Page 100 - JSOM Summer 2020

funding constraints. Some of the observations from the series TCCC-MP Course Completeness
of four course appraisals are presented below. Table 1 shows the number of JTS-recommended slides and
videos used in the TCCC-MP training courses that were
Overview of Course Appraisals appraised.
• Total number of TCCC students: 184
• Military training sites: 4 Table 2 shows the percentage of JTS-recommended slides and
• Civilian training sites: 0 videos that were used in the appraised TCCC-MP training
• TCCC-MP courses offered through the NAEMT train- courses.
ing network: 2
• Non-NAEMT TCCC-MP courses: 1 TABLE 2 Percentage of JTS-Recommended Slides and Videos Shown
• TCCC-MP taught as part of a larger course for medical by Course
personnel: 1 Percentage of Percentage of
Site Slides Shown (%) Videos Shown (%)
Previous TCCC Experience of Students Trained Site A 71.1 100.0
• Percent of students who had received TCCC training Site B 56.8 90.5
previously: 72% (132/184) Site C 63.1 97.6
• Percent of students who had applied tourniquets in Site D 0.9 21.4
combat prior to this training course: 20% (37/184)
Metrics Used to Ensure Adequate TCCC Knowledge and
Extent to Which the Appraised Courses Used the Skills Acquisition:
JTS-Recommended TCCC-MP Training Materials • Number of courses that used JTS-approved TCCC Skills
• Courses that failed to use all of the approved JTS Sheets as a metric of learning: 3/4 (75%)
TCCC-MP curriculum slides and videos: 4/4 (100%; see Note: All four courses used all of the JTS-approved
Tables 1 and 2)* TCCC Skill Sheets except for one course taught for a
• Courses with instructor drift from approved TCCC-MP SOF unit that does not train or equip nasopharyngeal
course: 4/4 (100%) airways and did not use that skill sheet.
• Most frequently omitted portions of the JTS TCCC-MP • Number of courses that administered a TCCC Final
curriculum: Exam as a learning metric: 4/4 (100%)
o Critical Decision Case Studies: 4/4 (100%) • Number of questions on course final exams: 50 (All four
o TCCC Scenarios: 4/4 (100%) courses used a 50-question test and gave students 1 hour
o Direct from the Battlefield: 3/4 (75%) to complete it.)
*In some cases, the module was taught, but the JTS-developed • Number of courses that used exclusively JTS-recom-
slides were not used. mended TCCC-MP questions to develop the final TCCC
exam: 1/4 (25%)
Additional TCCC Training Modalities Used for TCCC-MP • Number of courses that used JTS-recommended TCCC
Courses: Critical Decision- Making Test as a metric of learning:
• Simulators or part-task trainers used for specific skills: 0/4 (0%)
4/4 (100%) • Number of courses that used simulators or moulaged
• Moulaged patients used: 4/4 (100%) patients as a performance metric (used as a pass-fail cri-
• Live tissue training used: 1/4 (25%) teria rather than just as a training adjunct): 4/4 (all four
• Graded trauma lanes to test for integrated skills: 0/4 courses used simulators; three courses used moulaged
(0%) patients.)

TABLE 1 Number of JTS-Recommended Slides and Videos Presented in Each Course Appraised
Critical
Introduction Care Tactical Tactical Decision TCCC Direct from the
to TCCC Under Fire Field Care Evacuation Care Case Studies Scenarios Battlefield SUM
SLIDES
No. of Slides
in Block 45 73 398 48 139 109 47 859
Site A 45 73 398 48 0 0 47 611
Site B 31 67 353 37 0* 0* 0 488
Site C 45 67 382 48 0 0 0 542
Site D 0* 0* 8 0* 0 0 0* 8
VIDEOS
No. of Videos 2 11 29 0 0 0 0 42
in Block
Site A 2 11 29 0 0 0 0 42
Site B 2 10 26 0 0 0 0 38
Site C 2 10 29 0 0 0 0 41
Site D 2 3 4 0 0 0 0 9
*Module was taught, but JTS curriculum slides were not used.

98 | JSOM Volume 20, Edition 2 / Summer 2020