title: Teaching trauma care in India: an educational pilot study from Bangalore.
abstract: BACKGROUND
  Trauma has become a major cause of death and disability in developing countries. In India, most trauma patients receive initial care at general practitioner-staffed hospitals. We hypothesize that general practitioners (GPs) could improve their knowledge of trauma care after attending an educational course.
  
  
  METHODS
  A 2-day trauma course was conducted at a teaching hospital (170 bed) in Bangalore, India. Referral GPs, local surgeons and residents in training attended. A pre-course test was given to assess baseline trauma knowledge. The core didactic sessions included: resuscitation/recognition of shock states, airway prioritization, and evaluation/initial management of head, cardiothoracic, abdominal, pelvic/genitourinary, and thermal injuries. A post-course test was used to assess trauma knowledge obtained from the course. Paired t tests were performed on the test scores and demographic data were stratified by specialty and training status.
  
  
  RESULTS
  Of the 44 participants, 32 (72%) met study inclusion criteria: MBBS degree and course completion. The study population was 62.5% male with 47% surgeons and 53% GPs. Residents were 71.8% of the entire group. Overall, the pre- and post- course scores improved from 70.7% +/-11.2 to 87.5% +/-8.9, P = 0.000 (95%CI 12.1, 21.2). There was an increase of mean scores: 21.4% (SD +/-13.7) for GPs and 11.3% (SD +/-8.5) for surgeons (P = 0.02).
  
  
  CONCLUSIONS
  Although GPs had significantly lower pre-course scores than surgeons, at the end of the course, GPs performed as well as surgeons. These findings suggest allocation of limited educational resources for trauma care in India may be best used by GPs.
authors.affiliation: Surgery-Burn/Trauma/Critical Care, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390-9158, USA. kathryn.tchorz@utsouthwestern.edu
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Tchorz
authors.forename: Naveen
authors.initials: N
authors.lastname: Thomas
authors.forename: Sujatha
authors.initials: S
authors.lastname: Jesudassan
authors.forename: Ramegh
authors.initials: R
authors.lastname: Kumar
authors.forename: R
authors.initials: R
authors.lastname: Chinnadurai
authors.forename: Asha
authors.initials: A
authors.lastname: Thomas
authors.forename: Rosemarie I
authors.initials: RI
authors.lastname: Tchorz
authors.forename: Prabhkara
authors.initials: P
authors.lastname: Murthy Chaturvedula
authors.forename: Jennifer K
authors.initials: JK
authors.lastname: Parks
authors.forename: Rebekah A
authors.initials: RA
authors.lastname: Naylor
mesh_terms: D000328:Adult; D003479:Curriculum; D004502:Education, Medical, Continuing / Q000379:methods*; D005194:Family Practice / Q000193:education*; D005260:Female; D013502:General Surgery / Q000193:education*; D006780:Hospitals, Rural; D006784:Hospitals, Teaching; D006801:Humans; D007194:India; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education*; D010865:Pilot Projects; D014194:Traumatology / Q000193:education*