On-site Training Research Articles

FastPACE Train-the-Trainer: A scalable new educational program to accelerate training in biomedical innovation, entrepreneurship, and commercialization.

The Institute of Medicine recommended the advance of innovation and entrepreneurship training programs within the Clinical & Translational Science Award (CTSA) program; however, there remains a gap in adoption by CTSA institutes. The University of Michigan's Michigan Institute for Clinical & Health Research and Fast Forward Medical Innovation (FFMI) partnered to develop a pilot program designed to teach CTSA hubs how to implement innovation and entrepreneurship programs at their home institutions. The program provided a 2-day onsite training experience combined with observation of an ongoing course focused on providing biomedical innovation, commercialization and entrepreneurial training to a medical academician audience (FFMI fastPACE). All 9 participating CTSA institutes reported a greater connection to biomedical research commercialization resources. Six launched their own version of the FFMI fastPACE course or modified existing programs. Two reported greater collaboration with their technology transfer offices. The FFMI fastPACE course and training program may be suitable for CTSA hubs looking to enhance innovation and entrepreneurship within their institutions and across their innovation ecosystems.

O-40 Novel tailored training concept to facilitate successful study conduct and optimise recruitment in paediatric clinical trials

Background Poorly conceived study designs are still a main reason for clinical trials to fail in paediatric patients. Especially, recruitment of a representative population re-mains hard to be achieved. Low recruitment rates prolong study conduct and reduce data acquisition and quality. Pharmacokinetic and pharmacodynamic investigations are mandatory in the paediatric study designs for submission to competent authorities. Therefore, non-professional tech-niques in blood sampling and patient/parent communica-tion can be main drivers for low recruitment rates. To meet these particular challenges, a novel approach for the train-ing of study teams in the EU-funded LENA project was cho-sen that goes beyond current standards. Aim of LENA (La-belling Enalapril from Newborns up to Adolescents) is to investigate pharmacokinetic (PK) and pharmacodynamics (PD) data of enalapril in children suffering from heart failure. Methods A three-parted modular training was designed by addressing the most critical hurdles of the paediatric LENA trials by focusing on communication of study related information and blood sampling of time-critical and sensi-tive parameters. As first step, the entire team (principle inves-tigator, physicians, nurses) of every clinical centre involved in the project attended a hands-on simulation training at the specialised Medical Simulation Centre in Salzburg. During this training, LENA specific situations were exercised using manikins and original medical devices. Video-based de-briefing of the scenarios enriched the learning experience. In the second training step, the complex PK/PD sampling procedure was refreshed during an on-site training. Scope of this individualised training element was to evaluate the trial centres’ capability for obtaining samples for all pharma-cokinetic and pharmacodynamic investigations as required in the most realistic scenario possible. This phase was de-signed to resemble a regular LENA study-visit and included performance of study related procedures from sampling to bioanalysis at the central laboratory utilising healthy volun-teers. Third, -if requested-the clinical teams were accompa-nied during the first paediatric patient visits by experts to ensure the maximum support during recruitment and study conduct in the beginning. Additionally, participants’ perfor-mance and preparedness for the study as well as the useful-ness of the training were assessed using surveys based on five-point Likert scales. Results 23 participants from five different European coun-tries were trained at the simulation centre. The performance in sampling of time-critical humoral parameters was op-timised to meet the predefined time limits, and to enable maximum reliable data extraction by reducing invalid sam-ples. Participant’s abilities to communicate core elements of the studies and to successfully perform PK/PD sampling increased significantly (p=0.0003). The on-site training re-vealed results out of specification at one site. After repeating the on-site training, PD samples collected at all sites allowed for detection of sensitive parameters in low sample volumes. PK data were within the expected specifications. Conclusion Simulation training and on-site training sub-stantially improved the participants’ performance. This tai-lored training was assessed as a helpful teaching tool in trial preparation and lead to good recruitment rates within the LENA project so far. Further follow-up surveys will evaluate the actual impact of this training on the study success. The research leading to these results has received funding from the EU’s Seventh Framework Programme (FP7/2007-2013) under grant agreement n°6 02 295 (LENA).

