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Advanced Life Support Course e-ALS and “traditional” ALS David Pitcher 1 January – 30 September 2013 ALS Instructor Day 2013
Advanced Life Support Course
e-ALS and “traditional” ALS
David Pitcher
1 January – 30 September 2013
ALS Instructor Day 2013
No conflicts of interest
ALS Instructor Day 2013
• Learning Management System available from January 2012
•All ALS centres used the LMS from
January 2013
ALS Instructor Day 2013
Number of courses on LMS
438
190 ALSe-ALS
2012
ALS Instructor Day 2013
Number of candidates on the LMS
9446
3607 ALSe-ALS
2013
2012
ALS Instructor Day 2013
General data 2013
ALS Instructor Day 2013
-10.0%
10.0%
30.0%
50.0%
70.0%
90.0%
Doctor Nurse ResuscitationOfficer
Ambulate Staff Medical Student ODP Other
e-ALS
ALS
Doctor Nurse RO Ambulance Med Stud ODP Other 0
Professional roles
ALS Instructor Day 2013
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
Anaesthetics Critical Care EmergencyMedicine
Medicine Pre-Hosptial Resuscitation Surgery Other
e-ALS
ALS
Anaes Crit C Em Med Med Pre-hosp Resus Surgery Other
Candidate’s speciality
ALS Instructor Day 2013
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
Medicalstudent
F1 F2 ST1 orequivalent
ST2 orequivalent
Middle grade(ST3 or
above, SpR,Staff Grade;
orequivalent)
Senior grade(Consultant,
AssociateSpecialist; orequivalent)
Band 4-6 Band 7-9 Other
e-ALS
ALS
Med F1 F2 ST1 ST2 ST3+ Cons/ Nurse Nurse Other Stud Assoc Band Band Spec 4-6 7-9
Candidate’s grade
ALS Instructor Day 2013
• Almost 90% worked in NHS hospitals • 60% had no previous ALS training • Approx 50% reported being “core
members” of resuscitation teams
ALS Instructor Day 2013
e-ALS course
ALS Instructor Day 2013
Status Pass Re-sit Fail Pending No Show
Completed 3286 65 71 40 5
Accessed 44 0 0 4 2
Not Accessed 37 6 4 36 7
e-ALS ALS in perspective
ALS Instructor Day 2013
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Pass Re-test Fail Pending No-Show
Completed
Accessed
NotAccessed
Pass Re-sit Fail Pending No show
e-ALS ALS in perspective
ALS Instructor Day 2013
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Pass Re-test Fail Pending No-Show
Completed
Accessed
NotAccessed
Status Pass Re-sit Fail Pending No Show
Completed 3286 65 71 40 5
Accessed 44 0 0 4 2
Not Accessed 37 6 4 36 7
Pass Re-sit Fail Pending No show
e-ALS ALS in perspective
ALS Instructor Day 2013
e-ALS ALS algorithm
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Pass Re-test Fail Pending No-Show
Completed
Accessed
NotAccessed
Status Pass Re-sit Fail Pending No Show
Completed 3248 62 69 38 5 Accessed 70 2 2 3 2 Not Accessed 49 7 4 39 7
Pass Re-sit Fail Pending No show
ALS Instructor Day 2013
Causes and prevention of cardiac arrest
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Pass Re-test Fail Pending No-Show
CompletedAccessedNot Accessed
Status Pass Re-sit Fail Pending No Show
Completed 3146 58 69 35 3 Accessed 68 4 0 0 0 Not Accessed 153 9 6 45 11
Pass Re-sit Fail Pending No show
ALS Instructor Day 2013
Bradycardia, pacing and drugs module
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
Pass Re-test Fail Pending No-Show
Completed
Accessed
Not Accessed
Pass Re-sit Fail Pending No show
ALS Instructor Day 2013
Decisions relating to resuscitation module
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Pass Re-test Fail Pending No-Show
Completed
Accessed
Not Accessed
Pass Re-sit Fail Pending No show
ALS Instructor Day 2013
• 3607 e-ALS candidates • 66 862 unique visitors (not just e-ALS) • 192 261 visits to LMS (not just e-ALS)
• Average approx. 16 min/visit • Average approx. 13 pages/visit • Bounce rate 18%
Use of e-learning modules
ALS Instructor Day 2013
Days and times of visits September 2013
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
ALS Instructor Day 2013
ALS Instructor Day 2013
Operating systems used
• Windows 136 545
• Mac 36 128
• iOS 15 788
• Android 2 661
• Other 1 118
ALS Instructor Day 2013
2-day ALS course
ALS Instructor Day 2013
ALS algorithm module
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Pass Re-test Fail Pending No-Show
Completed
Accessed
Not Accessed
Pass Re-sit Fail Pending No show
Status Pass Re-sit Fail Pending No Show
Completed 5264 110 105 41 12
Accessed 2294 56 61 38 11
Not Accessed 1264 47 50 78 15
ALS Instructor Day 2013
Pre-course MCQ e-ALS: 3% did not complete ALS: 4% did not complete
P R F ? DNA P R F ? DNA
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Pass Re-test Fail Pending No-Show
e-ALS
ALS
Pass Re-sit Fail Pending No show
Course type Pass Re-sit Fail Pending No Show
e-ALS 3367 71 75 80 14
ALS 8822 213 216 157 38
Overall results by course type
ALS Instructor Day 2013
• Similar pass rates for e-ALS and ALS • Currently 30% of ALS courses e-ALS • Fewer learners per course on e-ALS • Most learners doctors or nurses • Specialty of limited relevance • More failures if e-ALS not completed • More no-shows if e-ALS not accessed • Possibly unrelated to module topic
Conclusions
ALS Instructor Day 2013
