Transfusion Camp Rwanda: A prospective feasibility study evaluating the delivery of Transfusion Camp to a multidisciplinary group of postgraduate medical trainees in Rwanda

Author:

Hagumimana Justin1,Skelton Teresa2ORCID,Pendergrast Jacob345,Nizeyimana Francoise6,Masaisa Florence7,Kanyamuhunga Aimable8,Gashaija Christopher9,Chargé Sophie10,Kapitany Casey10,Morgan Mary11,Meirovich Harley5,Lin Yulia4511ORCID

Affiliation:

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

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

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 (QUEST) Research Program Toronto Ontario Canada

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

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

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

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

10. Canadian Blood Services Ottawa Ontario Canada

11. Precision Diagnostics and Therapeutics Program Sunnybrook Health Sciences Centre Toronto Ontario Canada

Abstract

AbstractBackgroundSafe blood transfusion is an increasing priority in global health equity. The Global Health 2030 commission lists access to a safe blood supply as essential for all surgical and nonoperative patients. The objective of this study was to determine if Transfusion Camp, when modified through a collaborative partnership between experts in Canada and Rwanda, results in improved knowledge and confidence among trainees in a resource‐limited setting in sub‐Saharan Africa.MethodsThis prospective study took place at The University Teaching Hospital of Kigali in Rwanda. Participants were postgraduate medical trainees from departments where blood transfusion is frequent. Participants watched five prerecorded lectures and then attended a 5‐hour team‐based learning seminar to consolidate learning. Pre‐ and post‐data were analyzed on transfusion knowledge and trainee confidence. A Rasch analysis investigated the performance of individual questions in assessing respondent knowledge.ResultsOf 31 trainees from surgery, anesthesia, internal medicine, and pediatrics invited to the course, 27 trainees attended the in‐person team‐based learning and 24 trainees completed the pre‐ and post‐course analysis. Trainee knowledge assessment improved from (mean ± SD) 7.7/20 ± 1.95 to 10.4/20 ± 2.4 (p < .0001) and this knowledge was maintained by 12 trainees on a 3‐month follow‐up with a mean score of 9.3/20 ± 2.3. Trainees reported increased confidence in managing transfusion medicine‐related patient issues.ConclusionThis pilot study demonstrated that Transfusion Camp education content modified to the local context can result in increased knowledge and confidence in managing transfusion‐related issues. These results will inform future planning of Transfusion Camp in resource‐limited settings.

Publisher

Wiley

Subject

Hematology,Immunology,Immunology and Allergy

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