EP16.01: Effect of a new method of assessment and onsite training on the reproducibility of the measurement of uterine artery Doppler

EP16.01: Effect of a new method of assessment and onsite training on the reproducibility of the measurement of uterine artery Doppler

Integrated Work Flow Mitigates Drilling Vibrations

This article, written by Special Publications Editor Adam Wilson, contains highlights of paper SPE 183550, “An Integrated Work Flow To Mitigate Drilling Vibrations and Increase Daily Footage,” by J.R. Bailey, SPE, and P.E. Pastusek, SPE, ExxonMobil Development Company; H. Al Junaibi and M. Al Awadhi, National Drilling Company; Y. Al Katheeri, SPE, M.R. Niznik, and K.S. Akyabi, Zakum Development Company; and C.G. Page, Exxon Neftegas, prepared for the 2016 Abu Dhabi International Petroleum Exhibition and Conference, Abu Dhabi, 7–10 November. The paper has not been peer reviewed. A work flow that combines optimization of the drillstring and bottomhole-assembly (BHA) design during well planning and then applies advanced surveillance tools to a well-trained drilling crew yields reduced vibrations and higher drilling rates. This methodology is based on the premise that an efficient drilling operation requires optimized tool designs, advanced diagnostics using real-time drilling parameters, and on-site training of efficient drilling practices and the proper use of rig-control systems. Introduction In recent years, as part of a limiter-redesign process and rate-of-penetration (ROP) optimization effort, the operator has sought to develop and validate in the field a suite of tools specifically directed toward drilling-operations support. Vibration-mitigation efforts are a subset of the entirety of this broader program. BHA redesign involves planning to change the downhole tools. Once a BHA has been selected and its rotary-speed sweet spot is known, there is a real-time component as the driller determines how good the sweet-spot prediction might be or if an alternative operating condition is preferred. Drillstring modifications on the basis of torsional string modeling typically involve drillpipe-outer-diameter selection and understanding or optimizing the equivalent-circulating-density (ECD) profile, typically resulting in the largest pipe that satisfies the ECD criteria being desired, provided that torque-and-drag modeling do not indicate rig limitations or buckling concerns. Torsional string modeling provides the capability for real-time stick/slip detection on the basis of monitoring the surface torque variation. A drilling advisory system (DAS) is, first and foremost, a real-time dysfunction-recognition and response tool. The DAS provides the driller with diagnostic data and charts illustrating the drilling-performance map in a stoplight format to select the best operating parameters. Rig-control systems, in particular the autodriller, may generate a certain amount of dysfunction as a result of the way they are implemented and operated. Significant changes in drilling line feed rate result from on/off control systems, high control-system gains, and unstable feedback mechanisms in certain situations. These line-feed-rate perturbations may exacerbate other vibration modes, such as stick/slip, resulting in dysfunction and reduced drilling performance. Efforts to mitigate these effects contribute to the reduction of nonproductive time. Taken together, they have yielded improved drilling results, increasing the number of single-bit runs to section depth in fewer days.

The effects of long-term on-site training on job satisfaction after employment: the mediating effects of organizational commitment and job match

The effects of long-term on-site training on job satisfaction after employment: the mediating effects of organizational commitment and job match

Physician training protocol within the WEB Intrasaccular Therapy (WEB-IT) study

IntroductionThe WEB Intra-saccular Therapy (WEB-IT) trial is an investigational device exemption study to demonstrate the safety and effectiveness of the WEB device for the treatment of wide-neck bifurcation aneurysms. The...

Knowledge of nosocomial infection control practices among radiographers in Jordan

IntroductionNosocomial infections add health-related and financial burdens on health systems. This study aims to evaluate the radiographers' knowledge of nosocomial infection control practices in Jordan. MethodsA cross-sectional questionnaire-based assessment was conducted. The main domains of the knowledge based test were the nature of nosocomial infections, standard precautions, and infection control practices specific to the radiology department. Comparison of knowledge among radiographers was assessed using the Student t-test and ANOVA. Multiple linear regression was used to find predictors of the knowledge score. ResultsThe final analysis included 100 radiographers from educational, private, and public hospitals. Mean knowledge score was 66.2% (SD: 20.3%, range: 25.0–100%). Questions with the lowest correctly scored were about the main source of infections (17%), recapping used needles (27%), gloves use (27%), the necessity of using overshoes (26%) and a cap (26%) when there is a risk of biological fluid splashes, the necessity of using sterile gloves (7%) and protective masks (5%) during all invasive procedures, the manoeuvrability around a sterile field (54%), and the safety of passing the imaging plate to the scrub nurse in order to place it under the radiographer's direction (37%). Predictors of knowledge score were the academic degree and training status (R2 = 0.21, P < 0.001). ConclusionKnowledge of infection control practices among Jordanian radiographers was moderate. Future training should focus on handling used needles, the use of protective barriers, and the manoeuvrability around sterile fields. Improved academic curriculum and on-site training could enhance knowledge in infection control practices.

