Combining Dedicated Online Training and Apprenticeships in the Field to Assist in Professionalization of Humanitarian Aid Workers: a 2-year Pilot Project for Anesthesia and Intensive Care Residents Working in Resource Constrained and Low-income Countries

PLoS Curr. 2014 Jul 21:6:ecurrents.dis.4b85b2e37f58297619faac3141f0d3e3. doi: 10.1371/currents.dis.4b85b2e37f58297619faac3141f0d3e3.

Abstract

Introduction: As a result of the gaps in humanitarian response highlighted by several reports, the international community called for an increased professionalization of humanitarian aid workers. This paper describes a pilot project by an Italian university and a non-profit, non-governmental organization to implement a medical apprenticeship in low-income countries during Anesthesia and Intensive Care Medicine residencies.

Methods: Before deployment, participants were required to complete a dedicated online training course about safety and security in the field, principles of anesthesia at the district hospital level, emergency and essential surgical care, essentials of medical treatment in resource-constrained environments and psychological support in emergencies.

Results: At the end of the program, a qualitative self-evaluation questionnaire administered to participants highlighted how the project allowed the participants to advance their professional skills when working in a low-resource environment, while also mastering their adapting skills and the ability to interact and cooperate with local healthcare personnel. The project also proved to be a means for personal growth, making these experiences a recommendation for all residents as a necessary step for the professionalization of healthcare personnel involved in humanitarian aid.

Grants and funding

All the experts involved in the program design and implementation provided their contribution free of charge. Funds to cover living expenses such as international transfers, accommodation and insurance were provided jointly by CRIMEDIM (Research Center In Emergency and Disaster Medicine and Computer Science Applied To Medical Practice) and Rainbow for Africa. None of the participants received grants to participate to the course. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.