P-17 Implementing and evaluating culturally appropriate and standardized training methodologies: life support in obstetric emergencies course in Guyana

Methods: A collaborative effort between Northwell Health’s Family Medicine Service Line (FMSL) and GPHC faculty developed a standardized curriculum, adhering to American Academy of Family Physicians guidelines and tailored to GPHC’s limited obstetric rotation. Digital educational materials were provided prior to a two-day in-person training conducted in Georgetown in 2024, led by two certified physician instructors for resident physicians (n=13). Learners completed a post-evaluation survey rating experience (1-5 scale for relevance, presentation, utility) and changes in self-perceived confidence levels (pre-post). Qualitative data was coded and analyzed for themes.

Results: Learners (n=13) rated the course highly across all areas (relevance=4, presentation=5, utility=4). Average selfperceived confidence in managing obstetric emergencies increased from 3 to 5 (pre- to post-education). Qualitative feedback indicated 46% found the course highly relevant, 31% reported it filled training gaps, and 23% deemed it crucial for rural practice. Overall satisfaction with instruction, materials, and integration of the Guyanese clinical setting was 69%. Constructive feedback included technological barriers to accessing pre-work (31%) and a desire for more extensive hands-on training (31%).

Conclusion: The “Life Support in Obstetric Emergencies” program successfully delivered accessible, standardized, and culturally appropriate education, significantly improving resident physicians’ self-perceived confidence and addressing critical training gaps at GPHC. This highlights the importance of user-centric, context-aware training in LMICs. Future iterations should address technological access issues and expand practical hands-on learning opportunities.