Development of a context-appropriate emergency care short course competency framework for Saudi Armed Forces medics

Alshaabani, Tariq

Development of a context-appropriate emergency care short course competency framework for Saudi Armed Forces medics

Thesis / Dissertation

2026

Publisher

University of Cape Town

Department

Division of Emergency Medicine

Faculty

Faculty of Health Sciences

Abstract

Background Saudi Armed Forces medics require specialised emergency care training tailored to conflict-zone conditions. Existing trauma programs, such as International Trauma Life Support, do not fully address their unique needs. This doctoral programme of work aimed to develop a context-appropriate short course competency framework to enhance their preparedness Methods A multi-method approach was used. A scoping review examined the epidemiology of injuries in Middle Eastern conflict zones. A quantitative survey identified training priorities from military medical experts. Qualitative focus groups with trainees and instructors explored gaps in existing training. Batt's six-step model was then used to develop a competency framework for military medics in conflict settings. Results This study combined insights from a wide range of research methods to uncover areas where current training for Saudi Armed Forces medics could be improved. The scoping review shed light on the frequency and severity of extremity and thoracic injuries in regional conflict zones. Expert surveys highlighted top-priority skills like bleeding control, chest trauma management, and shock intervention. Meanwhile, qualitative findings revealed training challenges such as a lack of contextual relevance, limited psychological preparation, and insufficient scenario-based learning. These findings were integrated to develop a proposed competency framework designed using Batt's six-step model. Discussion Findings highlight the need for a tailored competency framework that integrates evidence-based trauma care with operational realities. Strategies for skill retention, competency-based assessments, and faculty training are essential for long-term effectiveness. Additionally, psychological preparedness and decision-making under pressure emerged as critical components. Implementing ongoing mentorship and simulation-based learning may further enhance medics' ability to apply skills in high-stress environments. Conclusion This thesis proposes a practical and context-specific competency framework tailored to the needs of Saudi military medics. Grounded in educational theory and real-world evidence, it lays the foundation for future piloting and evaluation, with the goal of improving emergency care training in military settings.

Keywords

armed forces

medic

Reference:

Collections

PhD / Doctoral

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