Extent, nature and consequences of performing outside scope of training in global health

Table 2 Perceptions, Prevalence, and Reasons Related to POST by Health Professionals During STEGH

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

ISSN: 1744-8603