Manuela Lo Bianco, Santiago Presti, Maria Carla Finocchiaro, Gian Luca Trobia, Tiziana Virginia Sciacca, Maria Elena Cucuzza, Elia Caudullo, Giacomo Calcara, Martino Ruggieri, Vita Antonella Di Stefano
Point-of-care ultrasound (POCUS) pediatric resident training course: a cross-sectional survey
Italian journal of pediatrics
despite acceleration remote consulting throughout covid19 pandemic many health care professionals practicing without training offer teleconsultation patients especially challenging resourcepoor countries telephone previously widely used health care covid19 pandemic dawned designed modular online training program remote consulting primary health care reach optimize upscaling knowledge skills employed trainthetrainer approach training health workers tier 1 cascade training others tier 2 locality aimed determine whether reach training acceptable feasible health workers rural tanzania support health care delivery pandemic developed pretested reach training program july 2020 created 8 key modules program taught remotely via moodle whatsapp meta platforms 12 tier 1 trainees cascaded 63 tier 2 trainees working tanzanias rural ulanga district augustseptember 2020 evaluated program using survey informed kirkpatricks model evaluation capture trainee satisfaction reach knowledge gained perceived behavior change qualitative interviews explore training experiences views remote consulting documentary analysis emails whatsapp texts training reports generated program quantitative data analyzed using descriptive statistics qualitative data analyzed thematically findings triangulated integrated interpretation 12 tier 1 trainees enrolled program completed training however 2 17 encountered internet difficulties failed complete evaluation addition 1 8 opted cascading process 63 tier 2 trainees 61 97 completed cascaded training 10 83 tier 1 trainees completed survey 9 90 would recommend program others reported receiving relevant skills applying learning daily work demonstrating satisfaction learning perceived behavior change qualitative interviews tier 1 2 trainees identified several barriers implementation remote consulting including lacking digital infrastructure resources inflexible billing recordkeeping systems limited community awareness costs data airtime emerged greatest immediate barrier supporting upscaling reach training subsequently delivery safe trustworthy remote health care reach training program feasible acceptable effective changing trainees behavior however government organizational support required facilitate expansion program remote consulting tanzania lowresource settings