The importance of preliminary evaluation in developing ambulance staff training curriculum for developing countries: A survey in Uzbekistan [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-79595 | DOI: 10.14744/tjtes.2019.79595  

The importance of preliminary evaluation in developing ambulance staff training curriculum for developing countries: A survey in Uzbekistan

Woo Chan Jeon1, Hyun Jong Kim1, Junseok Park1, Kyung Hwan Kim1, Dong Wun Shin1, Joon Min Park1, Jung Eon Kim1, Ji Sook Lee2, Hoon Kim1
1Department of Emergency Medicine, Inje University, Ilsan Paik Hospital, Goyang, Korea
2Department of Emergency Medicine, Ajou University, school of medicine, Suwon, Korea

Background
The Tashkent city, capital of republic of Uzbekistan, started joint project with Korean emergency physicians to improve quality of their ambulance services in 2016. Ambulance service in Tashkent city has been facing challenges in processing large number of calls, and low competency of their staffs in providing advanced prehospital emergency care.
Objectives
To design appropriate capacity building training program for ambulance staff, we analyzed current ambulance service in Tashkent in terms of resources, and competency of staffs.
Methods
Ambulance staffs participated constructed survey and pre-validated written test. Statistics and other information were provided by Ministry of Health of Uzbekistan.
Results
98 ambulance staffs were participated in the study, and more than half (53.1%) were physicians. Average years of service in ambulance were 8.71 ± 6.9 years. In the ambulance, drugs were stocked in enough quantity include injections for critical care, except large volume fluids for resuscitation. Only 19 to 52 percent of the ambulances were equipped with the essential monitoring devices. Competency for basic procedure were surveyed higher than 60%, but critical care skills such as defibrillation were as low as 18%. Written test resulted in only 41.1% correct answer rate, though it was higher than 60% in validation test for Korean ambulance staffs. Conventional prehospital knowledge and skill set deemed to be essential for ambulance staffs were found to be marginal in the test.
Conclusions
The ambulance staff in Tashkent, Uzbekistan found to have insufficient medical knowledge and clinical decision-making abilities. Training program for ambulance staffs in Tashkent should be developed in basis of the findings in this study.

Keywords: Emergency Medical Services, Capacity Building, Self-Evaluation Programs, Uzbekistan




Corresponding Author: Hoon Kim, South Korea


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