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Taking Training to the Next Level at AHC

This is a one-day simulation based course addressing medical emergencies, focusing on team performance in emergency situations. It is delivered by an international team, headed by Professor R. Henker from University of Pittsburgh. First held in 2015, the training in March 2017 saw the 4th course and 2nd training-of-trainers course. We now have 70 trained providers (31 doctors and 39 nurses) and 12 AHC Khmer instructors (6 nurses and 6 doctors). This course was the first to have AHC instructors working alongside international faculty, and the Education Department worked with the international team to adapt the teaching material for our setting. The long-term goal is an AHC-delivered Khmer language-based course with ongoing support from international faculty as required.

AHC already independently provides its own Advanced Paediatric Life Support (APLS) course to its own and external health workers. APLS is delivered in many developed countries and teaches paediatric doctors and nurses how to manage a variety of medical emergencies and trauma patients.

Crisis Team Management (CTM) takes the knowledge gained by individual learners in APLS and the residency programme to the next level, by focussing on team performance in emergency situations, using the TeamSTEPPS® approach. A doctor or nurse may be extremely knowledgeable but if he or she does not know how to work effectively within a team, lives may be lost. CTM uses multidisciplinary team simulations and structured debriefing. As well as pediatric knowledge, the course emphasises team-working skills such as critical decision making, communication and delegation.

The newly trained instructors have now set up a simulation team, headed by Dr Chuop Bophal, the aim of which is to bring in-situ simulation to the clinical units. This has the advantage of allowing staff to prepare for emergencies that they may face at work in the teams they usually work in, in their own roles and using the systems within their own working areas. In-situ simulation has already started in ER and is hoped to roll out to the neonatal unit and Satellite Clinic in the next few months.

Both the CTM and in-situ simulation fulfills the Education Department’s goals to take a multidisciplinary approach to training wherever possible and to move from predominantly passive, didactic, by-rote learning to active, participatory learning which encourages critical thinking. We are very grateful to Professor Henker and his team for bringing this innovative course to AHC.

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