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Complete PMC article via Europe PMC XML: Methods/Evaluation, Results/Table 2, Post Disaster Interviews and Discussion
Checked 16 October 2026 · Clinics/organizations in 18 California counties; 2006–2008 exercises and 2007 San Diego wildfires
Thai/English summaries are project paraphrases, not official translations or endorsement of the original study.
Research question
How do TTXs with clinic support relate to plan changes and reported use during actual fires?
Method and context
Evaluation of 90 TTXs; 30 sites followed at three months, including 23 CHCs assessed on 15 plan criteria; seven trained professionals interviewed after wildfires.
Study summary
Three-month plan follow-up plus reported real-fire transfer; related evidence, not 6–12-month team assessment.
Findings
Plan components in 23 CHCs rose from 158/345 at exercise to 254/345 at three months; interviewees described exercise-informed evacuation, roles and contacts.
Contribution
Connects organizational improvement tracking with community-service transfer accounts.
Interpretation limits
Self-selection, roughly one-third follow-up and concurrent support; seven incident interviewees, unspecified exercise-to-wildfire interval, no objective live-team score or 6/12-month outcomes.
A question for further research
Project proposal: track clinic/EOC corrective-action closure at months 6/12 and test contacts/service access in CPX; use only authorized incident AARs without disrupting care.
A starting point for a study design: extend the literature search, specify methods and outcomes, and assess ethics requirements for the data and participants.
Explore the team assessment framework informed by this study
Proposed pilot, not an instrument endorsed by the original researchers
Connect evidence to KSEC / OBE
Project-proposed critical-appraisal evidence, not research findings or accreditation criteria from the original authors.
- K
- Explain the question, concepts and findings with locators in the original.
- S
- Compare methods, variables and limitations with another study before designing a test or CPX.
- E
- Separate reported results from your proposals, cite originals and examine implications for vulnerable groups.
- C
- Record responses to critique and revisions after new evidence. Observe behaviour repeatedly, not from a single reading.
Related learning modules
- Design a CPX from intended outcomes
- From knowledge resources to OBE and KSEC assessment
- EOC, common operating picture and crisis decisions
Related knowledge domains
Original-study citation
Virginia Fowkes; H. John Blossom; Christian Sandrock; Brenda Mitchell; Kendra Brandstein (2010). Exercises in Emergency Preparedness for Health Professionals in Community Clinics. Journal of Community Health, 35(5), 512–518. https://doi.org/10.1007/s10900-010-9221-1
Verify details against the original and format for your journal or institution. Titles and author names follow the source.