Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries

Background: During a 3-year time frame, a partnership between medical trainees in Haiti and the United States was forged with the objective of implementing an emergency response skills curriculum at a medical school in Port-au-Prince. The effort sought to assess the validity of a near-peer, bidirect...

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Autores principales:	Christian A. Pean, Keithara Davis, Robert Merrill, Brett Marinelli, Allison Lockwood, Zara Mathews, Reuben J. Strayer, Geneviéve Poitevien, Jennifer Galjour
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2015
Materias:	prehospital care first responder medical education resuscitation trauma Haiti global health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2ec0be94bb8a435a92e5b68565a61ebe
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spelling	oai:doaj.org-article:2ec0be94bb8a435a92e5b68565a61ebe2021-12-02T04:04:33ZNear-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries2214-999610.1016/j.aogh.2015.03.002https://doaj.org/article/2ec0be94bb8a435a92e5b68565a61ebe2015-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/1531https://doaj.org/toc/2214-9996Background: During a 3-year time frame, a partnership between medical trainees in Haiti and the United States was forged with the objective of implementing an emergency response skills curriculum at a medical school in Port-au-Prince. The effort sought to assess the validity of a near-peer, bidirectional, cross-cultural teaching format as both a <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a> experience for medical students and as an effective component of improving medical education and emergency response infrastructure in developing countries such as Haiti. Method: Medical students and emergency medicine (EM) residents from a North American medical school designed and taught a module on emergency response skills in PAP and certified medical students in basic cardiac life support (BLS) over 2 consecutive years. Five-point Likert scale self-efficacy (SE) surveys and multiple-choice fund of knowledge (FOK) assessments were distributed pre- and postmodule each year and analyzed with paired 't'tests and longitudinal follow-up of the first cohort. Narrative evaluations from participants were collected to gather feedback for improving the module. Findings: Challenges included bridging language barriers, maintaining continuity between cohorts, and adapting to unexpected schedule changes. Overall, 115 students were certified in BLS with significant postcurriculum improvements in SE scores (2.75 ± 0.93 in 2013 and 2.82 ± 1.06 in 2014; 'P' < 0.001) and FOK scores (22% ± 15% in 2013 and 41% ± 16% in 2014; 'P' < 0.001). Of 24 Haitian students surveyed at 1-year follow-up from the 2013 cohort, 7 (29.3%) reported using taught skills in real-life situations since completing the module. The US group was invited to repeat the project for a third year. Conclusions: Near-peer, cross-cultural academic exchange is an effective method of medical student–centered emergency training in Haiti. Limitations such as successfully implementing sustainability measures, addressing cultural differences, and coordinating between groups persist. This scalable, reproducible, and mutually beneficial collaboration between North American and Haitian medical trainees is a valid conduit for building Haiti's emergency response infrastructure and promoting global health.Christian A. PeanKeithara DavisRobert MerrillBrett MarinelliAllison LockwoodZara MathewsReuben J. StrayerGeneviéve PoitevienJennifer GaljourUbiquity Pressarticleprehospital carefirst respondermedical educationresuscitationtraumaHaitiglobal healthInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 81, Iss 2, Pp 276-282 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	prehospital care first responder medical education resuscitation trauma Haiti global health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	prehospital care first responder medical education resuscitation trauma Haiti global health Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Christian A. Pean Keithara Davis Robert Merrill Brett Marinelli Allison Lockwood Zara Mathews Reuben J. Strayer Geneviéve Poitevien Jennifer Galjour Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries
description	Background: During a 3-year time frame, a partnership between medical trainees in Haiti and the United States was forged with the objective of implementing an emergency response skills curriculum at a medical school in Port-au-Prince. The effort sought to assess the validity of a near-peer, bidirectional, cross-cultural teaching format as both a <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a> experience for medical students and as an effective component of improving medical education and emergency response infrastructure in developing countries such as Haiti. Method: Medical students and emergency medicine (EM) residents from a North American medical school designed and taught a module on emergency response skills in PAP and certified medical students in basic cardiac life support (BLS) over 2 consecutive years. Five-point Likert scale self-efficacy (SE) surveys and multiple-choice fund of knowledge (FOK) assessments were distributed pre- and postmodule each year and analyzed with paired 't'tests and longitudinal follow-up of the first cohort. Narrative evaluations from participants were collected to gather feedback for improving the module. Findings: Challenges included bridging language barriers, maintaining continuity between cohorts, and adapting to unexpected schedule changes. Overall, 115 students were certified in BLS with significant postcurriculum improvements in SE scores (2.75 ± 0.93 in 2013 and 2.82 ± 1.06 in 2014; 'P' < 0.001) and FOK scores (22% ± 15% in 2013 and 41% ± 16% in 2014; 'P' < 0.001). Of 24 Haitian students surveyed at 1-year follow-up from the 2013 cohort, 7 (29.3%) reported using taught skills in real-life situations since completing the module. The US group was invited to repeat the project for a third year. Conclusions: Near-peer, cross-cultural academic exchange is an effective method of medical student–centered emergency training in Haiti. Limitations such as successfully implementing sustainability measures, addressing cultural differences, and coordinating between groups persist. This scalable, reproducible, and mutually beneficial collaboration between North American and Haitian medical trainees is a valid conduit for building Haiti's emergency response infrastructure and promoting global health.
format	article
author	Christian A. Pean Keithara Davis Robert Merrill Brett Marinelli Allison Lockwood Zara Mathews Reuben J. Strayer Geneviéve Poitevien Jennifer Galjour
author_facet	Christian A. Pean Keithara Davis Robert Merrill Brett Marinelli Allison Lockwood Zara Mathews Reuben J. Strayer Geneviéve Poitevien Jennifer Galjour
author_sort	Christian A. Pean
title	Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries
title_short	Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries
title_full	Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries
title_fullStr	Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries
title_full_unstemmed	Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries
title_sort	near-peer emergency medicine for medical students in port-au-prince, haiti: an example of rethinking global health interventions in developing countries
publisher	Ubiquity Press
publishDate	2015
url	https://doaj.org/article/2ec0be94bb8a435a92e5b68565a61ebe
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Near-Peer Emergency Medicine for Medical Students in Port-au-Prince, Haiti: An Example of Rethinking Global Health Interventions in Developing Countries

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