Continuous Professional Development

Introduction

A cadre of health professionals who are trained in the latest evidence-based methods and practices is a key component to a well-functioning health system that is adaptable to meet the needs of the population. Given this, Continuous Professional Development (CPD) is an important strategic instrument for improving health and social services. CPD contributes to performance improvement of health providers through standardizing skills according to evidence-based guidelines and practices, improving access to high quality care, enhancing the interactions between providers and facilitating dialogue. As such, since 2003 Juzoor has focused on implementing a number of activities in CPD to upgrade the knowledge base and improve technical skills and performance of providers in the various service settings throughout Palestine and in the region.

At Juzoor, Continuous Professional Development is viewed as both an internal and external process involving many dimensions. Within this philosophy, human resource development is considered a crucial element in not only developing skills, knowledge and attitudes, but also in helping to create an enabling environment whereby organizations can perform effectively, efficiently and in a sustainable manner.

Juzoor strives to bring evidence-based, internationally accredited training programs to the country such as the Advanced Life Support in Obstetrics (ALSO) training from the American Academy of Family Physicians and the Child Health Diploma from the UK’s Royal College of Pediatrics and Child Health.

Juzoor training programs are based on the latest evidence-based information, are grounded in adult learning principles, delivered according to the highest quality, incorporate innovative and dynamic methodologies, and follow a specific lifecycle.

We develop and invest in national teams of trainers in different specialties to deliver training programs according to the latest scientific updates and in accordance with best practices. Juzoor-affiliated instructors come from diverse backgrounds, representing the major stakeholders in the health sector (Ministry, UNRWA, NGOs and private practice), and the health and teaching institutions (universities, medical schools, nursing colleges and hospitals implementing residency training programs) all across the West Bank and Gaza Strip. In addition Juzoor forms strategic alliances on a national basis with bodies such as the Palestinian OB/GYN and Pediatric Societies, the Medical Syndicate and the Palestinian Medical Students’ Union, to ensure the sustainability of CPD activities. Finally, we maintain contact with our instructors, current and former trainees through a database which allows us to organize periodic follow-up activities and distribute updates and new evidence-based information as it becomes available.

In all CPD activities Juzoor targets providers from various sectors including Ministry of Health, UNRWA, NGOs and private practitioners

The CPD Unit organizes two main types of training programs: Emergency and Non-Emergency. The following are descriptions of the continuous professional development activities implemented by Juzoor:

    CPD Certified Courses

Advanced Life Support in Obstetrics (ALSO)

American Academy of Family Physicians
The ALSO program combines evidence-based hands-on simulation training with multidisciplinary team-based approaches to enable better management obstetric emergencies....
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AHA

HeartSaver First Aid CPR AED

AHA Authorized Training Center
Heartsaver® First Aid is a video-based, instructor-led course that teaches students critical skills to respond to and manage an emergency in the first few minutes until emergency medical services arrives...
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AHA

Basic Life Support (BLS) Course

AHA Authorized Training Center
The Basic Life Support (BLS) for Healthcare Providers Classroom Course is designed to provide a wide variety of healthcare professionals the ability to recognize several life-threatening emergencies, provide CPR, use an AED, and relieve choking in a safe, timely and effective manner...
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AHA

Advanced Cardiac Life Support (ACLS)

AHA Authorized Training Center
The American Heart Association’s ACLS Course builds on the foundation of lifesaving BLS for Healthcare Providers skills, emphasizing the importance of continuous, high-quality CPR. This advanced course highlights the importance of team dynamics and ...
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AHA

Pediatric Advanced Life Support (PALS)

AHA Authorized Training Center
The American Heart Association’s PALS Course enhances healthcare providers’ skills in the treatment of pediatric arrest and periarrest patients. The goal of the PALS Course is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes...
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AHA | AAP

Pediatric Emergency Assessment, Recognition and Stabilization (PEARS)

American Heart Association
The American Heart Association’s PEARS Course helps healthcare providers develop the knowledge and skills needed for emergency evaluation and treatment of seriously ill infants and children. PEARS teaches providers how to recognize ...
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AAP

