2004, Number 1
<< Back Next >>
Trauma 2004; 7 (1)
Degree of basic trauma knowledge of beginning interns
Lima GV, Chávez RG
Language: Spanish
References: 12
Page: 24-29
PDF size: 64.89 Kb.
ABSTRACT
Background: Trauma training is a priority in continuous
medical education; this could reflect insufficient academic
formation in this area; the degree of basic trauma knowledge in
a sample of beginning interns was investigated, in order to
identify trauma training needs during this career stage.
Method:
A questionnaire about basic trauma concepts (twenty questions)
was applied, and the mean grade was determined. Grades were
compared between interns who had attended trauma classes and
those who had not, and between interns who considered themselves
qualified to manage an injured patient and those who did not,
using independent samples Student’s t or Mann-Whitney’s U. The
rate of questions with a correct answer percentage over 60% and
over 80% was determined.
Results: Sixty four questionnaires were
applied; grades ranked from 15 to 60 (mean 40.7, SD ± 9.51, 95%
CI 39.51 to 41.89). Grade mean was higher among interns who had
attended trauma classes (41.8 vs 18.3, p = 0.0004). Seven questions
(35%) had over 60% correct answers, five (25%) had over 80% correct
answers.
Discussion: Training needs during this career stage are
high, and represent an opportunity area to be covered by Medicine
schools and Faculties, as well as by medical associations concerning
trauma care.
REFERENCES
Mattox KL, Feliciano DV, Moore EE. Trauma. 4th ed, New York, McGraw-Hill 2000: 1514.
American College of Surgeons. Committee on Trauma. Advanced Trauma Life Support. Chicago, American College of Surgeons 1997: 462.
Thompson MJ, Skillman SM, Johnson K, Schneeweiss R, Ellsbury K, Hart LG. Pacific Islands Continuing Clinical Education Program Study Team. Assessing physicians’ continuing medical education (CME) needs in the U.S.-associated Pacific jurisdictions. Pac Health Dialog 2002; 9: 11-16.
Trejo M JA, Larios MH, Velasco J MT, Hernández LA, Martínez VN, Cortés GMT. Evaluación de la competencia clínica de los alumnos al iniciar el internado médico de pregrado. Rev Fac Med UNAM 1998; 41: 108-113.
Olvera SMR, Silva RR, Wilkins GA, Than GMT, Huerta MF, Díaz de León PM. La educación en las maniobras de reanimación cardiopulmonar y cerebral es la clave del éxito. Rev Asoc Mex Med Crit y Ter Int 2002; 16: 23-28.
Fakhry SM, Watts DD, Michetti C, Hunt JP. EAST Multi-Institutional Blunt Hollow Viscous Injury Research Group. The resident experience on trauma: declining surgical opportunities and career incentives? Analysis of data from a large multi-institutional study. J Trauma 2003; 54: 1-7.
Lee SK, Pardo M, Gaba D, Sowb Y, Dicker R, Straus EM, Khaw L, Morabito D, Krummel TM, Knudson MM. Trauma assessment training with a patient simulator: a prospective, randomized study. J Trauma 2003; 55: 651-657.
Ali J, Adam RU, Josa D, Pierre I, Bedaysie H, West U, Winn J, Haynes B. Comparison of performance of interns completing the old (1993) and new interactive (1997) Advanced Trauma Life Support courses. J Trauma 1999; 46: 80-86.
Ali J, Cohen RJ, Gana TJ, Al-Bedah KF. Effect of the Advanced Trauma Life Support program on medical students’ performance in simulated trauma patient management. J Trauma 1998; 44: 588-591.
Ali J, McDonald A, Newnham M. Improving medical undergraduate trauma education through the Trauma Evaluation and Management programme at Mona. West Indian Med J 2003; 52: 45-48.
Ali J. The trauma evaluation and management (TEAM) teaching module: its role for senior medical students in Canada. Can J Surg 2003; 46: 99-102.
Ali J, Adam R, Williams JI, Bedaysie H, Pierre I, Josa D, Winn J. Teaching effectiveness of the trauma evaluation and management module for senior medical students. J Trauma 2002; 52: 847-851.