From: Extent, nature and consequences of performing outside scope of training in global health
Survey Question | Response | n/N | % |
---|---|---|---|
How often do HIC professionals perform clinically beyond their scope of training? | Always | 4/223 | 1.8 |
Frequently | 81/223 | 36.3 | |
Sometimes | 75/223 | 33.6 | |
Infrequently | 48/223 | 21.5 | |
Never | 15/223 | 6.7 | |
Do you believe it is appropriate for HIC-trained clinicians to perform beyond their scope of training? | Yes | 13/223 | 5.8 |
No | 65/223 | 29.2 | |
It depends | 123/223 | 55.2 | |
No response | 22/223 | 9.5 | |
Were you ever asked to perform clinical activities beyond your scope of training? | Yes | 109/223 | 48.9 |
If yes, number of times: | 1–3 | 39/105 | 37.1 |
4–10 | 31/105 | 29.5 | |
> 10 | 35/105 | 33.3 | |
No response | 4/109 | 3.7 | |
Did you ever perform clinical activities beyond your scope of training? | Yes | 67/109 | 61.4 |
If yes, number of times: | 1–3 | 27/64 | 42.2 |
4–10 | 19/64 | 29.7 | |
> 10 | 18/64 | 28.1 | |
No response | 3/67 | 4.5 | |
Why do you feel you were in a situation or situations in which you practiced clinically beyond your scope of training? (May select more than one answer.) | |||
 My training did not match my host’s expectations | 25/67 | 37.3 | |
 I had an inadequate level of supervision in-country | 14/67 | 20.9 | |
 I was inadequately prepared to decline practicing beyond my scope of training | 13/67 | 19.4 | |
 I perceived an inadequate level of available staff, equipment, or resources | 9/67 | 13.4 | |
 I overestimated my own capabilities | 5/67 | 7.5 | |
 I wanted to be able to perform a procedure/technique I was not very familiar with | 5/67 | 7.5 | |
 I did not seek adequate assistance when I needed it | 1/67 | 1.5 | |
 Other | 13/67 | 19.4 |