Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT06259734 |
| Other study ID # |
H23-04004 |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
N/A
|
| First received |
|
| Last updated |
|
| Start date |
April 15, 2024 |
| Est. completion date |
December 31, 2025 |
Study information
| Verified date |
February 2024 |
| Source |
University of British Columbia |
| Contact |
Teresa Skelton, MD |
| Phone |
6478947990 |
| Email |
teresa.skelton[@]cw.bc.ca |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Interventional
|
Clinical Trial Summary
Transfusion medicine is closely linked with safe surgery. Transfusion Camp is a
multidisciplinary educational project aimed at improving transfusion medicine knowledge in
physicians. The course has been piloted in Rwanda, showing improvement in participant
knowledge and confidence, resulting in its recommended implementation into the medical school
curriculum.
This project aims to evaluate a multi-day Transfusion Camp course mandatory for graduating
medical students and first-year interns practicing in district hospitals in Rwanda. Its
implementation is evaluated through pre- and post-course testing, collecting participants'
blood ordering practices following the course, and conducting participant interviews about
barriers to safe transfusion medicine in their hospital.
Description:
Purpose: to assess efficacy of the recommendation set out through the University of Rwanda
faculty working group discussions and the Canada-Rwanda Transfusion Camp partnership to
implement a mandatory, annual multi-day Transfusion Camp course for final year medical
students preparing to enter internship training and dispersing across the majority of
district hospitals in Rwanda.
Hypothesis: (1) Graduating medical students and new interns will have a statistically
significant improvement in their test scores after a 3-day Transfusion Camp Rwanda course.
(2) There will be a statistically significant positive change in blood product ordering
practices among course participants when compared with interns who have not participated in
Transfusion Camp Rwanda. (3) In conducting semi-structured interviews of participants who
took part in Transfusion Camp Rwanda the investigators will identify key enablers and
barriers that are faced by participants in patient blood management that will give insight on
strategies for future research and interventions.
Population: Final year graduating University of Rwanda medical students about to enter their
internship year at district hospitals in Rwanda and new interns currently in the first year
of their internship at district hospitals in Rwanda.
Research method:
1. Knowledge assessment and course evaluation: A validated pre-test assessment used
currently in Transfusion Camp Rwanda will be administered prior to and after the session
is complete. This test is a regular component of all Transfusion Camp courses in Canada,
the United Kingdom, and Rwanda and separate from the research component of this project.
It is a portion of the standard Transfusion Camp curriculum.This assessment is a
combination of knowledge-based multiple-choice questions, questions on confidence in
carrying out transfusion medicine decision-making in patient care, and a brief course
evaluation to inform future courses. After 3 months, a second post-test assessment will
be administered in the same manner as the pre- and post-test to assess knowledge
retention. This test also asks the question about whether or not participants have
applied their new knowledge in clinical practice, which will give some insight into the
applicability of the course work in Transfusion Camp to real-life transfusion problems
in clinical practice in Rwanda.
2. Blood product ordering practices: blood ordering practices of intern physicians will be
collected using the blood product order form currently in use at all laboratories and
health centres in Rwanda for the ordering of blood products. Control data will be
collected at district hospitals prior to Transfusion Camp: ordering practices of intern
physicians at district hospitals who did not participate in Transfusion Camp and, where
possible, the hospital does not have faculty who have previously participated in
Transfusion Camp. Three months following Transfusion Camp, the blood ordering practices
of Transfusion Camp participants will be collected over a three-month period.
3. Semi-structured interviews: Participants who indicated interest during Transfusion Camp
will be contacted to consent to an interview three months post-Transfusion Camp to allow
opportunity and time for the participants to apply what has been learned. The interviews
aim to gain insight into contextual factors, including hospital culture, hierarchy,
product availability, resources for continuing professional development, and anything
else that may act as barriers to them being able to follow the Rwanda transfusion
guidelines taught and reinforced in Transfusion Camp Rwanda. Interviews will preferably
take place face-to-face with two interviewers, a Canadian faculty well experienced in
the Transfusion Camp curriculum and one Rwandan faculty member who is also experienced
in the curriculum but aware of the cultural context and able to communicate in
Kinyarwanda as required.
