We have developed a training program and supplemental teaching curricula for the WHO Emergency Triage Assessment and Training course. First piloted in Lesotho in 2008, we have been working in Guatemala since 2009 in collaboration with the Texas Children's Hospital and the Pan American Health Organization to develop the program in Spanish (Clasificación, Evaluación y Tratamiento de Emergencias Pediátricas). The goal of the program is to build the capacity of hospitals in Latin America by improving early recognition and stabilization of acute illnesses in children. In the summer of 2011, in conjunction with PAHO and local ministries of health, we began rolling out the training program through Latin America, including Nicaragua, El Salvador and Peru.
To date we have developed locally-led, sustainable, high-quality and effective training programs in these four countries. We have trained 119 facilitators who have subsequently trained 1. 076 local participants. Currently we are collaborating with WHO/PAHO to produce and publish generic CETEP curriculum in Spanish that will be distributed by WHO/PAHO and will be accessible to any Latin American country in the future at no charge (anticipated distribution end of 2015). We have completed four studies looking at quality and effectiveness of the training program, clinical impact of triage processes, and other regional studies, and will have five publications from this work (two published in 2014). CETEP has been introduced into the national medical training norms in Guatemala and El Salvador. Another study evaluating CETEP effect on mortality in El Salvador is pending. This multi-phased project was funded by a combination of a grant from the TCH Office of International Operations as well as two internal TCH Educational Grants.
Heather Crouse, M.D. and Eric Russell, M.D.
We have developed and delivered a Pediatric Emergency Medicine Module for emergency medicine trainees at the University Teaching Hospital of Kigali/University of Rwanda in 2014. In addition, we worked with in-country providers to develop and evaluate simulation curriculum for emergency medicine trainees in resource-limited settings.
Marideth Rus, M.D., M.Ed.
We developed and coordinate the "Foundations in Global Health" lecture series. This 18-month cycling discussion-based didactic curriculum series, developed with the goal of expanding contextual knowledge on major causes of global child and maternal mortality and providing mentorship and collaboration for ongoing global research projects. The series is targeted towards Texas Children's Hospital Pediatrics, OB/GYN and Surgery fellows and faculty actively involved in global health initiatives, and was adapted into the BCM Fellows' College in July 2013.
Heather Crouse, M.D.
We are developing and will be evaluating a pre-travel simulation curriculum for global health trainees at Texas Children's Hospital to improve the comfort and performance of these trainees during their rotations abroad.
Marideth Rus, M.D., M.Ed., Heather Crouse, M.D. and Heather Machen, M.D., M.P.H.
We developed a Pediatric Emergency Medicine CME course for pediatric and emergency medicine healthcare providers at University Hospital in Marrakech, Morocco in collaboration with BIPAI through a Chevron Social Responsibility Grant. Components of the trip included tours, informal evaluation of the Pediatric and Adult ED and PICU and advising on development of ED processes and flow as well as teaching. We delivered a total of 15 hours of lectures and workshops on PEM and Quality Improvement topics to approximately 25 learners (primarily physicians, residents and nurses).
Heather Crouse, M.D., Ben Choi, M.D., Nick Glomb, M.D., M.P.H. and Binita Patel, M.D.