高级创伤生命支持计划对医学生模拟创伤患者管理表现的影响。

Effect of the Advanced Trauma Life Support program on medical students' performance in simulated trauma patient management.

作者信息

Ali J, Cohen R J, Gana T J, Al-Bedah K F

机构信息

Department of Surgery, University of Toronto, Ontario, Canada.

出版信息

J Trauma. 1998 Apr;44(4):588-91. doi: 10.1097/00005373-199804000-00005.

DOI:10.1097/00005373-199804000-00005

PMID:9555827

Abstract

BACKGROUND

Part of the senior medical students' examination at the University of Toronto involves testing with simulated patient management. We compared the performance in these simulations of senior medical students who received Advanced Trauma Life Support (ATLS) training with those who did not receive ATLS training.

METHODS

Thirty-two students (group I) completed a standard ATLS course, 12 students (group II) audited the ATLS course, and their performance in the trauma simulations was compared with 44 matched control students (group III) from the same class. Performance in the nontrauma patient simulation stations was also analyzed. The score on each station was standardized to a maximum of 20. The students were also graded on overall Approach (scale of 1 to 5) and pass status.

RESULTS

The mean scores (+/-SD, p < 0.05 compared with other groups) were as follows: Trauma Station, 17.5 +/- 1.02 for group I, 11.76 +/- 0.72* for group II, and 14.67 +/- 0.54* for group III; Nontrauma Station, 13.05 +/- 0.95 for group I, 12.25 +/- 0.72 for group II, and 11.88 +/- 0.80 for group III; Approach, 4.45 +/- 0.50* for group I, 2.09 +/- 0.60* for group II, 3.50 +/- 0.67* for group III. The ATLS-trained and ATLS-audit students had higher scores in the trauma stations than the control group, with the highest scores being in the ATLS-trained group. All ATLS-trained students passed with 62.5% honors and 37.5% passing grades. The ATLS-audit group had 33.3% honors and 66.6% passing grades, compared with the control group who had 84.09% pass, 9.09% borderline, and 6.82% failure in the trauma stations.

CONCLUSIONS

The ATLS course, both complete and audit status, prepares students more appropriately for managing trauma patients as judged by trauma simulation scenarios. Consideration should be given for including ATLS as an integral part of the senior medical student curriculum.

摘要

背景

多伦多大学高年级医学生考试的一部分涉及模拟患者管理测试。我们比较了接受高级创伤生命支持（ATLS）培训的高年级医学生与未接受ATLS培训的学生在这些模拟测试中的表现。

方法

32名学生（第一组）完成了标准的ATLS课程，12名学生（第二组）旁听了ATLS课程，并将他们在创伤模拟中的表现与来自同一班级的44名匹配的对照组学生（第三组）进行比较。还分析了非创伤患者模拟站的表现。每个站点的分数标准化后最高为20分。学生们还在整体方法（1至5分制）和通过状态方面进行了评分。

结果

平均分数（±标准差，与其他组相比p<0.05）如下：创伤站，第一组为17.5±1.02，第二组为11.76±0.72*，第三组为14.67±0.54*；非创伤站，第一组为13.05±0.95，第二组为12.25±0.72，第三组为11.88±0.80；方法，第一组为4.45±0.50*，第二组为2.09±0.60*，第三组为3.50±0.67*。接受ATLS培训和旁听ATLS课程的学生在创伤站的得分高于对照组，得分最高的是接受ATLS培训的组。所有接受ATLS培训的学生均通过考试，其中62.5%为优秀，37.5%为及格。旁听ATLS课程的组中，优秀率为33.3%，及格率为66.6%，而对照组在创伤站的通过率为84.09%，临界通过率为9.09%，不及格率为6.82%。