Abstract
BackgroundParamedic trainees in developing countries face complex and chaotic clinical environments that demand effective leadership, communication, and teamwork. Providers must rely on non-technical skills (NTS) to manage bystanders and attendees, collaborate with other emergency professionals, and safely and appropriately treat patients. The authors designed a NTS curriculum for paramedic trainees focused on adaptive leadership, teamwork, and communication skills critical to the Indian prehospital environment.MethodsForty paramedic trainees in the first academic year of the 2-year Advanced Post-Graduate Degree in Emergency Care (EMT-paramedic equivalent) program at the GVK-Emergency Management and Research Institute campus in Hyderabad, India, participated in the 6-day leadership course. Trainees completed self-assessments and delivered two brief video-recorded presentations before and after completion of the curriculum.ResultsIndependent blinded observers scored the pre- and post-intervention presentations delivered by 10 randomly selected paramedic trainees. The third-party judges reported significant improvement in both confidence (25 %, p < 0.01) and body language of paramedic trainees (13 %, p < 0.04). Self-reported competency surveys indicated significant increases in leadership (2.6 vs. 4.6, p < 0.001, d = 1.8), public speaking (2.9 vs. 4.6, p < 0.001, d = 1.4), self-reflection (2.7 vs. 4.6, p < 0.001, d = 1.6), and self-confidence (3.0 vs. 4.8, p < 0.001, d = 1.5).ConclusionsParticipants in a 1-week leadership curriculum for prehospital providers demonstrated significant improvement in self-reported NTS commonly required of paramedics in the field. The authors recommend integrating focused NTS development curriculum into Indian paramedic education and further evaluation of the long term impacts of this adaptive leadership training.
Highlights
Paramedic trainees in developing countries face complex and chaotic clinical environments that demand effective leadership, communication, and teamwork
Educational intervention The 6-day leadership curriculum was divided into morning lectures, which reviewed current research on leadership and skill development, and afternoon interactive breakout sessions, which focused on communication and teamwork (Fig. 1)
The curriculum culminated in small group presentations delivered by paramedic trainees to the staff, management, and instructors at EMRI
Summary
Paramedic trainees in developing countries face complex and chaotic clinical environments that demand effective leadership, communication, and teamwork. Providers must rely on non-technical skills (NTS) to manage bystanders and attendees, collaborate with other emergency professionals, and safely and appropriately treat patients. The authors designed a NTS curriculum for paramedic trainees focused on adaptive leadership, teamwork, and communication skills critical to the Indian prehospital environment. Providers must rely on such non-technical skills (NTS) to manage dozens of bystanders and attendees, collaborate with other emergency professionals, and safely and appropriately treat patients [1,2,3,4,5]. In 2007, GVK-EMRI partnered with the Stanford University School of Medicine to offer India’s first 2-year advanced life support paramedic training program as a means of training, the EMS professionals required to support the new ambulance service
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