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Table 5 Summary of articles focused on setting

From: Effective in-service training design and delivery: evidence from an integrative literature review

Citation

Study design

Participants

Intervention

Key findings

Coomarasamy A and Khan K 2004 (link to the follow-up study, Raza A et al. 2009)

Systematic review: 23 articles reviewed to determine the effect of stand-alone compared to clinically integrated teaching in EBM

Post-graduate physicians, allied health professionals

Technique: multiple, focus on case-based

Sufficient evidence to support the use of clinically integrated teaching over stand-alone education. While stand-alone teaching improved knowledge, there were no improvements in skills, attitudes or behaviours, whereas clinically integrated teaching showed improvements in knowledge, skills, attitude and behaviour.

Media: live

Frequency: both single and multiple

Crofts J et al. 2007

Prospective RCT to explore if knowledge acquisition is influenced by training setting or teamwork training

Senior doctors, junior and senior midwives

Technique: team-based vs interactive

Statistical evidence supported the use of live, multi-professional, obstetric emergency training to increase midwives’ and doctors’ knowledge of obstetric emergency management. However, neither the location of training either in a simulation centre or in local hospitals, nor the inclusion of teamwork training, made any significant difference to the acquisition of knowledge in obstetric emergencies.

Total of 140 participants; interdisciplinary teams of four or six in four blocks

Media: live

Country: UK

Frequency: single

I1 = 1-day interactive at hospital (no team-based training); I2 = 1-day interactive at simulation centre (no team-based training); I3 = 2-day team training at hospital; I4 = 2-day interactive in simulation centre

Main outcome measured by a 185 multiple-choice questionnaire completed 3 weeks before and 3 weeks after the training intervention.

Ellis D et al. 2008

Same study design as Crofts et al. 2007

Same participants as Crofts et al. 2007

Same intervention as Crofts et al. 2007

Statistical evidence to support the use of live, eclampsia training to increase providers’ performance rate for completion of basic tasks. Neither the location (simulation centre or in local hospitals), nor the inclusion of teamwork training made any significant difference to the performance results for basic task completion.

  1. EBM Evidence-based medicine, I Intervention.