Successful collaborative model for trauma skills training of surgical and emergency medicine residents in a laboratory setting.
OBJECTIVE
To determine whether interdepartmental educational and technical resources could be combined to successfully train surgery and emergency medicine residents in common diagnostic and therapeutic trauma skills outside the traditional hospital setting.


METHODS
Curriculum improvement survey.


METHODS
Surgical Skills Laboratory, Temple University School of Medicine, Philadelphia, Pennsylvania.


METHODS
A total of 35 surgery residents (PGY 1 to 5) and 26 emergency medicine residents (PGY 1 to 3).


METHODS
Emergency medicine attendings used human volunteers to train surgery residents in Focused Assessment with Sonography in Trauma (FAST). Trauma surgery attendings used a porcine model to teach emergency medicine residents tracheostomy, peripheral venous cutdown, diagnostic peritoneal lavage, tube thoracostomy, and bilateral thoracotomy. Upon completion of the courses, all residents were surveyed using a 5-point Likert scale to assess this teaching model.


RESULTS
The percentage of residents reporting an improvement in knowledge levels after the course increased significantly (p < 0.003) for all skill modules (FAST, 14% vs 73%; tracheostomy, 20% vs 64%; peripheral venous cutdown, 25% vs 71%; diagnostic peritoneal lavage, 16% vs 60%; tube thoracostomy, 42% vs 92%; thoracotomy, 15% vs 42%). A significant (p < 0.05) increase in comfort levels during performance of the procedures in the clinical setting was also anticipated for all skills modules (FAST, 11% vs 60%; tracheostomy, 12% vs 50%; peripheral venous cutdown, 15% vs 31%; diagnostic peritoneal lavage, 12% vs 58%; tube thoracostomy, 35% vs 73%; thoracotomy, 0% vs 15%). PGY 1 to 4 surgery residents and PGY 1 and 2 emergency medicine residents perceived the greatest benefit (p < 0.05) from their respective courses. The overwhelming majority (89% to 100%) of surgery and emergency medicine residents felt the course was valuable and transferable to the clinical trauma setting.


CONCLUSIONS
Interdepartmental collaboration between the Department of Surgery and Department of Emergency Medicine offered a unique training relationship that was a positive educational experience for all residents.
Berg
David A
DA
Department of Surgery, Temple University Hospital, 3401 North Broad Street, 4th Floor, Philadelphia, PA 19140, USA. dberg@temple.edu
Milner
Richard E
RE
Demangone
Dawn
D
Ufberg
Jacob W
JW
McKernan
Erica
E
Fisher
Carol A
CA
Gaughan
John P
JP
Grewal
Harsh
H
Dempsey
Daniel T
DT
Goldberg
Amy J
AJ
D004635:Emergency Medicine / Q000193:education*; D013502:General Surgery / Q000193:education*; D007396:Internship and Residency; D007753:Laboratories; D014194:Traumatology / Q000193:education*