Department of Pediatrics, Section of Emergency Medicine, University of Chicago Medicine, 5841 S Maryland Ave, Mailcode 0810, Chicago, IL, 60637, USA.
Department of Surgery, University of Chicago Medicine, 5841 S Maryland Ave, Chicago, IL, USA.
BMC Med Educ. 2020 Apr 28;20(1):131. doi: 10.1186/s12909-020-02038-z.
Optimal performance of the primary and secondary survey is the foundation of Advance Trauma Life Support care. Despite its importance, not all primary surveys completed at level 1 pediatric trauma centers are performed according to established guidelines (Gala et al., Pediatr Emerg Care 32:756-762, 2016, Carter et al., Resuscitation 84:66-71, 2013). We hypothesize that rapid cycle deliberate practice (RCDP) will improve surgical residents' confidence in performing the primary and secondary survey.
We developed a curriculum to teach surgical interns the principles of performing the primary and secondary survey using RCDP. Surveys distributed after each session assessed the impact of the curriculum on learner confidence and perception that this curriculum would benefit patient care. Questions were scored on a 5-point Likert scale. Sixteen surgical interns participated during intern orientation and 100% of the participants completed the post curriculum survey.
Thirteen (81%) of participants agreed or strongly agreed that the simulation would impact future performance in the pediatric trauma bay. The curriculum also significantly improved the confidence of our learners to perform trauma surveys (p < 0.001).
This curriculum improves the confidence of junior surgical residents in learning the primary and secondary survey. Most learners enjoyed the session and felt that the curriculum would positively impact their performance.
初级和次级评估的最佳表现是高级创伤生命支持护理的基础。尽管其重要性不言而喻，但并非所有在一级儿科创伤中心完成的初级评估都符合既定指南（Gala 等人，《儿科急诊护理》32:756-762，2016 年，Carter 等人，《复苏》84:66-71，2013 年）。我们假设快速循环审慎实践（RCDP）将提高外科住院医师进行初级和次级评估的信心。
我们开发了一门课程，使用 RCDP 教授外科住院医师执行初级和次级评估的原则。每次课程结束后进行的调查评估了课程对学习者信心的影响，以及他们认为该课程将有益于患者护理的看法。问题采用 5 分李克特量表进行评分。16 名外科住院医师在内科实习期间参加了课程，100%的参与者完成了课程后的调查。
13 名（81%）参与者同意或强烈同意模拟将对未来在儿科创伤病房的表现产生影响。该课程还显著提高了学习者进行创伤评估的信心（p<0.001）。
本课程提高了初级外科住院医师学习初级和次级评估的信心。大多数学习者喜欢该课程，并认为该课程将对他们的表现产生积极影响。
