Using standard tools, trainees' reaction to the course and factual knowledge during the immediate post-course and six months after the training were assessed.
Level 1 is the evaluation of trainees' reaction to the training and this assessment would inform about the acceptability of the training as a favorable reaction to the course might yield better learning and training outcomes.
This paper is one of the series of papers from the project, which present findings from a longitudinal design that measured knowledge-based mastery during the immediate post-course and six months after the training and also reports trainees' reaction to the training.
While a paper evaluation at the end of the training is helpful, it will also be important to monitor trainees' reactions during the actual training.
In Krikpatrick level 1 training evaluation, trainee reaction to the training showed that, trainees were content with the training; on the appropriateness of the course for their work, trainers' competence, interpersonal communication with the trainers, with the training materials, training objectives and on the skills training.
Ten studies explicitly reported trainee reactions; while 7 studies examined trainee knowledge, attitudes or self-efficacy; 16 studies evaluated team behaviours, processes or emergent states (eg, teamwork climate, safety climate, trust); and 13 studies evaluated clinical processes or patient outcomes (see online supplementary appendix).
The debriefing will exist of three phases: reaction of trainees, analysis of performance and take home messages.
The majority of the trainees has reported favourable reaction to the training, but many of them did not achieve knowledge-based mastery in the immediate post training although the knowledge retention six months post training was encouraging.
Several studies have focused on reactions from trainees using simulation-based training, and among the advantages found were: improved self-confidence and self-efficacy, and improved feeling of being proficient [ 18, 19].
Reactions from Focus the Nation's student trainees were beyond encouraging, and pretty much everyone who saw the thing said that it should be made more widely available.
Empathy training and mindful practice — the skills involving awareness of one's emotional reactions, values, beliefs and biases — are becoming fundamental elements of a curriculum to teach medical trainees to become compassionate physicians.
