Shi Qian, Coates Angela, Engels Paul T, Rice Timothy J
Department of Surgery (Shi, Coates, Engels, Rice), McMaster University; Trauma Program (Coates, Engels, Rice), Hamilton General Hospital, Hamilton Health Sciences, Hamilton, Ont.
CMAJ Open. 2020 Nov 16;8(4):E715-E721. doi: 10.9778/cmajo.20190185. Print 2020 Oct-Dec.
Canada's shift toward nonoperative trauma management, coupled with the implementation of competency-based medical education, has highlighted the lack of quantitative knowledge about the volume and quality of exposure to operative trauma training experiences among Canadian general surgery residents. We aim to quantify the exposure to specific operative trauma domains during residency over time and across participating Canadian training programs and to perform an environmental scan of the nonoperative clinical exposure and other formal and informal trauma education provided to general surgery residents across Canadian training programs.
Trauma Resident Exposure in Canada and Operative Numbers (TraumaRECON) is a retrospective, multicentre study of operative trauma procedures involving the participation of general surgery residents in Canada. Participating sites will populate a data abstraction form outlining operative trauma data points as abstracted from eligible trauma operative charts via each site's trauma registry. They will also complete a survey of the nonoperative clinical and other educational opportunities in trauma care to which general surgery residents are exposed in participating general surgery training programs. The primary outcome of this study will be the volume of operative trauma cases that general surgery residents are exposed to during their residency in Canada. Secondary outcomes will include the association between time of occurrence during the day for trauma operations and resident participation, operative volume stratified by postgraduate year of training, volume of missed operative trauma opportunities, volume of operative trauma cases by type, and the operative role of residents involved in trauma operations.
The need for competency in operative trauma management will always exist; however, with potentially limited operative trauma volume, this standard may prove difficult to achieve for the next generation of general surgery residents in Canada. Results of TraumaRECON will provide a quantitative commentary on the operative trauma volume experienced by general surgery residents in Canada to inform future teaching practices in the context of competency-based medical education.
加拿大向非手术创伤管理的转变，以及基于能力的医学教育的实施，凸显了加拿大普通外科住院医师在手术创伤培训经历的数量和质量方面缺乏定量知识。我们旨在量化加拿大住院医师培训期间随着时间推移以及在参与的加拿大培训项目中，对特定手术创伤领域的接触情况，并对加拿大各培训项目中普通外科住院医师所接受的非手术临床接触以及其他正式和非正式创伤教育进行环境扫描。
加拿大创伤住院医师接触情况与手术数量（TraumaRECON）是一项回顾性多中心研究，涉及加拿大普通外科住院医师参与的手术创伤程序。参与站点将填写一份数据摘要表，概述从各站点的创伤登记处通过符合条件的创伤手术图表提取的手术创伤数据点。他们还将完成一项关于普通外科住院医师在参与的普通外科培训项目中所接触到的创伤护理非手术临床和其他教育机会的调查。本研究的主要结果将是加拿大普通外科住院医师在住院期间接触到的手术创伤病例数量。次要结果将包括创伤手术在一天中的发生时间与住院医师参与情况之间的关联、按研究生培训年份分层的手术量、错过的手术创伤机会量、按类型划分的手术创伤病例量，以及参与创伤手术的住院医师的手术角色。
手术创伤管理能力的需求将始终存在；然而，鉴于手术创伤量可能有限，加拿大下一代普通外科住院医师可能难以达到这一标准。TraumaRECON的结果将对加拿大普通外科住院医师所经历的手术创伤量进行定量评估，以便在基于能力的医学教育背景下为未来的教学实践提供参考。