Cost-effectiveness of simulation-based team training in obstetric emergencies (TOSTI study)

ObjectiveTeam training is frequently applied in obstetrics. We aimed to evaluate the cost-effectiveness of obstetric multi-professional team training in a medical simulation centre. Study designWe performed a model-based cost-effectiveness analysis to evaluate four strategies for obstetric team training from a hospital perspective (no training, training without on-site repetition and training with 6 month or 3–6-9 month repetition). Data were retrieved from the TOSTI study, a randomised controlled trial evaluating team training in a medical simulation centre. We calculated the incremental cost-effectiveness ratio (ICER), which represent the costs to prevent the adverse outcome, here (1) the composite outcome of obstetric complications and (2) specifically neonatal trauma due to shoulder dystocia. ResultsMean costs of a one-day multi-professional team training in a medical simulation centre were €25,546 to train all personnel of one hospital. A single training in a medical simulation centre was less effective and more costly compared to strategies that included repetition training. Compared to no training, the ICERs to prevent a composite outcome of obstetric complications were €3432 for a single repetition training course on-site six months after the initial training and €5115 for a three monthly repetition training course on-site after the initial training during one year. When we considered neonatal trauma due to shoulder dystocia, a three monthly repetition training course on-site after the initial training had an ICER of €22,878. ConclusionMulti-professional team training in a medical simulation centre is cost-effective in a scenario where repetition training sessions are performed on-site.

美容専門学校の「現場実習」 : 専門学校における実践的な職業教育の内実

美容専門学校の「現場実習」 : 専門学校における実践的な職業教育の内実

Application of Digital Human Models to Physiotherapy Training

The importance of physiotherapy is becoming more significant with the increasing number of countries with aging populations. Thus, the education of physiotherapists is a crucial concern in many countries. Information and communications technologies, such as motion capture systems, have been introduced to sophisticate the training methods used in physiotherapy. However, the methods employed in most training schools for physiotherapists and occupational therapists remain dependent on more conventional materials. These materials include conventional textbooks with samples of traditional gait motion photographs and video archives of patients' walking motion. Actual on-site clinical training is also utilized in current physiotherapy education programs. The present paper addresses an application of a previously developed digital human model called the kinematic digital human (KDH) to physiotherapy education with a focus on improving students' understanding of the gait motion of disabled patients. KDH models for use in physiotherapy were constructed based on Rancho Los Amigos National Rehabilitation Center (RLANRC) terminology, which is considered the preferred standard among clinicians. The developed KDH models were employed to allow the three-dimensional visualization of the gait motion of a hemiplegic patient.

Grants and Acquisitions

The Claremont Colleges Library has been selected to receive a grant from Steelcase Education supporting the installation of an active learning classroom as part of the Active Learning Center program. With the installation of a classroom valued at $65,000, the Claremont Colleges Library will positively impact teaching and learning by supporting a variety of pedagogical approaches in a flexible and inclusive setting. The grant provides funding for modern, movable furniture, design support, onsite training, installation, and pre- and post- measurement tools. The new Steelcase Education learning environment will be installed in the Keck Learning Room on the second floor of the library by Tangram, the designated vendor for Steelcase Education, beginning in summer 2017. Installation is scheduled to be completed before the fall semester begins. The new classroom has height-adjustable tables perfect for creating a clear sightline between students and instructors, enabling optimal conversation and collaboration. The new space will enable librarians to incorporate active learning strategies into the classes they teach on information literacy, primary source literacy, and digital scholarship. It will also serve as the laboratory for the Center for Teaching and Learning housed in the library, which is funded by the Andrew W. Mellon Foundation. In addition to receiving a new classroom, the Claremont Colleges Library will receive training from Steelcase on the uses of the furniture and technology in this new space, and will also have the opportunity to share insights and best practices with other educational institutions.

