scholarly journals Residents Working With Médecins Sans Frontières: Training and Pilot Evaluation

2020 ◽  
Author(s):  
Alba Ripoll-Gallardo ◽  
Luca Ragazzoni ◽  
Ettore Mazzanti ◽  
Grazia Meneghetti ◽  
Jeffrey Michael Franc ◽  
...  

Abstract BackgroundWell-prepared humanitarian workers are now more necessary than ever. Essential to the preparation process are:clearly defined learning objectives, curricula tailored to the nuances of humanitarian settings, simulation-based training, and evaluation.This paper describes a training program designed to prepare medical residents for their first field deployment with Médecins Sans Frontières and presents the results of a pilot assessment of its effectiveness.MethodsThe training was jointly developed by the Research Center in Emergency and Disaster Medicine-CRIMEDIM of the Università del Piemonte Orientale, Novara, Italy, and the humanitarian aid organization Médecins Sans Frontières- Italy (MSF-Italy); the following topics were covered: disaster medicine, public health, safety and security, infectious diseases, psychological support, communication, humanitarian law, leadership, and job-specific skills. It used a blended-learning approach consisting of a 3-month distance learning module; 1-week instructor-led coaching; and a field placement with MSF. We assessed its effectiveness using the first three levels of Kirkpatrick’s training evaluation model.ResultsEight residents took part in the evaluation. Four were residents in emergency medicine, 3 in anesthesia, and 1 in pediatrics; 3 of them were female and the median age was 31 years. Two residents were deployed in Pakistan, 1 in Afghanistan, 1 in the Democratic Republic of Congo, 1 in Iraq, 2 in Haiti and 1 on board of the MSF Mediterranean search & rescue ship. Mean deployment time was 3 months. The average median score for the overall course was 5 (excellent). There was a significant improvement in post-test multiple choice scores (p = 0.001) and in residents’ overall performance scores (P = 0.000001). ConclusionResidents were highly satisfied with the training program and their knowledge and skills improved as a result of participation. Trial registration: This study was approved by the Institutional Ethics Committee (date 24-02-2016, study code UPO.2015.4.10)

2021 ◽  
pp. 185-210
Author(s):  
Michiel Hofman

This chapter recounts how Médecins Sans Frontières (MSF) failed to turn the tide against the attacks on hospitals through its approach of naming and shaming the perpetrators of hospital bombings. It speculates that the failure to stop the attacks was either caused by the way in which the international humanitarian law (IHL) is wired to provide exemption for warring parties or MSF’s inability to deliver consistent messages necessary to generate pressure on offending nations. It also mentions the Syrian government’s denial of assistance to the population and disrespect to the laws of war that centered the state as both perpetrator and aid responder. The chapter looks at the Syrian government’s ability to deny and allow access to services that served to amplify its control and project its sovereignty. It elaborates how the Syrian state centered its own sovereign control by being the focus of diplomatic efforts to ensure humanitarian access.


2011 ◽  
Vol 93 (10) ◽  
pp. 365-368
Author(s):  
Marc Bullock

Marc Bullock describes an intense six-week period that he spent as a surgeon attached to Médecins Sans Frontières in the Democratic Republic of Congo. The working environment and the exotic cases he encountered, partly a reflection on the violence that dominates the region, are bound to have had a profound personal and professional impact. I would imagine that this report will inspire some trainees to seek a similar experience.


2020 ◽  
Author(s):  
Upriyadi .

This article describes a program evaluation using Kirkpatrick’s four levels model. The program evaluation was conducted by studying 24 candidates for the Expert-Level Librarian training program at the National Library of Indonesia. This research uses a quantitative method to measure the level of the participants’ satisfaction level with the training and a qualitative method is used to gain deeper information through interviews. The results shows that on reaction level, 87.5% of participants have high level of satisfaction. The learning level shows an increase from the pre-test to the post-test results. In the third level, it was found that 100% of the participants received high scores. Finally, at the result level, it is shown that 87.5% of the participants received high scores. There are recommendations regarding 1) the lack of dormitories; 2) the learning process using information technology that needs to adapt to the characteristics participants; 3) training for the lecturers before actually lecturing the participants. Keywords: training program evaluation, Kirkpatrick Evaluation Model, librarian, librarianship education and training


Author(s):  
Agnieszka Szpak

Evaluation of the attack on the Kunduz hospital in the light of international humanitarian law The article concentrates on the recent US attack on a hospital led by the international non-governmental organization Médecins Sans Frontières. The hospital was located in Kunduz in Afghanistan and the attack took place on October 2, 2015. The author briefly analyses the legality of the attack in the light of international humanitarian law, especially in the light of the rules of targeting military objectives.


