Journal of Trauma and Injury

  • 제33권4호
  • /
  • Pages.219-226
  • /
  • 2020
  • /
  • 2799-4317(pISSN)
  • /
  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
권호 표지
DOI QR코드

DOI QR Code

The Effectiveness of Simulation Training in an Advanced Trauma Life Support Program for General Surgery Residents: A Pilot Study

  • Kim, Myoung Jun (Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Lee, Jae Gil (Department of Surgery, Yonsei University College of Medicine) ;
  • Lee, Seung Hwan (Department of Trauma Surgery, Gachon University Gil Medical Center)
  • 투고 : 2020.06.04
  • 심사 : 2020.08.31
  • 발행 : 2020.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: Although the Advanced Trauma Life Support (ATLS) course is now taught internationally, it has not been implemented in Korea. In recent years, interest has increased in simulation as a teaching tool in the ATLS course. We therefore hypothesized that simulation training would be a useful adjunct to the ATLS course. Methods: We designed a 1-day curriculum that included skill development workstations, expert lectures, trauma patient simulations, and group discussion for general surgery residents. We conducted a survey to evaluate participants' level of understanding of the initial evaluation and treatment of trauma patients, their degree of knowledge and technical improvement, their satisfaction with the learning goals, and their overall satisfaction with the curriculum. We then analyzed the effects before and after the training. Results: Nine residents attended this course. None of the residents initially reported that they could perform a primary survey of trauma patients. The analysis revealed significant improvements after training in the questionnaire areas of "assembly of the team and preparation for resuscitation of a trauma patient" (p=0.008), "performance of a primary survey for trauma patients" (p=0.007), "resuscitative procedures for trauma patients" (p=0.008), "importance of re-evaluation" (p=0.007), "identifying the pitfalls associated with the initial assessment and management" (p=0.007), and "importance of teamwork" (p=0.007). Conclusions: After the ATLS simulation training, all participants showed significant improvements in their understanding of how to manage multiple trauma patients. Therefore, ATLS simulation training for residents will help in the management of trauma patients.

키워드

참고문헌

  1. Styner JK. The birth of Advanced Trauma Life Support (ATLS). Surgeon 2006;4:163-5. https://doi.org/10.1016/S1479-666X(06)80087-9
  2. van Olden GD, Meeuwis JD, Bolhuis HW, Boxma H, Goris RJ. Clinical impact of Advanced Trauma Life Support. Am J Emerg Med 2004;22:522-5. https://doi.org/10.1016/j.ajem.2004.08.013
  3. Ali J, Adam R, Stedman M, Howard M, Williams J. Cognitive and attitudinal impact of the Advanced Trauma Life Support program in a developing country. J Trauma 1994;36:695-702. https://doi.org/10.1097/00005373-199405000-00017
  4. American College of Surgeons Committee on Trauma. ATLS®: student manual. 9th ed. Chicago (IL):American College of Surgeons;2012.
  5. Borggreve AS, Meijer JMR, Schreuder HWR, Ten Cate O. Simulation-based trauma education for medical students: a review of literature. Med Teach 2017;39:631-8. https://doi.org/10.1080/0142159X.2017.1303135
  6. Holcomb JB, Dumire RD, Crommett JW, Stamateris CE, Fagert MA, Cleveland JA, et al. Evaluation of trauma team performance using an advanced human patient simulator for resuscitation training. J Trauma 2002;52:1078-85; discussion 1085-6. https://doi.org/10.1097/00005373-200206000-00009
  7. Hammond J. Simulation in critical care and trauma education and training. Curr Opin Crit Care 2004;10:325-9. https://doi.org/10.1097/01.ccx.0000140950.47361.c9
  8. Girdley FM, Cohen DJ, Birnbaum ML, Bowman RM. Advanced Trauma Life Support: assessment of cognitive achievement. Mil Med 1993;158:623-7. https://doi.org/10.1093/milmed/158.9.623
  9. Mohammad A, Branicki F, Abu-Zidan FM. Educational and clinical impact of Advanced Trauma Life Support (ATLS) courses: a systematic review. World J Surg 2014;38:322-9. https://doi.org/10.1007/s00268-013-2294-0
  10. Ben-Abraham R, Stein M, Shemer J, Kluger Y, Barzilay Z, Paret G. Advanced Trauma Life Support (ATLS) courses: should training be refocused towards rural physicians? Eur J Emerg Med 1999;6:111-4. https://doi.org/10.1097/00063110-199906000-00005
  11. Scott DJ. Patient safety, competency, and the future of surgical simulation. Simul Healthc 2006;1:164-70. https://doi.org/10.1097/01.SIH.0000244453.20671.f2
  12. Windsor JA. Role of simulation in surgical education and training. ANZ J Surg 2009;79:127-32. https://doi.org/10.1111/j.1445-2197.2008.04829.x
  13. Cherry RA, Ali J. Current concepts in simulation-based trauma education. J Trauma 2008;65:1186-93. https://doi.org/10.1097/TA.0b013e318170a75e
  14. Motola I, Devine LA, Chung HS, Sullivan JE, Issenberg SB. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach 2013;35:e1511-30. https://doi.org/10.3109/0142159X.2013.818632
  15. Marshall RL, Smith JS, Gorman PJ, Krummel TM, Haluck RS, Cooney RN. Use of a human patient simulator in the development of resident trauma management skills. J Trauma 2001;51:17-21. https://doi.org/10.1097/00005373-200107000-00003
  16. Ali J, Al Ahmadi K, Williams JI, Cherry RA. The standardized live patient and mechanical patient models--their roles in trauma teaching. J Trauma 2009;66:98-102. https://doi.org/10.1097/TA.0b013e318193ba84
  17. Knudson MM, Sisley AC. Training residents using simulation technology: experience with ultrasound for trauma. J Trauma 2000;48:659-65. https://doi.org/10.1097/00005373-200004000-00013
  18. Aboud ET, Krisht AF, O'Keeffe T, Nader R, Hassan M, Stevens CM, Ali F, Luchette FA. Novel simulation for training trauma surgeons. J Trauma 2011;71:1484-90. https://doi.org/10.1097/TA.0b013e3182396337
  19. Wali E, Pinto JM, Cappaert M, Lambrix M, Blood AD, Blair EA, et al. Teaching professionalism in graduate medical education: what is the role of simulation? Surgery 2016;160:552-64. https://doi.org/10.1016/j.surg.2016.03.026
  20. Simulation in trauma education: beyond ATLS. Injury 2014;45:817-8. https://doi.org/10.1016/j.injury.2014.01.010