System in Ecuador

2017 ◽  
Vol 83 (1) ◽  
pp. 127
Author(s):  
S. Palmer ◽  
E. Montgomery
Keyword(s):  
Continuing Education ◽  
Hospital System

Utilizing Geriatrics-Focused Web-Based Continuing Education to Reach Practitioners in Rural Practice

TechTrends ◽  
2018 ◽  
Vol 62 (3) ◽  
pp. 286-295 ◽  
Author(s):  
Channing R. Ford ◽  
Patricia Sawyer ◽  
Cynthia J. Brown
Keyword(s):  
Continuing Education ◽  
Rural Practice ◽  
Web Based

scholarly journals Intrapartum oropharyngeal and nasopharyngeal suctioning in neonates born through meconium-stained amniotic fluid: Indian scenario

2018 ◽  
Vol 5 (6) ◽  
pp. 2103
Author(s):  
Mahendra K. Jain ◽  
Anubhuti Jain ◽  
Devendra Sareen
Keyword(s):  
Amniotic Fluid ◽  
Neonatal Resuscitation ◽  
Meconium Aspiration Syndrome ◽  
Respiratory Support ◽  
Respiratory Disorder ◽  
Total Period ◽  
Group Assignment ◽  
Significant Difference ◽  
Single Centre Study ◽  
Meconium Stained Amniotic Fluid

Background: Meconium aspiration syndrome (MAS) is a life-threatening respiratory disorder in infants born through meconium-stained amniotic fluid (MSAF). Although anecdotal data concerning the efficacy of intrapartum oropharyngeal and nasopharyngeal suctioning of MSAF are conflicting, the procedure is widely used. We aimed to assess the effectiveness of intrapartum suctioning for the prevention of MAS.Methods: A prospective quasi randomized control trial, assessor blind, single centre study was done at Department of neonatology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan. Patients were enrolled over a total period of 16 months started from January 2016 to April 2017. 312 patients with MSAF of any consistency, gestational age at least 37 weeks, and cephalic presentation were randomly assigned to suctioning of the oropharynx and nasopharynx (including the hypopharynx) before delivery of the shoulders (n=127), or no suctioning before delivery (n=185). Postnatal delivery-room management followed Neonatal Resuscitation Program guidelines. The primary outcome was incidence of MAS. Clinicians diagnosing the syndrome and designating other study outcomes were masked to group assignment. An informed consent waiver was used.Results: No significant difference between treatment groups was seen in the incidence of MAS [36 (26.7%) suction versus 36 (19.5%) no suction; p = 0.167], mortality in suction [5 (3.91%) versus no suction 5 (2.74%); p = 0.779], or in the duration of ventilation, oxygen treatment, and hospital care. There was statistically significant difference in need for mechanical ventilation for MAS [13 (10.23%) vs 4 (2.2%); p = 0.005], any respiratory support for MAS 25 (19.7%) suction versus 18 (9.7) p = 0.019).Conclusions: Routine intrapartum suctioning of infants born through MSAF does not reduce the incidence of MAS. On the contrary, intrapartum suctioning might result in complications like more infant required neonatal resuscitation and respiratory support.

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