Murakami Soichi, Shichinohe Toshiaki, Kurashima Yo, Okada Kazufumi, Tsunetoshi Yusuke, Iizuka Ryoji, Ishii Wataru, Kandori Kenji, Irabu Shinichiro, Shinyama Naoki, Homma Hiroshi, Watanabe Masahiko, Hirano Satoshi
Center for Education Research and Innovation of Advanced Medical Technology, Department of Gastroenterological Surgery II, Hokkaido University Hospital, Sapporo, Japan.
Cadaver Trauma Surgery Training and Research Group, Tokyo, Japan.
World J Emerg Surg. 2025 May 29;20(1):45. doi: 10.1186/s13017-025-00608-4.
The decline in trauma cases and the increase in non-surgical treatments have reduced opportunities for trauma surgery training. This study examined the effectiveness of Cadaver-Based Educational Seminar for Trauma Surgery (C-BEST) as a lifelong educational tool for novice and experienced clinicians.
From 2017 to 2023, 117 clinicians with varying levels of experience participated in the C-BEST program at Hokkaido University. Participants included novice clinicians (median years post-graduation: 5) and experienced clinicians (median years post-graduation: 19). Each participant assessed their confidence in 21 trauma techniques before, immediately after, and 6 months post-course using a self-assessment of confidence levels (SACL) scale.
The analysis showed significant improvement in SACL scores immediately after the course, with confidence levels remaining sustained 6 months later. Novice clinicians demonstrated substantial skill acquisition, whereas experienced clinicians reported the reinforcement and refinement of existing skills.
C-BEST seems valuable as a training tool for the acquisition and retention of trauma surgery skills, addressing practical needs in trauma care. C-BEST provides an effective and sustained approach to trauma surgery skill development and retention across career stages. Further research on its long-term impact and applicability in diverse clinical settings is recommended.
创伤病例的减少和非手术治疗的增加减少了创伤外科培训的机会。本研究考察了基于尸体的创伤外科研讨会（C-BEST）作为新手和经验丰富临床医生终身教育工具的有效性。
2017年至2023年，117名经验水平各异的临床医生参加了北海道大学的C-BEST项目。参与者包括新手临床医生（毕业后中位数年限：5年）和经验丰富的临床医生（毕业后中位数年限：19年）。每位参与者在课程前、课程结束后立即以及课程结束6个月后，使用自信水平自我评估（SACL）量表评估他们对21种创伤技术的自信程度。
分析显示，课程结束后立即出现SACL评分显著提高，6个月后自信水平持续保持。新手临床医生展现出大量技能习得，而经验丰富的临床医生报告现有技能得到强化和完善。
C-BEST作为获取和保留创伤外科技能的培训工具似乎很有价值，满足了创伤护理的实际需求。C-BEST为跨职业阶段的创伤外科技能发展和保留提供了一种有效且持续的方法。建议进一步研究其长期影响以及在不同临床环境中的适用性。
