49 Simulation Preparation for Experiences in Resource Limited Settings (SimPERLS): An innovative pre-departure training program for pediatric healthcare professionals

Abstract

BACKGROUND: Pre-departure training (P-DT) for experiences in resource limited settings is the expected standard for healthcare professionals in 2018. Traditional P-DT has focused on health and safety as well as medical expert skills. However, there has been recent focus shift to deal with the emotional as well as medical challenges. OBJECTIVES: The study purpose was to pilot a multidisciplinary, simulation based P-DT program for health professionals preparing for experiences both within and outside of Canada. DESIGN/METHODS: We piloted four simulation-based scenarios designed to challenge clinical skills as well as evoke emotions that may be experienced in resource limited settings. Two scenarios were set in a global health context and two scenarios were adapted for Canadian locales. Workshop was held over one afternoon and each scenario was allocated one hour total (inclusive of simulation and debriefing). Participants experienced each scenario and were debriefed thereafter as per standard simulation protocol. An evaluation questionnaire (including both likert scale and open-ended, short-answer style) was completed at the end of the course. RESULTS: There were a total of fourteen participants from various health professions. Overall, the course received an average 4.4/5 score from participants. Most participants said they gained new insight and learned new applicable skills with an average score of 4.8/5 and 4.7/5 respectively. Common emotions reported during the simulations included: sadness, helplessness, and frustration. Participants were motivated to prepare for upcoming experiences by increasing their core medical knowledge, utilizing the WHO handbook and increasing cultural awareness. Participants felt encouraged to seek opportunities for work in resource limited settings. CONCLUSION: Next steps include follow up with participants after their low resource setting experiences to evaluate how this training impacts their preparation and overall journey.