Gowen Jared T, Sexton Kevin W, Thrush Carol, Privratsky Anna, Beck William C, Taylor John R, Davis Ben, Kimbrough Mary K, Jensen Hanna K, Robertson Ronald D, Bhavaraju Avi
Division of Trauma and Acute Care Surgery, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
J Med Educ Curric Dev. 2020 Nov 19;7:2382120520973214. doi: 10.1177/2382120520973214. eCollection 2020 Jan-Dec.
To evaluate and analyze the efficacy of implementation of hemorrhage-control training into the formal medical school curriculum. We predict this training will increase the comfort and confidence levels of students with controlling major hemorrhage and they will find this a valuable skill set for medical and other healthcare professional students.
After IRB and institutional approval was obtained, hemorrhage-control education was incorporated into the surgery clerkship curriculum for 96 third-year medical students at the University of Arkansas for Medical Sciences using the national Stop The Bleed program. Using a prospective study design, participants completed pre- and post-training surveys to gauge prior experiences and comfort levels with controlling hemorrhage and confidence levels with the techniques taught. Course participation was mandatory; survey completion was optional. The investigators were blinded as to the individual student's survey responses. A knowledge quiz was completed following the training.
Implementation of STB training resulted in a significant increase in comfort and confidence among students with all hemorrhage-control techniques. There was also a significant difference in students' perceptions of the importance of this training for physicians and other allied health professionals.
Hemorrhage-control training can be effectively incorporated into the formal medical school curriculum via a single 2-hour Stop The Bleed course, increasing students' comfort level and confidence with controlling major traumatic bleeding. Students value this training and feel it is a beneficial addition to their education. We believe this should be a standard part of undergraduate medical education.
评估并分析将出血控制培训纳入正规医学院课程的效果。我们预计该培训将提高学生控制大出血的舒适度和信心,并且他们会发现这是一套对医学生和其他医护专业学生有价值的技能。
在获得机构审查委员会(IRB)和机构批准后,利用全国性的“止血”项目,将出血控制教育纳入阿肯色大学医学科学分校96名三年级医学生的外科实习课程。采用前瞻性研究设计,参与者在培训前后完成调查问卷,以评估他们之前控制出血的经验、舒适度以及对所学技术的信心水平。课程参与是强制性的;调查问卷的完成是自愿的。研究人员对学生的个人调查回复不知情。培训结束后进行了知识测验。
实施“止血”培训后,学生在所有出血控制技术方面的舒适度和信心显著提高。学生对该培训对医生和其他 allied health professionals(辅助医疗专业人员)的重要性的认知也存在显著差异。
通过一个2小时的“止血”课程,可以有效地将出血控制培训纳入正规医学院课程,提高学生控制重大创伤性出血的舒适度和信心。学生重视这种培训,并认为这是他们教育中的有益补充。我们认为这应该是本科医学教育的标准组成部分。