|Priority no. 1. Facilitator: Selection||Broad range of qualifications (ILS & ALS).|
Facilitators were well-motivated.
|Junior ranks training more senior ranks.|
No advanced advertising to facilitators.
Lack of paramedic buy in/support.
New employees included as facilitators.
|Priority no. 2. Program Ownership||Reasonable collaboration between CQI, HRD, operations, and communications.||Ambulance base management was not formally embedded into the program.|
No direct oversight by base managers.
|Priority no. 3. Facilitator: Training||Covered content well.||Not enough time for training/mastery.|
Did not “upskill” on facilitation.
|Priority no. 4. Program Content and Materials||Content was clinically and locally applicable.|
Repetition of core concepts was good.
Training was quality-driven from start.
|Content was narrow/focused – can add more content as needed (e.g., airway).|
1 training material not available (tourniquets).
Concern for facilitator burnout.
|Priority no. 5. Program Structure: Format||Good for learning.|
Provides on-going instruction.
|TruShoC program felt short for learners.|
Possibly too many training modules.
|Priority no. 6. Program Structure: Logistics||On-shift is good timing.|
Able to collect all documentation.
|Need feedback loop to facilitators.|
Unsustainable on a large scale?