TEAMS project has generated numerous outputs of important significance for the advancement and development of EMTs training. The deliverable listed below are the product of a collaborative effort made by the TEAMS consortium partners. They integrate insight and understanding from both academic institutions and operational organizations drawing from different background, experience and visions.
The main outcome of TEAMS is expected to be the complete TEAMS Training Package and Platform, which will enable any EMT wishing to promote their teamwork competencies to download and use the learning framework developed in the course of the project.
TEAMS 2.0 – Training for Trainers for Emergency Medical Teams and European Medical Corps:
D 1.1. Scoping review
D 1.2. ToT curriculum framework
As part of the TEAMS project, it was recognised that for the onward development of the TEAMS training, it would be necessary to develop a cadre of trainers capable of delivering the training package developed in the first phase of the project.
The TEAMS training package has been trialled on two occasions in Germany September 2018, and Turkey October 2018 and refined through this process. The basis for a handbook on how to deliver the package has been outlined, describing in detail how to prepare and deliver the programme.
“Train the Trainer” curriculum is proposed after a: review of the literature and other train the trainer packages in the humanitarian domain; empirical observation of the delivery of the TEAMS simulation exercises in Germany in September 2018, and Turkey 2018; and, consultation via a questionnaire with the staff who delivered the training of the. A questionnaire (Appendix 1) was created from empirical observation; an ethnographic technique (Angrosino, 2007) (Appendix 2) was utilised by two researchers whilst observing the delivery of the TEAMS training package. The questionnaire was then completed by six Humedica staff in Germany, and three Turkish staff who were involved in delivering the training of the TEAMS package. It was completed in full by the six Trainers, an Exercise Director and, in part, by two Coordinators. The empirical observation was particularly effective in providing data for the construction of the ToT curriculum framework, this concurs with Cross et al (2010) that ‘observational assessment of actual skills in delivering the training would be a useful measure of trainer ability’.
Curriculum framework development and Delphi study
The first internal meeting held in Italy on July 2017 was devoted to analyzing and discussing the outcomes of Task B of the Project, in particular (a) to analyze and assess EMCs/EMTs training needs; (b) to analyze current and existing training models focused on operational team training and assessment of the gaps; and (c) define the training areas and development of the training framework.The team from the Humanitarian and Conflict Response Institute (HCRI) at Manchester University reported that the topic of EMC/EMT training has been extensively studied primarily following the Haitian earthquake in 2010, Haiyan Typhoon in the Philippines in 2013, and the earthquakes in Nepal (2015) and Ecuador (2016). These studies led to the publication of competencies required by an EMT when engaging in humanitarian relief work in affected areas. These competencies were presented and discussed.The discussion led to a conclusion that most training programs currently available for EMTs are lacking in addressing the core competencies. These programs need to be extended and in particular, they need to include an immersive, practical exercise of gained skills and knowledge.The discussion then moved to assess curricula. It was proposed that development of the appropriate curricula for EMTs training should follow several modules, which correspond to the competencies identified: operational environment, equipment and logistics, safety and security, psycho-social aspects, group dynamics, culture awareness and language, humanitarian environment and systems, communication, data collection, minimum data sets, etc.HCRI presented the result of their Delphi study, aimed at engaging experts in the field of humanitarian aid and EMTs in comprising the best approach to EMTs training. Results were presented and discussed. The discussion concluded that there are some best-practice pointers that should be considered when generating an EMTs training package, including: context- and operational-based approach, use of immersive simulations, emphasis on a shared and integrated process, multidisciplinary approach, focus on the medical aspects of EMTs (including public health), special attention to group dynamics, leadership and communication, and peer-evaluation based feedback. Above all, the training needs to be simple (“Keep It Simple”) – to integrate, to perform, to maintain.The meeting concluded with group work aimed at consolidating curricula topics into training sessions according to time and means of execution. Results of all groups were compared and conclusions were generated through consensus.
Introduction to the TEAMS Training Package
Following a successful process of discussion and deliberations between consortium partners and stakeholder organizations, such as who, the TEAMS project has produced a set of complete eight innovative blended learning teaching materials and simulation-based exercises. These exercises, coupled with the specific evaluation tools designed to assess training EMTs’ performance and improvement, will comprise the TEAMS Training Package. The package will be made available on an online learning platform fitted for use at any time.
- TEAMS Exercises Concept Notes
- TEAMS Training Package User Guide