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Indian Journal of Public Health Research & Development
Year : 2017, Volume : 8, Issue : 4
First page : ( 751) Last page : ( 754)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2017.00426.0

Effectiveness of Training Provided to Emergency Medical Services Professionals Working with Maharashtra Emergency Medical Services Project

Rishipathak Parag1, Yeravdekar Rajiv2, Rajhans Prasad3, Shelke Dnyaneshwar4, Tilekar Saket5

1Associate Professor, Symbiosis Institute of Health Science, Symbiosis International University, Pune, India

2Professor Dean & Director, Symbiosis Institute of Health Science, Symbiosis International University, Pune, India

3Consultant EMS, Symbiosis Institute of Health Science, Symbiosis International University, Pune, India

4Chief Operating Officer, BVG, Maharashtra Emergency Medical Services, Pune, India

5Head Operations, BVG, Maharashtra Emergency Medical Services, Pune, India

Online published on 29 December, 2017.

Abstract

Introduction

Maharashtra Emergency Medical Services (MEMS) is project of Government of Maharashtra under National Rural Health Mission (NRHM) and is operated by Bharat Vikas Group (BVG) India Limited in academic association with Symbiosis Institute of Health Sciences (SIHS) and United Kingdom Specialty Ambulance Services (UKSAS, United Kingdom). It is a toll free ‘108’ number based 24 x 7 hours’ prehospital emergency medical services free of cost to entire population in the state of Maharashtra.

Training was imparted to all Emergency Medical Services Professionals (EMPs) working with MEMS project by Symbiosis Institute of Health Sciences, a constituent of Symbiosis International University.

Purpose

The present study shows the analysis of performance of Emergency Medical Services Professionals (EMPs) before and after the training based on their Scores in Pre-Course Test, Post-Course Test and Skills Assessment.

Methodology

This study was conducted before providing the training and after training was completed during 01 July, 2013 to 31 January, 2015. Only BAMS and BUMS doctors were enrolled for the study. The participants with MBBS background were not included in this study. At the beginning of the training session, course test and skills test assessment of 100 points each was administered.

Total of 122h of theory and practical training programme was carried out for all participants.

After training session, course test and skill test assessment to 100 points each was again administered to determine the change. The questions used for assessment were pertaining to EMS and experience gained in EMS system.

Results

Total 3000 trainees attended the training during 01 July 2013 to 31 January 2015. Of them 38 participants submitted incomplete assessment at either time points and were not considered for final analysis. Thus the final analysis was carried out on 2962 participants

The average score of course tests and skill test assessment of participants before training was 53.1 (SD 10.9) and 52.1 (SD 10.5) respectively. The course test assessment showed that more than 1/3rd of the participant had score below 50% before the course test assessment and course skill assessments. Also 3/4th of the participants have score below 60 percent in course test assessment and almost 8 out of 10 participants have score below 60 percent in course skills assessment.

After training, the mean score of course test assessment was 77.0 (SD 9.3) and skill test assessment was 77.9 (SD 9.5). Thus there was more than 45 percent change from before training to after training in course test and skill test assessment of participants. This change was statistical significant (p<0.0001 for both test).

Research Implications

Looking at the average of the score of the Doctors in the Pre-Test and Skills Assessment and for the Post-Test and Skills Assessment after undergoing Training it can be concluded that the Training provided to the candidates has helped them improve their Skills and there has been up gradation in their knowledge.

Novelty

This is a significant observation and highlights importance of hands on training in building skills.

In order to do this well, doctors and nurses need to be trained to recognize the severity of illness and to categorize conditions in relation to the likelihood of treatment priority and the strategies most likely to maximize outcome.

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Keywords

EMP, EMS, MEMS.

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