Helping Babies Breathe (HBB)

American Academy of Pediatrics
HBB is an evidence-based educational program for neonatal resuscitation in resource-limited settings. HBB is an initiative of the American Academy of Pediatrics (AAP) in collaboration with ...
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AAP

Neonatal Resuscitation Program (NRP)

American Academy of Pediatrics
The NRP course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care for healthcare professionals who care for newborns at the time of delivery. NRP utilizes a blended learning approach, which includes hands-on case-based simulation/debriefing that focus on critical leadership, communication, and team-work skills.
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Trauma Team Training

Trauma and Disaster Team Response is a low-cost course designed to teach a multidisciplinary team approach to trauma evaluation and resuscitation. Through an inter-professional approach this course aims to improve teamwork skills and clinical practice relevant to trauma management. It highlights efficient use of resources and improvements of care provided to the injured patient. The course includes didactic component skills workshops and team building exercises simulation and case studies.
RCS

Basic Surgical Skills (BSS)

The Royal College of Surgeons of England
The Basic Surgical Skills (BSS) Course is designed to introduce surgical trainees to safe surgical practice utilizing demonstrations and hands-on skills-stations that emphasize proper surgical techniques. It sets the standard for safe, basic surgical techniques common to all forms of surgery including safe abdominal incision and excision of lesions, the suturing of skin, bowel and blood vessels, and tying of knots, handling sutures and surgical instruments. The practical stations involve the use of surgical instruments on animal tissue models.

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On-Demand Training Programs

Breastfeeding promotion and Protection: Juzoor has developed specialized expertise in this area and in cooperation with the medical and nursing school instructors; Juzoor has developed an updated breastfeeding curriculum with accompanying instructor training manual to standardize breastfeeding education for doctors, nurses and midwives in learning institutions throughout Palestine. The goal of the curriculum is to train students to provide accurate, effective, high-quality breastfeeding counseling to mothers.

Infection Prevention and Control: Juzoor has developed specialized expertise in IPC and has contributed to the development of national protocols in this area for primary health care and hospitals and continues to do so through model building of IPC programs at the hospital level, implementation of trainings, and provision of on-going system support for primary, secondary and tertiary health services.

Hospital Based Emergency Training: Juzoor implemented a hospital based emergency training program across the West Bank targeting doctors and nurses working in hospital emergency rooms. The methodology was prepared and validated by Johns Hopkins University.

Pre-hospital emergency Training: Juzoor also implements pre-hospital emergency training for doctors, nurses and community health workers working in primary health care centers or the community. These efforts have proven important during periods of conflict and crisis, helping providers appropriately respond to an increasing number of emergencies and injuries. These trainings also contribute to building the emergency response capacity of institutions and providers throughout the country, which have long-lasting developmental benefits beyond responding to the emergency needs. The methodology used is adapted from the first aid methodology of the Red Cross/Red Crescent.

Previous Programs

Child Health Diploma: Juzoor cooperated with Al Quds University in Jerusalem and the Royal College of Pediatrics and Child Health in the UK in offering a Palestinian Child Health Diploma for Palestinian doctors and nurses working with children in primary health care settings, as well as for first year pediatric residents. The diploma course focuses on the latest, evidenced-based knowledge and skills in child health issues encompassing a comprehensive approach to children’s health.

Mental Health in Primary Care: In cooperation with the Palestinian Ministry of Health and funded by the French Development Agency (AFD) through the UNDP, Juzoor implemented a project to train doctors and nurses working in primary health centers (PHCs) in practical skills to address a wide scope of mental health needs of PHC patients, particularly women and children.

PED FACTS: As children make up almost 50% of the Palestinian population Juzoor utilizes a simplified methodology prepared by the American Academy of Pediatrics for teachers and care givers in addressing pediatric emergencies. The training focuses heavily on prevention of accidents and basic care to address emergencies that happen in the community, stabilizing children and preventing further harm before they are able to access medical care.

