Continuing Medical Education on Emergency Medical Services Curriculum
Introduction. Quality Continuing Medical Education (CME) for healthcare professionals is instrumental for the successful Emergency Medical Services (EMF) healthcare system development. Development and implementation of innovative and effective training programs, based on the principles of evidence based medicine and the needs of practical healthcare are of great importance. Purpose of the study: analysis of the content and effectiveness of the developed comprehensive training programs for CME on EMF. Materials and methods. The study describes main approaches to the development of new curricula and different types of programs, depending on the specialists’category. A comprehensive retrospective analysis of preclinical and clinical training (monitoring and evaluation) on the progress of participants depending on the level of EMF provision(primary and secondary level of healthcare organization), received courses, specialties was carried out. The results of theoretical knowledge were assessed in the form of pre and post tests (paper form) and assessment of practical skills at the preclinical level using various level manikins. Study results: The development team (international experts, Kyrgyz State Medical Institute of Post graduate training and continuous education, teachers and doctors) developed and prepared training programs for EMS specialists, which corresponded to the needs of practical health care. After intensive and innovative training, the knowledge growth rate of all medical workers significantly increased compared to the data before training (pre testing), depending on the category of participants and the content of the training course. On average, the knowledge growth rate ranged from 55,8% to 115,7%, depending on the category of specialists (the difference between the indicators is statistically reliable, p<0.001). The results of the practical exam indicate that simulation based training contributed to the increase in the level of mastering practical skills and abilities among Emergency Medical Service medical workers. Conclusions.The use of newly developed and implemented training programs for EMF medical workers, based on the principles of clinical modeling and problem oriented training, contributed to the creation of a flexible system of various complex standardized conditions for emergency conditions and allowed trainees to take an active part in practicing EMF skills. As a result of the effective implementation of training programs, the level of knowledge, practical skills and abilities of medical workers have significantly improved.