UMass Researcher Turns Idea Into a Nationally Recognized Program

UMass Researcher Turns Idea Into a Nationally Recognized Program

Introducing onsite antenatal syphilis screening in Burkina Faso: implementation and evaluation of a feasibility intervention tailored to a local context

BackgroundAlthough the advantages of introducing point of care testing for syphilis in antenatal care (ANC) are well documented, there is little evidence on how to address structural issues within health systems. A better understanding of how these interventions work in a range of settings and contexts is needed in order to overcome bottlenecks at health system level. To better understand the relationships between implementation and context we developed and implemented an intervention focused on integrating a rapid screening test for syphilis in ANC services in rural primary health care facilities in Burkina Faso. This manuscript describes the intervention and reports on feasibility and acceptability of the intervention, the facilitators and barriers to the implementation of this intervention and the likelihood that point of care test for syphilis will become routinely incorporated in practice.MethodsIn Kaya Health and Demographic Surveillance System (Kaya HDSS), all 7 primary healthcare facilities were selected for intervention in 2013. A participatory approach was used to design and implement an antenatal syphilis screening intervention. The Normalization Process Model (NPM) proposed by May et al. was adapted in order to identify barriers and facilitators and to explore the likelihood to become routinely incorporated in practice. Registers, Observations (n = 14 ANC 1) of interactions between patients and health workers during ANC and interviews with health workers (n = 14) were our data sources.ResultsAn intervention that included onsite training, provision of supplies and medicines, quality control and supervision was implemented in 7 health facilities in 2013. Rapid syphilis test and treatment were delivered during ANC within the examination room with no specific additional mechanism regarding staff organization. The perceived barriers were lack of training of all staff, workload, stock-outs of consumables and lack of motivation of staff. Key facilitators included political environment, ease of use of test and acceptability to pregnant women.ConclusionsOnsite testing for antenatal syphilis is a feasible and acceptable intervention in ANC at primary health facility in Burkina Faso. The point-of care test for syphilis is more likely to be acceptable by health workers as routine service and incorporated as a normal practice.Trial registrationThe study was retrospectively registered on ClinicalTrials.gov under the Trial Registration Number NCT03156751.

Effect of a low-dose, high-frequency training approach on stillbirths and early neonatal deaths: a before-and-after study in 12 districts of Uganda

BackgroundPost-partum haemorrhage and neonatal asphyxia are the leading causes of maternal and newborn deaths, respectively, in Uganda. However, proven interventions that can save the lives of women and children are not being widely practised. Here, we assess the effects of two onsite training programmes for interventions to reduce deaths from post-partum haemorrhage and neonatal asphyxia, plus three different levels of performance support after the training in health-care facilities in 12 districts of Uganda.MethodsWe invited all public and some private non-profit health facilities that deliver babies in western and eastern regions of Uganda to participate. At all study sites, training in the Helping Mothers Survive and Helping Babies Breathe interventions was given to all health-care providers who attend births—medical doctors, clinical officers, midwives, nurses, and nurse assistants. The training consisted of low-dose, high-frequency onsite training followed by 20 weeks of provider-led practise with low-cost simulators. At all intervention sites, a midwife was designated as a clinical mentor or peer leader of simulation-based practice. We used a cluster randomised design to match districts for volume of births and presence of an operating theatre, and then randomly allocated districts to one of three training follow-up groups. A full-support group had onsite training supported with a peer practice coordinator and weekly practice sessions, supplemented with mobile messages to remind providers to practise. A partial-support group had an onsite training programme supported with a peer practice coordinator; and a control group received onsite training only. We collected routine monthly service-delivery statistics from the government Integrated Maternity Register (IMR) and introduced a supplemental maternity register to capture indicators not present in the IMR. Outcomes of interest were fresh stillbirths and neonatal deaths within 24 h at baseline and 6 months after the intervention. We had also aimed to study post-partum haemorrhage retained placenta, but no baseline data were available.FindingsBetween May, 2013, and May, 2016, training was delivered at 125 participating health facilities: 11 hospitals, 21 level IV health centres, 79 level III health centres, and 14 level II health centres. The control and partial-support groups had three hospitals each, but the full group had five hospitals, including the only regional referral hospital. The partial-support group had more level III and II (n=35) hospitals than did the full-support and control groups (n=29 each). The proportion of adverse birth outcomes (combined fresh stillbirths and neonatal deaths within 24 h), appeared to decrease significantly in all the study groups from baseline to 6 months post intervention: from 26·5 to 9·6 per 1000 livebirths (p<0·001) in the full support group, from 24·2 to 7·8 per 1000 livebirths (p<0·001) in the partial-support group, and from 17·2 to 9·5 per 1000 livebirths in the control group (p=0·008). We also noted a 47% reduction in retained placenta and a 17% reduction in post-partum haemorrhage between the intervention period and 6–9 months after the intervention.InterpretationFacility-based simulation training is feasible and can be effective in reducing adverse birth outcomes.FundingSaving Lives at Birth: a partnership of USAID, Norwegian Ministry of Foreign Affairs, Bill & Melinda Gates Foundation, Grand Challenges Canada and UK Aid.

