Using Learner-Centered and Distance-Based Methodologies to Effectively Train a Geographically Dispersed Workforce

Background- The Centers for Disease Control and Prevention's (CDC) Quarantine Border and Health Services Branch launched the Field Operations Training Center (FOTC) in September 2010. FOTC trains staff located in 20 CDC Quarantine Stations around the United States on standard operating procedures of core activities. Modules have included procedures for release of CDC-controlled immunobiologics, contact investigations for airline and maritime exposures to communicable diseases, and travel restrictions.

Methods- FOTC uses distance-based learning methodologies, learner-centered principles, and subject-matter expertise in instructional design. A virtual classroom using videoconferencing and sharing platforms allows learners to interact with each other in real time. Trainings feature a blend of active participation, learning reinforcement, and shared feedback. Case studies using audio clips, role play, and demonstrations trigger discussion and simulate decision-making. Participants complete pre- and post-tests and an evaluation.

Results- FOTC delivered training for eight core operational activities in 2011. On average, 47 (89%) of station staff completed each training. Average post-test scores (90%) were significantly improved over pre-test scores (69%) (p=0.001). Of 37 (78%) staff who completed evaluations, 86% indicated the interactive training enhanced their understanding of the subject, 92% believed the trainings will improve standardization of operations, and 84% believed the distance-learning technology was used effectively. The initial technological investments were offset by savings in travel, a shorter time in delivering trainings, and minimizing disruptions of operations.

Conclusions- FOTC's approach to training geographically dispersed quarantine station staff was well received by staff, effective in improving their skills, and resulted in overall cost savings.