Dr. Carol C. Chen, MD FAAP

2018 Hellman Fellow


Assistant Professor, Department of Emergency Medicine and Pediatrics Affiliate Faculty, Global Health Sciences

Project Title: Pilot Trial and Evaluation of a Novel Pediatric Emergency Medicine Curriculum in Tanzania

Project Summary:

Lack of emergency medical care has been identified as an important factor contributing to lower survival rates of critically ill children in low resource settings, such as in Tanzania, Africa.  Despite this fact, there have been very few published training programs focused on pediatric emergencies for such settings.  In response to this need, the African Federation for Emergency Medicine (AFEM) created a working group of pediatric emergency medicine (PEM) and global health experts to create a PEM curriculum that would be freely available to train providers across the continent of Africa.  The development of this curriculum is currently underway and is tiered to target several cadres of providers, from pre-hospital providers to emergency medicine specialists.  Once completed, it will be piloted in Dar Es Salaam, Tanzania, in collaboration with my co-investigator, Dr. Upendo George, who is a faculty member of the Emergency Medicine Department of Muhimbili National Hospital, the country’s national referral hospital.  This study aims to investigate the acceptability and effectiveness of this novel PEM curriculum by conducting a mixed methods study.  A non-randomized, controlled pilot study will examine the association between this curriculum and providers’ self-efficacy, fund of knowledge, changes in practice behavior, and patient outcomes.  A qualitative study will also be conducted to examine the attitudes and perceptions of participating providers about the acceptability and effectiveness of the curriculum.  Results of this study will be used to revise and improve the curriculum prior to its release by AFEM.