An analysis of emergency leaves of absence from a United Kingdom high secure psychiatric hospital with a view to identifying ways to reduce their number

IntroductionEmergency leaves of absence (ELOAs) from high secure psychiatric care are both costly and increase the risk posed to staff, patients and the general public. ELOAs were analysed to identify whether greater on-site physical health provision could reduce their number, and quantify the potential financial saving to the trust to do so.MethodAll ELOAs from Broadmoor hospital between 15.5.15–14.11.15 were assessed by a team of psychiatrists and a GP to identify whether they were “avoidable”, “unavoidable” or “potentially avoidable” if measures were taken. For the “potentially avoidable” group, we then calculated the staffing cost of these LoAs to help ascertain whether these measures would be cost effective.ResultsThere were 30 ELOAs during the period assessed, costing £79,240 (Table 1). The table also shows which additional on-site services or training may have prevented these ELOAs, and the cost saving to the trust if they had.ConclusionsThe number of ELOAs from the hospital could be reduced by increased on-site physical health provision and training. This would improve the quality of care patients receive, as well as reducing both the cost to the trust and the risk posed to staff, patients and the general public. We must also consider the large potential cost and risks associated with a patient absconding from an ELOA.

Implementation of a Single-Visit Approach to Breast Care in Zambia

Abstract 11 Background: System-level barriers to care and low levels of awareness lead to late-stage presentation of breast disorders in resource-constrained environments. Simulating Zambia’s successful screen and treat approach to cervical cancer prevention, we designed and implemented an algorithm to improve breast care efficiency. Methods: In collaboration with the Zambian Ministry of Health and with support from the Susan G. Komen Breast Cancer Foundation, we initially expanded breast care capacity in Zambia through on-site training of mid- and high-level health care providers by international experts. By using this cadre of local experts, we then implemented a rural breast care camp of 1-week duration, during which breast self-awareness, psychosocial counseling, clinical breast examination, breast ultrasound, ultrasound-guided breast biopsy, histologic analysis of biopsy specimens, and treatment were offered to participants in a single-visit format. Results: Four hundred seventy-five women were evaluated during the camp. The mean age of participants was 34.5 (± 13.0) years. The majority of women were multiparous (81.9%), breast-fed (78.5%), and reported hormone use (54.1%). Abnormalities were detected on clinical breast examination in 33 women, 27 of which required ultrasound. Lesions were confirmed in 17 and evaluated by using ultrasound-guided core needle biopsy (12) or fine-needle aspiration (five). On-site imprint cytology was performed on all specimens and later confirmed by histology, with a concordance of 100%. Two cancers were detected. Three women with benign lesions underwent same-day surgery after histologic confirmation. Conclusion: Similar to the see-and-treat approach for cervical cancer prevention, the single-visit algorithm has the potential to vastly improve breast care efficiency in low-resource environments ( Fig 1 ). [Figure: see text] Funding: Susan G. Komen Breast Cancer Foundation. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST Leeya F. Pinder No relationship to disclose Aaron Shibemba No relationship to disclose Victor Kusweje No relationship to disclose Jean-Baptiste Nzayisenga No relationship to disclose Hector Chiboola No relationship to disclose Mary Amuyunzu-Nyamongo No relationship to disclose Catherine Mwaba Research Funding: Mylan (Inst) Travel, Accommodations, Expenses: Fresenius Susan Citonje Msadabwe Travel, Accommodations, Expenses: AstraZeneca Pavlo Lermontov No relationship to disclose Edgar Chikontwe No relationship to disclose Groesbeck P. Parham No relationship to disclose

Effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment.

To determine the effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment. In a tertiary hospital in Nigeria, clinical scenarios were created in April 2013 using known blood volumes in an objective structured clinical examination fashion. Doctors and nurses who worked in the obstetrics unit observed and recorded the blood volume at different clinical stations (first study stage). Subsequently, the actual amount of blood was revealed, followed by on-site training on the volume capacities of the study instruments. Three weeks later, the second stage of the study was performed like the first stage but using different amounts of blood for all stations. The differences in the mean errors of blood loss estimation between the two stages were determined. The analysis included 144 healthcare providers who completed both stages of the study. There were significant differences in the mean error of blood loss estimation before and after the training session for the following stations: delivery bed (P<0.001), sanitary pad 1 (P=0.001), sanitary pad 2 (P=0.001), delivery pad (P=0.001), floor (P<0.001), and laparotomy pad (P=0.001). Periodic education by simulation using clinical scenarios could improve the accuracy of visual blood loss estimation.

