Table 2

Content of ToT training materials and training methods used

ToT training materialsTraining methods used
Core clinical knowledge-based component
  • Type 2 diabetes

  • Hypertension, hypertension in pregnancy and severe hypertension

  • Asthma

  • Chronic obstructive pulmonary disease

  • Primary and secondary prevention of cardiovascular disease, incorporating WHO risk charts37

Interactive Microsoft PowerPoint presentations
Case-based small group discussion
Use of PCI clinical guides for each topic
Practical skills component
Clinical skills
  • Diabetic foot examination

  • Inhaler technique and how to measure peak expiratory flow

Small group teaching
Practical peer assisted learning
Communication skills
  • Breaking bad news

  • Motivational interviewing techniques for smoking cessation

Drama, debate, role play
Health education advice
  • Dietary planning for a family in a refugee setting

Small group discussion and peer assessment
Operational skills component
Leadership, team working and trainer skillsInteractive Microsoft PowerPoint presentation
Case based small group discussion
Task sharing, clinic flow, medical records, chronic disease registers, quality improvement
  • PCI, Primary Care International; ToT, Training of Trainer.