Yulia Lin1,2,3,4, Everad Tilokee3,5, Sophie Chargé3,5, Asim Alam3,6, Christine Cserti-Gazdewich2,3,4,7, Wendy Lau2,3,4,8, Christie Lee3,9, Lani Lieberman1,2,3,4,7, Paula Nixon2,3, Wendy Owens3,10, Katerina Pavenski2,3,4,11, Jacob Pendergrast2,3,4,7, Elianna Saidenberg3,12, Nadine Shehata2,3,4,13, Robert Skeate2,3,4,5, Qi-Long Yi5, David Conrad14, Jill Dudebout15, Cyrus C Hsia16, Michael Murphy17, Oksana Prokopchuk-Gauk18, Akshay Shah17, Ziad Solh16, Jacqueline Trudeau19, Michelle P Zeller20,21, Jeannie Callum1,2,3,4. 1. Department of Laboratory Medicine and Molecular Diagnostics, Sunnybrook Health Sciences Centre, Toronto, Canada. 2. Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Canada. 3. University of Toronto Transfusion Camp Planning Committee, Toronto, Canada. 4. University of Toronto Quality in Utilization, Education and Safety in Transfusion (QUEST) Research Program, Toronto, Canada. 5. Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Canada. 6. Department of Anesthesia, North York General Hospital, Toronto, Canada. 7. Laboratory Medicine Program, University Health Network, Toronto, Canada. 8. Department of Paediatric Laboratory Medicine, The Hospital for Sick Children, Toronto, Canada. 9. Interdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, Canada. 10. Ontario Regional Blood Coordinating Network, Ontario, Canada. 11. St. Michael's Hospital, Toronto, Canada. 12. Hematology and Transfusion Medicine, The Ottawa Hospital, Ottawa, Canada. 13. Department of Medicine, Division of Hematology, Mount Sinai Hospital, Toronto, Canada. 14. Division of Hematopathology, Dalhousie University & Nova Scotia Health Authority Central Zone, Halifax, Canada. 15. Queen's University, Kingston, Canada. 16. Department of Pathology & Laboratory Medicine, Schulich School of Medicine & Dentistry, Western University, London, Canada. 17. Oxford University Hospitals, Oxford, United Kingdom. 18. Department of Pathology and Laboratory Medicine, University of Saskatchewan, Saskatoon, Canada. 19. Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, Canada. 20. McMaster Centre for Transfusion Research, McMaster University, Hamilton, Canada. 21. Canadian Blood Services, Ancaster, Canada.
Abstract
BACKGROUND: The optimal method of providing transfusion medicine (TM) education has not been determined. Transfusion Camp was established in 2012 at the University of Toronto as a centrally delivered TM education program for postgraduate trainees. The impact of Transfusion Camp on knowledge, attitudes, and self-reported behavior was evaluated. METHODS: Didactic lectures (delivered locally, by webinar, or recorded) and locally facilitated team-based learning seminars were delivered over 5 days during the academic year to 8 sites: 7 in Canada and 1 in the United Kingdom. Knowledge assessment using a validated 20-question multiple-choice exam was conducted before and after Transfusion Camp. Attitudes and self-reported behavior were collected through a survey. RESULTS: Over 2 academic years (July 2016 to June 2018), 390 trainees from 16 different specialties (predominantly anesthesia, 41%; hematology, 14%; and critical care, 7%) attended at least 1 day of Transfusion Camp. The mean pretest score was 10.3 of 20 (±2.9; n = 286) compared with posttest score of 13.0 (±2.8; n = 194; p < 0.0001). Lower pretest score and greater attendance (4-5 days compared with 1-3 days) were associated with larger improvement in posttest score; delivery format, specialty, and postgraduate year were not. Trainees reported an improvement in self-rated abilities to manage TM scenarios; 95% rated TM knowledge as very or extremely important in providing patient care; and 81% indicated that they had applied learning from Transfusion Camp into clinical practice. CONCLUSIONS: Transfusion Camp increased TM knowledge, fostered a positive attitude toward TM, and enabled a self-reported positive impact on transfusion practice in postgraduate trainees. It is a novel and scalable approach to delivering TM education.
BACKGROUND: The optimal method of providing transfusion medicine (TM) education has not been determined. Transfusion Camp was established in 2012 at the University of Toronto as a centrally delivered TM education program for postgraduate trainees. The impact of Transfusion Camp on knowledge, attitudes, and self-reported behavior was evaluated. METHODS: Didactic lectures (delivered locally, by webinar, or recorded) and locally facilitated team-based learning seminars were delivered over 5 days during the academic year to 8 sites: 7 in Canada and 1 in the United Kingdom. Knowledge assessment using a validated 20-question multiple-choice exam was conducted before and after Transfusion Camp. Attitudes and self-reported behavior were collected through a survey. RESULTS: Over 2 academic years (July 2016 to June 2018), 390 trainees from 16 different specialties (predominantly anesthesia, 41%; hematology, 14%; and critical care, 7%) attended at least 1 day of Transfusion Camp. The mean pretest score was 10.3 of 20 (±2.9; n = 286) compared with posttest score of 13.0 (±2.8; n = 194; p < 0.0001). Lower pretest score and greater attendance (4-5 days compared with 1-3 days) were associated with larger improvement in posttest score; delivery format, specialty, and postgraduate year were not. Trainees reported an improvement in self-rated abilities to manage TM scenarios; 95% rated TM knowledge as very or extremely important in providing patient care; and 81% indicated that they had applied learning from Transfusion Camp into clinical practice. CONCLUSIONS: Transfusion Camp increased TM knowledge, fostered a positive attitude toward TM, and enabled a self-reported positive impact on transfusion practice in postgraduate trainees. It is a novel and scalable approach to delivering TM education.
Authors: Vanitha Rambiritch; Marion Vermeulen; Hazel Bell; Patricia Knox; Elena Nedelcu; Arwa Z Al-Riyami; Jeannie Callum; Karin van den Berg Journal: Transfusion Date: 2021-03-19 Impact factor: 3.337