Designing and Assessing the Impact of a Competency-Based Training Program in Transfusion Medicine among MBBS Interns
1Department of Immunohematology and Blood Transfusion, Himalayan Institute of Medical Sciences, Swami Rama Himalayan University, Swami Ram Nagar, Jolly Grant Dehradun, 248016 Uttarakhand, India.
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Summary
A structured training program significantly improved medical interns' transfusion medicine knowledge, addressing a critical gap identified by the National Medical Commission (NMC). This competency-based medical education (CBME) approach enhances patient safety through better-informed healthcare professionals.
Area of Science:
- Medical Education
- Transfusion Medicine
- Patient Safety
Background:
- Transfusion medicine education is crucial for patient safety, yet knowledge gaps exist among medical trainees.
- The National Medical Commission (NMC) implemented a competency-based medical education (CBME) framework in India in 2019.
- A need exists to assess the effectiveness of CBME-aligned training in transfusion medicine for interns.
Purpose of the Study:
- To evaluate the impact of a structured, two-day educational program on transfusion medicine knowledge among MBBS interns.
- To align transfusion medicine training with the NMC's CBME curriculum requirements.
- To identify specific areas of knowledge deficiency in transfusion medicine among interns.
Main Methods:
- A questionnaire-based, cross-sectional study was conducted among MBBS interns.
- A two-day educational program with six modules (bedside transfusion, blood donation, lab transfusion medicine) was delivered.
- Pre- and post-training assessments were used to measure knowledge improvement, with effect size analysis.
Main Results:
- Interns' overall knowledge scores improved significantly from 47% (pre-test) to 77.6% (post-test).
- Pre-training assessments revealed significant knowledge deficits in areas such as transfusion reactions, indications for component therapy, donor selection, and blood banking practices.
- Post-training, significant improvements were observed across all domains, with high effectiveness noted in five out of six modules.
Conclusions:
- A substantial knowledge gap in transfusion medicine persists among medical interns.
- A structured, competency-based medical education (CBME) program is an effective strategy for enhancing transfusion medicine knowledge.
- Improving transfusion medicine education is vital for enhancing patient safety in clinical practice.