Introduction Assessment, monitoring, and evaluation have been a required part of Global Health Engagement but difficult to accomplish. The current assessment, monitoring, and evaluation frameworks require implementation at the start of the project and are not designed to use for already existing programs. Tactical Combat Casualty Care (TCCC) is a standardized course now offered in 89 countries, but there has not been a standardized method of evaluating the quality across programs. Ghana’s TCCC program began in March 2022 and provides a platform for development of a new method of evaluation globally. Methods In this study, a standardized trauma scenario was performed by two groups of students, one who completed a TCCC Medical Provider course in Fort Detrick, MD and one who completed the course in Accra, Ghana. The students were scored using a standardized Trauma Assessment Score Sheet and the scores compared across the two groups. Results The mean Trauma Assessment Score was 58.5% in the United States and 58.3% in Ghana, with no statistically significant difference between the two groups (P-value of .97). When regressed for confounding variables such as years of experience and deployment, the two groups still had no statistically significant difference (P-value of .783). Discussion The two groups achieved similar mean scores despite significantly different testing environments and experience levels. Written post-test scores did not correlate well due to multiple confounding factors and appear to be a less accurate representation of student understanding and application than the Trauma Assessment Score. Conclusion This study demonstrates use of a standardized scenario with graded checklist to compare between international programs. This can be used to and expanded to compare programs and support quality assurance and medical interoperability.

中文翻译：

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战术战斗伤亡护理课程后使用标准化创伤评估工具的试点研究：美国和加纳的比较

简介 评估、监测和评价一直是全球卫生参与的必要组成部分，但很难实现。当前的评估、监测和评估框架需要在项目开始时实施，并且不适用于现有计划。战术战斗伤亡护理 (TCCC) 是一门标准化课程，目前在 89 个国家/地区提供，但还没有评估各个项目质量的标准化方法。加纳的 TCCC 计划于 2022 年 3 月启动，为全球新评估方法的开发提供了平台。方法 在本研究中，由两组学生执行标准化创伤情景，一组学生在马里兰州德特里克堡完成了 TCCC 医疗提供者课程，另一组学生在加纳阿克拉完成了该课程。使用标准化创伤评估评分表对学生进行评分，并比较两组的分数。结果 美国的平均创伤评估分数为 58.5%，加纳的平均创伤评估分数为 58.3%，两组之间无统计学显着差异（P 值为 0.97）。当对经验年数和部署等混杂变量进行回归时，两组仍然没有统计学上的显着差异（P 值为 0.783）。讨论 尽管测试环境和经验水平存在显着差异，但两组的平均得分相似。由于多种混杂因素，笔试后的分数并没有很好地相关，而且与创伤评估分数相比，它似乎不太能准确地代表学生的理解和应用。结论 本研究展示了使用带有分级检查表的标准化场景来比较国际项目。这可以用于和扩展以比较程序并支持质量保证和医疗互操作性。