National Protocols and Guidelines: Juzoor has contributed to the development of national protocols and curricula encompassing antenatal, perinatal, post natal care, maternal and child nutrition, gestational diabetes and hypertensive disorders of pregnancy and non-communicable diseases. Juzoor implements training in these areas as requested and according to need. Under contract by the Flagship Project, in cooperation with the Ministry of Health and local and international consultants, Juzoor coordinated the process to developed up-to-date, evidence-based Standards of Care and accompanying training curricula in Diabetes Mellitus, Bronchial Asthma and Hypertension. Pilot trainings have been implemented and planned for further roll out. The Ministry of Health will validate and implement the Standards of Care on a national level, so that they become the standard operating NCD protocols in the country. This work follows on a successful, similar project to develop protocols for the screening and management of Gestational Diabetes (GDM) and Hypertensive Disorders in Pregnancy (HDP), and advocating their acceptance nationally and training health services providers on how to effectively use these protocols to prevent, screen and manage these illnesses. Currently, Juzoor with local and international expertise, is building on these successes in addressing NCDs on a wider level among health providers and on the community level through the development of guidelines, protocol, training curricula and models of community based prevention and care.

CPD Success Stories

AHA: Hands-Only CPR

The success of the hands-only CPR awareness sessions that were conducted at partner organizations has led more people to inquire about the training courses presented by Juzoor, and become involved in these activities. It has expanded opportunities to engage participants in emergency preparedness and response activities as well as increased availability of targeted hospital services in the NGO sector.






IPC Workshop

The success of the IPC quality collaborative approach workshop introduced to partners the concept of addressing infection prevention needs as well as concepts of quality and safety in healthcare and the importance of hand hygiene as a basis for infection prevention. This encouraged partner organizations to identify an IPC committee for their facility and apply IPC standards. Partners began to enforce best IPC practices and to change staff behavior. In the follow up visits some centers had already put up the posters in their institutions, other institutions are requesting the hand hygiene materials.


AHA Training Courses

The hands-on, instructor-led training courses provided by Juzoor to partner organizations has encouraged students to teach and share the information and skills with their peers, who did not attend the courses, including providing CPR, relieving choking, and other skills needed to address medical emergencies. After the BLS/ACLS training conducted in April 2017, the trainees were very excited to share the information they learnt with their peers that did not participate in the courses. The medical director of their organization stated that, “a woman candidate excited about the training demonstrated in front of her colleagues without hesitation or inhibitions the skills she learnt”.

The Progress of the Basic Surgical Skills Course in Palestine

In 2011, Juzoor for Health and Social Development (Juzoor) along with the UN Relief and Works Agency (UNRWA), Augusta Victoria Hospital (AVH) and the Royal College of Surgeons of Edinburgh (RCSE) jointly launched the first Basic Surgical Skills Course (BSSC) in Palestine as credentialed by the RCSE. Over two highly practical days, the BSSC was successfully delivered by a UK team at AVH in East Jerusalem to 19 surgical trainees on safe operating techniques including safe abdominal incision and excision of lesions, skin suturing, bowel and blood vessels, tying of knots, and proper handling of surgical instruments through hands-on stations practicing on animal tissue models 1-2 .

In 2012, five senior Palestinian surgeons from the West Bank, East Jerusalem and Gaza participated in train-the-trainer sessions conducted by the UK faculty preparing them to deliver training sessions for the following year 3 and leading to the establishment of a Palestinian local faculty 4 . In 2014, the Palestinian faculty delivered the BSSC with mentoring from UK instructors, and the course was not only delivered in Jerusalem in 2015, but also in Ramallah in 2016 and in Nablus in 2017 1 .

After five years of mentoring Palestinian faculty by UK instructors, the Palestinian faculty took ownership of BSSC delivery in 2017, and the course was incorporated by the Palestinian Medical Council 1 . The BSSC is now held annually at Juzoor in Ramallah aiming to continue building local capacities and contribute to the development of the Palestinian health system.