2018 ◽  
Vol 100 (907-909) ◽  
pp. 337-372
Author(s):  
Françoise Bouchet-Saulnier ◽  
Jonathan Whittall

AbstractOn 3 October 2015, the Médecins Sans Frontières (MSF) Trauma Centre in Kunduz, Afghanistan was bombed during a US–Afghan joint military operation to retake the city. Even before that night, attacks on health-care facilities in war zones were already a worrying trend and a major concern for humanitarian organizations. Such attacks have led both MSF and the International Committee of the Red Cross (ICRC) to launch campaigns1 addressing the need for greater protection of the medical mission in situations of armed conflict. Nonetheless, the scale and specific context of the attack on the Kunduz Trauma Centre have given rise to various specific investigations2 and provoked many more questions that this article will explore. The article will delve into the “many mistakes” scenario that has been presented by the US investigation in order to critically analyze whether these mistakes may originate from either incorrect or biased interpretations or implementation of international humanitarian law.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1250-1254
Author(s):  
Kurvatteppa Halemani ◽  
Merlin Cheema ◽  
Shabana Khatun ◽  
Yadidya ◽  
Bhumika Singh ◽  
...  

The pandemic COVID-19 is a highly infected disease caused by a novel coronavirus or SARS-Cov-2. The virus was reported for the first time  December 2019 in, China's Wuhan province. Later the virus has broken down into the world and claimed millions of lives. In India, the disease was reported for the first time in Kerala on 30th January 2020. a cross-section one group pre-test & post-test research design was used among the 40 final year BSc nursing students, College of Nursing SGPGIMS, Lucknow India. Samples were selected based on purposive sampling technique and sample criteria. An instrument, the first tool included demographic characteristics Similarly, second instrument used for knowledge assessment. After pre-test assessment, a teaching session was held at the seminar room, college of nursing SGPGIMS Lucknow, India. Subsequently post assessment was held after intervention.  A total of 40 participants responded to the study. Demographic variables like 30(75%) participants had less than 22 years of age, 22(55%) were girls, 14(35%) families income found INR 10000-15000, and the majority of participants obtained COVID-19 related knowledge from news paper16(40%). A gender was found significant with pretest knowledge, and other variables weren't found significant (P=0.05). Knowledge mean & standard deviation in pre & post-intervention, 11.90±2.16 vs15.82±1.39. The mean difference was found in a pre-test & post-test-1 &post-test-2, 3.9, 5.02, & 1.1, respectively. The effectiveness of the training program was checked by paired t-test -10.20 & -13.93, P=0.00.  The study revealed that the teaching session was efficient in the COVID-19 program among BSc nursing students.


Author(s):  
Ian Bonder ◽  
Andrew Shim ◽  
Robert G. Lockie ◽  
Tara Ruppert

Based on current law enforcement officer (LEO) duties, musculoskeletal injury risk is elevated due to the unpredictable nature of physically demanding tasks. The purpose of this 4-week study was to determine the effectiveness of a 15-min post-shift standardized occupational specific training program. The standardized program was designed to improve lower-body strength and speed to aid physically demanding task performance. Seven male LEOs completed the program after their 12-h shift. Subjects were required to use the department fitness center to perform the 15-min standardized program consisting of a dynamic warm-up, 4 sets of 3 repetitions on hex-bar deadlift and four 20-m sprints. Two minutes of rest was required between each set of 3 repetitions on hex-bar deadlift and 1 min of rest between each 20-m sprint. A dependent T-test was used between pre-test and post-test scores for hex-bar deadlift (HBD) and sprint. Data revealed significant improvements in relative lower-body strength with HBD (p ≤ 0.001). However, insignificant results were demonstrated with the 20-m sprint (p ≤ 0.262). In conclusion, a 15-min post-shift workout can improve lower-body strength as measured by the hex-bar deadlift. However, data indicated running speed may require a different training approach to improve the 20-m sprint.


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