Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France.
Department of Neurosurgery, Sainte-Anne Military Hospital, 1, Boulevard Sainte Anne, BP 600, 8800 Toulon cedex 9, France.
Neurochirurgie. 2021 Sep;67(5):454-460. doi: 10.1016/j.neuchi.2021.03.005. Epub 2021 Mar 22.
A specific training course was formalized in 2007 in order to facilitate the management of cranio-encephalic injuries by French military general surgeons during deployment, within the Advanced Course for Deployment Surgery (ACDS). The objective is to evaluate the neurosurgical pre-deployment training course attended by the military surgeons.
From June 2019 to September 2019, we conducted a cross-sectional survey in the form of a digital self-completed questionnaire, addressed to all graduated military surgeons working in the French Military Training Hospitals. The survey included: (1) a knowledge assessment; and (2) a self-assessment of the training course. The participating surgeons were classified into two groups according to their participation (group 1) or not (group 2) in the neurosurgical module. The main outcome was the score received on the knowledge assessment.
Among the 145 military surgeons currently in service, 76 participated in our study (53%), of which 49 were classified in group 1 (64%) and 27 in group 2 (36%). Group 1 surgeons had a significantly higher score than Group 2 at the knowledge assessment (mean 21.0±7.1 vs. 17.8±6.0, P=0.041). The most successful questions were related to TBI diagnosis and surgical technique, while the least successful questions dealt with "beyond emergency care" and surgical indications.
The French pre-deployment neurosurgical training course provides a strong neurosurgical background, sufficient to perform life-saving procedures in a modern conflict situation. However, neurosurgical specialized advice should be solicited whenever possible to assist the in-theatre surgeon in surgical decisions.
2007 年，为了便于法国普通外科军医在部署期间管理颅脑损伤，在部署外科高级课程（ACDS）中正式开设了一门特定的培训课程。目的是评估参加神经外科部署前培训课程的军医的情况。
2019 年 6 月至 2019 年 9 月，我们以数字自我完成问卷的形式进行了一项横断面调查，调查对象为在法国军事训练医院工作的所有毕业的军医。调查包括：（1）知识评估；（2）对培训课程的自我评估。根据是否参加神经外科模块，将参加的外科医生分为两组：（1）组 1（49 人，64%）和（2）组 2（27 人，36%）。主要结果是知识评估中获得的分数。
在现役的 145 名军医中，76 人参加了我们的研究（53%），其中 49 人被归类为组 1（64%），27 人被归类为组 2（36%）。组 1 外科医生在知识评估中的得分明显高于组 2（平均 21.0±7.1 vs. 17.8±6.0，P=0.041）。最成功的问题与 TBI 诊断和手术技术有关，而最不成功的问题涉及“超出紧急护理”和手术指征。
法国部署前神经外科培训课程提供了强大的神经外科背景，足以在现代冲突情况下进行救生程序。但是，应尽可能征求神经外科专业意见，以协助战区外科医生做出手术决策。
