Kathryn T Kopec1, Rais Vohra2, Cynthia Santos3, Ziad Kazzi4, Anselm Wong5,6,7. 1. Carolinas Medical Center, Charlotte, NC, USA. ktkopec@gmail.com. 2. California Poison Control System and UCSF Fresno Medical Education Program, Fresno, CA, USA. 3. Rutgers New Jersey Medical School, Newark, NJ, USA. 4. Emory University, Atlanta, GA, USA. 5. Victorian Poisons Information Centre and Austin Toxicology Service, Austin Hospital, Heidelberg, Australia. 6. School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia. 7. Centre for Integrated Critical Care, Melbourne Medical School, University of Melbourne, Victoria, Australia.
Abstract
INTRODUCTION: Worldwide an estimated one million deaths occur annually as a result of poisoning. Internationally there is a lack of toxicology training programs, especially in resource poor settings. We developed a one-day, interactive toxicology curriculum for healthcare practitioners in countries lacking clinical toxicology training and evaluated its feasibility and effectiveness for knowledge dissemination. METHODS: GETKIT was developed with 3 sections: didactics, hands on toxicology case lab, and technology clinic. The investigators, who are medical toxicologists,created 23 didactic lectures and 42 workshop cases. All materials were peer reviewed by 5 senior medical toxicologists for content validity. Participants atpilot sites were given pre-course, post-course, and 3-month follow-up tests and surveys. RESULTS: GETKIT was delivered internationally at 7 sites between November 2017 and April 2018. There were 186 total participants. One hundred and ten participants (59%) reported their hospital lacked a clinical toxicology service. The median post course score 12 (60%), IQR (6,14) was significantly higher compared to the pre-course score 9 (45%), IQR (6,11) (p < 0.0001). There was a significantly higher median 3-month post course score 13 (65%), IQR (8,14) vs. a median pre course score of 9 (45%), IQR (6,11) (p 0.0005). At 3-month follow up 86% of participants reported GETKIT had changed their clinical practice. CONCLUSIONS: An improvement in and retention of medical toxicology knowledge was demonstrated with the GETKIT course. It also conferred improvement in selfreportedpoisoning management practices in participants from low resource settings.
INTRODUCTION: Worldwide an estimated one million deaths occur annually as a result of poisoning. Internationally there is a lack of toxicology training programs, especially in resource poor settings. We developed a one-day, interactive toxicology curriculum for healthcare practitioners in countries lacking clinical toxicology training and evaluated its feasibility and effectiveness for knowledge dissemination. METHODS: GETKIT was developed with 3 sections: didactics, hands on toxicology case lab, and technology clinic. The investigators, who are medical toxicologists,created 23 didactic lectures and 42 workshop cases. All materials were peer reviewed by 5 senior medical toxicologists for content validity. Participants atpilot sites were given pre-course, post-course, and 3-month follow-up tests and surveys. RESULTS: GETKIT was delivered internationally at 7 sites between November 2017 and April 2018. There were 186 total participants. One hundred and ten participants (59%) reported their hospital lacked a clinical toxicology service. The median post course score 12 (60%), IQR (6,14) was significantly higher compared to the pre-course score 9 (45%), IQR (6,11) (p < 0.0001). There was a significantly higher median 3-month post course score 13 (65%), IQR (8,14) vs. a median pre course score of 9 (45%), IQR (6,11) (p 0.0005). At 3-month follow up 86% of participants reported GETKIT had changed their clinical practice. CONCLUSIONS: An improvement in and retention of medical toxicology knowledge was demonstrated with the GETKIT course. It also conferred improvement in selfreportedpoisoning management practices in participants from low resource settings.
Entities:
Keywords:
Global health; International toxicology; Toxicology education
Authors: Anselm Wong; Rais Vohra; Anne-Michelle Ruha; Zeff Koutsogiannis; Kimberlie Graeme; Paul I Dargan; David M Wood; Shaun L Greene Journal: J Med Toxicol Date: 2015-09
Authors: Kanchana Wickramasinghe; Paul Steele; Andrew Dawson; Dinusha Dharmaratne; Asha Gunawardena; Lalith Senarathna; Dhammika de Siva; Kusal Wijayaweera; Michael Eddleston; Flemming Konradsen Journal: Bull World Health Organ Date: 2009-03 Impact factor: 9.408