Transfusion Camp Rwanda 2023: A train‐the‐trainer workshop establishing locally driven leadership in knowledge translation and sustainability in transfusion medicine education

Author:

Nizeyimana Francoise12,Pendergrast Jacob345,Ntegerejuwampayee Angelique12,Lin Yulia456ORCID,Kanyamuhunga Aimable7,Gashaija Christopher8,Masaisa Florence9,Uzamukunda Claudine12,Mutuyimana Grace12,Ndicunguye Fabrice8,Gaseminari Alexis8,Mulindwa Bruce8,Muyombo Thomas8,Chargé Sophie10,Skelton Teresa11ORCID

Affiliation:

1. Department of Anesthesia and Critical Care University Teaching Hospital of Kigali Kigali Rwanda

2. Department of Anesthesia and Critical Care University of Rwanda Kigali Rwanda

3. Laboratory Medicine Program University Health Network, University of Toronto Toronto Ontario Canada

4. Department of Laboratory Medicine and Pathobiology University of Toronto Toronto Ontario Canada

5. University of Toronto Quality in Utilization, Education and Safety in Transfusion Research Program University of Toronto Toronto Ontario Canada

6. Precision Diagnostics and Therapeutic Program Sunnybrook Health Sciences Centre Toronto Ontario Canada

7. Department of Pediatrics, University Teaching Hospital of Kigali University of Rwanda Kigali Rwanda

8. National Centre for Blood Transfusion, Rwanda Biomedical Centre University of Rwanda Kigali Rwanda

9. Department of Internal Medicine, University Teaching Hospital of Kigali University of Rwanda Kigali Rwanda

10. Medical Affairs and Innovation, Canadian Blood Services Ottawa Ontario Canada

11. Department of Anesthesiology, Pharmacology, and Therapeutics, BC Children's Hospital University of British Columbia Vancouver British Columbia Canada

Abstract

AbstractBackground and ObjectivesBlood transfusion is performed daily in hospitals. Gaps exist between transfusion guidelines and day‐to‐day clinical care. These gaps are prevalent in resource‐limited settings due to scarce continuing medical education. Transfusion Camp Rwanda aims to bridge this gap by (1) delivering context‐appropriate up‐to‐date education, (2) teaching participants how to independently deliver a case‐based curriculum and (3) identifying strategies to promote change in transfusion practice in Rwanda.Materials and MethodsIn May 2023, a multidisciplinary team from Canada and Rwanda carried out a Transfusion Camp train‐the‐trainer workshop for clinicians from all five provinces in Rwanda. Participants attended in‐person lectures, seminars and workshop group discussions on the implementation of the Rwanda National Directives on Rational Use of Blood and Blood Components. Course feedback was based on the Kirkpatrick Model of Training and Evaluation.ResultsFifty‐one physicians and laboratory technicians participated in the course. Confidence in caring for patients based on transfusion guidelines was self‐rated as ‘excellent’ by 23% of participants before and 77% after, while 84% reported they planned to teach Transfusion Camp to others and 100% responded that they will apply course content to clinical practice. Workshop groups recommended strategies to improve transfusion medicine practice in Rwanda in four domains: Communication, Institutional Approval, Practice Audits and Education.ConclusionTransfusion medicine education in Rwanda using a train‐the‐trainer approach was well‐received by participants and allowed for a more detailed understanding of the local medical and educational environment. These observations can inform the further expansion of the Transfusion Camp Rwanda project.

Funder

Canadian Blood Services

Rwanda Biomedical Centre

Ontario Regional Blood Coordinating Network

Publisher

Wiley

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