How is PROMPT training implemented internationally? Expand PROMPT training has already been implemented in many countries around the world, in a variety of settings. PROMPT has the potential to benefit many more mothers and babies on a global scale and PMF are keen to support further international training opportunities. Currently, most international PROMPT training is implemented by individual maternity teams that attend a T3 day run by PMF faculty either in London, or their own country. This package allows teams to run training in their own unit. As experience in the implementation of PROMPT training grows, some teams wish to consider acting as trainers themselves in order to roll out PROMPT training to other units in their region. PMF are very keen to support these ventures in order to increase dissemination of PROMPT training, however, we are equally committed to ensuring that quality of training is maintained and the impact of PROMPT is maximised. In order for individual groups to disseminate PROMPT training to other units on a regional/national scale a comprehensive legal agreement, or a license for training, must be agreed with PMF. This arrangement for local training already exists in several countries around the world including Australia and New Zealand, USA and Singapore.
Which groups would be considered for an international PROMPT licence? Expand In general we have found that teams that are experienced in implementing PROMPT in their own unit are best placed to roll out training on a wider scale. Local dissemination of PROMPT training requires commitment to provide high quality, cost effective training for other units on a large scale. Groups wishing to take on this challenge should be able to demonstrate the necessary experience, financial and logistical backing that is required to support the venture. Most teams that have previously obtained licenses for local PROMPT training have been affiliated with national professional bodies (e.g. RCOG, RANZCOG) or respected academic institutions. This type of local endorsement of PROMPT undoubtedly improves the reach of training.
Opportunities for research? Expand The introduction of PROMPT training has been associated with significant improvements in maternal and neonatal clinical outcomes. Collection of outcome data alongside PROMPT training is encouraged in all units that implement PROMPT to assess on going efficacy of local training. Collaborators wishing to disseminate PROMPT on a wider scale throughout a country/region are in a unique position to collect research data that may help to assess the impact of PROMPT training on maternal and neonatal outcomes in a new setting. This type of research is essential for maximising the efficacy of global PROMPT training and provides valuable lessons that may help implement this training package to the benefit of more mothers and babies around the world. PMF would strongly encourage international collaborators to consider implementing research alongside any new national/regional training ventures. Links with academic institutions that may be able to support such research are often beneficial.
What additional training materials are required for PROMPT in international settings? Expand The PROMPT Manuals and ‘Course in a Box’ include all of the training materials required for in house training, however, these materials are produced specifically with UK practice in mind. When international teams attend a T3 day prior to implementing training in their own unit they are required to understand spoken and written English, and the standard UK course materials are used with the expectation that ‘in house’ localisation is undertaken for training in their own unit. However, when PROMPT training is distributed on a regional/national scale the comprehensive training material package will require localisation to reflect national guidelines, drug names and doses etc appropriate for that area. This may also include translation of the manuals into other languages. This process requires considerable time and resource and is usually undertaken by the local collaborators, although a legal agreement must be drawn up between all parties including PMF and our publishers, Cambridge University Press.
Financial implications of taking on a local PROMPT licence Expand PMF is a registered charity in the UK with the aim of making PROMPT training available across the world in both developed and underdeveloped settings. Individual teams attending PROMPT courses pay a one off fee, which allows them to run training at their own institution. PROMPT collaborators that wish to roll out training for other teams in their own country/region are required to purchase a License from PMF. This License would allow the international collaborators to disseminate training to local paying teams within the agreed territory. There are several financial models negotiated for use in different regions however, there is usually some degree of upfront payment for the License. This is in addition to any translation/training material localising costs already discussed above.
What are the next steps? Expand Any groups wishing to apply for a local license to roll out PROMPT training should apply for the international expression of interest form via PMF enquiries. This document aims to help the group shape their business plan for taking on localised PROMPT training and also enables the PMF team to assess the groups suitability for taking on a license agreement.