高级创伤手术管理课程的开发与评估
Development and evaluation of the advanced trauma operative management course.
作者信息
Jacobs Lenworth M, Burns Karyl J, Kaban Jody M, Gross Ronald I, Cortes Vicente, Brautigam Robert T, Perdrizet George A, Besman Anatole, Kirton Orlando
机构信息
Department of Traumatology, University of Connecticut, Trauma Program at Hartford Hospital, 06102-5037, USA.
出版信息
J Trauma. 2003 Sep;55(3):471-9; discussion 479. doi: 10.1097/01.TA.0000059445.84105.26.
BACKGROUND
The Advanced Trauma Operative Management (ATOM) course was developed as a model for teaching operative trauma techniques to surgical residents, fellows, and attending surgeons as the number of these cases decreases.
METHODS
The ATOM course consists of lectures and a porcine operative experience. Comprehensive evaluation of ATOM was designed to assess participant learning in the cognitive, affective, and psychomotor domains. Data on the first 50 participants were prospectively collected and analyzed.
RESULTS
Participants included 20 expert traumatologists, 9 general surgeons, 9 trauma fellows, 8 general surgery fifth-year residents, and 4 general surgery fourth-year residents. All groups showed improvement in knowledge, with results in the expert and fellow groups reaching statistical significance. Self-efficacy (self-confidence) also improved, with all groups reaching statistical significance.
CONCLUSION
This course creates life-like situations in a standardized fashion that, along with didactic instruction, improves knowledge and operative confidence for practicing surgeons and surgeons-in-training.
背景
随着创伤手术病例数量的减少，高级创伤手术管理（ATOM）课程被开发出来，作为向外科住院医师、研究员和主治外科医生传授手术创伤技术的一种模式。
方法
ATOM课程包括讲座和猪手术实践。ATOM的综合评估旨在评估参与者在认知、情感和心理运动领域的学习情况。前瞻性收集并分析了前50名参与者的数据。
结果
参与者包括20名创伤专家、9名普通外科医生、9名创伤研究员、8名普通外科五年级住院医师和4名普通外科四年级住院医师。所有组的知识水平都有所提高，专家组和研究员组的结果达到统计学显著性。自我效能感（自信心）也有所提高，所有组均达到统计学显著性。
结论
本课程以标准化的方式创造逼真的情境，与理论教学一起，提高了执业外科医生和实习外科医生的知识水平和手术信心。
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