The second part of the study consisted of structural trainings of all physician- and nursing staff in the ICU divided in groups of 3 nurses and 1 physician, using high fidelity MTW/CRM based simulation with a prefixed scenario.
Positive attitudes and knowledge about P-MFH care were considered key; however, currently, training on how to assist PMs varies from no training for some to clinical case discussions for junior physicians and 1,5-day trainings mainly for nurses (physicians lack time).
The majority of CCOPs did not institute a minimum number of patients physicians should enroll per year (65%), did not offer trainings or events where physicians could learn about the latest developments in cancer research (58%), but did provide some form of recognition to physicians with high levels of enrollment (62%).
Physicians preferred trainings that would last from several weeks to one to two months and combine theoretical information with practical experience in health care facilities.
In addition, with the frequent involvement in trainings and reinforcement program, any physician can keep up the skill and perform such scan relatively quickly.
Only 7 of the 28 core trainers who conducted educational sessions were physicians and only 6 of the 50 secondary trainings had audiences comprised solely of physicians.
MediCapt v1.0 was piloted in Bukavu, Democratic Republic of Congo (DRC) in January, 2014, with seven clinicians, all of whom were participants in Physicians for Human Rights PHRR) trainings on forensic documentation.
(IN7) Others suppose that the incentives to participate in such courses are insufficient for physicians with one interviewee assuming that "physicians mainly participate in CIPE trainings when they can receive CME credits".
(IN10) Interviewees also report that physicians participating in CIPE trainings often state they do not feel responsible for communication and defer to nurses.
It will be important to evaluate the effect of more extensive trainings, including those that work with physicians on a broader set of communication techniques.
