1. Primary Trauma Care Dr Rob McDougall FANZCA PTCF, Trustee

2. Primary Trauma Care Course Training doctors and first responders in the management of severe injury, in order to save lives and prevent complications 60 countries worldwide 14 languages

4. PTC SE Asia & Pacific Pacific Islands 1997 Indonesia2001 Papua New Guinea2002 Vietnam2002 Timor Leste2003 Mongolia2005 Myanmar2009 Cambodia2011

5. PTC China 300 two day courses in first two years 4000 doctors trained 400 instructors

6. PTC MM Timeline 2009201020112012 MarNovJanMarJunAugOctNovJanMarAugOctNovJanMarAugNovTOTAL F73362214212 P2222222222221227 I111115 R1113 Fm1113 today

7. PTC Programs in Myanmar...2009~2012 Programs27 Courses47 Candidates805 Instructors75 Supervisors10 *Trauma Symposium Jan 2010 Myanmar Medical Association Annual Meeting *Trauma Symposium Jan 2010 Myanmar Medical Association Annual Meeting

8. where are we now? 2 centres for training... Yangon & Mandalay a core of local instructors: -10~15 fledgling infrastructure that can operated effectively with international supervision 2 centres for training... Yangon & Mandalay a core of local instructors: -10~15 fledgling infrastructure that can operated effectively with international supervision

9. the Ministry of Health

10. Consensus Conference Development of Emergency Medicine 19, January 2012

11. PTC Challenges Governance Curriculum Review Standards Measurement and Evaluation Funding

12. PTCF Governance Moved to a professional model in 2011 Board of Trustees Council Local PTC Committee Part time staff –CEO –Administrator (Oxford) –Administrator (China)

13. Curriculum Review Standard manual Regional adaptations of other materials –Course format –Slides –MCQ Review of materials underway –Led by Council –Wide consultation

14. Standards Doctors, nurses, ambulance officers, first responders Multi-disciplinary courses in many countries Rural clinics, district hospitals, tertiary centres Certificate of attendance Valid exam difficult in two day course

15. Measurement and Evaluation Outputs –Courses run, participants Outcomes –Improvements in knowledge (Pre and Post MCQ) –Improvments in confidence –Qualitative Impact –$$$$$

16. Measurement and Evaluation PTCF/DFID Africa Project M&E checklist Volunteer UK doctor based in Malawi 12 month study –Large number of impact/output indicators –Clinical service delivery –Access to trauma care –Staff performance

17. Funding PTCF has low administrative costs PTCF needs a secure income stream –Quality assurance –Ongoing maintenance of educational materials

18. Funding PTCF has low administrative costs PTCF needs a secure income stream –Quality assurance –Ongoing maintenance of educational materials Should courses be “free”? –Attendance, commitment, ownership, dignity

19. Funding Local funding wherever possible Donors/Sponsors –RACS, ASA, AusAID, Kadoorie Foundation Course Fee Booking fee and donation model

20. PTCF www.primarytraumacare.org

21. Right now, over 70 000 operating rooms don’t have access to a pulse oximeter Make It 0