Educational system of laparoscopic gastrectomy for trainee-how to teach, how to learn.

The feasibility of laparoscopic gastrectomy (LG) has been gradually proven by several scientific works, however, proper training method for this kind of surgery are still under investigation and debate. Here we report our educational system of LG to enhance the skill of young surgeons in our hospital. Our training program for trainee consists of 3 years of junior residency and 2 years of senior residency programs, requiring 5 years in total. In order to master LG, three following factors seem to be essential: learning, practice and experience. Learning means that trainee study techniques and concepts by educational materials, such as operative videos, lectures, or textbook. Practice means animal laboratory training or dry box training to acquire hand-eye coordination or bi-hand coordination, leading to precise movement of surgical devices. Experience means actual on-site training, participating in clinical LG as scopist, assistant or operator. In the actual surgery, we have some common principles for scopist, assistant and operator, respectively, and these principles are shared by entire surgical team. These principles are transmitted from trainer to trainee using simple keywords repeatedly. In conclusion, combination and balance of the three factors, learning, practice and experience are necessary to efficiently advance education of LG for trainee and may leads to benefits for gastric cancer patients.

Interdisciplinary onsite team-based simulation training in the neonatal intensive care unit: a pilot report.

Simulation training improves individual clinician confidence, performance and self-efficacy in resuscitation and procedural training experiences. The reality of resuscitation experiences in the neonatal intensive care unit (NICU) is that they are team-accomplished events. However, limited data exist on team-based simulation training (TBST) in the NICU. We report the experience of TBST over a 4-year period. This is a retrospective report of 65 TBST events in a 71-bed Level IV NICU at a regional subspecialty children's hospital. Participants were more than 500 NICU staff, including neonatal/cardiac/surgical attendings, neonatal fellows, neonatal nurse practitioners, pediatric residents, registered nurses and respiratory therapists. Background work, common case scenarios, training objectives and learning opportunities were reported, along with discipline-specific, and team and system areas for improvement. Qualitative, subjective data were tracked and efforts at collecting quantitative, objective data are ongoing. Seventy-five TBST events were scheduled from November 2010 through December 2014; 10 of these were canceled. TBST events occurred both night (n=23) and day (n=42), and also on weekends (n=19), using high-fidelity (n=42) and low-fidelity (n=23) systems. Resuscitation team participants at each TBST were 12-30 providers and staff. The duration of each TBST event was 30-65 min including debriefing. Systems issues were identified and corrected, including problems activating the code pathway, issues using a pager activation system and confusion over resuscitation team roles and responsibilities. Educational needs were addressed, focused on topic areas that included arrhythmias and use of extracorporeal cardiopulmonary resuscitation. With appropriate planning and implementation, TBST is feasible and realistic in a busy NICU.

Developing a scalable training model in global mental health: pilot study of a video-assisted training Program for Generalist Clinicians in Rural Nepal.

In low- and middle-income countries, mental health training often includes sending few generalist clinicians to specialist-led programs for several weeks. Our objective is to develop and test a video-assisted training model addressing the shortcomings of traditional programs that affect scalability: failing to train all clinicians, disrupting clinical services, and depending on specialists. We implemented the program -video lectures and on-site skills training- for all clinicians at a rural Nepali hospital. We used Wilcoxon signed-rank tests to evaluate pre- and post-test change in knowledge (diagnostic criteria, differential diagnosis, and appropriate treatment). We used a series of 'Yes' or 'No' questions to assess attitudes about mental illness, and utilized exact McNemar's test to analyze the proportions of participants who held a specific belief before and after the training. We assessed acceptability and feasibility through key informant interviews and structured feedback. For each topic except depression, there was a statistically significant increase (Δ) in median scores on knowledge questionnaires: Acute Stress Reaction (Δ = 20, p = 0.03), Depression (Δ = 11, p = 0.12), Grief (Δ = 40, p < 0.01), Psychosis (Δ = 22, p = 0.01), and post-traumatic stress disorder (Δ = 20, p = 0.01). The training received high ratings; key informants shared examples and views about the training's positive impact and complementary nature of the program's components. Video lectures and on-site skills training can address the limitations of a conventional training model while being acceptable, feasible, and impactful toward improving knowledge and attitudes of the participants.