As far as I can tell, APLS courses are decreasing in frequency in the UK as well. PALS/EPALS seems to be the more frequent choice and - again, only as far as I can tell - is increasing in numbers.
I personally did APLS a couple of times during my latter training years, both times with the intention of being nominated as an instructor on it (I find that for me teaching is the most useful way to keep things in the front of my mind). I did not succeed in getting the nomination either time. This was a surprise to me, as I was already an instructor and course director at the time on ALS (similar to ACLS) and GIC and ATLS and ATLS Instructor courses. I also scored 100% on all tests. It was not possible to obtain a satisfactory explanation of why I was not nominated.
And so I did what any dedicated, conscientious professional would do when faced with such an obstacle, just begging to be surmounted - I gave up!
Sorry. It's my nature.
I took an EPALS course, passed, got nominated and have been an instructor on it since. I don't get to do too much PEM in my practice, so this is quite an important tool in my personal CME box, for my own knowledge.
I thus have not seen the APLS syllabus/programme for over 10 years, but from what I recall and from what I hear from others, here's what I currently believe:
- The switch to the 2-day format appears to have been associated with a PERCEIVED loss - TO SOME EXTENT - of whatever it was that made this course better for physicians than PALS/EPALS
- If one is going to learn all of one's PEM emergencies from a 2-day course, but do nothing beyond that and one is a physician, APLS is the course to choose
- For the majority of people, though, the "added value" of any materials/instruction that APLS has over PALS/EPALS is something people can pick up outside the course. They only need some course to get them started and safe and either course can do that, with PALS/EPALS thus dedicating the full time to do fewer things - the necessities - more solidly for less money
- Once colleague of mine that I know to be an excellent instructor on "everything" and who teaches on both courses and who is a senior PEM doc recommends to her trainees and everyone else that they should prefer EPALS to APLS when choosing a course to do (unless the dates are too inconvenient)
Again, the above is based mostly on what I gather from others, not on a proper analysis of feedback.
From: Pediatric Emergency Medicine Discussion List <[log in to unmask]> on behalf of D. Scott Moore, DO, MS <[log in to unmask]>
Sent: 11 March 2019 18:20
It seems to me that there are relatively few APLS courses these days. This
is an excellent course as I remember it and much more informative and
useful than PALs. Why aren't there more of these classes out there?
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